细胞疗法临床试验概述:进展,挑战和未来方向
Meizhai Guo1, Bingyi Zheng1, Xiaoling Zeng1
1Translational Medicine Research Center, School of Pharmaceutical Sciences, Xiamen University, Xiamen 361102, China.
International journal of molecular sciences
|June 26, 2025
概括
细胞疗法对退行性疾病和癌症有前途,但面临挑战. 整合传统中医 (TCM) 可能会改善细胞活力,克服这些障碍,以获得更好的临床转化.
科学领域:
- 再生医学是一种再生医学.
- 免疫治疗是一种免疫疗法.
- 在瘤学瘤学.
背景情况:
- 细胞疗法,包括干细胞和工程免疫细胞,显示出有效性,但面临着低植入率和有限的长期成功.
- 翻译障碍阻碍了细胞疗法的临床应用.
研究的目的:
- 审查过去五年中国的临床细胞疗法项目.
- 分析全球临床成果并确定治疗改进.
- 建议将传统中医 (TCM) 整合起来,以提高细胞治疗的疗效.
主要方法:
- 在中国进行细胞治疗的临床项目汇编 (172项试验,>1200名患者).
- 对已发表的细胞疗法全球临床成果的分析.
- 对TCM整合 (CXCR4上调,线粒体生物发生) 拟议机制的审查.
主要成果:
- 在退行性疾病 (40-60%的WOMAC得分改善) 和瘤学 (78%的ctDNA清除) 中观察到显著的治疗改善.
- 突出了细胞治疗的快速发展和多样化的应用.
- 鉴定了TCM验证的局限性 (72%缺乏单细胞体质) 和监管问题.
结论:
- 细胞疗法具有显著的治疗潜力,特别是在退行性疾病和瘤学中.
- 整合TCM生物活性化合物是一个有希望的策略,以提高细胞活力和克服转化障碍.
- 未来的研究应该专注于随机试验和标准化的TCM细胞治疗方案,以促进临床转化.
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