CHEN Cuizhu, HUANG Changfa, LI Qian, WU Ze, CAO Chunran, WU Zhihong. Microbial Contamination Control and Management of Human-derived Stem Cell Preparations and Related Regulations[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0586
Citation: CHEN Cuizhu, HUANG Changfa, LI Qian, WU Ze, CAO Chunran, WU Zhihong. Microbial Contamination Control and Management of Human-derived Stem Cell Preparations and Related Regulations[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0586

Microbial Contamination Control and Management of Human-derived Stem Cell Preparations and Related Regulations

Funds: 

Medical and Health Science and Technology Innovation Project of Chinese Academy of Medical Sciences(2021-2M-1-052)

More Information
  • Received Date: July 27, 2024
  • Accepted Date: September 01, 2024
  • Available Online: December 09, 2024
  • Stem cell preparations and associated products have been widely used in clinical trials and treatment of refractory diseases at home and abroad. Due to the complex preparation process of stem cell preparations, the current microbial examination methods are difficult to meet the relevant needs of safety testing of stem cell preparations, especially the release examination in medical institutions. It is urgent to develop new methods to make stem cell preparations safe and timely for clinical use. This article elaborates on the control process and standards for microbial contaminating in human stem cell preparations, covering raw material selection, preparation processes, release testing, clinical application and sample retention. The aim is to provide a basis for microbial quality control in the clinical application of stem cell preparations.
  • [1]
    中国医药技术协会.《干细胞制剂制备质量管理自律规范(征求意见稿)》[S]. 20161025.
    [2]
    GOLCHIN A, FARAHANY T Z. Biological Products:Cellular Therapy and FDA Approved Products[J]. Stem Cell Rev Rep, 2019,15(2):166-175.
    [3]
    SHUKLA V, SEOANE-VAZQUEZ E, FAWAZ S, et al. The Landscape of Cellular and Gene Therapy Products:Authorization, Discontinuations, and Cost[J]. Human gene therapy. Clinical development, 2019,30(3):102.
    [4]
    FERNÁNDEZ-GARZA L E, BARRERA-BARRERA S A, BARRERA-SALDAÑA H A. Mesenchymal Stem Cell Therapies Approved by Regulatory Agencies around the World[J]. Pharmaceuticals (Basel, Switzerland), 2023,16(9):1334.
    [5]
    CURLEY G F, O'KANE C M, MCAULEY D F, et al. Cell-based Therapies for Acute Respiratory Distress Syndrome:Where Are We Now?[J]. American journal of respiratory and critical care medicine, 2024,209(7):789-797.
    [6]
    MARTÍNEZ-MUÑOZ M E, PAYARES-HERRERA C, LIPPERHEIDE I, et al. Mesenchymal stromal cell therapy for COVID-19 acute respiratory distress syndrome:a double-blind randomised controlled trial[J]. Bone marrow transplantation (Basingstoke), 2024,59(6):777-784.
    [7]
    CHAVERRI D, GALLARDO-VILLARES S, PINTO J A, et al. Treatment of non-hypertrophic pseudoarthrosis of long bones with a Tissue Engineered Product loaded with autologous bone marrow-derived Mesenchymal Stromal Cells:Results from a phase IIa, prospective, randomized, parallel, pilot clinical trial comparing to iliac crest autograft[J]. Injury, 2024,55(7):111596.
    [8]
    OROZCO DELCLÓS L, SOLER RICH R, ARRIAZA LOUREDA R, et al. Efficacy and safety of autologous or allogeneic mesenchymal stromal cells from adult adipose tissue expanded and combined with tricalcium phosphate biomaterial for the surgical treatment of atrophic nonunion of long bones:a phase II clinical trial[J]. Journal of translational medicine, 2024,22(1):493-502.
    [9]
    WANG Y, LI M, YANG T, et al. Human umbilical cord mesenchymal stem cell transplantation for the treatment of acute-on-chronic liver failure:protocol for a multicentre random double-blind placebo-controlled trial[J]. BMJ Open, 2024,14(6):e84231-e84237.
    [10]
    LI Z H, WANG J Y, LI X L, et al. Mesenchymal stem cell-regulated miRNA-mRNA landscape in acute-on-chronic liver failure[J]. Genomics, 2023,115(6):110737.
    [11]
    GUO Q, LI P, CHEN M, et al. Exosomes From Human Umbilical Cord Stem Cells Suppress Macrophage-to-myofibroblast Transition, Alleviating Renal Fibrosis[J]. Inflammation, 2024.
    [12]
    VAES J E G, ONSTWEDDER S M, TRAYFORD C, et al. Modifying the Secretome of Mesenchymal Stem Cells Prolongs the Regenerative Treatment Window for Encephalopathy of Prematurity[J]. International journal of molecular sciences, 2024,25(12):6494.
    [13]
    VAES J, ONSTWEDDER S M, TRAYFORD C, et al. Modifying the Secretome of Mesenchymal Stem Cells Prolongs the Regenerative Treatment Window for Encephalopathy of Prematurity[J]. Int J Mol Sci, 2024,25(12):6491-6494.
    [14]
