Thorne Barb, Takeya Ryan, Vitelli Francesca, Swanson Xin
Thorne Bio-Consulting LLC, Sammamish, WA, USA.
RKT Bioconsulting, LLC, Lynnwood, WA, USA.
Adv Biochem Eng Biotechnol. 2018;165:351-399. doi: 10.1007/10_2016_53.
Gene therapy refers to a rapidly growing field of medicine in which genes are introduced into the body to treat or prevent diseases. Although a variety of methods can be used to deliver the genetic materials into the target cells and tissues, modified viral vectors represent one of the more common delivery routes because of its transduction efficiency for therapeutic genes. Since the introduction of gene therapy concept in the 1970s, the field has advanced considerably with notable clinical successes being demonstrated in many clinical indications in which no standard treatment options are currently available. It is anticipated that the clinical success the field observed in recent years can drive requirements for more scalable, robust, cost effective, and regulatory-compliant manufacturing processes. This review provides a brief overview of the current manufacturing technologies for viral vectors production, drawing attention to the common upstream and downstream production process platform that is applicable across various classes of viral vectors and their unique manufacturing challenges as compared to other biologics. In addition, a case study of an industry-scale cGMP production of an AAV-based gene therapy product performed at 2,000 L-scale is presented. The experience and lessons learned from this largest viral gene therapy vector production run conducted to date as discussed and highlighted in this review should contribute to future development of commercial viable scalable processes for vial gene therapies.
基因治疗是医学领域中一个迅速发展的领域,即在体内导入基因以治疗或预防疾病。尽管可以使用多种方法将遗传物质递送至靶细胞和组织,但由于其对治疗性基因的转导效率,修饰的病毒载体是较为常用的递送途径之一。自20世纪70年代引入基因治疗概念以来,该领域取得了长足进展,在许多目前尚无标准治疗选择的临床适应症中都取得了显著的临床成功。预计该领域近年来所取得的临床成功将推动对更具可扩展性、稳健性、成本效益且符合监管要求的生产工艺的需求。本综述简要概述了当前用于生产病毒载体的制造技术,重点关注适用于各类病毒载体的通用上游和下游生产工艺平台,以及与其他生物制品相比其独特的制造挑战。此外,还介绍了一个在2000升规模下进行的基于腺相关病毒(AAV)的基因治疗产品的工业规模cGMP生产的案例研究。本综述所讨论和强调的、从迄今为止进行的最大规模病毒基因治疗载体生产运行中获得的经验和教训,应有助于未来开发用于病毒基因治疗的具有商业可行性的可扩展工艺。