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

IF 11.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Annual review of pharmacology and toxicology Pub Date : 2024-09-16 DOI:10.1146/annurev-pharmtox-022724-095035
Zehra Yildirim, Kyle Swanson, Xuekun Wu, James Zou, Joseph Wu
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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.

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新一代疗法:用 iPSC、基因组学、人工智能和临床试验在一个碟子里进行药物发现的先驱。
在高风险的药物发现领域,从实验台到床边的过程受到令人生畏的 92% 失败率的阻碍,这主要是由于临床试验中不可预知的毒性和疗效不足造成的。美国食品及药物管理局现代化法案2.0预示着一种变革性的方法,主张整合传统动物试验的替代方法,包括采用人类诱导多能干细胞(iPSC)衍生的器官组织和芯片上器官技术的基于细胞的试验,并结合先进的人工智能(AI)方法。我们的综述探讨了 iPSC 衍生的临床试验在心血管疾病研究设计的皿模型中的创新能力。我们还强调了 iPSC 技术与人工智能的结合如何能加快确定可行的候选疗法、简化药物筛选并为实现更个性化的医疗铺平道路。通过这些内容,我们全面概述了 iPSC 和人工智能应用在研究界和制药业中的现状和未来影响。
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来源期刊
CiteScore
27.80
自引率
0.00%
发文量
53
期刊介绍: Since 1961, the Annual Review of Pharmacology and Toxicology has been a comprehensive resource covering significant developments in pharmacology and toxicology. The journal encompasses various aspects, including receptors, transporters, enzymes, chemical agents, drug development science, and systems like the immune, nervous, gastrointestinal, cardiovascular, endocrine, and pulmonary systems. Special topics are also featured in this annual review.
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