    JIANG S, WANG H, YANG C, et al. Phase 1 study of safety and preliminary efficacy of intranasal transplantation of human neural stem cells (ANGE-S003) in Parkinson's disease[J]. Journal of neurology, neurosurgery and psychiatry, 2024:2023-332921.
    [15]
    WANG L, LI F, WANG L, et al. Exosomes Derived from Bone Marrow Mesenchymal Stem Cells Alleviate Rheumatoid Arthritis Symptoms via Shuttling Proteins[J]. J Proteome Res, 2024,23(4):1298-1312.
    [16]
    ALIP M, WANG D, ZHAO S, et al. Umbilical cord mesenchymal stem cells transplantation in patients with systemic sclerosis:a 5-year follow-up study[J]. Clinical rheumatology, 2024,43(3):1073-1082.
    [17]
    药品临床试验登记与信息公示平台.检索词"间充质干细胞"[EB/OL].[20241204] . http://www.chinadrugtrials.org.cn/clinicaltrials.searchlist.dhtml.
    [18]
    中国医药生物技术协会.《细胞治疗产品生产用原材料的质量管理规范》[S]. 202307.
    [19]
    国家药典委员会."生物制品通则"中"生物制品生产用原材料及辅料的质量控制"[M]//《中华人民共和国药典》. 2020:3-8.
    [20]
    国家药品监督管理局药品审评中心.《人源干细胞产品药学研究与评价技术指导原则(试行)》[S]. 20230427.
    [21]
    国家药典委员会.通则3604"新生牛血清"[M]//《中华人民共和国药典》第四部. 2020:367.
    [22]
    国家药典委员会."生物制品通则"中"血液制品生产用人血浆"[M]//《中华人民共和国药典》第三部. 2020:21-23.
    [23]
    国家卫生计生委,食品药品监管总局.《干细胞制剂质量控制及临床前研究指导原则(试行)》[S]. 201508.
    [24]
    WANG J, GAO S, ZHAO Y, et al. Manufacture and Quality Control of Human Umbilical Cord-Derived Mesenchymal Stem Cell Sheets for Clinical Use[J]. Cells (Basel, Switzerland), 2022,11(17):2732.
    [25]
    国家药典委员会.通则1101"无菌检查法" [M]//《中华人民共和国药典》第四部. 2020:156-159.
    [26]
    国家药典委员会.通则9201"药品微生物检验替代方法指导原则" [M]//《中华人民共和国药典》第四部. 2020:494-497.
    [27]
    国家药典委员会.《细胞类制品微生物检查法(公示稿)》第一版[S]. 20211026.
    [28]
    国家药典委员会.《细胞类制品微生物检查指导原则第二版》公示稿[S]. 20221201.
    [29]
    上海医药行业协会.《细胞和基因治疗产品快速无菌检查法的验证技术要求》的团体标准[S]. 20220628.
    [30]
    国家药典委员会.通则1143"细菌内毒素检测法" [M]//《中华人民共和国药典》第四部. 2020:178-181.
    [31]
    国家药典委员会.通则9251"细菌内毒素检查法应用指导原则" [M]//《中华人民共和国药典》第四部. 2020:515-516.
    [32]
    国家药典委员会.通则9201"药品微生物检验替代方法验证指导原则" [M]//《中华人民共和国药典》第四部. 2020:494-497.
    [33]
    国家药典委员会."生物制品通则"中"生物制品病毒安全性控制"[M]//《中华人民共和国药典》第三部. 2020:25-29.
    [34]
    国家药典委员会.通则9108"DNA测序技术指导原则" [M]//《中华人民共和国药典》第四部. 2020:492-493.
    [35]
    国家药典委员会.通则10 01 "聚合酶链式反应法" [M]//《中华人民共和国药典》第四部. 2020:153-155.
    [36]
    国家药典委员会.通则10 21 "细菌DNA特征序列鉴定法" [M]//《中华人民共和国药典》第四部. 2020:155-156.
    [37]
    国家药典委员会.通则33 06 "血液制品生产用人血浆病毒核酸检测技术要求" [M]//《中华人民共和国药典》第四部. 2020:313-314.
    [38]
    刘晓凡,张丽君,于佳,等.支原体检测PCR法与药典方法的对比分析[J].中国生物制品学杂志, 2020,33(12):1436-1440, 1444.
    [39]
    European Pharmacopeia. Microbiological examination of cell-based preparations.EP 9.22.6.27.[J]. 2019.
    [40]
    European Pharmacopeia. Alternative methsds for control of microbiological quality[M]//European Pharmacopeia 5.1.6. 2004.
    [41]
    European Pharmacopeia. Nuclei acid amplification technology[M]//European Pharmacopeia (9.2)2.6.21. 2017.
    [42]
    European Pharmacopeia. Flow cytometry[M]//European Pharmacopeia (9.2)2.7.24. 2017.
    [43]
    The United States Pharmacopeial Convention. Rapid microbial tests for release of sterile short-life products[J]. 2019.
    [44]
    The United States Pharmacopeial Convention. Validation of alternative microbiological methods[M]//U.S.Pharmacopeia/National Formulary (1223). 2022.
    [45]
    M K, D S, KATO K. Regulatory impacts on stem cell research in Japan[J]. Cell Stem Cell, 2010,7(6):415-418.
    [46]
    The Japanese Government. the Act on the Safety of Regenerative Medicine, ASRM[S]. Japan, 2014.
    [47]
    ABE S. the Pharmaceutical and Medical Devices Act[Z]. Japan:2014.
    [48]
    陈翠珠,莎仁高娃,徐英春.宏基因组测序在微生物耐药研究中的应用进展[J].标记免疫分析与临床, 2023,30(02):357-360.
    [49]
    JANES V A, MATAMOROS S, MUNK P, et al. Metagenomic DNA sequencing for semiquantitative pathogen detection from urine:a prospective, laboratory-based, proof-of-concept study[J]. The Lancet. Microbe, 2022,3(8):e588-e597.
    [50]
    MUDRIK-ZOHAR H, CARASSO S, GEFEN T, et al. Microbiome Characterization of Infected Diabetic Foot Ulcers in Association With Clinical Outcomes:Traditional Cultures Versus Molecular Sequencing Methods[J]. Frontiers in Cellular and Infection Microbiology, 2022,12.
    [51]
    张栋,张京家,杜娟,等.病原宏基因组高通量测序性能确认方案[J].中华检验医学杂志, 2022,45(9):899-905.
    [52]
    李永军,王雅杰.宏基因组耐药基因的报告与解读[J].现代医学与健康研究电子杂志, 2022,6(6):89-92.
    [53]
    TIAN L, XU P, CHEN J, et al. Comprehensive analysis of spatial heterogeneity reveals the important role of the upper-layer fermented grains in the fermentation and flavor formation of Qingxiangxing baijiu[J]. Food Chem X, 2024,22:101501-101508.
    [54]
    LI Z, LIU T, WANG S, et al. Yinhuang buccal tablet alters airway microbiota composition and metabolite profile in healthy humans[J]. J Ethnopharmacol, 2024,328:118043.
  • Related Articles

