目的:确保临床使用间充质干细胞/基质细胞(MSC)产品的可用性和稳定性的一个重要方面是,这些细胞在单独输注患者之前被冷冻保存。目前,MSC的冷冻保存涉及使用含有二甲基亚砜(DMSO)的冷冻保护剂溶液。然而,认识到DMSO对患者和MSC产品都是有毒的。在这个生产援助细胞疗法(PACT)和生物医学卓越的安全输血(BEST)合作研究,我们比较了一种新型的无DMSO溶液和含DMSO的冷冻保护剂溶液用于冷冻MSCs.
方法:含蔗糖的无DMSO冷冻保护剂溶液,甘油,在明尼苏达大学制备了PlasmalyteA的基础上的异亮氨酸(SGI)。在七个参与中心(来自美国的五个,澳大利亚和德国各一份)。从骨髓或脂肪组织中分离MSC,并在每个中心按照局部方案离体培养。通过等分到小瓶/袋中冷冻悬浮液中的细胞。对于七个中心中的六个,在转移到液氮之前,将小瓶/袋放置在受控速率冷冻机中(一个中心将它们放置在-80°C冷冻机中过夜)。在解冻和测试之前将细胞保持冷冻至少一周。解冻前和解冻后评估包括细胞活力和恢复,免疫表型以及转录和基因表达谱。线性回归,采用混合效应模型和双侧t检验进行统计分析。
结果:冷冻保存前,MSCs的平均活力为94.3%(95%CI:87.2-100%),下降4.5%(95%CI:0.03-9.0%;P:0.049)和11.4%(95%CI:6.9-15.8%;P<0.001),对于在内部和SGI解决方案中冷冻保存的MSC,分别。在SGI中冷冻保存的活MSCs的平均回收率为92.9%(95%CI:85.7-100.0%),下降了5.6%(95%CI:1.3-9.8%,内部解决方案的P<0.013)。此外,在两种溶液中冷冻保存的MSC具有CD45、CD73、CD90和CD105的预期表达水平,而在全局基因表达谱中没有显著差异。
结论:在含有蔗糖的无DMSO溶液中冷冻保存的MSCs,甘油,而在质粒A的一个碱基中的异亮氨酸具有略低的细胞活力,更好的恢复,与冷冻保存在含DMSO溶液中的MSC相比,免疫表型和整体基因表达谱具有可比性。MSCs在新型溶液中的平均存活力在80%以上,因此,临床上可能可以接受。建议未来的研究来测试在新型无DMSO溶液中冷冻保存的MSC的解冻后功能。
OBJECTIVE: An essential aspect of ensuring availability and stability of mesenchymal stem/stromal cells (MSCs) products for clinical use is that these cells are cryopreserved before individual infusion into patients. Currently, cryopreservation of MSCs involves use of a
cryoprotectant solution containing dimethyl sulfoxide (DMSO). However, it is recognized that DMSO may be toxic for both the patient and the MSC product. In this Production Assistance for Cellular Therapies (PACT) and Biomedical Excellence for Safer Transfusion (BEST) Collaborative study, we compared a novel DMSO-free solution with DMSO containing
cryoprotectant solutions for freezing MSCs.
METHODS: A DMSO-free
cryoprotectant solution containing sucrose, glycerol, and isoleucine (SGI) in a base of Plasmalyte A was prepared at the University of Minnesota.
Cryoprotectant solutions containing 5-10% DMSO (in-house) were prepared at seven participating centers (five from USA, one each from Australia and Germany). The MSCs were isolated from bone marrow or adipose tissue and cultured ex vivo per local protocols at each center. The cells in suspension were frozen by aliquoting into vials/bags. For six out of the seven centers, the vials/bags were placed in a controlled rate freezer (one center placed them at -80°C freezer overnight) before transferring to liquid nitrogen. The cells were kept frozen for at least one week before thawing and testing. Pre- and post-thaw assessment included cell viability and recovery, immunophenotype as well as transcriptional and gene expression profiles. Linear regression, mixed effects models and two-sided t-tests were applied for statistical analysis.
RESULTS: MSCs had an average viability of 94.3% (95% CI: 87.2-100%) before cryopreservation, decreasing by 4.5% (95% CI: 0.03-9.0%; P: 0.049) and 11.4% (95% CI: 6.9-15.8%; P< 0.001), for MSCs cryopreserved in the in-house and SGI solutions, respectively. The average recovery of viable MSCs cryopreserved in the SGI was 92.9% (95% CI: 85.7-100.0%), and it was lower by 5.6% (95% CI: 1.3-9.8%, P < 0.013) for the in-house solution. Additionally, MSCs cryopreserved in the two solutions had expected level of expressions for CD45, CD73, CD90, and CD105 with no significant difference in global gene expression profiles.
CONCLUSIONS: MSCs cryopreserved in a DMSO-free solution containing sucrose, glycerol, and isoleucine in a base of Plasmalyte A had slightly lower cell viability, better recovery, and comparable immunophenotype and global gene expression profiles compared to MSCs cryopreserved in DMSO containing solutions. The average viability of MSCs in the novel solution was above 80% and, thus, likely clinically acceptable. Future studies are suggested to test the post-thaw functions of MSCs cryopreserved in the novel DMSO-free solution.