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

IF 7.1 2区 医学 Q1 CELL & TISSUE ENGINEERING Stem Cell Research & Therapy Pub Date : 2024-11-21 DOI:10.1186/s13287-024-04065-9
Seohyun Jennie Song, Yoojun Nam, Yeri Alice Rim, Ji Hyeon Ju, Yeowon Sohn
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引用次数: 0

摘要

干细胞疗法已成为再生医学中一种前景广阔的方法,在个性化医疗、疾病建模和药物发现方面显示出潜力。基于诱导多能干细胞(iPSC)的疗法尤为突出,因为它们既能分化成各种细胞类型,又能避免伦理问题。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。本研究对主要地区的干细胞疗法法规和研究进行了比较分析:欧盟(EU)、瑞士、韩国、日本和美国。首先,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因素,这可能会阻碍创新。相比之下,美国采取更灵活的监管立场,促进了干细胞疗法的快速发展。韩国和日本采取了一种平衡的方法,吸收了两种制度的做法。这些监管差异反映了每个国家独特的优先事项,并影响着干细胞疗法的发展速度和范围。此外,研究还根据从两个来源获得的数据,研究了全球干细胞治疗临床试验的趋势:研究结果表明,干细胞治疗临床试验的数量显著增长。研究结果表明,自2008年以来,临床试验数量大幅增长,尤其是涉及iPSCs的临床试验。涉及 iPSCs 的治疗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。研究结果强调了干细胞治疗的安全性。同时,此类试验的数量也因国家而异。美国和日本的干细胞研究指导方针相对灵活,处于领先地位。然而,欧盟国家却因实施严格的法规而落后。这反映出,干细胞疗法的积极开发需要更灵活的监管指导。研究结果强调了法律框架在促进创新和确保安全方面的重要性。不同国家的监管机构应通力合作,实现平衡的全球标准,确保干细胞疗法安全高效地发展。全球监管趋同将促进国际合作研究和新疗法的适用性。
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Comparative analysis of regulations and studies on stem cell therapies: focusing on induced pluripotent stem cell (iPSC)-based treatments.

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.

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来源期刊
Stem Cell Research & Therapy
Stem Cell Research & Therapy CELL BIOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
13.20
自引率
8.00%
发文量
525
审稿时长
1 months
期刊介绍: Stem Cell Research & Therapy serves as a leading platform for translational research in stem cell therapies. This international, peer-reviewed journal publishes high-quality open-access research articles, with a focus on basic, translational, and clinical research in stem cell therapeutics and regenerative therapies. Coverage includes animal models and clinical trials. Additionally, the journal offers reviews, viewpoints, commentaries, and reports.
期刊最新文献
Correction: Multi-omics evaluation of clinical-grade human umbilical cord-derived mesenchymal stem cells in synergistic improvement of aging related disorders in a senescence-accelerated mouse model. Different storage and freezing protocols for extracellular vesicles: a systematic review. Inhibition of soluble epoxide hydrolase reverses bone loss in periodontitis by upregulating EMCN and inhibiting osteoclasts. Intravenous injection of BMSCs modulate tsRNA expression and ameliorate lung remodeling in COPD mice. Exosome crosstalk between cancer stem cells and tumor microenvironment: cancer progression and therapeutic strategies.
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