    [1]ZHANG Mingzi, SI Loubin, HUANG Jiuzuo, YU Nanze, ZHENG Jiaojie, CHEN Jie, WANG Xiaojun, LONG Xiao, XIONG Wei. Construction of Medical Quality Control Indicators System for Chinese Plastic and Aesthetic Major[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1318-1324. DOI: 10.12290/xhyxzz.2024-0052
    [2]ZHENG Jiaojie, ZHANG Mingzi, SI Loubin, CHEN Jie, WANG Xiaojun, LONG Xiao, XIONG Wei. Journey and Significance of Quality Control in Medical Safety for China's Plastic Surgery and Aesthetic Medicine Professions[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1233-1237. DOI: 10.12290/xhyxzz.024-0487
    [3]ZHOU Jiong, WANG Shuchang, MA Xiaojun. Improving Medical Quality and Safety Through DRG Payment Model[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 981-986. DOI: 10.12290/xhyxzz.2024-0479
    [4]ZHENG Jiaojie, ZHANG Mingzi, SI Loubin, CHEN Jie, WANG Xiaojun, LONG Xiao, XIONG Wei. The Journey and Significance of Quality Control in Medical Safety for China's Plastic Surgery and Aesthetic Medicine Professions[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0487
    [5]LU Liting, ZHOU Yanping, WANG Xiang, LI Xiaoyuan, HOU Xiaorong, ZHU Lidong, XU Xiaohong, SUN Guibin, WANG Ziyuan, ZHANG Jieshi, ZHAO Lin, BA Yi. Quality Control and Analysis of Treatment for Hospitalized Cancer Patients: An Interview and Medical Records Study from Nine Hospitals in Beijing[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0265
    [6]HOU Huanhuan, CHANG Heng. Research Progress on the Relationship Between Reproductive Tract Microbes and Tubal Pregnancy[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0297
    [7]HAO Ye, WANG Hao, LI Jiage. Interpretation On Sectoral Standard Artificial Intelligence Medical Device-Quality Requirements and Evaluation-Part 3: General Requirements for Data Annotation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1185-1188. DOI: 10.12290/xhyxzz.2023-0463
    [8]ZHENG Yujin, LIU Hui, GUO Dandan, ZHANG Bo. Application of Standardized Quality Control Concept in Ultrasound Department[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 575-580. DOI: 10.12290/xhyxzz.2022-0155
    [9]Yue-song PAN. Data Management and Quality Control for Clinical Research[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 458-462. DOI: 10.3969/j.issn.1674-9081.2018.05.016
    [10]Xiao-hua SHI, Zhi-yong LIANG, Huan-wen WU, Xin-yu REN, Tong-hua LIU. Effect of RNA Interference Plasmid on the Expression of Oncogene AKT2 in Pancreatic Cancer Cell Line Panc-1[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(1): 102-108. DOI: 10.3969/j.issn.1674-9081.2012.01.021

Catalog

    Article Metrics

    Article views (65) PDF downloads (15) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close