留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

组织再生的类器官策略与挑战

王光超 苏佳灿

王光超, 苏佳灿. 组织再生的类器官策略与挑战[J]. 中华烧伤与创面修复杂志, 2026, 42(6): 514-521. DOI: 10.3760/cma.j.cn501225-20260119-00033.
引用本文: 王光超, 苏佳灿. 组织再生的类器官策略与挑战[J]. 中华烧伤与创面修复杂志, 2026, 42(6): 514-521. DOI: 10.3760/cma.j.cn501225-20260119-00033.
Wang GC,Su JC.Organoid-based strategies and challenges in tissue regeneration[J].Chin J Burns Wounds,2026,42(6):514-521.DOI: 10.3760/cma.j.cn501225-20260119-00033.
Citation: Wang GC,Su JC.Organoid-based strategies and challenges in tissue regeneration[J].Chin J Burns Wounds,2026,42(6):514-521.DOI: 10.3760/cma.j.cn501225-20260119-00033.

组织再生的类器官策略与挑战

doi: 10.3760/cma.j.cn501225-20260119-00033
基金项目: 

国家自然科学基金重点项目 82230071, 82530072

上海市创新医疗器械应用示范项目 23SHS05700

上海市颠覆性技术创新项目 25DIPA00400

上海市卫生健康委员会医学新技术研究与转化种子计划 2024ZZ1001

详细信息
    通讯作者:

    苏佳灿,Email:drsujiacan@163.com

Organoid-based strategies and challenges in tissue regeneration

Funds: 

Key Program of National Natural Science Foundation of China 82230071, 82530072

Shanghai Municipal Demonstration Project for Innovative Medical Device Application 23SHS05700

Shanghai Disruptive Technology Innovation Project 25DIPA00400

Shanghai Municipal Health Commission New Medical Technology Research and Translation Seed Program 2024ZZ1001

More Information
  • 摘要: 组织再生医学旨在修复或替代因疾病、创伤或衰老导致功能缺失的组织与器官,类器官技术兴起为这一领域提供了全新路径。类器官是在三维培养条件下自组织形成的,可重现原生器官的结构与功能,在疾病建模、药物筛选、个体化医疗以及再生应用中展现出独特优势。笔者系统梳理类器官在组织再生中的核心策略,包括体外模型与药物筛选、原位移植与功能修复、生物杂交器官构建以及类器官芯片平台的应用;分析其技术成熟度不足、功能保真度有限、规模化生产受限及临床应用伦理监管等主要挑战;提出通过技术融合、标准化与自动化以及推动临床转化等方向来应对瓶颈与难题。总之,类器官作为再生医学关键策略,正在重塑组织再生研究格局,为未来临床治疗带来新希望。

     

  • 参考文献(62)

