Stoltz J F, Geschier C, Rivat C, Sertillanges P, Grandgeorges M, Liautaud J, Regnault V, Dumont L
Centre Régional de Transfusion Sanguine, CHU Brabois, Vandoeuvre-les-Nancy.
Ann Pharm Fr. 1993;51(2):78-93.
Almost the whole of the human plasma albumin preparations intended for clinical or biological uses is at present fractionated by cold ethanol precipitation technics based on the Cohn method. However, ion-exchange chromatographic processes have been recently developed. The aim of this work was the evaluation of the viral inactivation efficacy of an automated industrial chromatographic process allowing fractionation of 350 to 400 l of plasma per cycle (one precipitation step, three ion-exchange chromatography steps using the Spherodex-Spherosil gels--Sepracor-IBF, Villeneuve la Garenne, France--and one pasteurization step. Three relevant viruses were selected for this validation study: the hepatitis B virus (HBV), the poliomyelitis virus and the human immunodeficiency virus (HIV). In order to comply with EEC and FDA regulatory documents, significant amounts of the tested viruses were spiked into the different fractions obtained during the various purification steps and their removal or inactivation during the subsequent step were determined. The validation study was performed under conditions which mimic the manufacturing process using fractions obtained during a semi-industrial fractionation. Moreover, residual viral infectivity was checked on after elution and washing of the columns for each chromatographic step. Results have pointed out: a) an overall reduction of 4.4 log 10 for HBV. Infectivity is judged by a combination of several markers and the DNA polymerase activity is the most affected particularly during the three ending purification steps; b) an overall reduction in virus titer > 10 log 10 for the poliomyelitis virus; c) an overall reduction in virus titer > 10 log 10 for HIV (four of the five steps have an important potential to inactivate this virus increasing the safety of the process). Moreover, no residual viral infectivities were detected after washing of the columns. In conclusion, this study showed the viral safety of human albumin purified using the chromatographic Spherodex-Spherosil process. As had been observed for fractionation by means of ethanol, the pasteurization step is necessary to ensure inactivation of two of the three viruses tested (HBV and poliomyelitis virus). This validation study allowed the preparation of a manufacturing and controls document for albumin and a marketing authorization has been issued by the "Laboratoire National de la Santé" (LNS, France).
目前,几乎所有用于临床或生物学用途的人血浆白蛋白制剂都是通过基于科恩方法的冷乙醇沉淀技术进行分级分离的。然而,离子交换色谱法工艺最近也得到了发展。这项工作的目的是评估一种自动化工业色谱法工艺的病毒灭活效果,该工艺每个循环(一个沉淀步骤、三个使用Spherodex-Spherosil凝胶的离子交换色谱步骤——Sepracor-IBF,法国维勒讷沃拉加雷讷——以及一个巴氏消毒步骤)能够分级分离350至400升血浆。为了进行这项验证研究,选择了三种相关病毒:乙型肝炎病毒(HBV)、脊髓灰质炎病毒和人类免疫缺陷病毒(HIV)。为了符合欧洲经济共同体(EEC)和美国食品药品监督管理局(FDA)的监管文件要求,将大量测试病毒加入到各个纯化步骤中获得的不同级分中,并测定它们在后续步骤中的去除或灭活情况。验证研究是在模拟使用半工业分级分离过程中获得的级分进行生产过程的条件下进行的。此外,对每个色谱步骤的柱子进行洗脱和清洗后,检查残留病毒感染性。结果表明:a)HBV的总体减少量为4.4个对数10。通过多种标志物的组合来判断感染性,DNA聚合酶活性受影响最大,特别是在最后的三个纯化步骤中;b)脊髓灰质炎病毒的病毒滴度总体降低>10个对数10;c)HIV的病毒滴度总体降低>10个对数10(五个步骤中的四个步骤对该病毒具有重要的灭活潜力,提高了工艺的安全性)。此外,柱子清洗后未检测到残留病毒感染性。总之,这项研究表明了使用Spherodex-Spherosil色谱法纯化人白蛋白的病毒安全性。正如通过乙醇分级分离所观察到的那样,巴氏消毒步骤对于确保测试的三种病毒中的两种(HBV和脊髓灰质炎病毒)的灭活是必要的。这项验证研究使得能够编写白蛋白的生产和控制文件,并且法国国家卫生实验室(LNS)已经颁发了上市许可。