General Biotechnology LLC; Indiana University School of Medicine; Indianapolis, IN USA.
Organogenesis. 2009 Jul;5(3):143-54. doi: 10.4161/org.5.3.9811.
There has been a great deal of scientific interest recently generated by the potential therapeutic applications of adult stem cells in human care but there are several challenges regarding quality and safety in clinical applications and a number of these challenges relate to the processing and banking of these cells ex-vivo. As the number of clinical trials and the variety of adult cells used in regenerative therapy increases, safety remains a primary concern. This has inspired many nations to formulate guidelines and standards for the quality of stem cell collection, processing, testing, banking, packaging and distribution. Clinically applicable cryopreservation and banking of adult stem cells offers unique opportunities to advance the potential uses and widespread implementation of these cells in clinical applications. Most current cryopreservation protocols include animal serum proteins and potentially toxic cryoprotectant additives (CPAs) that prevent direct use of these cells in human therapeutic applications. Long term cryopreservation of adult stem cells under good manufacturing conditions using animal product free solutions is critical to the widespread clinical implementation of ex-vivo adult stem cell therapies. Furthermore, to avoid any potential cryoprotectant related complications, reduced CPA concentrations and efficient post-thaw washing to remove CPA are also desirable. The present review focuses on the current strategies and important aspects of adult stem cell banking for clinical applications. These include current good manufacturing practices (cGMPs), animal protein free freezing solutions, cryoprotectants, freezing & thawing protocols, viability assays, packaging and distribution. The importance and benefits of banking clinical grade adult stem cells are also discussed.
最近,成人干细胞在人类医疗中的潜在治疗应用引起了科学界的极大兴趣,但在临床应用中存在着质量和安全方面的一些挑战,其中一些挑战与这些细胞的体外处理和储存有关。随着临床研究数量的增加和用于再生治疗的成人细胞种类的增加,安全性仍然是首要关注的问题。这激发了许多国家制定关于干细胞采集、处理、测试、储存、包装和分发质量的指南和标准。临床适用的成人干细胞冷冻保存和储存为进一步推进这些细胞在临床应用中的潜在用途和广泛应用提供了独特的机会。大多数现有的冷冻保存方案都包括动物血清蛋白和潜在有毒的冷冻保护剂添加剂(CPAs),这些添加剂阻止了这些细胞在人类治疗应用中的直接使用。在没有动物产品的良好生产条件下,对成人干细胞进行长期冷冻保存,对于广泛实施体外成人干细胞疗法至关重要。此外,为了避免任何潜在的与冷冻保护剂相关的并发症,还需要降低 CPA 浓度并在解冻后有效地清洗以去除 CPA。本综述重点介绍了用于临床应用的成人干细胞储存的当前策略和重要方面。这些方面包括现行良好生产规范(cGMP)、不含动物蛋白的冷冻液、冷冻保护剂、冷冻和解冻方案、活力测定、包装和分配。还讨论了储存临床级成人干细胞的重要性和益处。