Department of Physiology & Membrane Biology, School of Medicine, University of California Davis, Davis, CA, USA.
Center for Precision Medicine and Data Sciences, University of California Davis, School of Medicine, Sacramento, CA, USA.
J Physiol. 2024 Aug;602(16):3871-3892. doi: 10.1113/JP282562. Epub 2024 Jul 20.
A transformation is underway in precision and patient-specific medicine. Rapid progress has been enabled by multiple new technologies including induced pluripotent stem cell-derived cardiac myocytes (iPSC-CMs). Here, we delve into these advancements and their future promise, focusing on the efficiency of reprogramming techniques, the fidelity of differentiation into the cardiac lineage, the functional characterization of the resulting cardiac myocytes, and the many applications of in silico models to understand general and patient-specific mechanisms controlling excitation-contraction coupling in health and disease. Furthermore, we explore the current and potential applications of iPSC-CMs in both research and clinical settings, underscoring the far-reaching implications of this rapidly evolving field.
精准医学和个体化医学正在发生转变。多种新技术的出现,包括诱导多能干细胞衍生的心肌细胞(iPSC-CMs),推动了这一转变。在这里,我们深入探讨这些进展及其未来的前景,重点关注重编程技术的效率、向心脏谱系分化的保真度、所得心肌细胞的功能特征,以及计算模型在理解控制健康和疾病中兴奋-收缩偶联的一般和个体机制的许多应用。此外,我们还探讨了 iPSC-CMs 在研究和临床环境中的当前和潜在应用,强调了这个快速发展领域的深远影响。