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[以促进监管机构接受多参数生理信号分析系统(MPS)心脏安全性评估为例]

[Toward Regulatory Acceptance of MPS-Cardiac Safety Assessment as an Example].

作者信息

Yamazaki Daiju

机构信息

National Institute of Health Sciences.

出版信息

Yakugaku Zasshi. 2023;143(1):55-63. doi: 10.1248/yakushi.22-00161-3.

DOI:10.1248/yakushi.22-00161-3
PMID:36596540
Abstract

Microphysiological system (MPS) are "Cell/tissue culture systems that reproduce in vivo organ functions in vitro by placing organ compartments that mimic the physiological environment of various organs such as the liver, small intestine, and lungs in micro-spaces." The MPS are attracting attention around the world as tools to improve human predictability in drug discovery research. In the U.S., in 2012, the NIH (National Institutes of Health) allocated a large budget to academia for research development of MPS. In Japan, the National Institute of Advanced Industrial Science and Technology and the NIHS (National Institute of Health Sciences) have been playing a central role in commercialization, performance evaluation, and standardization of MPS devices developed by academia for the liver, small intestine, kidney, and BBB as target organs/tissues in the AMED-MPS project that started in 2017. Pharmaceutical companies are beginning to utilize MPS in drug discovery research. However, MPS have only just been raised as a topic of discussion between regulatory authorities and pharmaceutical companies, and it will be necessary to overcome many barriers before data obtained by MPS can be included in drug approval documents and be widely accepted administratively. In this review, I would like to introduce cardiac safety evaluation as a concrete example to show what paths MPS should take to gain regulatory approval. In addition, I would like also to introduce human 3D heart tissue, which was developed in NIHS, as a cardiac MPS.

摘要

微生理系统(MPS)是“通过在微空间中放置模拟肝脏、小肠和肺等各种器官生理环境的器官隔室,在体外再现体内器官功能的细胞/组织培养系统”。作为提高药物研发中人体预测性的工具,MPS正在全球范围内受到关注。在美国,2012年美国国立卫生研究院(NIH)为学术界分配了大量预算用于MPS的研发。在日本,国立先进工业科学技术研究所和国立卫生科学研究所(NIHS)在2017年启动的“医药和医疗研究开发机构 - 微生理系统(AMED-MPS)”项目中,在以肝脏、小肠、肾脏和血脑屏障作为目标器官/组织的学术界开发的MPS设备的商业化、性能评估和标准化方面发挥了核心作用。制药公司开始在药物研发中使用MPS。然而,MPS刚刚成为监管机构和制药公司之间讨论的话题,在MPS获得的数据能够被纳入药物批准文件并在行政上被广泛接受之前,还需要克服许多障碍。在本综述中,我想以心脏安全性评估为例,说明MPS应采取哪些途径来获得监管批准。此外,我还想介绍国立卫生科学研究所开发的人体3D心脏组织,作为一种心脏MPS。

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