虽然转化型研究已被提出数年,但一般强调的是基础理论研究联系临床医学或预防医学的问题并在一定程度上予以解决。实现多学科、双向性转化型研究(multidisciplinarybidirectionaltranslationalresearch),如加强基础医学与临床医学、预防医学及实验诊断学等多学科之间的相互交叉,将可促进转化型研究向更高、更深层次发展。在医学及生命科学中,一个常用的词是从实验室到临床(frombenchtobed),实际上基础研究不仅应解决患者的疾苦,还应着眼于预防疾病、环境卫生、卫生经济学等多学科的问题。而双向性则指从临床到实验室(frombedtobench),即在解决问题的同时,又可基于临床医学、预防医学等出现的新问题,进一步设计基础研究课题并进行实验室研究。例如,根据人类免疫缺陷病毒酶与蛋白酶的分子结构设计并生产了多种抗病毒药物,这些药物用于临床,延缓了艾滋病患者的生命,但是又出现了耐药问题。结合医学实践,细致分析在中国哪些患者容易出现耐药性,为何出现耐药,耐药性与患者的服药依从性、遗传因子、免疫力、有无合并感染及生活习性间有无相关性等,这就需要基础研究者从临床到实验室,结合多学科进行调查与研究。研究结果还需再在临床或现场做考证。如此循环及螺旋式上升,各相关学科均可得到发展;还有利于民生,提高与改善人民的健康水平.....

Translational research has been emphasized for the lasts everal years, which has also been known as“from bench to bed”. Translational research in medical and biological sciences has promoted basic researchers to apply their research results for the prevention or treatment of diseases. We advocate extending this concept further to Multidisciplinary Bidirectional Translational Research, which is to integrate more disciplines in basic and applied research, such as Public Health, Environmental Health, Economic Health etc in translational medical research. We suggest that researchers can also design studies“from bed to bench”. In our country, in certain institutions, due to the over exaggeration of impact factors of SCI journals that have been closely associated with the awarding of degrees, and even job promotions, some clinicians and scientists are unwilling to do clinical analysis, follow-up studies and long-term projects. This tendency is spreading and will negatively affect the progress of medical sciences in China......