    [1] 赵思远,李伟,孔维诗,等. 皮肤类器官在创面修复中的应用研究进展[J]. 中华烧伤与创面修复杂志,2025,41(7):703-707.DOI: 10.3760/cma.j.cn501225-20240901-00323.
    [2] VerstegenMMA,CoppesRP,BeghinA,et al.Clinical applications of human organoids[J].Nat Med,2025,31(2):409-421.DOI: 10.1038/s41591-024-03489-3.
    [3] KenisonJE,StevensNA,QuintanaFJ.Therapeutic induction of antigen-specific immune tolerance[J].Nat Rev Immunol,2024,24(5):338-357.DOI: 10.1038/s41577-023-00970-x.
    [4] SilvaAMD,FerreiraJúnior MA,CardosoAIQ,et al.Costs related to obtaining organs for transplantation: a systematic review[J].Transplant Rev (Orlando),2022,36(4):100724.DOI: 10.1016/j.trre.2022.100724.
    [5] BirteleM,LancasterM,QuadratoG.Modelling human brain development and disease with organoids[J].Nat Rev Mol Cell Biol,2025,26(5):389-412.DOI: 10.1038/s41580-024-00804-1.
    [6] 王健,白龙,陈晓,等.骨类器官的构建、评价与应用专家共识(2024版)[J].中华创伤杂志,2024,40(11):974-986.DOI: 10.3760/cma.j.cn501098-20240826-00525.
    [7] SatoT,VriesRG,SnippertHJ,et al.Single Lgr5 stem cells build crypt-villus structures in vitro without a mesenchymal niche[J].Nature,2009,459(7244):262-265.DOI: 10.1038/nature07935.
    [8] ZhaoY, LandauS, OkhovatianS, et al. Integrating organoids and organ-on-a-chip devices[J]. Nat Rev Bioeng, 2024, 2(7):588-608. DOI: 10.1038/s44222-024-00207-z.
    [9] TangXY,WuS,WangD,et al.Human organoids in basic research and clinical applications[J].Signal Transduct Target Ther,2022,7(1):168.DOI: 10.1038/s41392-022-01024-9.
    [10] 张涛,崔进,苏佳灿.皮肤类器官构建策略的研究进展[J].中华创伤杂志,2024,40(1):57-64.DOI: 10.3760/cma.j.cn501098-20230728-00030.
    [11] YiSA,ZhangY,RathnamC,et al.Bioengineering approaches for the advanced organoid research[J].Adv Mater,2021,33(45):e2007949.DOI: 10.1002/adma.202007949.
    [12] YinX,MeadBE,SafaeeH,et al.Engineering stem cell organoids[J].Cell Stem Cell,2016,18(1):25-38.DOI: 10.1016/j.stem.2015.12.005.
    [13] VandanaJJ,ManriqueC,LackoLA,et al.Human pluripotent-stem-cell-derived organoids for drug discovery and evaluation[J].Cell Stem Cell,2023,30(5):571-591.DOI: 10.1016/j.stem.2023.04.011.
    [14] OkanoH,MorimotoS.iPSC-based disease modeling and drug discovery in cardinal neurodegenerative disorders[J].Cell Stem Cell,2022,29(2):189-208.DOI: 10.1016/j.stem.2022.01.007.
    [15] MencheC,FarinHF.Strategies for genetic manipulation of adult stem cell-derived organoids[J].Exp Mol Med,2021,53(10):1483-1494.DOI: 10.1038/s12276-021-00609-8.
    [16] 张涛,崔进,刘媛媛,等.3D打印皮肤成体干细胞来源类器官人工皮肤修复小鼠皮肤缺损[J].中华创伤杂志,2024,40(1):40-47.DOI: 10.3760/cma.j.cn501098-20230731-00049.
    [17] KratochvilMJ,SeymourAJ,LiTL,et al.Engineered materials for organoid systems[J].Nat Rev Mater,2019,4(9):606-622.DOI: 10.1038/s41578-019-0129-9.
    [18] KozlowskiMT,CrookCJ,KuHT.Towards organoid culture without Matrigel[J].Commun Biol,2021,4(1):1387.DOI: 10.1038/s42003-021-02910-8.
    [19] KimJ,KooBK,KnoblichJA.Human organoids: model systems for human biology and medicine[J].Nat Rev Mol Cell Biol,2020,21(10):571-584.DOI: 10.1038/s41580-020-0259-3.
    [20] XuH,LyuX,YiM,et al.Organoid technology and applications in cancer research[J].J Hematol Oncol,2018,11(1):116.DOI: 10.1186/s13045-018-0662-9.
    [21] YangL,WangX,ZhouX,et al.A tunable human intestinal organoid system achieves controlled balance between self-renewal and differentiation[J].Nat Commun,2025,16(1):315.DOI: 10.1038/s41467-024-55567-2.
    [22] NwokoyePN,AbilezOJ.Bioengineering methods for vascularizing organoids[J].Cell Rep Methods,2024,4(6):100779.DOI: 10.1016/j.crmeth.2024.100779.
    [23] GaoQ,WangJ,ZhangH,et al.Organoid vascularization: strategies and applications[J].Adv Healthc Mater,2025,14(20):e2500301.DOI: 10.1002/adhm.202500301.
