| Literature DB >> 25722427 |
James A Heslop1, Thomas G Hammond1, Ilaria Santeramo1, Agnès Tort Piella1, Isabel Hopp1, Jing Zhou1, Roua Baty1, Enrique I Graziano1, Bernabé Proto Marco1, Alexis Caron1, Patrik Sköld1, Peter W Andrews1, Melissa A Baxter1, David C Hay1, Junnat Hamdam1, Michaela E Sharpe1, Sara Patel1, David R Jones1, Jens Reinhardt1, Erik H J Danen1, Uri Ben-David1, Glyn Stacey1, Petter Björquist1, Jacqueline Piner1, John Mills1, Cliff Rowe1, Giovanni Pellegrini1, Swaminathan Sethu1, Daniel J Antoine1, Michael J Cross1, Patricia Murray1, Dominic P Williams1, Neil R Kitteringham1, Chris E P Goldring1, B Kevin Park1.
Abstract
The field of stem cell therapeutics is moving ever closer to widespread application in the clinic. However, despite the undoubted potential held by these therapies, the balance between risk and benefit remains difficult to predict. As in any new field, a lack of previous application in man and gaps in the underlying science mean that regulators and investigators continue to look for a balance between minimizing potential risk and ensuring therapies are not needlessly kept from patients. Here, we attempt to identify the important safety issues, assessing the current advances in scientific knowledge and how they may translate to clinical therapeutic strategies in the identification and management of these risks. We also investigate the tools and techniques currently available to researchers during preclinical and clinical development of stem cell products, their utility and limitations, and how these tools may be strategically used in the development of these therapies. We conclude that ensuring safety through cutting-edge science and robust assays, coupled with regular and open discussions between regulators and academic/industrial investigators, is likely to prove the most fruitful route to ensuring the safest possible development of new products. ©AlphaMed Press.Entities:
Keywords: Adult stem cells; Autologous stem cell transplantation; Cellular therapy; In vivo tracking; Pluripotent stem cells; Stem cell; Stem cell expansion; Stem cell transplantation
Mesh:
Year: 2015 PMID: 25722427 PMCID: PMC4367503 DOI: 10.5966/sctm.2014-0110
Source DB: PubMed Journal: Stem Cells Transl Med ISSN: 2157-6564 Impact factor: 6.940