医用材料和器械创新:选择正确和相关的生物模型

IF 2.6 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Inge K. Herrmann, Tina Buerki-Thurnherr
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引用次数: 0

摘要

医疗器械和生物材料的成功取决于选择真正反映人体生理和疾病的生物模型。一个精心选择的模型不仅是科学的需要;这是临床需要。学术生物医学研究通常依赖于容易获得的模型,这些模型产生负担得起的、方便的和可预测的结果。然而,败血症、癌症和心血管疾病的啮齿动物模型在临床转化中经常失败。同样,优化设备或材料以适应特定模型(“过度拟合”)可能会产生错误的信心,导致代价高昂的挫折。虽然体外系统提供了伦理优势和机制见解,但它们缺乏活生物体的复杂性。动物模型,虽然能够捕获系统的影响,面临物种差异,伦理问题,和不良的临床翻译。3D组织工程、器官芯片和人性化模型的进步克服了许多这些缺点,提高了预测的准确性,并补充了动物模型。临床医生的参与对于使临床前模型与现实世界的医疗需求保持一致至关重要。此外,在没有明确的转化途径的情况下,不应该进行不必要的动物实验。优先考虑临床相关模型可提高患者安全,减少研究浪费,并推动道德、有影响力的医疗创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Medical Materials and Device Innovation: Choosing the Right and Relevant Biological Models

Medical Materials and Device Innovation: Choosing the Right and Relevant Biological Models

The success of medical devices and biomaterials hinges on selecting biological models that truly reflect human physiology and disease. A well-chosen model is not just a scientific necessity; it is a clinical imperative. Academic biomedical research often relies on readily accessible models that yield affordable, convenient, and predictable results. However, rodent models of sepsis, cancer, and cardiovascular disease frequently fail in clinical translation. Likewise, optimizing a device or material to fit a specific model (“overfitting”) can create false confidence, leading to expensive setbacks. While in vitro systems offer ethical advantages and mechanistic insights, they lack the complexity of living organisms. Animal models, though capable of capturing systemic effects, face species differences, ethical concerns, and poor clinical translation. Advances in 3D tissue engineering, organ-on-a-chip, and humanized models overcome many of these shortcomings, improving predictive accuracy and complementing animal models. Clinician involvement is crucial to aligning preclinical models with real-world medical needs. Moreover, unnecessary animal experiments should not be conducted or required without a clear translational route. Prioritizing clinically relevant models enhances patient safety, reduces research waste, and drives ethical, impactful medical innovation.

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来源期刊
Advanced Therapeutics
Advanced Therapeutics Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
7.10
自引率
2.20%
发文量
130
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