Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation

Diverse cell therapy approaches constitute prime developmental prospects for managing acute or degenerative cartilaginous tissue affections, synergistically complementing specific surgical solutions. Bone marrow stimulation (i.e., microfracture) remains a standard technique for cartilage repair prom...

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Main Authors: Alexis Laurent, Philippe Abdel-Sayed, Aurélie Ducrot, Nathalie Hirt-Burri, Corinne Scaletta, Sandra Jaccoud, Katja Nuss, Anthony S. de Buys Roessingh, Wassim Raffoul, Dominique Pioletti, Brigitte von Rechenberg, Lee Ann Applegate, Salim Darwiche
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/11/2/250
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author Alexis Laurent
Philippe Abdel-Sayed
Aurélie Ducrot
Nathalie Hirt-Burri
Corinne Scaletta
Sandra Jaccoud
Katja Nuss
Anthony S. de Buys Roessingh
Wassim Raffoul
Dominique Pioletti
Brigitte von Rechenberg
Lee Ann Applegate
Salim Darwiche
author_facet Alexis Laurent
Philippe Abdel-Sayed
Aurélie Ducrot
Nathalie Hirt-Burri
Corinne Scaletta
Sandra Jaccoud
Katja Nuss
Anthony S. de Buys Roessingh
Wassim Raffoul
Dominique Pioletti
Brigitte von Rechenberg
Lee Ann Applegate
Salim Darwiche
author_sort Alexis Laurent
collection DOAJ
description Diverse cell therapy approaches constitute prime developmental prospects for managing acute or degenerative cartilaginous tissue affections, synergistically complementing specific surgical solutions. Bone marrow stimulation (i.e., microfracture) remains a standard technique for cartilage repair promotion, despite incurring the adverse generation of fibrocartilagenous scar tissue, while matrix-induced autologous chondrocyte implantation (MACI) and alternative autologous cell-based approaches may partly circumvent this effect. Autologous chondrocytes remain standard cell sources, yet arrays of alternative therapeutic biologicals present great potential for regenerative medicine. Cultured human epiphyseal chondro-progenitors (hECP) were proposed as sustainable, safe, and stable candidates for chaperoning cartilage repair or regeneration. This study describes the development and industrial transposition of hECP multi-tiered cell banking following a single organ donation, as well as preliminary preclinical hECP safety. Optimized cell banking workflows were proposed, potentially generating millions of safe and sustainable therapeutic products. Furthermore, clinical hECP doses were characterized as non-toxic in a standardized chorioallantoic membrane model. Lastly, a MACI-like protocol, including hECPs, was applied in a three-month GLP pilot safety evaluation in a caprine model of full-thickness articular cartilage defect. The safety of hECP transplantation was highlighted in xenogeneic settings, along with confirmed needs for optimal cell delivery vehicles and implantation techniques favoring effective cartilage repair or regeneration.
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spelling doaj.art-834c249d992e40e083c4679ce9dd64e32023-12-03T13:03:56ZengMDPI AGBiomolecules2218-273X2021-02-0111225010.3390/biom11020250Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic TransplantationAlexis Laurent0Philippe Abdel-Sayed1Aurélie Ducrot2Nathalie Hirt-Burri3Corinne Scaletta4Sandra Jaccoud5Katja Nuss6Anthony S. de Buys Roessingh7Wassim Raffoul8Dominique Pioletti9Brigitte von Rechenberg10Lee Ann Applegate11Salim Darwiche12Regenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandMusculoskeletal Research Unit, Zurich Tierspital, University of Zurich, CH-8952 Schlieren, SwitzerlandChildren and Adolescent Surgery Service, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandPlastic, Reconstructive, and Hand Surgery Service, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandLaboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, CH-2002 Neuchâtel, SwitzerlandMusculoskeletal Research Unit, Zurich Tierspital, University of Zurich, CH-8952 Schlieren, SwitzerlandRegenerative Therapy Unit, Lausanne University Hospital, University of Lausanne, CH-1015 Lausanne, SwitzerlandMusculoskeletal Research Unit, Zurich Tierspital, University of Zurich, CH-8952 Schlieren, SwitzerlandDiverse cell therapy approaches constitute prime developmental prospects for managing acute or degenerative cartilaginous tissue affections, synergistically complementing specific surgical solutions. Bone marrow stimulation (i.e., microfracture) remains a standard technique for cartilage repair promotion, despite incurring the adverse generation of fibrocartilagenous scar tissue, while matrix-induced autologous chondrocyte implantation (MACI) and alternative autologous cell-based approaches may partly circumvent this effect. Autologous chondrocytes remain standard cell sources, yet arrays of alternative therapeutic biologicals present great potential for regenerative medicine. Cultured human epiphyseal chondro-progenitors (hECP) were proposed as sustainable, safe, and stable candidates for chaperoning cartilage repair or regeneration. This study describes the development and industrial transposition of hECP multi-tiered cell banking following a single organ donation, as well as preliminary preclinical hECP safety. Optimized cell banking workflows were proposed, potentially generating millions of safe and sustainable therapeutic products. Furthermore, clinical hECP doses were characterized as non-toxic in a standardized chorioallantoic membrane model. Lastly, a MACI-like protocol, including hECPs, was applied in a three-month GLP pilot safety evaluation in a caprine model of full-thickness articular cartilage defect. The safety of hECP transplantation was highlighted in xenogeneic settings, along with confirmed needs for optimal cell delivery vehicles and implantation techniques favoring effective cartilage repair or regeneration.https://www.mdpi.com/2218-273X/11/2/250cartilage cell therapycell bankingchorioallantoic membrane modelfetal progenitor cellslarge animal modelMACI
spellingShingle Alexis Laurent
Philippe Abdel-Sayed
Aurélie Ducrot
Nathalie Hirt-Burri
Corinne Scaletta
Sandra Jaccoud
Katja Nuss
Anthony S. de Buys Roessingh
Wassim Raffoul
Dominique Pioletti
Brigitte von Rechenberg
Lee Ann Applegate
Salim Darwiche
Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
Biomolecules
cartilage cell therapy
cell banking
chorioallantoic membrane model
fetal progenitor cells
large animal model
MACI
title Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
title_full Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
title_fullStr Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
title_full_unstemmed Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
title_short Development of Standardized Fetal Progenitor Cell Therapy for Cartilage Regenerative Medicine: Industrial Transposition and Preliminary Safety in Xenogeneic Transplantation
title_sort development of standardized fetal progenitor cell therapy for cartilage regenerative medicine industrial transposition and preliminary safety in xenogeneic transplantation
topic cartilage cell therapy
cell banking
chorioallantoic membrane model
fetal progenitor cells
large animal model
MACI
url https://www.mdpi.com/2218-273X/11/2/250
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