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比较分析干细胞疗法的法规和研究:重点关注基于诱导多能干细胞(iPSC)的治疗方法。

Comparative analysis of regulations and studies on stem cell therapies: focusing on induced pluripotent stem cell (iPSC)-based treatments.

机构信息

Seoul National University, 1 Gwanak-Ro, Gwanak-Gu, Seoul, 08826, Republic of Korea.

YiPSCELL Inc., L2 Omnibus Park, Banpo-Dearo 222, Seocho-Gu, Seoul, 06591, Republic of Korea.

出版信息

Stem Cell Res Ther. 2024 Nov 21;15(1):447. doi: 10.1186/s13287-024-04065-9.

DOI:10.1186/s13287-024-04065-9
PMID:39574212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583560/
Abstract

Stem cell therapies have emerged as a promising approach in regenerative medicine, demonstrating potential in personalized medicine, disease modeling, and drug discovery. Therapies based on induced pluripotent stem cells (iPSCs) particularly stand out for their ability to differentiate into various cell types while avoiding ethical concerns. However, the development and application of these therapies are influenced by varying regulatory frameworks across countries. This study provides a comparative analysis of regulations and research on stem cell therapies in key regions: The European Union (EU), Switzerland, South Korea, Japan, and the United States. First, the study reviews the regulatory frameworks on stem cell therapies. The EU and Switzerland maintain rigorous guidelines that prioritize safety and ethical considerations, which can hinder innovation. In contrast, the United States adopts a more flexible regulatory stance, facilitating the rapid development of stem cell therapies. South Korea and Japan take a balanced approach by incorporating practices from both regimes. These regulatory differences reflect each country's unique priorities and impact the pace and scope of stem cell therapy development. Moreover, the study examines global trends in clinical trials on stem cell treatments based on data obtained from two sources: ClinicalTrials.gov and ICTRP. Findings indicate a significant growth in the number of clinical trials since 2008, particularly in that involving iPSCs. Therapeutic studies involving iPSCs predominantly target conditions affecting the cardiovascular and nervous systems which are considered vital. The results put emphasis on the safety of stem cell treatments. Meanwhile, the number of such trials also varies by country. The United States and Japan, where relatively flexible guidelines on stem cell research are adopted, are in a leading position. However, countries in the EU fall behind with rigorous regulations imposed. This reflects the need for more flexible regulatory guidance for active development of stem cell therapies. The findings underscore the importance of legal frameworks in facilitating innovation while ensuring safety. Regulatory agencies in different countries should collaborate to achieve a balanced global standard to ensure the safe and efficient advancement of stem cell therapies. Global regulatory convergence will promote international collaboration in research and the applicability of new treatments.

摘要

干细胞疗法在再生医学中已成为一种有前途的方法,在个性化医学、疾病建模和药物发现方面具有潜力。基于诱导多能干细胞(iPSCs)的疗法因其能够分化为各种细胞类型而脱颖而出,同时避免了伦理问题。然而,这些疗法的开发和应用受到各国不同监管框架的影响。本研究对关键地区(欧盟、瑞士、韩国、日本和美国)的干细胞疗法监管和研究进行了比较分析。首先,本研究回顾了干细胞疗法的监管框架。欧盟和瑞士坚持严格的指导方针,优先考虑安全性和伦理问题,这可能会阻碍创新。相比之下,美国采取了更为灵活的监管立场,促进了干细胞疗法的快速发展。韩国和日本采取了平衡的方法,结合了两种制度的做法。这些监管差异反映了每个国家的独特优先事项,并影响了干细胞治疗发展的速度和范围。此外,本研究根据从两个来源(ClinicalTrials.gov 和 ICTRP)获得的数据,研究了干细胞治疗的临床试验的全球趋势。研究结果表明,自 2008 年以来,临床试验数量显著增长,特别是涉及 iPSCs 的临床试验。涉及 iPSCs 的治疗性研究主要针对影响心血管和神经系统的疾病,这些疾病被认为是至关重要的。结果强调了干细胞治疗的安全性。同时,临床试验的数量也因国家而异。美国和日本采用了相对灵活的干细胞研究指导方针,处于领先地位。然而,欧盟国家由于实施了严格的规定而落后。这反映了需要更灵活的监管指导,以积极开发干细胞疗法。研究结果强调了法律框架在促进创新的同时确保安全的重要性。不同国家的监管机构应合作,实现平衡的全球标准,以确保干细胞疗法的安全和有效推进。全球监管趋同将促进研究和新疗法的适用性方面的国际合作。

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