现货的带血液中介细胞干细胞:生产,质量控制和临床使用
Tiziana Montemurro1, Cristiana Lavazza1, Elisa Montelatici1
1Unit of Cellular and Gene Therapy, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy.
Cells
|June 26, 2024
概括
来自带血 (CB) 的介质体细胞 (MSC) 显示出治疗免疫媒介疾病的前景. 根据良好的制造实践 (GMP) 标准制造这些细胞支持临床试验和治疗用途,没有报告的不良事件.
科学领域:
- 细胞和分子医学 细胞和分子医学
- 免疫学 免疫学 免疫学
- 再生医学是一种再生医学.
背景情况:
- 介酶体 stromal 细胞 (MSCs) 已被公认为在移植中的作用,提供免疫耐受性和减少对免疫抑制药物的依赖.
- 由带血 (CB) 衍生的MSCs由于其免疫学上的天真性和强大的抗炎和抗亡性质而特别有价值.
研究的目的:
- 建立适用于基于先进治疗药物 (ATMP) 的大规模临床试验的CB衍生MSC的库存.
- 详细介绍GMP认证的MSC的制造工艺和临床应用.
主要方法:
- 在一个符合良好制造实践 (GMP) 的系统中,MSCs被用塑料粘合剂分离出来.
- 建立了一家主细胞银行和一家工作细胞银行,生产经过认证的MSC (CB) 批次用于临床使用.
- 考虑了ATMP的监管框架,强调质量控制和安全.
主要成果:
- 一个明确的MSC制造工艺被证明是可行的.
- 263个GMP认证的MSC (CB) 制剂给了40名患有移植与宿主疾病,脏综合征或支气管肺功能障碍的受试者.
- 没有观察到输液相关的不良事件或等级毒性;报告了令人鼓舞的初步结果和临床反应.
结论:
- 十年的MSC (CB) 经验为我们提供了关于其用于免疫媒介疾病的宝贵见解.
- 符合GMP的制造使MSCs作为创新的基于细胞的治疗方法的临床应用成为可能.
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