Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, China.
J Biomed Sci. 2024 May 9;31(1):47. doi: 10.1186/s12929-024-01035-4.
The field of regenerative medicine has witnessed remarkable advancements with the emergence of induced pluripotent stem cells (iPSCs) derived from a variety of sources. Among these, urine-derived induced pluripotent stem cells (u-iPSCs) have garnered substantial attention due to their non-invasive and patient-friendly acquisition method. This review manuscript delves into the potential and application of u-iPSCs in advancing precision medicine, particularly in the realms of drug testing, disease modeling, and cell therapy. U-iPSCs are generated through the reprogramming of somatic cells found in urine samples, offering a unique and renewable source of patient-specific pluripotent cells. Their utility in drug testing has revolutionized the pharmaceutical industry by providing personalized platforms for drug screening, toxicity assessment, and efficacy evaluation. The availability of u-iPSCs with diverse genetic backgrounds facilitates the development of tailored therapeutic approaches, minimizing adverse effects and optimizing treatment outcomes. Furthermore, u-iPSCs have demonstrated remarkable efficacy in disease modeling, allowing researchers to recapitulate patient-specific pathologies in vitro. This not only enhances our understanding of disease mechanisms but also serves as a valuable tool for drug discovery and development. In addition, u-iPSC-based disease models offer a platform for studying rare and genetically complex diseases, often underserved by traditional research methods. The versatility of u-iPSCs extends to cell therapy applications, where they hold immense promise for regenerative medicine. Their potential to differentiate into various cell types, including neurons, cardiomyocytes, and hepatocytes, enables the development of patient-specific cell replacement therapies. This personalized approach can revolutionize the treatment of degenerative diseases, organ failure, and tissue damage by minimizing immune rejection and optimizing therapeutic outcomes. However, several challenges and considerations, such as standardization of reprogramming protocols, genomic stability, and scalability, must be addressed to fully exploit u-iPSCs' potential in precision medicine. In conclusion, this review underscores the transformative impact of u-iPSCs on advancing precision medicine and highlights the future prospects and challenges in harnessing this innovative technology for improved healthcare outcomes.
再生医学领域见证了诱导多能干细胞(iPSCs)的出现所带来的显著进展,这些细胞源自多种来源。在这些来源中,尿液来源的诱导多能干细胞(u-iPSCs)因其非侵入性和患者友好的获取方法而引起了广泛关注。本文综述深入探讨了 u-iPSCs 在推进精准医学中的潜力和应用,特别是在药物测试、疾病建模和细胞治疗领域。u-iPSCs 是通过对尿液样本中发现的体细胞进行重编程产生的,提供了一种独特且可再生的患者特异性多能细胞来源。它们在药物测试中的应用彻底改变了制药行业,为药物筛选、毒性评估和疗效评估提供了个性化平台。具有不同遗传背景的 u-iPSCs 的可用性促进了定制治疗方法的发展,最大限度地减少了不良反应并优化了治疗效果。此外,u-iPSCs 在疾病建模方面表现出显著的疗效,使研究人员能够在体外再现患者特异性的病理。这不仅增强了我们对疾病机制的理解,而且还为药物发现和开发提供了有价值的工具。此外,基于 u-iPSC 的疾病模型为研究罕见和遗传复杂疾病提供了一个平台,这些疾病通常无法通过传统研究方法得到充分研究。u-iPSCs 的多功能性还扩展到细胞治疗应用,在再生医学中具有巨大的潜力。它们分化为各种细胞类型的潜力,包括神经元、心肌细胞和肝细胞,使开发针对患者的细胞替代疗法成为可能。这种个性化方法可以通过最小化免疫排斥和优化治疗效果来彻底改变退行性疾病、器官衰竭和组织损伤的治疗。然而,必须解决一些挑战和考虑因素,例如标准化的重编程方案、基因组稳定性和可扩展性,以充分发挥 u-iPSCs 在精准医学中的潜力。总之,本文综述强调了 u-iPSCs 在推进精准医学方面的变革性影响,并突出了利用这项创新技术改善医疗保健结果的未来前景和挑战。