Ottria G, Dallera M, Aresu O, Manniello M A, Parodi B, Spagnolo A M, Cristina M L
Department of Health Sciences, University of Genoa, Italy.
J Prev Med Hyg. 2010 Dec;51(4):133-8.
Recent discoveries in cell therapy research present new opportunities for cellular products to be used to treat severe, and as yet incurable, diseases. It is therefore essential to implement a quality control programme in order to ensure that safe cells and tissues are provided.
In a preliminary phase of the setting up of a the cellfactory, monitoring was carried out monthly over a 6-month period in one out of three cell therapy laboratories and filter rooms in order to evaluate the microbial contamination of air and surfaces and the presence of airborne particulates.
The mean total bacterial and fungal loads measured in the air in the centre of the filter room were 20.7 +/1 28.9 colony-forming units (cfu)/m3 and 9.2 +/- 15.4 cfu/m3, respectively, and 5.2 +/- 4.1 cfu/m3 and 6.8 +/- 13.4 cfu/m3, respectively, in the laboratory. The mean fungal load values recorded on the surfaces sampled in the laboratory were in 6 out of 18 cases higher than the reference values (5 cfu/plate). As to the results of particulate monitoring, with regard to the 0.5 microm particles, about 83% of the samples revealed values below the limit of 350.000 particles per cubic metre.
In this set-up phase, monitoring was able to pick out structural and organisational flaws acceptable in a laboratory compliant with Good Manufacturing Practices class C (Annex 1), but not in a class B facility. Thanks to this preliminary monitoring phase, and by correcting these flaws, the clean room facility could achieve compliance to class B.
细胞治疗研究的最新发现为细胞产品用于治疗严重且目前无法治愈的疾病带来了新机遇。因此,实施质量控制计划以确保提供安全的细胞和组织至关重要。
在细胞工厂设立的初步阶段,对三个细胞治疗实验室和过滤室中的一个进行了为期6个月的月度监测,以评估空气和表面的微生物污染以及空气中颗粒物的存在情况。
过滤室中央空气中测得的平均细菌和真菌总数分别为20.7±28.9菌落形成单位(cfu)/立方米和9.2±15.4 cfu/立方米,实验室中的相应数值分别为5.2±4.1 cfu/立方米和6.8±13.4 cfu/立方米。实验室中采样表面记录的平均真菌负荷值在18例中有6例高于参考值(5 cfu/平板)。关于颗粒物监测结果,对于0.5微米的颗粒,约83%的样本显示数值低于每立方米350,000颗粒的限值。
在这个设置阶段,监测能够找出符合C级良好生产规范(附件1)的实验室中可接受的结构和组织缺陷,但在B级设施中则不可接受。得益于这个初步监测阶段,并通过纠正这些缺陷,洁净室设施能够达到B级标准。