Taei Adeleh, Sajadi Fatemeh-Sadat, Salahi Sarvenaz, Enteshari Zahra, Falah Nasrin, Shiri Zahra, Abasalizadeh Saeed, Hajizadeh-Saffar Ensiyeh, Hassani Seyedeh-Nafiseh, Baharvand Hossein
Department of Stem Cells and Developmental Biology, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran.
Department of Developmental Biology, School of Basic Sciences and Advanced Technologies in Biology, University of Science and Culture, Tehran, Iran.
Expert Opin Biol Ther. 2025 Jan;25(1):47-67. doi: 10.1080/14712598.2024.2443079. Epub 2024 Dec 25.
The remarkable ability of human pluripotent stem cells (hPSCs) to differentiate into specialized cells of the human body emphasizes their immense potential in treating various diseases. Advances in hPSC technology are paving the way for personalized and allogeneic cell-based therapies. The first-in-human studies showed improved treatment of diseases with no adverse effects, which encouraged the industrial production of this type of medicine. To ensure the quality, safety and efficacy of hPSC-based products throughout their life cycle, it is important to monitor and control their clinical translation through good practices (GxP) regulations. Understanding these rules in advance will help ensure that the industrial development of hPSC-derived products for widespread clinical implementation is feasible and progresses rapidly.
In this review, we discuss the key translational obstacles of hPSCs, outline the current hPSC-based clinical trials, and present a workflow for putative clinical hPSC-based products. Finally, we highlight some future therapeutic opportunities for hPSC-derivatives.
hPSC-based products continue to show promise for the treatment of a variety of diseases. While clinical trials support the relative safety and efficacy of hPSC-based products, further investigation is required to explore the clinical challenges and achieve exclusive regulations for hPSC-based cell therapies.
人类多能干细胞(hPSC)分化为人体特化细胞的卓越能力凸显了其在治疗各种疾病方面的巨大潜力。hPSC技术的进步为个性化和异体细胞疗法铺平了道路。首例人体研究表明,疾病治疗效果得到改善且无不良反应,这推动了此类药物的工业化生产。为确保基于hPSC的产品在其整个生命周期内的质量、安全性和有效性,通过良好规范(GxP)法规来监测和控制其临床转化非常重要。提前了解这些规则将有助于确保用于广泛临床应用的hPSC衍生产品的产业发展可行且进展迅速。
在本综述中,我们讨论了hPSC的关键转化障碍,概述了当前基于hPSC的临床试验,并提出了基于hPSC的假定临床产品的工作流程。最后,我们强调了hPSC衍生物未来的一些治疗机会。
基于hPSC的产品在治疗多种疾病方面仍显示出前景。虽然临床试验支持基于hPSC的产品的相对安全性和有效性,但仍需要进一步研究以探索临床挑战并实现基于hPSC的细胞疗法的专属法规。