Large Scale culture 1 Mesenchymal Stem Cells ESC/iPSC CHARACTERIZATION CD Surface Antigens Chemokine Receptors Cytokines Mitogens Immunological Features SOURCE Bone Marrow Adipose Tissue Umbilical Cord Amniotic Fluid Skeletal Muscle & Others ISOLATION APPLICATIONS Basic Biology Cancer Biology Genomics Drug Discovery Cell Therapy EXPANSION Multi-lineage Adult Stem Cells (i.e. MAPC, MPLC, MIAMI, etc.) MESODERM DIFFERENTIATION TRANSDIFFERENTIATION Neural Hepatic Endothelial Tenocyte Chondrocyte Osteocyte (tendon) (cartilage) (bone) 2 Adipocyte (fat) Myoblasts (muscle) Human MSC Therapeutic Applications Human MSCs have become of interest for clinical application due to: • Capacity for homing and engraftment • Wide-range differentiation potential • Immunosuppressive attributes Potential MSC Therapies: • Graft versus Host Disease • Crohn’s Disease • Bone Defects/ Genetic Disease • HSC Transplantation • Cardiac repair • NIH Clinical Trials search for mesenchymal stem (stromal) cells = >90 studies (www.clinicaltrials.gov) 3 Overview of MultiStem® Production Process Lot Release & Product Characterization Testing Sterility Potency Identity and Viability Stable Cytogenetics Absence of tumorigenic potential in vivo 4 MultiStem – Adherent Adult Stem Cell Platform-Athersys 5 IND Protocol Title Key elements Phase I, Multicenter, Dose-Escalation Trial Evaluating Maximum-Tolerated Dose of Single and Repeated Administration of Allogeneic MultiStem® in Patients with Acute Leukemia, Chronic Myeloid Leukemia, or Myelodysplasia IV-delivered product Phase I: open label – SAD, MAD Adjunctive to BM/HSC transplant Phase I, Multicenter, Dose-Escalation Trial Evaluating the Safety of Allogeneic AMI MultiStem® in Patients with Acute Myocardial Infarction Catheter-delivered product Phase I: open label (w/ registry) Phase I, Multicenter, Dose-Escalation Trial Evaluating the Safety of Allogeneic MultiStem® in Patients with Ischemic Stroke IV-delivered product Phase I: blinded, placebo controlled Human MSC Therapeutic Applications The processing of human MSCs for therapeutic application should be a standardized GMP process, including defined: (a) Starting material: donor, tissue origin, harvesting, enrichment method, etc. (b) Tissue culture processing methods: culture medium, culture conditions, etc. (c) Devices for cell culture: closed (or nearly closed) cell culture system (d) Quality control: > input material (donor) analysis > active components or impurities > expanded cell karyotype Sensebé and Bourin Transplantation. 2009 May 15;87(9 Suppl):S49-53. Review. 6 7 No inhibitor Tyrphostin (IC50 20 M) (PDGF inhibitor) SB431542 hydrate (IC50 10 M) (TGFβR inhibitor) SU 5402 (IC50 10-20 M) (FGFR inhibitor) 10.38 9.76 4 6.92 8.03 20 5.05 5.38 40 1.01 0.71 2 7.21 3.12 10 6.35 3.46 20 2.88 2.29 2 10.77 8.28 10 4.09 2.82 20 3.46 3.31 10 9 8 7 6 5 4 3 2 1 0 15 pathways Ng et al. Blood. 