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Affiliation(s)
- Andrew Webster
- Science & Technology Studies Unit, University of York, York, YO10 5DD, UK
| | - Andre Terzic
- Mayo Clinic, Center for Regenerative Medicine, 200 First Street SW, Rochester, 55905-0002 MN , USA
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2
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Yamada S, Behfar A, Terzic A. Regenerative medicine clinical readiness. Regen Med 2021; 16:309-322. [PMID: 33622049 PMCID: PMC8050983 DOI: 10.2217/rme-2020-0178] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 02/05/2021] [Indexed: 02/06/2023] Open
Abstract
Regenerative medicine, poised to transform 21st century healthcare, has aspired to enrich care options by bringing cures to patients in need. Science-driven responsible and regulated translation of innovative technology has enabled the launch of previously unimaginable care pathways adopted prudently for select serious diseases and disabilities. The collective resolve to advance the design, manufacture and validity of affordable regenerative solutions aims to democratize such health benefits for all. The objective of this Review is to outline the framework and prerequisites that underpin clinical readiness of regenerative care. Integrated research and development, specialized workforce education and accessible evidence-based practice implementation are at the core of realizing an equitable regenerative medicine vision.
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Affiliation(s)
- Satsuki Yamada
- Center for Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, 55905 MN, USA
- Division of Geriatric Medicine & Gerontology, Department of Medicine, Mayo Clinic, Rochester, 55905 MN, USA
| | - Atta Behfar
- Center for Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, 55905 MN, USA
- Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, 55905 MN, USA
| | - Andre Terzic
- Center for Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, 55905 MN, USA
- Department of Molecular Pharmacology & Experimental Therapeutics, Department of Clinical Genomics, Mayo Clinic, Rochester, 55905 MN, USA
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3
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Wyles SP, Monie DD, Paradise CR, Meyer FB, Hayden RE, Terzic A. Emerging workforce readiness in regenerative healthcare. Regen Med 2021; 16:197-206. [PMID: 33622054 PMCID: PMC8656339 DOI: 10.2217/rme-2020-0137] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
The biology of regenerative medicine has steadily matured, providing the foundation for randomized clinical trials and translation into validated applications. Today, the growing regenerative armamentarium is poised to impact disease management, yet a gap in training next-generation healthcare providers, equipped to adopt and deliver regenerative options, has been exposed. This special report highlights a multiyear experience in developing and deploying a comprehensive regenerative curriculum for medical trainees. For academicians and institutions invested in establishing a formalized regenerative medicine syllabus, the Regenerative Medicine and Surgery course provides a patient-focused prototype for next-generation learners, offering a dedicated educational experience that encompasses discovery, development and delivery of regenerative solutions. Built with the vision of an evolving regenerative care model, this transdisciplinary endeavor could serve as an adoptable education portal to advance the readiness of the emergent regenerative healthcare workforce globally.
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Affiliation(s)
- Saranya P Wyles
- Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA.,Department of Dermatology, Mayo Clinic, Rochester, MN 55905, USA.,Department of Molecular Pharmacology & Experimental Therapeutics, Rochester, MN 55905, USA
| | - Dileep D Monie
- Mayo Clinic Alix School of Medicine, Rochester, MN 55905, USA
| | | | - Fredric B Meyer
- Mayo Clinic Alix School of Medicine, Rochester, MN 55905, USA.,Department of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Richard E Hayden
- Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA.,Department of Otolaryngology, Mayo Clinic, Phoenix, AZ 85054, USA
| | - Andre Terzic
- Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA.,Department of Molecular Pharmacology & Experimental Therapeutics, Rochester, MN 55905, USA.,Department of Cardiovascular Medicine, Rochester, MN 55905, USA.,Department of Clinical Genomics, Mayo Clinic, Rochester, MN 55905, USA
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4
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Leask F, Terzic A. Regenerative outlook: offering global solutions for equitable care. Regen Med 2020; 15:2249-2252. [PMID: 33245010 DOI: 10.2217/rme-2020-0177] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 11/11/2020] [Indexed: 12/18/2022] Open
Affiliation(s)
| | - Andre Terzic
- Department of Cardiovascular Medicine; Department of Molecular Pharmacology & Experimental Therapeutics, Department of Clinical Genomics, Center for Regenerative Medicine, Marriott Heart Disease Research Program, van Cleve Cardiac Regenerative Medicine Program, Mayo Clinic, Rochester, MN 55905, USA
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5
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Nemeth C, Fine A, Fatemi A. Translational challenges in advancing regenerative therapy for treating neurological disorders using nanotechnology. Adv Drug Deliv Rev 2019; 148:60-67. [PMID: 31100303 DOI: 10.1016/j.addr.2019.05.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 03/05/2019] [Accepted: 05/13/2019] [Indexed: 12/20/2022]
Abstract
The focus of regenerative therapies is to replace or enrich diseased or injured cells and tissue in an attempt to replenish the local environment and function, while slowing or halting further degeneration. Targeting neurological diseases specifically is difficult, due to the complex nature of the central nervous system, including the difficulty of bypassing the brain's natural defense systems. While cell-based regenerative therapies show promise in select tissues, preclinical and clinical studies have been largely unable to transfer these successes to the brain. Advancements in nanotechnologies have provided new methods of central nervous system access, drug and cell delivery, as well as new systems of cell maintenance and support that may bridge the gap between regenerative therapies and the brain. In this review, we discuss current regenerative therapies for neurological diseases, nanotechnology as nanocarriers, and the technical, manufacturing, and regulatory challenges that arise from inception to formulation of nanoparticle-regenerative therapies.
