Aghayan Hamid-Reza, Goodarzi Parisa, Arjmand Babak
Brain and Spinal Cord Injury Research Center and Chronic Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Methods Mol Biol. 2015;1283:93-107. doi: 10.1007/7651_2014_112.
Stem cells, which can be derived from different sources, demonstrate promising therapeutic evidences for cellular therapies. Among various types of stem cell, mesenchymal stem cells are one of the most common stem cells that are used in cellular therapy. Human subcutaneous adipose tissue provides an easy accessible source of mesenchymal stem cells with some considerable advantages. Accordingly, various preclinical and clinical investigations have shown enormous potential of adipose-derived stromal cells in regenerative medicine. Consequently, increasing clinical applications of these cells has elucidated the importance of safety concerns regarding clinical transplantation. Therefore, clinical-grade preparation of adipose-derived stromal cells in accordance with current good manufacturing practice guidelines is an essential part of their clinical applications to ensure the safety, quality, characteristics, and identity of cell products. Additionally, GMP-compliant cell manufacturing involves several issues to provide a quality assurance system during translation from the basic stem cell sciences into clinical investigations and applications. On the other hand, advanced cellular therapy requires extensive validation, process control, and documentation. It also evidently elucidates the critical importance of production methods and probable risks. Therefore, implementation of a quality management and assurance system in accordance with GMP guidelines can greatly reduce these risks particularly in the higher-risk category or "more than minimally manipulated" products.
可从不同来源获取的干细胞为细胞治疗展示出了有前景的治疗证据。在各类干细胞中,间充质干细胞是细胞治疗中最常用的干细胞之一。人皮下脂肪组织提供了一种易于获取的间充质干细胞来源,且具有一些显著优势。相应地,各种临床前和临床研究已表明脂肪来源的基质细胞在再生医学中具有巨大潜力。因此,这些细胞临床应用的增加阐明了临床移植安全性问题的重要性。所以,按照现行良好生产规范指南进行脂肪来源基质细胞的临床级制备是其临床应用的重要组成部分,以确保细胞产品的安全性、质量、特性和一致性。此外,符合GMP的细胞生产涉及几个问题,以便在从基础干细胞科学转化为临床研究和应用的过程中提供质量保证体系。另一方面,先进的细胞治疗需要广泛的验证、过程控制和文件记录。它也明显阐明了生产方法和潜在风险的至关重要性。因此,按照GMP指南实施质量管理和保证体系可大大降低这些风险,特别是在高风险类别或“超过最低限度操作”的产品中。