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体外癌症模型:深入探讨转化过程中的局限性

In Vitro Cancer Models: A Closer Look at Limitations on Translation.

作者信息

Antunes Nina, Kundu Banani, Kundu Subhas C, Reis Rui L, Correlo Vítor

机构信息

Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, 3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, AvePark, Zona Industrial da Gandra, 4805-017 Barco, Portugal.

ICVS/3 B's-PT Government Associate Laboratory, 4710-057 Braga, Portugal.

出版信息

Bioengineering (Basel). 2022 Apr 7;9(4):166. doi: 10.3390/bioengineering9040166.

Abstract

In vitro cancer models are envisioned as high-throughput screening platforms for potential new therapeutic discovery and/or validation. They also serve as tools to achieve personalized treatment strategies or real-time monitoring of disease propagation, providing effective treatments to patients. To battle the fatality of metastatic cancers, the development and commercialization of predictive and robust preclinical in vitro cancer models are of urgent need. In the past decades, the translation of cancer research from 2D to 3D platforms and the development of diverse in vitro cancer models have been well elaborated in an enormous number of reviews. However, the meagre clinical success rate of cancer therapeutics urges the critical introspection of currently available preclinical platforms, including patents, to hasten the development of precision medicine and commercialization of in vitro cancer models. Hence, the present article critically reflects the difficulty of translating cancer therapeutics from discovery to adoption and commercialization in the light of in vitro cancer models as predictive tools. The state of the art of in vitro cancer models is discussed first, followed by identifying the limitations of bench-to-bedside transition. This review tries to establish compatibility between the current findings and obstacles and indicates future directions to accelerate the market penetration, considering the niche market.

摘要

体外癌症模型被设想为用于潜在新疗法发现和/或验证的高通量筛选平台。它们还可作为实现个性化治疗策略或实时监测疾病传播的工具,为患者提供有效的治疗。为了对抗转移性癌症的致命性,迫切需要开发和商业化具有预测性且强大的临床前体外癌症模型。在过去几十年中,大量综述对癌症研究从二维平台向三维平台的转变以及各种体外癌症模型的发展进行了详尽阐述。然而,癌症治疗药物在临床方面的成功率较低,这促使我们对包括专利在内的现有临床前平台进行批判性反思,以加速精准医学的发展和体外癌症模型的商业化。因此,本文鉴于体外癌症模型作为预测工具,批判性地反思了将癌症治疗药物从发现转化为应用及商业化的困难。首先讨论了体外癌症模型的现状,接着指出了从实验室到临床转化的局限性。本综述试图在当前的研究结果与障碍之间建立兼容性,并考虑到利基市场,指明加速市场渗透的未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e9/9029854/046159efe2ff/bioengineering-09-00166-g005.jpg

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