Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, P.O. Box 80260, Jeddah 21589, Saudi Arabia.
Department of Internal Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Cairo University, Egypt.
Biomed Pharmacother. 2023 Feb;158:114131. doi: 10.1016/j.biopha.2022.114131. Epub 2022 Dec 18.
Although the currently available pharmacological assays can cure most pathological disorders, they have limited therapeutic value in relieving certain disorders like myocardial infarct, peripheral vascular disease, amputated limbs, or organ failure (e.g. renal failure). Pilot studies to overcome such problems using regenerative medicine (RM) delivered promising data. Comprehensive investigations of RM in zebrafish or reptilians are necessary for better understanding. However, the precise mechanisms remain poorly understood despite the tremendous amount of data obtained using the zebrafish model investigating the exact mechanisms behind their regenerative capability. Indeed, understanding such mechanisms and their application to humans can save millions of lives from dying due to potentially life-threatening events. Recent studies have launched a revolution in replacing damaged human organs via different approaches in the last few decades. The newly established branch of medicine (known as Regenerative Medicine aims to enhance natural repair mechanisms. This can be done through the application of several advanced broad-spectrum technologies such as organ transplantation, tissue engineering, and application of Scaffolds technology (support vascularization using an extracellular matrix), stem cell therapy, miRNA treatment, development of 3D mini-organs (organoids), and the construction of artificial tissues using nanomedicine and 3D bio-printers. Moreover, in the next few decades, revolutionary approaches in regenerative medicine will be applied based on artificial intelligence and wireless data exchange, soft intelligence biomaterials, nanorobotics, and even living robotics capable of self-repair. The present work presents a comprehensive overview that summarizes the new and future advances in the field of RM.
虽然目前可用的药理学方法可以治愈大多数病理紊乱,但它们在缓解某些疾病方面的治疗价值有限,如心肌梗死、外周血管疾病、截肢或器官衰竭(如肾衰竭)。使用再生医学(RM)来克服这些问题的初步研究提供了有希望的数据。为了更好地理解,有必要在斑马鱼或爬行动物中对 RM 进行全面研究。然而,尽管使用斑马鱼模型研究其再生能力背后的确切机制获得了大量数据,但这些机制仍未得到很好的理解。事实上,了解这些机制并将其应用于人类可以挽救数以百万计的生命,使其免受潜在危及生命的事件的影响。
近年来,通过不同的方法,在取代受损的人类器官方面的研究取得了革命性的进展。在过去几十年中,医学的一个新分支(称为再生医学)旨在增强自然修复机制。这可以通过应用几种先进的广谱技术来实现,如器官移植、组织工程和支架技术(利用细胞外基质促进血管生成)的应用、干细胞治疗、miRNA 治疗、3D 迷你器官(类器官)的开发以及使用纳米医学和 3D 生物打印机构建人工组织。此外,在未来几十年,基于人工智能和无线数据交换、软智能生物材料、纳米机器人,甚至能够自我修复的活体机器人的再生医学的革命性方法将得到应用。
本工作全面概述了 RM 领域的新进展和未来进展。