The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil

In vitro-expanded bone marrow stromal cells (BMSCs) have long been proposed for the treatment of complex bone-related injuries because of their inherent potential to differentiate into multiple skeletal cell types, modulate inflammatory responses, and support angiogenesis. Although a wide variety of...

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Main Authors: Rhayra B. Dias, João A. M. Guimarães, Marco B. Cury, Leonardo R. Rocha, Elaine S. da Costa, Liebert P. Nogueira, Camila Hochman-Mendez, Anneliese Fortuna-Costa, Anna Karoline F. Silva, Karin S. Cunha, Sergio A. L. de Souza, Maria Eugênia L. Duarte, Rafaela C. Sartore, Danielle C. Bonfim
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2019/2608482
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author Rhayra B. Dias
João A. M. Guimarães
Marco B. Cury
Leonardo R. Rocha
Elaine S. da Costa
Liebert P. Nogueira
Camila Hochman-Mendez
Anneliese Fortuna-Costa
Anna Karoline F. Silva
Karin S. Cunha
Sergio A. L. de Souza
Maria Eugênia L. Duarte
Rafaela C. Sartore
Danielle C. Bonfim
author_facet Rhayra B. Dias
João A. M. Guimarães
Marco B. Cury
Leonardo R. Rocha
Elaine S. da Costa
Liebert P. Nogueira
Camila Hochman-Mendez
Anneliese Fortuna-Costa
Anna Karoline F. Silva
Karin S. Cunha
Sergio A. L. de Souza
Maria Eugênia L. Duarte
Rafaela C. Sartore
Danielle C. Bonfim
author_sort Rhayra B. Dias
collection DOAJ
description In vitro-expanded bone marrow stromal cells (BMSCs) have long been proposed for the treatment of complex bone-related injuries because of their inherent potential to differentiate into multiple skeletal cell types, modulate inflammatory responses, and support angiogenesis. Although a wide variety of methods have been used to expand BMSCs on a large scale by using good manufacturing practice (GMP), little attention has been paid to whether the expansion procedures indeed allow the maintenance of critical cell characteristics and potency, which are crucial for therapeutic effectiveness. Here, we described standard procedures adopted in our facility for the manufacture of clinical-grade BMSC products with a preserved capacity to generate bone in vivo in compliance with the Brazilian regulatory guidelines for cells intended for use in humans. Bone marrow samples were obtained from trabecular bone. After cell isolation in standard monolayer flasks, BMSC expansion was subsequently performed in two cycles, in 2- and 10-layer cell factories, respectively. The average cell yield per cell factory at passage 1 was of 21.93±12.81×106 cells, while at passage 2, it was of 83.05±114.72×106 cells. All final cellular products were free from contamination with aerobic/anaerobic pathogens, mycoplasma, and bacterial endotoxins. The expanded BMSCs expressed CD73, CD90, CD105, and CD146 and were able to differentiate into osteogenic, chondrogenic, and adipogenic lineages in vitro. Most importantly, nine out of 10 of the cell products formed bone when transplanted in vivo. These validated procedures will serve as the basis for in-house BMSC manufacturing for use in clinical applications in our center.
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spelling doaj-art-4391de146b3c4e978a2ebfd0737c7c7a2025-02-03T01:03:27ZengWileyStem Cells International1687-966X1687-96782019-01-01201910.1155/2019/26084822608482The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in BrazilRhayra B. Dias0João A. M. Guimarães1Marco B. Cury2Leonardo R. Rocha3Elaine S. da Costa4Liebert P. Nogueira5Camila Hochman-Mendez6Anneliese Fortuna-Costa7Anna Karoline F. Silva8Karin S. Cunha9Sergio A. L. de Souza10Maria Eugênia L. Duarte11Rafaela C. Sartore12Danielle C. Bonfim13Master Program in Musculoskeletal Sciences, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilHip Surgery Center, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilInstitute of Paediatrics and Puericulture Martagão Gesteira, Federal University of Rio de Janeiro, Rio de Janeiro 21941-912, BrazilInstitute of Clinical Dentistry, University of Oslo, Oslo 0317, NorwayInstitute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilGraduate Program in Pathology, Fluminense Federal University, Rio de Janeiro 24030-215, BrazilGraduate Program in Pathology, Fluminense Federal University, Rio de Janeiro 24030-215, BrazilDepartment of Radiology, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro 21941-913, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilResearch Division, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, BrazilIn vitro-expanded bone marrow stromal cells (BMSCs) have long been proposed for the treatment of complex bone-related injuries because of their inherent potential to differentiate into multiple skeletal cell types, modulate inflammatory responses, and support angiogenesis. Although a wide variety of methods have been used to expand BMSCs on a large scale by using good manufacturing practice (GMP), little attention has been paid to whether the expansion procedures indeed allow the maintenance of critical cell characteristics and potency, which are crucial for therapeutic effectiveness. Here, we described standard procedures adopted in our facility for the manufacture of clinical-grade BMSC products with a preserved capacity to generate bone in vivo in compliance with the Brazilian regulatory guidelines for cells intended for use in humans. Bone marrow samples were obtained from trabecular bone. After cell isolation in standard monolayer flasks, BMSC expansion was subsequently performed in two cycles, in 2- and 10-layer cell factories, respectively. The average cell yield per cell factory at passage 1 was of 21.93±12.81×106 cells, while at passage 2, it was of 83.05±114.72×106 cells. All final cellular products were free from contamination with aerobic/anaerobic pathogens, mycoplasma, and bacterial endotoxins. The expanded BMSCs expressed CD73, CD90, CD105, and CD146 and were able to differentiate into osteogenic, chondrogenic, and adipogenic lineages in vitro. Most importantly, nine out of 10 of the cell products formed bone when transplanted in vivo. These validated procedures will serve as the basis for in-house BMSC manufacturing for use in clinical applications in our center.http://dx.doi.org/10.1155/2019/2608482
spellingShingle Rhayra B. Dias
João A. M. Guimarães
Marco B. Cury
Leonardo R. Rocha
Elaine S. da Costa
Liebert P. Nogueira
Camila Hochman-Mendez
Anneliese Fortuna-Costa
Anna Karoline F. Silva
Karin S. Cunha
Sergio A. L. de Souza
Maria Eugênia L. Duarte
Rafaela C. Sartore
Danielle C. Bonfim
The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
Stem Cells International
title The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
title_full The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
title_fullStr The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
title_full_unstemmed The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
title_short The Manufacture of GMP-Grade Bone Marrow Stromal Cells with Validated In Vivo Bone-Forming Potential in an Orthopedic Clinical Center in Brazil
title_sort manufacture of gmp grade bone marrow stromal cells with validated in vivo bone forming potential in an orthopedic clinical center in brazil
url http://dx.doi.org/10.1155/2019/2608482
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