Cremona Martina, Rusconi Giulio, Ferrario Alessandro, Mariotta Luca, Gola Mauro, Soldati Gianni
Swiss Stem Cell Foundation, 6900 Lugano, Switzerland.
Swiss Stem Cells Biotech AG, 8008 Zürich, Switzerland.
Biomedicines. 2023 Sep 14;11(9):2533. doi: 10.3390/biomedicines11092533.
Stromal vascular fraction (SVF) cells, together with adipose-derived mesenchymal stem cells, are becoming the tool of choice for many clinical applications. Currently, nearly 200 clinical trials are running worldwide to prove the efficacy of this cell type in treating many diseases and pathological conditions. To reach the goals of cell therapies and produce ATMPs as drugs for regenerative medicine, it is necessary to properly standardize GMP processes and, thus, collection methods, transportation strategies, extraction protocols, and characterization procedures, without forgetting that all the tissues of the human body are characterized by a wide inter-individual variability which is genetically determined and acquired during life. Here, we compare 302 samples processed under GMP rules to exclude the influence of the operator and of the anatomical site of collection. The influence of variability in the ages and genders of patients, along with laboratory parameters such as total cell number, cell viability, stem cell number, and other stromal vascular fraction cell subpopulations, has been compared. The results show that when the laboratory protocol is standardized, the variability of quantifiable cell parameters is widely statistically non-significant, meaning that we can take a further step toward standardized advanced cell therapy products.
基质血管组分(SVF)细胞与脂肪来源的间充质干细胞一起,正成为许多临床应用的首选工具。目前,全球有近200项临床试验正在进行,以证明这种细胞类型在治疗多种疾病和病理状况方面的疗效。为了实现细胞治疗的目标并生产作为再生医学药物的先进治疗用药品(ATMP),有必要对药品生产质量管理规范(GMP)流程进行适当规范,从而对采集方法、运输策略、提取方案和表征程序进行规范,同时不要忘记人体的所有组织都具有很大的个体间差异,这种差异是由基因决定的,并在生命过程中获得。在此,我们比较了302个按照GMP规则处理的样本,以排除操作人员和采集解剖部位的影响。我们还比较了患者年龄和性别的差异以及诸如总细胞数、细胞活力、干细胞数和其他基质血管组分细胞亚群等实验室参数的影响。结果表明,当实验室方案标准化时,可量化细胞参数的差异在统计学上大多不显著,这意味着我们可以朝着标准化的先进细胞治疗产品迈出进一步的步伐。