Lanza R P, Hayes J L, Chick W L
BioHybrid Technologies Inc., Shrewsbury, MA 01545-3303, USA.
Nat Biotechnol. 1996 Sep;14(9):1107-11. doi: 10.1038/nbt0996-1107.
The potential therapeutic applications of encapsulated cells are enormous. In the US alone, it has been estimated that nearly half-a-trillion dollars are spent each year to care for patients who suffer tissue loss or dysfunction. Over 6 million patients suffer from neurodegenerative disorders such as Alzheimer's disease and Parkinson's disease, over 14 million patients suffer from diabetes, and millions more from liver failure, hemophilia, and other diseases caused by the loss of specific vital cellular functions. It appears likely that by the end of the decade clinical trials of encapsulated cells to treat many of these diseases will become a reality. The Food and Drug Administration has already authorized studies to evaluate the safety and biological activity of several types of systems. A number of issues will have to be addressed, including the sourcing of raw materials, the design and building of manufacturing facilities, the scale-up and optimization process, storage and distribution of the product, and quality control.
封装细胞的潜在治疗应用极为广泛。仅在美国,据估计每年花费近5000亿美元用于护理组织受损或功能失调的患者。超过600万患者患有神经退行性疾病,如阿尔茨海默病和帕金森病,超过1400万患者患有糖尿病,还有数百万患者患有肝功能衰竭、血友病以及其他由特定重要细胞功能丧失引起的疾病。到本十年末,用于治疗这些疾病中许多疾病的封装细胞临床试验似乎有可能成为现实。美国食品药品监督管理局已经批准了多项研究,以评估几种系统的安全性和生物活性。还必须解决许多问题,包括原材料的采购、生产设施的设计和建设、扩大规模和优化过程、产品的储存和分销以及质量控制。