Klinikum Rechts der Isar, Internal Medicine I, Technical University of Munich, 81675 Munich, Germany.
German Centre for Cardiovascular Research, Munich Heart Alliance, 80802 Munich, Germany.
Int J Mol Sci. 2019 Sep 25;20(19):4749. doi: 10.3390/ijms20194749.
Coronary heart diseases are of high relevance for health care systems in developed countries regarding patient numbers and costs. Disappointingly, the enormous effort put into the development of innovative therapies and the high numbers of clinical studies conducted are counteracted by the low numbers of therapies that become clinically effective. Evidently, pre-clinical research in its present form does not appear informative of the performance of treatments in the clinic and, even more relevant, it appears that there is hardly any consent about how to improve the predictive capacity of pre-clinical experiments. According to the steadily increasing relevance that pig models have gained in biomedical research in the recent past, we anticipate that research in pigs can be highly predictive for ischemia-reperfusion injury (IRI) therapies as well. Thus, we here describe the significance of pig models in IRI, give an overview about recent developments in evaluating such models by clinically relevant methods and present the latest insight into therapies applied to pigs under IRI.
冠心病在发达国家的医疗体系中具有很高的相关性,无论是就患者数量还是医疗成本而言。令人失望的是,尽管在创新疗法的开发上投入了巨大的努力,并且开展了大量的临床研究,但只有很少的疗法具有临床疗效。显然,目前的临床前研究并不能反映治疗在临床上的效果,更重要的是,人们几乎没有就如何提高临床前实验的预测能力达成共识。根据最近过去的生物医学研究中猪模型不断增加的相关性,我们预计猪模型在缺血再灌注损伤(IRI)治疗方面也具有很高的预测价值。因此,我们在这里描述了猪模型在 IRI 中的重要性,概述了最近通过临床相关方法评估此类模型的进展,并介绍了应用于 IRI 下猪的最新治疗方法的最新进展。