2008 Jul 15;112(2):295-307 2008 * Analysis of active pathways in hMSCs suggests that PDGF, TGFβ and FGF are important signaling pathways for hMSC proliferation and differentiation Wnt/β-catenin Signaling Wnt/βcatenin Signaling C14 PDGF Signaling C07 3 TGF-β Signaling PTEN Signaling PPAR Signaling PDGF Signaling p38 MAPK Signaling JAK/Stat Signaling Integrin Signaling 4 Neuregulin Signaling Leukocyte Extravasation Signaling JAK/Stat Signaling Integrin Signaling Insulin Receptor Signaling Fold increase in viable cell number IGF-1 Signaling 7 pathways 0 Huntington's Disease Signaling 0.5 GM-CSF Signaling 1 ERK/MAPK Signaling O14 Actin Cytoskeleton Signaling Cell Cycle: G1/S Checkpoint Ephrin Receptor Signaling 1.5 -log(p-value) 3.5 ERK/MAPK Signaling p38 MAPK Signaling 2 Ephrin Receptor Signaling Day 7 Complement and Coagulation 2.5 EGF Signaling Conc (M) Interferon Signaling O07 Actin Cytoskeleton Signaling Axonal Guidance Signaling Cell Cycle: G1/S Checkpoint Inhibitor Leukocyte Extravasation Signaling 3 -log(p-value) 0 ERK/MAPK Signaling Death Receptor Signaling Axonal Guidance Signaling -log(p-value) Active Signaling Pathways in Human MSCs Osteogenesis Chondrogenesis 5 2 1 13 pathways Day 14 Adipogenesis A07 A14 StemPro MSC SFM StemPro® MSC SFM Kit (Cat# A10332-01) Consists of the following: 1. StemPro® MSC SFM Basal Medium (1X)(500ml) 2. StemPro® MSC SFM Supplement (6.67X)(75ml) Note: Additional components required: 8 • CELLstart (XenoFree Substrate) (Cat# A1014201) • GlutaMAX (Cat# 35050) or L-Glutamine (Cat# 25030) • TrypLE Express (Cat# 12604013) (Animal Origin Free) StemPro MSC SFM Total Cell Expansion: STEMPRO MSC SFM 1800 9.0E+06 P = PDGF-BB 1400 Net Total Cell Number Per Flask Relative Flourescence Units (RFU) 1600 B = bFGF 1200 T = TGFβ1 1000 800 600 400 8.0E+06 7.0E+06 6.0E+06 5.0E+06 4.0E+06 3.0E+06 2.0E+06 1.0E+06 0.0E+00 200 0 0 SCM D+PBT D D+P D+B D+T D+PB D+PT Growth Factor Supplementation 3 5 input cells = passage 5 human Bone Marrow MSCs (4-donor pool) Adipocyte (Oil Red O) StemPro MSC SFM Chondrocyte (Alcian Blue) Expansion Differentiation DMEM + 10% FBS 1 Passage D+BT Chondrocyte (Toluidine Blue) Beadchip Gene Array Analysis 9 Chase et al. 2009 Submitted. 7 10 DMEM + 10% MSC-Qualified FBS STEMPRO MSC SFM Osteoblast (Alkaline Phosphase) StemPro MSC SFM Beta Test Data – Dr. Hideaki Kagami – The University of Tokyo Primary Culture in vivo ectopic bone assay MEMalpha + 10% FBS StemPro MSC SFM Experimental Observations: H&E staining; Data published in Agata et al. Biochem Biophys Res Commun 2009;382(2):353-8 10 1) Enhanced primary culture efficacy (more cells faster) 2) Lower alkaline phosphatase activity in undifferentiated cells 3) Greater responsiveness to osteogenic induction 4) Confirmed in vivo ectopic bone formation StemPro MSC SFM • A cGMP serum-free medium specially formulated for the growth and expansion of human mesenchymal stem cells (MSCs). PERFORMANCE - BETTER CELLS - CONVENIENCE • Contains xenogenic components not amenable to most clinical applications • Need for a second generation product: StemPro MSC SFM XenoFree 11 StemPro MSC SFM XenoFree StemPro MSC SFM XenoFree Kit (Cat# A11409SA)(Custom cGMP) Consists of the following: 1. StemPro® MSC SFM Basal Medium (Cat# A10334-01) (500ml)(1X) 2. StemPro® MSC SFM Supplement (Cat# 09-0012SA) (5ml)(100X) Note: Additional components required: • CELLstart (XenoFree Substrate) (Cat# A1014201) • GlutaMAX (Cat# 35050) or L-Glutamine (Cat# 25030) • TrypLE Express (Cat# 12604013) or TrypLE Select (Cat# 12563011) (Animal-Origin Free) Complete cGMP XenoFree workflow: (1) Medium; (2) Substrate; (3) Harvest enzyme For order inquiries please contact: Sandy Kuligowski (sandra.kuligowski@lifetech.com) or Lucas Chase (lucas.chase@lifetech.com) 12 StemPro MSC SFM XenoFree: BM-MSC Expansion DMEM + 