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医院实验室中细胞治疗用细胞加工设施的环境微生物检索评估。

The environmental microbial retrieving assessment of cell-processing facilities for cell therapy in a hospital laboratory.

机构信息

Xiamen Cell Therapy Research Center, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

Center for Precision Medicine, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

出版信息

Microbiol Spectr. 2024 Oct 3;12(10):e0125724. doi: 10.1128/spectrum.01257-24. Epub 2024 Aug 21.

Abstract

Cell therapy represents a promising treatment modality. A critical component in the production of cell therapy products is maintaining the sterility of cell therapy clean rooms (CTCRs). This study aimed to evaluate the environmental microbial load within CTCRs. We systematically monitored microbial load in CTCRs, following established guidelines. Cultured microbial samples underwent metagenomic sequencing, and alpha and beta diversity analyses, functional annotation, and resistance gene profiling were performed using various bioinformatics tools to assess microbial diversity and function. From November 2023 to January 2024, we collected 42 environmental microbial colony samples from various sources within the CTCR and performed metagenomic sequencing on 39 samples. Alpha diversity analysis revealed no significant differences among surface, settle_plate, and airborne categories, but significant disparities within surface subgroups were revealed. Beta diversity analysis showed notable differences between surface and airborne categories and among surface subgroups. Species distribution analysis identified as the predominant genus on surfaces. Functional annotation and resistance gene analysis indicated distinct resistance patterns, with significant variations between subgroups, such as microscopes and transfer windows, and hands and other Grade_B environments. Resistance to hydrogen peroxide was notably higher in the transfer window group. These findings highlight the importance of stringent disinfection protocols and enhanced hand hygiene to maintain sterility in CTCRs. These findings provide valuable insights for implementing effective measures to maintain cleanliness throughout CTCRs. The annotation and study of resistance genes can help rapidly identify methods to control cellular contamination under circumstances of environmental microbial pollution.IMPORTANCEMaintaining the sterility of cell therapy clean rooms (CTCRs) is crucial for the production of safe and effective cell therapy products. Our study systematically evaluated the environmental microbial load within CTCRs, revealing significant microbial diversity and distinct resistance patterns to disinfection methods. These findings underscore the need for stringent disinfection protocols and enhanced hand hygiene practices to ensure CTCR sterility. By identifying key microbial species and their resistance genes, our research provides essential insights into controlling contamination and safeguarding the production environment, ultimately contributing to the reliability and success of cell therapy treatments.

摘要

细胞治疗代表了一种有前途的治疗方式。在细胞治疗产品的生产中,保持细胞治疗洁净室(CTCR)的无菌性是一个关键因素。本研究旨在评估 CTCR 内的环境微生物负荷。我们按照既定指南系统地监测 CTCR 内的微生物负荷。对培养的微生物样本进行宏基因组测序,并使用各种生物信息学工具进行 alpha 和 beta 多样性分析、功能注释和抗性基因分析,以评估微生物的多样性和功能。从 2023 年 11 月到 2024 年 1 月,我们从 CTCR 内的不同来源收集了 42 个环境微生物菌落样本,并对 39 个样本进行了宏基因组测序。Alpha 多样性分析显示,表面、沉降板和空气传播样本之间没有显著差异,但表面亚组内存在显著差异。Beta 多样性分析显示,表面和空气传播样本之间以及表面亚组之间存在显著差异。物种分布分析表明 是表面的主要属。功能注释和抗性基因分析表明,不同的抗性模式存在差异,如显微镜和传递窗口,以及手和其他 B 级环境之间存在显著差异。过氧化氢抗性在传递窗口组中明显更高。这些发现强调了在 CTCR 中严格执行消毒方案和加强手部卫生的重要性,以保持无菌状态。这些发现为在 CTCR 中实施有效措施以保持清洁度提供了有价值的见解。对抗性基因的注释和研究有助于在环境微生物污染的情况下快速确定控制细胞污染的方法。

重要性

保持细胞治疗洁净室(CTCR)的无菌性对于生产安全有效的细胞治疗产品至关重要。我们的研究系统地评估了 CTCR 内的环境微生物负荷,揭示了显著的微生物多样性和对消毒方法的不同抗性模式。这些发现强调了需要严格执行消毒方案和加强手部卫生措施,以确保 CTCR 的无菌性。通过确定关键微生物物种及其抗性基因,我们的研究为控制污染和保护生产环境提供了重要的见解,最终有助于细胞治疗治疗的可靠性和成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6996/11448444/92d9dea4bd57/spectrum.01257-24.f001.jpg

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