Centre for Evidence-Based Practice, Nottingham, UK.
J Clin Pharm Ther. 2020 Jun;45(3):585-589. doi: 10.1111/jcpt.13131. Epub 2020 Mar 18.
There has been astounding progress made in the treatment of disease over recent years. This progress is particularly marked in cell therapy and in the personalization of therapy based on genetic insight, an approach known as genomic medicine. Our objective is to comment on the progress made in cell and genomic medicine against an historical backcloth of the search for rejuvenation.
In 1741, close to seven decades after Antoine van Leeuwenhoek first saw his microscopic animalcules, Abraham Trembley, a tutor in Leiden, reported on an organism that could regenerate itself. The strange organism was thought to hold the secret of life. If it does, we have yet to prise the secret out. However, the ensuing study of cell programming and induced stem cells has shed considerable light on cellular development and provided new insights on the rejuvenative capacity of organisms. Inventive scientists have provided a deeper understanding of cell replication and, from this, developed new medicines for an increasing range of diseases. Targeted therapies, oligonucleotide therapy, therapeutic monoclonal antibodies and pharmacogenetics are all new therapeutic areas originating from the improved insights. More will surely follow.
Immortality is for the gods, but man's search for its elusive secrets, perhaps as old as man himself, will continue. Huge leaps have been made, and effective medicines have been developed from our improved insights into the mechanism of life. However, only the foolish will predict how far this new knowledge will lead us, and more particularly, at what speed new therapies will follow.
近年来,疾病治疗取得了惊人的进展。这一进展在细胞治疗和基于基因见解的个体化治疗(即基因组医学)方面尤为显著。我们的目的是在历史背景下评论细胞和基因组医学的进展,探讨其对衰老的研究。
1741 年,在安东尼·范·列文虎克首次观察到他的微观动物之后近 70 年,莱顿的一名导师亚伯拉罕·特兰布莱报告了一种能够自我再生的生物体。这种奇特的生物体被认为蕴藏着生命的秘密。如果是这样,我们还没有揭开这个秘密。然而,随后对细胞编程和诱导干细胞的研究为细胞发育提供了相当多的启示,并为生物体的再生能力提供了新的见解。有创造力的科学家对细胞复制有了更深入的了解,并在此基础上为越来越多的疾病开发了新的药物。靶向治疗、寡核苷酸治疗、治疗性单克隆抗体和药物遗传学都是源自这一改进的见解的新治疗领域。肯定会有更多的领域出现。
永生是神的领域,但是人类对其难以捉摸的秘密的追求,也许和人类本身一样古老,将继续下去。已经取得了巨大的飞跃,从我们对生命机制的认识的提高中,已经开发出了有效的药物。然而,只有愚蠢的人才会预测这些新知识将把我们带到多远,更特别是,新疗法将以多快的速度跟进。