    [24] PolakR,ZhangET,KuoCJ.Cancer organoids 2.0: modelling the complexity of the tumour immune microenvironment[J].Nat Rev Cancer,2024,24(8):523-539.DOI: 10.1038/s41568-024-00706-6.
    [25] LiuY,LankadasariM,RosieneJ,et al.Modeling lung adenocarcinoma metastases using patient-derived organoids[J].Cell Rep Med,2024,5(10):101777.DOI: 10.1016/j.xcrm.2024.101777.
    [26] TongL,CuiW,ZhangB,et al.Patient-derived organoids in precision cancer medicine[J].Med,2024,5(11):1351-1377.DOI: 10.1016/j.medj.2024.08.010.
    [27] 陈晓,苏佳灿.骨类器官构建:挑战与应对策略[J].中华创伤杂志,2024,40(1):14-19.DOI: 10.3760/cma.j.cn501098-20230727-00024.
    [28] YuanX,WuJ,SunZ,et al.Preclinical efficacy and safety of encapsulated proliferating human hepatocyte organoids in treating liver failure[J].Cell Stem Cell,2024,31(4):484-498.e5.DOI: 10.1016/j.stem.2024.02.005.
    [29] WatanabeS,KobayashiS,OgasawaraN,et al.Transplantation of intestinal organoids into a mouse model of colitis[J].Nat Protoc,2022,17(3):649-671.DOI: 10.1038/s41596-021-00658-3.
    [30] WangS,DuY,ZhangB,et al.Transplantation of chemically induced pluripotent stem-cell-derived islets under abdominal anterior rectus sheath in a type 1 diabetes patient[J].Cell,2024,187(22):6152-6164.e18.DOI: 10.1016/j.cell.2024.09.004.
    [31] GuptaN,MatsumotoT,HiratsukaK,et al.Modeling injury and repair in kidney organoids reveals that homologous recombination governs tubular intrinsic repair[J].Sci Transl Med,2022,14(634):eabj4772.DOI: 10.1126/scitranslmed.abj4772.
    [32] WangZ,ZhaoF,LangH,et al.Organoids in skin wound healing[J/OL].Burns Trauma,2025,13:tkae077[2026-01-19].https://pubmed.ncbi.nlm.nih.gov/39759541/. DOI: 10.1093/burnst/tkae077.
    [33] ZhangT,ShengS,CaiW,et al.3-D bioprinted human-derived skin organoids accelerate full-thickness skin defects repair[J].Bioact Mater,2024,42:257-269.DOI: 10.1016/j.bioactmat.2024.08.036.
    [34] RoperJ,TammelaT,CetinbasNM,et al.In vivo genome editing and organoid transplantation models of colorectal cancer and metastasis[J].Nat Biotechnol,2017,35(6):569-576.DOI: 10.1038/nbt.3836.
    [35] MusahS,ArzaghiH.Unleashing the power of biomaterials to enhance organoid differentiation and function[J].Nat Methods,2024,21(9):1575-1577.DOI: 10.1038/s41592-024-02393-5.
    [36] JebranAF,SeidlerT,TiburcyM,et al.Engineered heart muscle allografts for heart repair in primates and humans[J].Nature,2025,639(8054):503-511.DOI: 10.1038/s41586-024-08463-0.
    [37] 王健, 白龙, 陈晓, 等. 血管化骨类器官修复早期股骨头缺血性坏死策略[J]. 中华骨与关节外科杂志, 2025, 18(3):193-199. DOI: 10.3969/j.issn.2095-9958.2025.03.01.
    [38] SalehT, CaciolliL, GiobbeGG, et al. Ex vivo organ engineering using decellularized tissue scaffolds[J]. Nat Rev Bioeng, 2025, 3(9):761-774. DOI: 10.1038/s44222-025-00322-5.
    [39] HuangMS, ChristakopoulosF, RothJG, et al. Organoid bioprinting: from cells to functional tissues[J]. Nat Rev Bioeng, 2025, 3(2):126-142. DOI: 10.1038/s44222-024-00268-0.
    [40] ZhouL,HuangJ,LiC,et al.Organoids and organs-on-chips: recent advances, applications in drug development, and regulatory challenges[J].Med,2025,6(4):100667.DOI: 10.1016/j.medj.2025.100667.
    [41] FangG, ChenYC, LuH, et al. Advances in spheroids and organoids on a chip[J]. Adv Funct Mater, 2023, 33(19):2215043. DOI: 10.1002/adfm.202215043.
    [42] HiratsukaK,MiyoshiT,KrollKT,et al.Organoid-on-a-chip model of human ARPKD reveals mechanosensing pathomechanisms for drug discovery[J].Sci Adv,2022,8(38):eabq0866.DOI: 10.1126/sciadv.abq0866.
    [43] LeungCM, de HaanP, Ronaldson-BouchardK, et al. A guide to the organ-on-a-chip[J]. Nat Rev Methods Primers, 2022, 2(1):34. DOI: 10.1038/s43586-022-00118-6.
