Human bone marrow-derived, pooled, allogeneic mesenchymal stromal cells manufactured from multiple donors at different times show comparable biological functions in vitro, and in vivo to repair limb ischemia

Autor: Siddikuzzaman, Pawan Gupta, Priyanka Swamynathan, Charan Thej, Mathiyazhagan Rengasamy, Raviraja N. Seetharam, Ankita Walvekar, Sudha Balasubramanian, Pradnya Shahani, Anish Sen Majumdar, Udaykumar Kolkundkar, Swathi Sundar Raj
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Cell type
Medicine (General)
Necrosis
Population
Ischemia
Hind limb ischemia
Mice
Nude

Neovascularization
Physiologic

Medicine (miscellaneous)
QD415-436
030204 cardiovascular system & hematology
Mesenchymal Stem Cell Transplantation
Biochemistry
Genetics and Molecular Biology (miscellaneous)

Biochemistry
Mice
03 medical and health sciences
0302 clinical medicine
R5-920
Bone Marrow
In vivo
medicine
Animals
Humans
Tissue Distribution
education
Mice
Inbred BALB C

education.field_of_study
business.industry
Stempeucel®
Research
Pooled mesenchymal stromal cells
Mesenchymal stem cell
Hematopoietic Stem Cell Transplantation
Mesenchymal Stem Cells
Cell Biology
Critical limb ischemia
medicine.disease
Hindlimb
Multiple bone marrow aspirations
030104 developmental biology
Cancer research
Molecular Medicine
Angiogenesis
Stem cell
medicine.symptom
business
Zdroj: Stem Cell Research & Therapy, Vol 12, Iss 1, Pp 1-16 (2021)
Stem Cell Research & Therapy
ISSN: 1757-6512
Popis: Background We have previously demonstrated that a pooled population of bone marrow-derived, allogeneic mesenchymal stromal cells (BMMSC), Stempeucel®-1, produced under good manufacturing practices (GMP) conditions, showed clinical efficacy and safety in patients suffering from critical limb ischemia (CLI) due to Buerger’s disease. While Stempeucel®-1 is currently used for CLI and other clinical indications, we wanted to ensure that the product’s continuity is addressed by developing and characterizing a second generation of pooled product (Stempeucel®-1A), manufactured identically from second BM aspirates of the same three donors after a 2-year interval. Methods The two versions of Stempeucel® were manufactured and subjected to gene and protein expression analysis. The nature of various growth factors/cytokines secreted and immunomodulatory activity of these two cell populations were compared directly by various in vitro assays. The preclinical efficacy of these two cell types was compared in an experimental model of hind limb ischemia (HLI) in BALB/c nude mice. The reversal of ischemia, blood flow, and muscle regeneration were determined by functional scoring, laser Doppler imaging, and immunohistochemical analyses. Results Qualitative and quantitative analyses of genes and proteins involved in promoting angiogenic activity and immune regulatory functions revealed high levels of correlation between Stempeucel®-1 and Stempeucel®-1A cell populations. Moreover, intramuscular (i.m) administration of these two cell products in the ischemic limbs of BALB/c nude mice showed significant repair (≥ 70%) of toe and foot necrosis, leading to improved ambulatory function and limb salvage. Furthermore, a biodistribution kinetics study showed that Stempeucel®-1 was mostly localized in the ischemic muscles of mice for a significantly longer time compared to normal muscles, thus playing an essential role in modulating and reversing HLI damage. Conclusions This study shows that with a reproducible manufacturing procedure, it is possible to generate large numbers of pooled mesenchymal stromal cells from human bone marrow samples to establish product equivalence. We conclude from these results that, for the first time, two pooled, allogeneic BMMSC products can be repeatedly manufactured at different time intervals using a two-tier cell banking process with robust and comparable angiogenic properties to treat ischemic diseases.
Databáze: OpenAIRE