用非人类动物来预测人类对药物和疾病反应的科学问题

R. Greek, Lisa A. Kramer
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引用次数: 8

摘要

在世界各国,每年都有大量的时间和资源用于开发治疗和治愈人类疾病的药物这一崇高事业。除了极少数例外,没有在动物模型中首先证明安全性和有效性,药物干预就无法实现商业化。这些法规要求在这种情况下使用动物模型,其目的是确保只有安全有效的药物最终被患者使用。同样,研究人员在试图了解疾病在人类中出现和发展的方式时,采用动物模型是标准做法。不幸的是,对于使用非人类动物来模拟人类对药物和疾病等扰动的反应的标准做法,存在着严重的理论和经验问题。这些担忧是重要的,因为以一种没有科学支持的方式进行疾病研究和药物开发,将对依赖这些研究的人类产生次优影响,这些研究包括整个人口。基于复杂性科学、现代进化生物学和经验证据,我们证明动物模型已经无法预测人类的反应。也就是说,动物模型没有也不可能对人类对药物和疾病的反应具有可接受的高预测价值。我们的意思是,动物模型作为一种方法,是为了所有的实际目的——不能预测人类对药物和疾病的反应;因此,它应该被抛弃,转而支持基于人类的研究和测试,比如个性化医疗,这是一个考虑到每个病人独特基因组成的新领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Scientific Problems with Using Non-Human Animals to Predict Human Response to Drugs and Disease
Every year, and in countries around the world, significant time and resources are devoted to the noble cause of developing drugs to treat and cure human disease. With rare exception, drug interventions cannot reach commercial­ ization without safety and efficacy having first been demonstrated in animal models. The intention of regulations, which require the use of animal models in such contexts, is to ensure that only safe and effective drugs end up being used by patients. Similarly, it is standard practice for researchers to employ animal models in their attempts to understand the way diseases present and progress in humans. Unfortunately, there exist serious theoretical and empiri­ cal concerns regarding the standard practice of using non-human animals to model human response to perturbations, such as drugs and disease. These concerns are important because conducting disease research and drug devel­ opment in a manner that is not supported by science will have suboptimal implications for the humans who rely on that research, which encompass the entire population. Based on complexity science, modem evolutionary biology, and empirical evidence, we demonstrate that animal models have failed as predictors of human response. That is, animal models do not and cannot have acceptably high predictive value for human response to drugs and disease. By this we mean that animal modeling, as a methodology, is for all practical pur­ poses not predictive of human response to drugs and disease; and hence it should be abandoned in favor of human-based research and testing, such as personalized medicine, a new field that takes into account the unique genetic make-up of each individual patient.
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