10% MSC-Qualified FBS StemPro MSC SFM XenoFree: Net Population Doublings (Human BM-MSC) 20 Net Population Doublings Passage 1 18 16 14 12 10 8 6 4 2 0 Passage 9 Expansion and Differentiation StemPro MSC SFM XenoFree Set-up 1 2 3 4 5 6 7 8 9 Passage DMEM + 10% MSC-Qualified FBS StemPro MSC SFM XenoFree StemPro MSC SFM XenoFree: Doubling Time (Human BM-MSC) Input cells = passage 5 human Bone Marrow MSCs (4-donor pool) 120 Adipocyte (Oil Red O) Chondrocyte (Alcian Blue) Osteoblast (Alkaline Phosphase) Doubling Time (Hours) 100 80 60 40 20 0 1 2 3 4 5 6 7 8 9 Passage DMEM + 10% MSC-Qualified FBS Passage 5 Multi-lineage Mesoderm Differentiation - StemPro Differentiation Regents 13 StemPro MSC SFM XenoFree CD34-Qdot ® 800 CD105-Alexa Fluor® 700 Negative markers-rPE CD90-FITC CD73-PerCP Negative markers-rPE Multiplex Flow Cytometry StemPro MSC SFM XenoFree: BM-MSC Characterization StemPro MSC SFM XenoFree Passage 5 Passage 9 Marker (% Positive) (% Positive) CD73+/NEG99.3 99.9 CD90+/NEG96.4 100.0 CD105+/NEG96.5 99.9 CD34+ 0.1 0.6 DMEM + 10% MSC-Qualified FBS Passage 5 Passage 9 Marker (% Positive) (% Positive) CD73+/NEG99.7 100.0 CD90+/NEG97.9 100.0 CD105+/NEG98.1 100.0 CD34+ 0.2 2.3 NOTE: NEG = multiplex analysis of CD14, CD19, CD45 and HLA-DR. Jolene Bradford – Life Technolgies Karyotype Analysis CD90-FITC Negative markers-rPE Passage 5 Passage 9 Cells analyzed at Passage 5 and 9 = 46, XY= NORMAL KARYOTYPE 14 Minimal Defining Criteria *: (1)Adherence to plastic under standard culture conditions (10% FBS-containing medium) (2) Characteristic Surface marker expression Positive (≥95%) Negative (≤2%) CD73 CD11b or CD14 CD90 CD34 CD105 CD45 CD79a or CD19 HLA-DR (3) In vitro tri-lineage mesodermal differentiation (osteoblasts, chondrocytes, adipocytes) *Dominici et al. 2006 CD73-PerCP Multi-Parameter Human MSC Characterization Flow cytometry combining Click-iT® EdU proliferation analysis WITH Antibody-based immunophenotyping Simultaneous testing for percentage proliferation with phenotype characterization Human MSCs 0.5% CD90-FITC CD105-AlexaFluor® 700 Marker 99.5% Fluorophore CD73 PerCP CD90 FITC CD105 Alexa Fluor® 700 CD14 99.6% 0.4% CD90-FITC CD19 R-PE Negative markers-rPE CD45 HLA-DR CD34 Cell proliferation Click-iT EdU® 15 Proliferating Human MSCs detected with Click-iT® EdU reagents Click-iT® EdU Alexa Fluor® 647 azide FxCycle™ Violet stain 21.5% FxCycle™ Violet DNA CD34-Qdot® 800 Bright field Hoechst Click-iT® EdU Click-iT® EdU Alexa Fluor® 647 azide DNA content Qdot® 800 FxCycle™ Violet DNA content 100% CD90-FITC 100% CD90-FITC DMEM + 10% FBS - P3 NOTES: • Input cells = P5 MSC (4-donor pool) • P3 = 13 days in culture • P9 = 42 days in culture • Beadchip = HumanWG-6 v3.0 16 R2 = 0.949 SP MSC SFM XF - P3 DMEM + 10% FBS – P9 R2 = 0.910 SP MSC SFM XF – P9 SP MSC SFM XF - P3 StemPro MSC SFM XenoFree: BM-MSC Characterization R2 = 0.957 DMEM + 10% FBS – P3 StemPro MSC SFM XenoFree: BM-MSC Primary Isolation StemPro MSC SFM XenoFree: Primary Expansion (Human BM-MSC) Net Cell Number Per Flask 1.2E+07 1.0E+07 8.0E+06 StemPro MSC SFM XenoFree - Primary Isolation Passage 3 Marker (% Positive) CD73+/NEG99.8 + CD90 /NEG 99.9 + CD105 /NEG 99.7 CD34+ 0.4 Human Serum Removal 6.0E+06 4.0E+06 2.0E+06 NOTE: NEG = multiplex analysis of CD14, CD19, CD45 and HLA-DR. 0.0E+00 0 1 2 3 Passage StemPro MSC SFM XenoFree ADIPOCYTE