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下一代疗法:利用诱导多能干细胞、基因组学、人工智能以及体外临床试验开拓药物研发。

Next-Gen Therapeutics: Pioneering Drug Discovery with iPSCs, Genomics, AI, and Clinical Trials in a Dish.

作者信息

Yildirim Zehra, Swanson Kyle, Wu Xuekun, Zou James, Wu Joseph

机构信息

Stanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, USA; email:

Greenstone Biosciences, Palo Alto, California, USA.

出版信息

Annu Rev Pharmacol Toxicol. 2025 Jan;65(1):71-90. doi: 10.1146/annurev-pharmtox-022724-095035. Epub 2024 Dec 17.

Abstract

In the high-stakes arena of drug discovery, the journey from bench to bedside is hindered by a daunting 92% failure rate, primarily due to unpredicted toxicities and inadequate therapeutic efficacy in clinical trials. The FDA Modernization Act 2.0 heralds a transformative approach, advocating for the integration of alternative methods to conventional animal testing, including cell-based assays that employ human induced pluripotent stem cell (iPSC)-derived organoids, and organ-on-a-chip technologies, in conjunction with sophisticated artificial intelligence (AI) methodologies. Our review explores the innovative capacity of iPSC-derived clinical trial in a dish models designed for cardiovascular disease research. We also highlight how integrating iPSC technology with AI can accelerate the identification of viable therapeutic candidates, streamline drug screening, and pave the way toward more personalized medicine. Through this, we provide a comprehensive overview of the current landscape and future implications of iPSC and AI applications being navigated by the research community and pharmaceutical industry.

摘要

在高风险的药物研发领域,从实验室到临床应用的进程受到高达92%的失败率的阻碍,这主要是由于临床试验中出现的不可预测的毒性和治疗效果不佳。《美国食品药品监督管理局现代化法案2.0》预示着一种变革性的方法,提倡将替代传统动物试验的方法整合进来,包括使用人类诱导多能干细胞(iPSC)衍生类器官的基于细胞的检测方法,以及器官芯片技术,并结合先进的人工智能(AI)方法。我们的综述探讨了为心血管疾病研究设计的基于iPSC的“盘中临床试验”模型的创新能力。我们还强调了将iPSC技术与人工智能相结合如何能够加速确定可行的治疗候选药物,简化药物筛选,并为更个性化的药物治疗铺平道路。通过这样做,我们全面概述了研究界和制药行业正在探索的iPSC和AI应用的当前现状和未来影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493a/12011342/fea09896c95d/nihms-2073034-f0001.jpg

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