    [44] HarrisonSP,SillerR,TanakaY,et al.Scalable production of tissue-like vascularized liver organoids from human PSCs[J].Exp Mol Med,2023,55(9):2005-2024.DOI: 10.1038/s12276-023-01074-1.
    [45] EichmüllerOL,KnoblichJA.Human cerebral organoids - a new tool for clinical neurology research[J].Nat Rev Neurol,2022,18(11):661-680.DOI: 10.1038/s41582-022-00723-9.
    [46] KimS, MinS, ChoiYS, et al. Tissue extracellular matrix hydrogels as alternatives to Matrigel for culturing gastrointestinal organoids[J]. Nat Commun, 2022, 13:1692. DOI: 10.1038/s41467-022-29279-4.
    [47] QuintardC, TubbsE, JonssonG, et al. A microfluidic platform integrating functional vascularized organoids-on-chip[J]. Nat Commun, 2024, 15:1452. DOI: 10.1038/s41467-024-45710-4.
    [48] ZhengH, FengY, TangJ, et al. Astrocyte-secreted cues promote neural maturation and augment activity in human forebrain organoids[J]. Nat Commun, 2025, 16:2845. DOI: 10.1038/s41467-025-58295-3.
    [49] WangD,VillenaveR,Stokar-RegenscheitN,et al.Human organoids as 3D in vitro platforms for drug discovery: opportunities and challenges[J].Nat Rev Drug Discov,2026,25(3):204-226.DOI: 10.1038/s41573-025-01317-y.
    [50] TanimizuN,IchinoheN,SasakiY,et al.Generation of functional liver organoids on combining hepatocytes and cholangiocytes with hepatobiliary connections ex vivo[J].Nat Commun,2021,12(1):3390.DOI: 10.1038/s41467-021-23575-1.
    [51] van den BergCW,DumasSJ,LittleMH,et al.Challenges in maturation and integration of kidney organoids for stem cell-based renal replacement therapy[J].Kidney Int,2025,107(2):262-270.DOI: 10.1016/j.kint.2024.10.028.
    [52] KellyK,BloorA,GriffinJE,et al.Two-year safety outcomes of iPS cell-derived mesenchymal stromal cells in acute steroid-resistant graft-versus-host disease[J].Nat Med,2024,30(6):1556-1558.DOI: 10.1038/s41591-024-02990-z.
    [53] CaulfieldT,ScottC,HyunI,et al.Stem cell research policy and iPS cells[J].Nat Methods,2010,7(1):28-33.DOI: 10.1038/nmeth.f.282.
    [54] ShlobinNA, SavulescuJ, BaumML. The ethical landscape of human brain organoids and a mindful innovation framework[J]. Nat Rev Bioeng, 2024, 2(9):785-796. DOI: 10.1038/s44222-024-00211-3.
    [55] GeurtsMH, CleversH. CRISPR engineering in organoids for gene repair and disease modelling[J]. Nat Rev Bioeng, 2023, 1(1):32-45. DOI: 10.1038/s44222-022-00013-5.
    [56] BaysoyA,BaiZ,SatijaR,et al.The technological landscape and applications of single-cell multi-omics[J].Nat Rev Mol Cell Biol,2023,24(10):695-713.DOI: 10.1038/s41580-023-00615-w.
    [57] BlacheU, FordEM, HaB, et al. Engineered hydrogels for mechanobiology[J]. Nat Rev Methods Primers, 2022, 2:98. DOI: 10.1038/s43586-022-00179-7.
    [58] OngHT,KaratasE,PoquillonT,et al.Digitalized organoids: integrated pipeline for high-speed 3D analysis of organoid structures using multilevel segmentation and cellular topology[J].Nat Methods,2025,22(6):1343-1354.DOI: 10.1038/s41592-025-02685-4.
    [59] BaiL,SuJ.Artificial intelligence virtual organoids (AIVOs)[J].Bioact Mater,2026,59:45-68.DOI: 10.1016/j.bioactmat.2025.12.030.
    [60] HoferM,LutolfMP.Engineering organoids[J].Nat Rev Mater,2021,6(5):402-420.DOI: 10.1038/s41578-021-00279-y.
    [61] SugimotoS,KobayashiE,FujiiM,et al.An organoid-based organ-repurposing approach to treat short bowel syndrome[J].Nature,2021,592(7852):99-104.DOI: 10.1038/s41586-021-03247-2.
    [62] SomaT,OieY,TakayanagiH,et al.Induced pluripotent stem-cell-derived corneal epithelium for transplant surgery: a single-arm, open-label, first-in-human interventional study in Japan[J].Lancet,2024,404(10466):1929-1939.DOI: 10.1016/S0140-6736(24)01764-1.
  • 加载中
图(1)
计量
  • 文章访问数:  50
  • HTML全文浏览量:  30
  • PDF下载量:  13
  • 被引次数: 0
出版历程
  • 收稿日期:  2026-01-19

目录

    /

    返回文章
    返回