Mesenchymal stem/stromal cell quality control: validation of mixed lymphocyte reaction assay using flow cytometry

Tess Nicotra1, Aurélie Desnos1, Justine Halimi1

  • 1AP-HP, Hôpital Saint-Louis, Unité de Thérapie Cellulaire, 75010, Paris, France.

Insights

This study validates a method to quantify the immunomodulatory activity of mesenchymal stem/stromal cells (MSC) by measuring their ability to inhibit lymphocyte proliferation. The validated assay shows low variability and can be used for qualifying MSC batches in clinical trials.

Area of Science:

  • Immunology
  • Cell Biology
  • Stem Cell Therapy

Background:

  • Mesenchymal stem/stromal cells (MSC) possess immunomodulatory properties relevant to various diseases.
  • Clinical trials require validated quality controls to confirm MSC immunomodulatory activity.
  • This study focuses on validating a method to assess MSC's lymphocyte proliferation inhibition capacity.

Purpose of the Study:

  • To validate a quantitative method for assessing MSC immunomodulatory activity.
  • To ensure the reliability and reproducibility of MSC immunomodulatory assays for clinical applications.
  • To establish a standardized assay for qualifying MSC batches based on their lymphocyte proliferation inhibition.

Main Methods:

  • Co-culture of MSC with CellTrace™ Violet-labeled Peripheral Blood Mononuclear Cells (PBMC) from ten donors at seven ratios for seven days.
  • Flow cytometry analysis to determine T cell division percentage.
  • Calculation of MSC's lymphocyte proliferation inhibition percentage and area under the curve (AUC) to quantify immunomodulatory capacity.

Main Results:

  • The validated PBMC bank demonstrated stability up to 509 days and showed no inter-bank variability.
  • The assay exhibited low repeatability (6.1% SD) and reproducibility (4.6% SD) with good linearity and robustness.
  • The method effectively differentiated MSC batches with varying inhibitory potentials, with MSC quantity identified as a factor influencing results.

Conclusions:

  • The validated quantification method demonstrates low analytical and no inter-bank PBMC variability.
  • Pre-culture MSC quantification is recommended to minimize variability.
  • The assay is suitable for qualifying the immunomodulatory activity of MSC batches for clinical use.
Abstract

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