类器官技术的系统综述及其意义

Giovana Macêdo Egídio Cavalcante, Taysa Leite de Aquino, Jaiany Rodrigues Libório, Dara Fern, A. Duarte, Juliana Oliveira Duarte Rebouças, Eugenia Machado Couto, Pablo de Oliveira Saraiva Bezerra, Gabriela Macedo Egidio Cavalcante, Maria Águeda Brito Leite Duarte, M. L. Neto
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摘要

背景:诱导多能干细胞(iPSC)形成类器官是一项正在研究的新技术,旨在改善各种疾病患者甚至接受某些类型手术的患者的临床状况。方法:采用PRISMA方案进行系统评价。研究时间为2010年至2020年,关键词为“类器官”、“iPSC”、“伦理”和“循证医学”,每次一个,然后结合布尔运算符“and”。结果:共登记44例。在这一总数中,有15篇文章被排除,因为它们没有客观地讨论类器官和干细胞,经常关注其他现象或细节,而这些现象或细节对综述不感兴趣。局限性:关于类器官的发现和促进其产生和生长的新方法在世界各地不断得到测试和发展,这意味着信息来源的不断更新。这篇文章是基于科学界当前和高度尊重的来源。结论:类器官无疑是一项能够改变医疗环境中许多概念和指导方针的技术。面对这种巨大的能力,有必要不断进行研究,并广泛讨论这种新技术的使用,因为它不仅涉及科学领域,而且涉及伦理领域和社会领域。改进这种已经存在的技术,使其越来越多地模仿人体是存在的挑战,需要许多不同领域的专业人士和谐地解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Systematic Review and Implications of Organoid Technology
Background: The induction of the formation of organoids derived from induced pluripotent stem cells (iPSC) is a new technology that is being well studied and aims to improve the clinical condition of patients with various diseases and even patients undergoing certain types of procedures. Methods: A systematic review, using the PRISMA protocol. The study period was from 2010 to 2020 and the keywords included “Organoids”, “iPSC”, “Ethic” and “Evidence-Based Medicine”, one at a time and then combined with the Boolean operator “AND”. Results: A total of 44 registrations were found. Of this total, 15 articles were excluded because they have not approached organoids and stem cells objectively, often attending to other phenomena or details that are not of interest to the review. Limitations: Discoveries about organoids and new methods to promote their generation and growth are constantly being tested and developed around the world, this implies a constant renewal of sources of information. The article was based on current and highly respected sources in the scientific community. Conclusion: Organoids are unquestionably a technology capable of changing many concepts and guidelines in the medical environment. Faced with this enormous capacity, it is necessary that studies are constantly made and that the use of this new technology is widely discussed, since it addresses not only the scientific sphere, but also the ethical sphere, the social sphere. Improving this already existing technology so that it will increasingly mimic the human body is the challenge that exists and needs to be addressed by many professionals in different areas in harmony.
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