Abstract
Background: Autologous myoblasts have been tested in the treatment of muscle-related diseases. However, the standardization of manufacturing myoblasts is still not established. Here we report a flask and animal-free medium-based method of manufacturing clinical-grade myoblast together with establishing releasing criteria for myoblast products under Good Manufacturing Practice (GMP). Methods: Quadriceps muscle biopsy samples were donated from three patients with myogenic ptosis. After biopsy samples were digested through enzymatic dissociation, the cells were grown in T175 flasks (passage 0) and hyperflasks (passage 1) in the animal-free SkGMTM-2 skeletal muscle cell growth medium containing 5% human platelet lysate for 15–17 days. The harvested cells were released based on cell morphology, cell dose, viability, sterility, endotoxin, mycoplasma and immunophenotype. Myotube differentiation was also evaluated. Results: 400 to 500 million myoblast cells were manufactured within 15 to 17 days by the end of passage 1, which met pre-determined releasing criteria. The manufactured myoblast cells could differentiate and fuse into myotubes in vitro, with the possible trend that the donor age may impact the differentiation ability of myoblasts. Conclusions: The present study establishes a flask-based method of manufacturing myoblast in the animal-free medium together with releasing criteria, which is simple, robust, inexpensive and easily reproducible. This study will serve as the validation for a planned phase 1 clinical trial to assess the use of autologous myoblast transplants for the treatment of myogenic ptosis and other myogenic diseases.
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References
Baj A, Bettaccini AA, Casalone R, Sala A, Cherubino P, Toniolo AQ (2005) Culture of skeletal myoblasts from human donors aged over 40 years: dynamics of cell growth and expression of differentiation markers. J Transl Med 3:21
Bentzinger, C.F., Wang, Y.X., and Rudnicki, M.A. (2012). Building muscle: molecular regulation of myogenesis. Cold Spring Harb Perspect Biol 4
Blau HM, Daley GQ (2019) Stem Cells in the Treatment of Disease. N Engl J Med 380:1748–1760
Bonavaud S, Thibert P, Gherardi RK, Barlovatz-Meimon G (1997) Primary human muscle satellite cell culture: variations of cell yield, proliferation and differentiation rates according to age and sex of donors, site of muscle biopsy, and delay before processing. Biol Cell 89:233–240
Boyer O, Bridoux V, Giverne C, Bisson A, Koning E, Leroi AM, Chambon P, Dehayes J, Le Corre S, Jacquot S et al (2018) Autologous Myoblasts for the Treatment of Fecal Incontinence: results of a Phase 2 Randomized Placebo-controlled Study (MIAS). Ann Surg 267:443–450
Corbu A, Scaramozza A, Badiali-DeGiorgi L, Tarantino L, Papa V, Rinaldi R, D’Alessandro R, Zavatta M, Laus M, Lattanzi G et al (2010) Satellite cell characterization from aging human muscle. Neurol Res 32:63–72
Endo T (2015) Molecular mechanisms of skeletal muscle development, regeneration, and osteogenic conversion. Bone 80:2–13
Guan Q, Ezzati P, Spicer V, Krokhin O, Wall D, Wilkins JA (2017) Interferon gamma induced compositional changes in human bone marrow derived mesenchymal stem/stromal cells. Clin Proteomics 14:26
Guan Q, Li Y, Shpiruk T, Bhagwat S, Wall DA (2018) Inducible indoleamine 2,3-dioxygenase 1 and programmed death ligand 1 expression as the potency marker for mesenchymal stromal cells. Cytotherapy 20:639–649
Jarocha D, Stangel-Wojcikiewicz K, Basta A, Majka M (2014) Efficient myoblast expansion for regenerative medicine use. Int J Mol Med 34:83–91
Menasche P, Alfieri O, Janssens S, McKenna W, Reichenspurner H, Trinquart L, Vilquin JT, Marolleau JP, Seymour B, Larghero J et al (2008) The Myoblast Autologous Grafting in Ischemic Cardiomyopathy (MAGIC) trial: first randomized placebo-controlled study of myoblast transplantation. Circulation 117:1189–1200
Miyagawa, S., Domae, K., Yoshikawa, Y., Fukushima, S., Nakamura, T., Saito, A., Sakata, Y., Hamada, S., Toda, K., Pak, K., et al. (2017). Phase I Clinical Trial of Autologous Stem Cell-Sheet Transplantation Therapy for Treating Cardiomyopathy. J Am Heart Assoc 6
Negroni E, Gidaro T, Bigot A, Butler-Browne GS, Mouly V, Trollet C (2015) Invited review: stem cells and muscle diseases: advances in cell therapy strategies. Neuropathol Appl Neurobiol 41:270–287
Perie S, Trollet C, Mouly V, Vanneaux V, Mamchaoui K, Bouazza B, Marolleau JP, Laforet P, Chapon F, Eymard B et al (2014) Autologous myoblast transplantation for oculopharyngeal muscular dystrophy: a phase I/IIa clinical study. Mol Ther 22:219–225
Peters KM, Dmochowski RR, Carr LK, Robert M, Kaufman MR, Sirls LT, Herschorn S, Birch C, Kultgen PL, Chancellor MB (2014) Autologous muscle derived cells for treatment of stress urinary incontinence in women. J Urol 192:469–476
Price DM, Lane FL, Craig JB, Nistor G, Motakef S, Pham QA, Keirstead H (2014) The effect of age and medical comorbidities on in vitro myoblast expansion in women with and without pelvic organ prolapse. Female Pelvic Med Reconstr Surg 20:281–286
Sawa Y, Yoshikawa Y, Toda K, Fukushima S, Yamazaki K, Ono M, Sakata Y, Hagiwara N, Kinugawa K, Miyagawa S (2015) Safety and efficacy of autologous skeletal myoblast sheets (TCD-51073) for the treatment of severe chronic heart failure due to ischemic heart disease. Circ J 79:991–999
Spinazzola, J.M., and Gussoni, E. (2017). Isolation of Primary Human Skeletal Muscle Cells. Bio Protoc 7
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This study was supported by Misericordia Health Centre Foundation.
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MLW, DS and QG conceived and designed the project; MLW recruited donors; QG developed the cell manufacturing protocol; AL, MLW and AF performed muscle biopsy; KA, MT, QG and AG manufactured cell products; QG analyzed the data; MLW, DS and QG wrote the manuscript; AL, AF, KA, MT and AG critically reviewed it. All authors read and approved the final manuscript.
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The study was approved by the University of Manitoba Research Ethics Board. Animal study was not used in this study.
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Lee-Wing, M., Szwajcer, D., Lockwood, A. et al. Manufacturing autologous myoblast for regenerative medicine applications. Cytotechnology 72, 605–614 (2020). https://doi.org/10.1007/s10616-020-00420-9
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DOI: https://doi.org/10.1007/s10616-020-00420-9