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SDG框架在iPSC细胞治疗质量控制与临床转化中的应用前景. (2026). 环球医学研究, 3(4), 145-153. https://doi.org/10.62836/medicine.v3i4.1430
Copyright (c) 2026 梁睿妹, 孟东, 张月园, 李忠, 白宗科

This work is licensed under a Creative Commons Attribution 4.0 International License.
SDG框架在iPSC细胞治疗质量控制与临床转化中的应用前景
梁睿妹1,孟东2,张月园1,李忠3*,白宗科2,3*
1. 药物研发中心,深圳泽医细胞治疗集团,深圳
2. 深圳泽医医院,深圳泽医细胞治疗集团,深圳
3. 细胞治疗研究院,深圳泽医细胞治疗集团,深圳
摘要:诱导成熟细胞成为多能干细胞的技术,即诱导多功能干细胞(Induced pluripotent stem cell, iPSC),已经成为疾病建模、药物筛选和个性化细胞治疗的重要工具。iPSC本身处于未成熟,或“胎儿样”或“社会幼稚”状态。当移植到成熟组织或体外组织分化成熟模型中,iPSC需要通过与移植环境相互作用,逐渐分化成熟。我们称之为“社会化依赖性生长”(Socialization-dependent growth,SDG),所以细胞社会化(Cell socialization)成为iPSC在多细胞环境中生长要面临的首要问题。iPSC需要通过细胞接触、旁分泌信号、物理微环境和代谢调节,获得代谢适应、组织分化、通讯响应和环境感知的四维能力,最终成为细胞应用产品,SDG实际上贯穿了重编程、谱系分化、微环境塑造及移植后宿主响应的连续机制链,在多细胞组织化环境中,助力iPSC通过适应和改变电生理、代谢、突触和组织结构,实现社会化成熟。因此,本文围绕iPSC衍生细胞功能成熟这一关键瓶颈,提出SDG概念框架,系统总结细胞互作、微环境调控及宿主整合对细胞成熟的影响,并探讨其在细胞治疗产品质量控制和临床转化中的潜在价值。
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[3] Yamanaka S. Two decades of induced pluripotent stem cell research: From discovery to diverse applications [J]. Cell Stem Cell, 2026, 33(3): 372-81.
[4] Funakoshi S., Yoshida Y. Recent progress of iPSC technology in cardiac diseases [J]. Arch Toxicol, 2021, 95(12): 3633-50.
[5] Shahannaz D.C., Sugiura T., Ferrell B.E., et al. Arrhythmogenic Risk in iPSC-Derived Cardiomyocytes: Current Limitations and Therapeutic Perspectives [J]. Medicina (Kaunas), 2025, 61(11): 2056.
[6] Lemoine M.D., Mannhardt I., Breckwoldt K., et al. Human iPSC-derived cardiomyocytes cultured in 3D engineered heart tissue show physiological upstroke velocity and sodium current density [J]. Sci Rep, 2017, 7(1): 5464.
[7] Corbett J.L., Duncan S.A. iPSC-Derived Hepatocytes as a Platform for Disease Modeling and Drug Discovery [J]. Front Med (Lausanne), 2019, 6: 265.
[8] Luo Q., Wang N., Que H., et al. Pluripotent Stem Cell-Derived Hepatocyte-like Cells: Induction Methods and Applications [J]. Int J Mol Sci, 2023, 24(14): 11592.
[9] Mertens J., Reid D., Lau S., et al. Aging in a Dish: iPSC-Derived and Directly Induced Neurons for Studying Brain Aging and Age-Related Neurodegenerative Diseases [J]. Annu Rev Genet, 2018, 52: 271-93.
[10] Ciceri G., Baggiolini A., Cho H.S., et al. An epigenetic barrier sets the timing of human neuronal maturation [J]. Nature, 2024, 626(8000): 881-90.
[11] Hergenreder E., Minotti A.P., Zorina Y., et al. Combined small-molecule treatment accelerates maturation of human pluripotent stem cell-derived neurons [J]. Nat Biotechnol, 2024, 42(10): 1515-25.
[12] Rais C., Gaspar Santos D., Sansone G., et al. Functional maturation of human iPSC-derived pyramidal neurons in vivo is dependent on proximity with the host tissue [J]. Front Cell Neurosci, 2023, 17: 1259712.
[13] Sullivan S., Stacey G.N., Akazawa C., et al. Quality control guidelines for clinical-grade human induced pluripotent stem cell lines [J]. Regen Med, 2018, 13(7): 859-66.
[14] Nazor K.L., Altun G., Lynch C., et al. Recurrent variations in DNA methylation in human pluripotent stem cells and their differentiated derivatives [J]. Cell Stem Cell, 2012, 10(5): 620-34.
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[16] Yamamoto T., Sato Y., Yasuda S., et al. Correlation Between Genetic Abnormalities in Induced Pluripotent Stem Cell-Derivatives and Abnormal Tissue Formation in Tumorigenicity Tests [J]. Stem Cells Transl Med, 2022, 11(5): 527-38.
[17] Madrid M., Lakshmipathy U., Zhang X., et al. Considerations for the development of iPSC-derived cell therapies: a review of key challenges by the JSRM-ISCT iPSC Committee [J]. Cytotherapy, 2024, 26(11): 1382-99.
[18] Scuderi S., Kang T.Y., Jourdon A., et al. Specification of human brain regions with orthogonal gradients of WNT and SHH in organoids reveals patterning variations across cell lines [J]. Cell Stem Cell, 2025, 32(6): 970-89 e11.
[19] Yang X., Chen D., Sun Q., et al. A live-cell image-based machine learning strategy for reducing variability in PSC differentiation systems [J]. Cell Discov, 2023, 9(1): 53.
[20] Alsehli H.S., Roy E., Williams T., et al. Morphogen-driven differentiation is precluded by physical confinement in human iPSCs spheroids [J]. Front Bioeng Biotechnol, 2024, 12: 1467412.
[21] Indana D., Agarwal P., Bhutani N., et al. Viscoelasticity and Adhesion Signaling in Biomaterials Control Human Pluripotent Stem Cell Morphogenesis in 3D Culture [J]. Adv Mater, 2021, 33(43): e2101966.
[22] Takebe T., Sekine K., Enomura M., et al. Vascularized and functional human liver from an iPSC-derived organ bud transplant [J]. Nature, 2013, 499(7459): 481-4.
[23] Lendemeijer B., Unkel M., Smeenk H., et al. Human Pluripotent Stem Cell-Derived Astrocyte Functionality Compares Favorably with Primary Rat Astrocytes [J]. eNeuro, 2024, 11(9): ENEURO.0148-24.2024.
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[27] Silva A.C., Matthys O.B., Joy D.A., et al. Co-emergence of cardiac and gut tissues promotes cardiomyocyte maturation within human iPSC-derived organoids [J]. Cell Stem Cell, 2021, 28(12): 2137-52 e6.
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[29] Kawamura T., Ito Y., Ito E., et al. Safety confirmation of induced pluripotent stem cell-derived cardiomyocyte patch transplantation for ischemic cardiomyopathy: first three case reports [J]. Front Cardiovasc Med, 2023, 10: 1182209.
[30] Sawamoto N., Doi D., Nakanishi E., et al. Phase I/II trial of iPS-cell-derived dopaminergic cells for Parkinson’s disease [J]. Nature, 2025, 641(8064): 971-7.
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