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Wyles SP, Terzic A. Building the regenerative medicine workforce of the future: an educational imperative. Regen Med 2019; 14:613-615. [DOI: 10.2217/rme-2019-0072] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Affiliation(s)
- Saranya P Wyles
- Mayo Clinic Department of Dermatology, Rochester, MN 55905, USA
- Mayo Clinic Center for Regenerative Medicine, Rochester, MN 55905, USA
| | - Andre Terzic
- Mayo Clinic Center for Regenerative Medicine, Rochester, MN 55905, USA
- Mayo Clinic Department of Cardiovascular Medicine, Rochester, MN 55905, USA
- Mayo Clinic Department of Molecular Pharmacology & Experimental Therapeutics, Rochester, MN 55905, USA
- Mayo Clinic Department of Clinical Genomics, Mayo Clinic, Rochester, MN 55905, USA
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7
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Wyles SP, Hayden RE, Meyer FB, Terzic A. Regenerative medicine curriculum for next-generation physicians. NPJ Regen Med 2019; 4:3. [PMID: 30774984 PMCID: PMC6367326 DOI: 10.1038/s41536-019-0065-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 01/07/2019] [Indexed: 12/17/2022] Open
Abstract
Regenerative sciences are poised to transform clinical practice. The quest for regenerative solutions has, however, exposed a major gap in current healthcare education. A call for evidence-based adoption has underscored the necessity to establish rigorous regenerative medicine educational programs early in training. Here, we present a patient-centric regenerative medicine curriculum embedded into medical school core learning. Launched as a dedicated portal of new knowledge, learner proficiency was instilled by means of a discovery–translation–application blueprint. Using the “from the patient to the patient” paradigm, student experience recognized unmet patient needs, evolving regenerative technologies, and ensuing patient management solutions. Targeted on the deployment of a regenerative model of care, complementary subject matter included ethics, regulatory affairs, quality control, supply chain, and biobusiness. Completion of learning objectives was monitored by online tests, group teaching, simulated clinical examinations along with longitudinal continuity across medical school training and residency. Success was documented by increased awareness and proficiency in domain-relevant content, as well as specialty identification through practice exposure, research engagement, clinical acumen, and education-driven practice advancement. Early incorporation into mainstream medical education offers a tool to train next-generation healthcare providers equipped to adopt and deliver validated regenerative medicine solutions.
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Affiliation(s)
- Saranya P Wyles
- Department of Dermatology, Rochester, MN USA.,2Mayo Clinic Center for Regenerative Medicine, Rochester, MN USA
| | - Richard E Hayden
- 2Mayo Clinic Center for Regenerative Medicine, Rochester, MN USA.,Department of Otolaryngology, Phoenix, AZ USA
| | - Fredric B Meyer
- 4Mayo Clinic Alix School of Medicine, Rochester, MN USA.,Department of Neurologic Surgery, Rochester, MN USA
| | - Andre Terzic
- 2Mayo Clinic Center for Regenerative Medicine, Rochester, MN USA.,Department of Cardiovascular Medicine, Rochester, MN USA.,Department of Molecular Pharmacology and Experimental Therapeutics, Rochester, MN USA.,8Department of Clinical Genomics, Mayo Clinic, Rochester, MN USA
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8
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Barfoot J, Rosemann A, Blackburn CC. Special focus issue on regenerative medicine in society: interdisciplinary perspectives (part II) - Foreword. Regen Med 2017; 12:733-736. [PMID: 29111912 DOI: 10.2217/rme-2017-0136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Affiliation(s)
- Jan Barfoot
- MRC Centre for Regenerative Medicine, School of Biological Sciences, University of Edinburgh, 5 Little France Drive, Edinburgh EH16 4UU, UK
| | - Achim Rosemann
- Center for Education Studies, Faculty of Social Sciences, University of Warwick, Coventry CV4 7AL, UK.,Center for Bionetworking, School of Global Studies, University of Sussex, Brighton BN1 9SJ, UK
| | - C Clare Blackburn
- MRC Centre for Regenerative Medicine, School of Biological Sciences, University of Edinburgh, 5 Little France Drive, Edinburgh EH16 4UU, UK
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