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心血管细胞治疗领域的再生。

Regenerating the field of cardiovascular cell therapy.

机构信息

Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden.

Department of Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

Nat Biotechnol. 2019 Mar;37(3):232-237. doi: 10.1038/s41587-019-0042-1. Epub 2019 Feb 18.

DOI:10.1038/s41587-019-0042-1
PMID:30778231
Abstract

The retraction of >30 falsified studies by Anversa et al. has had a disheartening impact on the cardiac cell therapeutics field. The premise of heart muscle regeneration by the transdifferentiation of bone marrow cells or putative adult resident cardiac progenitors has been largely disproven. Over the past 18 years, a generation of physicians and scientists has lost years chasing these studies, and patients have been placed at risk with little scientific grounding. Funding agencies invested hundreds of millions of dollars in irreproducible work, and both academic institutions and the scientific community ignored troubling signals over a decade of questionable work. Our collective retrospective analysis identifies preventable problems at the level of the editorial and peer-review process, funding agencies and academic institutions. This Perspective provides a chronology of the forces that led to this scientific debacle, integrating direct knowledge of the process. We suggest a science-driven path forward that includes multiple novel approaches to the problem of heart muscle regeneration.

摘要

安弗萨(Anversa)等人撤回的 30 多篇伪造研究对心脏细胞治疗领域产生了令人沮丧的影响。骨髓细胞或假定的成人驻留心脏祖细胞通过转分化来再生心肌的前提已基本被否定。在过去的 18 年中,一代医生和科学家已经花费了数年时间来研究这些研究,但这些研究没有科学依据,患者面临风险。资助机构投资了数亿美元用于不可复制的工作,学术机构和科学界在十多年的有问题的工作中忽略了令人不安的信号。我们的集体回顾性分析确定了编辑和同行评审过程、资助机构和学术机构层面上可预防的问题。本观点提供了导致这一科学灾难的力量的时间线,整合了对该过程的直接了解。我们建议通过科学驱动的方法向前推进,包括解决心肌再生问题的多种新方法。

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1
Regenerating the field of cardiovascular cell therapy.心血管细胞治疗领域的再生。
Nat Biotechnol. 2019 Mar;37(3):232-237. doi: 10.1038/s41587-019-0042-1. Epub 2019 Feb 18.
2
Non-coding RNAs in Cardiac Regeneration.非编码 RNA 在心脏再生中的作用。
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Strategies for regeneration of heart muscle.心肌再生策略。
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Cell therapy for myocardial regeneration.用于心肌再生的细胞疗法。
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Autologous cell transplantation for the treatment of damaged myocardium.自体细胞移植治疗受损心肌。
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The bone marrow--cardiac axis of myocardial regeneration.心肌再生的骨髓-心脏轴
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Stem cells and their potential in cell-based cardiac therapies.干细胞及其在基于细胞的心脏治疗中的潜力。
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Adult bone marrow-derived cells: regenerative potential, plasticity, and tissue commitment.成人骨髓来源的细胞:再生潜力、可塑性及组织定向分化
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本文引用的文献

1
Assessment of cardiomyocyte DNA synthesis in normal and injured adult mouse hearts.正常和损伤成年小鼠心脏中心肌细胞DNA合成的评估。
Am J Physiol. 1997 Jan;272(1 Pt 2):H220-6. doi: 10.1152/ajpheart.1997.272.1.H220.
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DNA synthesis and nuclear division in embryonal and postnatal histogenesis of myocardium (autoradiographic study).
Fed Proc Transl Suppl. 1965 Sep-Oct;24(5):899-902.
心脏再生革命综述:探索干细胞疗法的前景
Mol Biol Rep. 2025 May 28;52(1):511. doi: 10.1007/s11033-025-10580-6.
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Positive aspects of negative data.阴性数据的积极方面。
J Mol Cell Cardiol Plus. 2022 Sep 28;2:100016. doi: 10.1016/j.jmccpl.2022.100016. eCollection 2022 Dec.
5
Development of Biomimetic Substrates for Limbal Epithelial Stem Cells Using Collagen-Based Films, Hyaluronic Acid, Immortalized Cells, and Macromolecular Crowding.使用基于胶原蛋白的薄膜、透明质酸、永生化细胞和大分子拥挤效应开发用于角膜缘上皮干细胞的仿生基质
Life (Basel). 2024 Nov 26;14(12):1552. doi: 10.3390/life14121552.
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Limited diffusion of scientific knowledge forecasts collapse.科学知识传播有限预示着崩溃。
Nat Hum Behav. 2025 Feb;9(2):268-276. doi: 10.1038/s41562-024-02041-0. Epub 2024 Dec 2.
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A Latent Cardiomyocyte Regeneration Potential in Human Heart Disease.人类心脏病中潜在的心肌细胞再生潜力。
Circulation. 2025 Jan 21;151(3):245-256. doi: 10.1161/CIRCULATIONAHA.123.067156. Epub 2024 Nov 21.
8
Recent Insights into Endogenous Mammalian Cardiac Regeneration Post-Myocardial Infarction.心肌梗死后内源性哺乳动物心脏再生的最新见解。
Int J Mol Sci. 2024 Nov 1;25(21):11747. doi: 10.3390/ijms252111747.
9
Growth differentiation factor 11 alleviates oxidative stress-induced senescence of endothelial progenitor cells via activating autophagy.生长分化因子 11 通过激活自噬减轻氧化应激诱导的内皮祖细胞衰老。
Stem Cell Res Ther. 2024 Oct 17;15(1):370. doi: 10.1186/s13287-024-03975-y.
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Extracellular vesicles from human cardiac stromal cells up-regulate cardiomyocyte protective responses to hypoxia.人心脏基质细胞来源的细胞外囊泡可上调心肌细胞对低氧的保护反应。
Stem Cell Res Ther. 2024 Oct 12;15(1):363. doi: 10.1186/s13287-024-03983-y.