Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Hamon Center for Regenerative Science and Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Cecil H. and Ida Green Center for Reproductive Biology Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109, USA; Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA; Department of Cell & Developmental Biology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Cell. 2024 Jun 20;187(13):3194-3219. doi: 10.1016/j.cell.2024.05.027.
Developing functional organs from stem cells remains a challenging goal in regenerative medicine. Existing methodologies, such as tissue engineering, bioprinting, and organoids, only offer partial solutions. This perspective focuses on two promising approaches emerging for engineering human organs from stem cells: stem cell-based embryo models and interspecies organogenesis. Both approaches exploit the premise of guiding stem cells to mimic natural development. We begin by summarizing what is known about early human development as a blueprint for recapitulating organogenesis in both embryo models and interspecies chimeras. The latest advances in both fields are discussed before highlighting the technological and knowledge gaps to be addressed before the goal of developing human organs could be achieved using the two approaches. We conclude by discussing challenges facing embryo modeling and interspecies organogenesis and outlining future prospects for advancing both fields toward the generation of human tissues and organs for basic research and translational applications.
从干细胞中开发功能性器官仍然是再生医学中的一个具有挑战性的目标。现有的方法,如组织工程、生物打印和类器官,仅提供部分解决方案。本文着眼于两种有前途的方法,即从干细胞工程化人类器官:基于干细胞的胚胎模型和种间器官发生。这两种方法都利用了引导干细胞模拟自然发育的前提。我们首先总结了早期人类发育的已知内容,作为在胚胎模型和种间嵌合体中重现器官发生的蓝图。在讨论这两个领域的最新进展之前,我们首先强调了在使用这两种方法开发人类器官之前需要解决的技术和知识差距。最后,我们讨论了胚胎模型和种间器官发生所面临的挑战,并概述了推进这两个领域的未来前景,以生成用于基础研究和转化应用的人类组织和器官。