Exosomes in clinical trial and their production in compliance with good manufacturing practice

Exosomes, 60-200-nm extracellular vesicles secreted from cells, have been used as an active pharmaceutical ingredient or drug carrier in disease treatment. Human- and plant-derived exosomes are registered in clinical trials, but more complete reports are available for human-derived exosomes. Because...

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Main Authors: Yu-Shuan Chen, En-Yi Lin, Tzyy-Wen Chiou, Horng-Jyh Harn
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Tzu-Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=2;spage=113;epage=120;aulast=Chen
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author Yu-Shuan Chen
En-Yi Lin
Tzyy-Wen Chiou
Horng-Jyh Harn
author_facet Yu-Shuan Chen
En-Yi Lin
Tzyy-Wen Chiou
Horng-Jyh Harn
author_sort Yu-Shuan Chen
collection DOAJ
description Exosomes, 60-200-nm extracellular vesicles secreted from cells, have been used as an active pharmaceutical ingredient or drug carrier in disease treatment. Human- and plant-derived exosomes are registered in clinical trials, but more complete reports are available for human-derived exosomes. Because exosomes act as vesicles and carry cell secreting components, they have been used as drug or peptide vehicles to treat diseases. The dendritic cells (DCs) and mesenchymal stem cells (MSCs) are two popular cell sources for exosome preparation. Exosomes from DCs can initiate inflammation in patients, particularly in patients with cancer, as they contain the tumor antigen to induce specific inflammation response. A well-established cell bank of MSCs is available, and these cells can be used as an alternative source for exosome preparation. The major application of MSC-derived exosomes is in inflammation treatment. Exosomes in clinical trials need to comply with good manufacturing practice (GMP). Three important issues are prevalent in GMP for exosomes, i.e., upstream of cell cultivation process, downstream of the purification process, and exosome quality control. This paper concisely reviews exosome development, including exosome generation and clinical trial application.
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spelling doaj.art-3ffa698069ec4788987d32cb9de5fdff2022-12-22T00:42:02ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562020-01-0132211312010.4103/tcmj.tcmj_182_19Exosomes in clinical trial and their production in compliance with good manufacturing practiceYu-Shuan ChenEn-Yi LinTzyy-Wen ChiouHorng-Jyh HarnExosomes, 60-200-nm extracellular vesicles secreted from cells, have been used as an active pharmaceutical ingredient or drug carrier in disease treatment. Human- and plant-derived exosomes are registered in clinical trials, but more complete reports are available for human-derived exosomes. Because exosomes act as vesicles and carry cell secreting components, they have been used as drug or peptide vehicles to treat diseases. The dendritic cells (DCs) and mesenchymal stem cells (MSCs) are two popular cell sources for exosome preparation. Exosomes from DCs can initiate inflammation in patients, particularly in patients with cancer, as they contain the tumor antigen to induce specific inflammation response. A well-established cell bank of MSCs is available, and these cells can be used as an alternative source for exosome preparation. The major application of MSC-derived exosomes is in inflammation treatment. Exosomes in clinical trials need to comply with good manufacturing practice (GMP). Three important issues are prevalent in GMP for exosomes, i.e., upstream of cell cultivation process, downstream of the purification process, and exosome quality control. This paper concisely reviews exosome development, including exosome generation and clinical trial application.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=2;spage=113;epage=120;aulast=Chenclinical trialexosomesgood manufacturing practice
spellingShingle Yu-Shuan Chen
En-Yi Lin
Tzyy-Wen Chiou
Horng-Jyh Harn
Exosomes in clinical trial and their production in compliance with good manufacturing practice
Tzu-Chi Medical Journal
clinical trial
exosomes
good manufacturing practice
title Exosomes in clinical trial and their production in compliance with good manufacturing practice
title_full Exosomes in clinical trial and their production in compliance with good manufacturing practice
title_fullStr Exosomes in clinical trial and their production in compliance with good manufacturing practice
title_full_unstemmed Exosomes in clinical trial and their production in compliance with good manufacturing practice
title_short Exosomes in clinical trial and their production in compliance with good manufacturing practice
title_sort exosomes in clinical trial and their production in compliance with good manufacturing practice
topic clinical trial
exosomes
good manufacturing practice
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=2;spage=113;epage=120;aulast=Chen
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AT tzyywenchiou exosomesinclinicaltrialandtheirproductionincompliancewithgoodmanufacturingpractice
AT horngjyhharn exosomesinclinicaltrialandtheirproductionincompliancewithgoodmanufacturingpractice