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在癌症治疗中的转化失落:动物模型与临床试验。

Lost in translation: animal models and clinical trials in cancer treatment.

机构信息

Department of Surgery, McMaster University Hamilton, Ontario, Canada ; Juravinski Cancer Centre, Hamilton Health Sciences Hamilton, Ontario, Canada.

出版信息

Am J Transl Res. 2014 Jan 15;6(2):114-8. eCollection 2014.

Abstract

Due to practical and ethical concerns associated with human experimentation, animal models have been essential in cancer research. However, the average rate of successful translation from animal models to clinical cancer trials is less than 8%. Animal models are limited in their ability to mimic the extremely complex process of human carcinogenesis, physiology and progression. Therefore the safety and efficacy identified in animal studies is generally not translated to human trials. Animal models can serve as an important source of in vivo information, but alternative translational approaches have emerged that may eventually replace the link between in vitro studies and clinical applications. This review summarizes the current state of animal model translation to clinical practice, and offers some explanations for the general lack of success in this process. In addition, some alternative strategies to the classic in vivo approach are discussed.

摘要

由于与人体实验相关的实际和伦理问题,动物模型在癌症研究中一直是必不可少的。然而,从动物模型到临床癌症试验的成功转化率平均不到 8%。动物模型在模拟人类致癌过程、生理学和进展方面的能力有限。因此,在动物研究中确定的安全性和疗效通常不能转化为人类试验。动物模型可以作为体内信息的重要来源,但已经出现了一些替代的转化方法,这些方法最终可能会取代体外研究和临床应用之间的联系。本文综述了动物模型向临床实践转化的现状,并对这一过程普遍缺乏成功的原因进行了一些解释。此外,还讨论了经典体内方法的一些替代策略。

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