心血管药理学研究中的人本技术。

IF 2.2 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Giuseppe Biondi-Zoccai, Giacomo Frati, Roberto Carnevale, George W Booz
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引用次数: 0

摘要

通过提供比传统动物模型更准确地反映人类生物学和疾病机制的创新平台,以人为基础的技术正在彻底改变心血管药理学。这些方法包括组织芯片、微生理系统、工程心脏组织、心脏类器官和人类心脏切片——每一种方法都有助于药物测试、机制理解和翻译相关性的实质性改进。生物银行、组学技术和先进成像技术的互补进步为心血管表型的多维表征提供了机会,而数字健康工具和可穿戴设备通过实时生理监测和分散的临床试验扩展了我们的转化设备。人工智能和机器学习通过促进数据集成和预测建模进一步促进发现管道。CRISPR/Cas9基因组编辑和体外到体内外推框架的应用强调了这些方法日益增长的精确性和临床导向。总之,这些创新正在重塑心脏病学的基础研究、药物开发、监管科学和个性化医疗。然而,为了充分实现它们的承诺,必须解决与标准化、可伸缩性和道德治理相关的挑战。通过战略投资和跨部门合作,以人为本的方法有望引领下一代心血管研究——提供针对人类特异性生物学的更安全、更有效的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Human-Based Technologies in Cardiovascular Pharmacology Research.

Human-based technologies are revolutionizing cardiovascular pharmacology by offering innovative platforms that more accurately reflect human biology and disease mechanisms than traditional animal models. These approaches include tissue chips, microphysiological systems, engineered heart tissues, cardiac organoids, and human cardiac slices-each contributing to substantial improvements in drug testing, mechanistic understanding, and translational relevance. Complementary advances in biobanking, omics technologies, and advanced imaging offer the opportunity for multidimensional characterization of cardiovascular phenotypes, while digital health tools and wearables expand our translational armamentarium with real-time physiological monitoring and decentralized clinical trials. Artificial intelligence and machine learning further contribute discovery pipelines by facilitating data integration and predictive modeling. The application of CRISPR/Cas9 genome editing and in vitro to in vivo extrapolation frameworks underscores the growing precision and clinical orientation of these methodologies. Together, these innovations are reshaping basic research, drug development, regulatory science, and personalized medicine in cardiology. However, to fully realize their promise, challenges related to standardization, scalability, and ethical governance must be addressed. With strategic investment and cross-sector collaboration, human-based approaches are poised to lead the next generation of cardiovascular research-delivering safer, more effective therapies tailored to human-specific biology.

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来源期刊
CiteScore
5.10
自引率
3.30%
发文量
367
审稿时长
1 months
期刊介绍: Journal of Cardiovascular Pharmacology is a peer reviewed, multidisciplinary journal that publishes original articles and pertinent review articles on basic and clinical aspects of cardiovascular pharmacology. The Journal encourages submission in all aspects of cardiovascular pharmacology/medicine including, but not limited to: stroke, kidney disease, lipid disorders, diabetes, systemic and pulmonary hypertension, cancer angiogenesis, neural and hormonal control of the circulation, sepsis, neurodegenerative diseases with a vascular component, cardiac and vascular remodeling, heart failure, angina, anticoagulants/antiplatelet agents, drugs/agents that affect vascular smooth muscle, and arrhythmias. Appropriate subjects include new drug development and evaluation, physiological and pharmacological bases of drug action, metabolism, drug interactions and side effects, application of drugs to gain novel insights into physiology or pathological conditions, clinical results with new and established agents, and novel methods. The focus is on pharmacology in its broadest applications, incorporating not only traditional approaches, but new approaches to the development of pharmacological agents and the prevention and treatment of cardiovascular diseases. Please note that JCVP does not publish work based on biological extracts of mixed and uncertain chemical composition or unknown concentration.
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