Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
School of Human Kinetics, University of Ottawa, Ottawa, Canada.
Clin Transl Sci. 2020 May;13(3):440-450. doi: 10.1111/cts.12736. Epub 2020 Feb 6.
Despite regenerative medicine (RM) being one of the hottest topics in biotechnology for the past 3 decades, it is generally acknowledged that the field's performance at the bedside has been somewhat disappointing. This may be linked to the novelty of these technologies and their disruptive nature, which has brought an increasing level of complexity to translation. Therefore, we look at how the historical development of the RM field has changed the translational strategy. Specifically, we explore how the pursuit of such novel regenerative therapies has changed the way experts aim to translate their ideas into clinical applications, and then identify areas that need to be corrected or reinforced in order for these therapies to eventually be incorporated into the standard-of-care. This is then linked to a discussion of the preclinical and postclinical challenges remaining today, which offer insights that can contribute to the future progression of RM.
尽管再生医学(RM)在过去 30 年中一直是生物技术领域最热门的话题之一,但人们普遍认为,该领域在临床方面的表现有些令人失望。这可能与这些技术的新颖性及其颠覆性有关,这给转化带来了越来越多的复杂性。因此,我们研究了 RM 领域的历史发展如何改变转化策略。具体来说,我们探讨了对这种新颖的再生疗法的追求如何改变了专家将其理念转化为临床应用的方式,然后确定了需要纠正或加强的领域,以便这些疗法最终纳入标准护理。然后,我们将讨论当今仍然存在的临床前和临床挑战,这些挑战提供了有助于 RM 未来发展的见解。