CHONDROCYTE OSTEOBLAST OSTEOBLAST Alkaline Phosphase (Day 14) Alizarin Red S (Day 21) Differentiation (P3) Expansion (P3) StemPro MSC SFM XenoFree Oil Red O (Day 14) Alcian Blue (Day 14) Passage 3 Multi-lineage Mesoderm Differentiation - StemPro Differentiation Regents 17 StemPro MSC SFM XenoFree: ADSC Expansion StemPro MSC SFM XenoFree: Net Population Doublings (Human ADSC) StemPro MSC SFM XenoFree: Doubling Time (Human ADSC) 140 10 120 Doubling Time (Hours) Net Population Doublings 9 8 7 6 5 4 3 2 100 80 60 40 20 1 0 0 Set-up 1 2 3 4 1 5 2 Passage Control Medium Control Medium StemPro MSC SFM XenoFree Human ADSC – SP MSC SFM XF 3 5 Adipocyte (Oil Red O) Osteoblast (Alk Phos) StemPro MSC SFM XenoFree Chondrocyte (Alcian Blue) Shayne Boucher – Life Technologies NOTES: • Input cells = passage 4 StemPro Human ADSCs • Differentitaion = Passage 3, Day 14 – StemPro Differentiation Reagents 18 4 Passage StemPro MSC SFM XenoFree: Comparisons Net Population Doubling: Competitor Audit P3 StemPro MSC SFM XenoFree CD105-AlexaFluor® 700 Net Population Doublings 16 14 12 10 8 6 4 2 P3 Competitor X CD105-AlexaFluor® 700 18 0 Set-up 1 2 3 4 5 6 7 Passage 10% MSC-Qualified FBS CD90-FITC StemPro MSC SFM XenoFree CD90-FITC Competitor X Flow cytometry data generated by Jolene Bradford – Life Technologies NOTE: input cells = passage 5 Human BM-MSCs (4-donor pool) Chondrocyte (Alcian Blue) (Passage 3) Expansion (Passage 3) StemPro MSC SFM XenoFree 19 Competitor X StemPro MSC SFM XenoFree Passage 3 Marker (% Positive) CD73+/NEG98.8 CD90+/NEG100.0 CD105+/NEG100.0 + CD34 0.3 Competitor X Passage 3 Marker (% Positive) CD73+/NEG98.4 CD90+/NEG77.3 + CD105 /NEG 100.0 CD34+ 0.4 NOTE: NEG = multiplex analysis of CD14, CD19, CD45 and HLA-DR. Cell therapy work flow Isolate Expand Growth factors & substrates Qualify Store Monitor ELISA HLA typing Cell selection beads Cryopreservation media Media, supplements & single use processing systems Flow cytometry Cell imaging Processing devices 20 Dissociation enzymes Gene expression Immune response monitoring Closed System Xeno-Free MSC Isolation and Expansion 1. 2. 3. Mononuclear cell isolation using the Sepax system MSC expansion using the CLINIcell cassette and StemPro MSC SFM XenoFree Medium BM aspirate 4. Autologous MSC product MSC harvest and wash using TrypLE Select and the CytoMate Cell Washer The detailed MSC isolation and expansion workflow was employed to provide an autologous MSC product from human bone marrow aspirate under completely closed conditions using xeno-free cell culture reagents. Data generated by Christian Prante, Wolfgang Prohaska and Knut Kleesiek - Ruhr-Universität Bochum 21 5. 22 Can achieve manufacturing runs equivalent to >200,000L of liquid media Closed system considerations Small Volume ”Pillow”-Universal Bags” [5L, 10L & 20L] New ‘9101’ PE Film EVA Film Large Volume Bags” [100L ,200L, 500L & 1000L] New ‘9101’ PE Film Pre-filled, stocked and ready when you need them (reduced lead time) Easily customized to integrate with automated systems and process applications (connection methods, inline filtration, flow rates, tubing lengths, re-circulation loops, etc.) Closed system, ideal for aseptic processes/applications Conveniently designed for bench top to larger-scale applications Media bag ONLY, not a bioreactor! Ideal for ‘daisy-chaining’ set-up 23 Old PE Film (Stedim & Crestbury) 24 Bioreactor – Single use bioreactors Connection Methods • • • • Quick Connect (MPC) SCD Tubing Threaded Luers UNIVERSAL BAGS!!!!! Prefilled Wave O-Series Cellbag • Ready to ship - media formulations include Sf-900II and Freestyle 293 • Convenient - Cellbag chambers are filled and ready to use • Customizable - you choose the GIBCO medium formulation and volume 25 Size Working Volume Cellbag10L/O Cellbag20L/O 0.5L – 5L 1L – 10L Processing using Dynal® ClinExVivo™ MPC Sample bag Sample collection bag Primary magnet Cell depletion bag Secondary magnet 26 DYNAL® Magnetic Beads Combining magnetic particles and single use cell expansion technologies Manufacturing validation of biologically functional T cells targeted to CD19 antigen for autologous adoptive cell therapy. 27 Hollyman D. et al. J Immunother. 2009 Feb-Mar;32(2):169-80. Phase I Clinical Trial underway at Memorial Sloan Kettering Dynabeads® SSEA-4 • Undifferentiated hESCs are efficiently depleted from the sample • Higher purity of differentiated cells • Differentiated cells remain unaffected after purification Dynabeads® SSEA-4 are designed to remove undifferentiated human embryonic stem cells from a culture, providing you with highly pure and differentiated stem cells for your translational applications Differentiated Neural Stem Cells before and after depletion of SSEA-4+ cells 28 SSEA-4 APC SSEA-4 APC 14 % 0.2 % esis gen eo Ost CD105 CD90 IgG1 BM MNC Closed System Xeno-Free MSC Isolation and Expansion Alkaline Phosphatase CD105 CD90 IgG1 Day 12 MSC Osteogenesis Von Kossa (Calcium Deposit) Chondrogenesis IgG1 Alcian Blue (Proteoglycan) CD14 CD14/45 Day 12 Expanded MSCs Adip o Day 12 expanded mononuclear cells reveals robust selection of CD90 and CD105-positive cells in the absence of hematopoeitic antigen expression (CD14 and CD45), indicative of human MSC expansion. Expanded cells reveal retained multipotency as shown by positive staining results for osteogenesis, chondrogenesis and adipogenesis. Total Cell Expansion: 3x105 BM MNCs esis Oil Red O (Lipid Vessible) 2x107 MSCs Data generated by Christian Prante, Wolfgang Prohaska and Knut Kleesiek - Ruhr-Universität Bochum 29 gen Human MSC Culture Systems- Testing Lot release- pathogen, sterility, identity functional quality, viability, consistency Efficacy tests- Karyotype, epigenome, contaminating cells, HLA type, etc 30 Summary • Therapeutic application of human MSCs will require standardized GMP-compliant procedures and reagents • We have developed two generations of cGMP-manufactured serumfree MSC expansion media, including StemPro MSC SFM XenoFree • Expansion of cells in StemPro MSC SFM XenoFree provides retained MSC phenotype and multipotency with a stable karyotype • XenoFree medium applied to a closed isolation/expansion protocol reveals a promising clinical culture system • Continual collaboration will be critical to explore both in vitro and in vivo applications 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 Acknowledgements Life Technologies: Ruhr-Universität Bochum (Germany) Uma Lakshmipathy Shayne Boucher Mohan Vemuri Sandy Kuligowski Doug Danner Saki Phommachanh Jean Donovan Maureen Cook Bob Kenderson Alaine Maxwell Kate Wagner Mary Lynn Tilkins Andy Campbell Jolene Bradford Scott Clarke Christian Prante Wolfgang Prohaska Knut Kleesiek A*STAR (Singapore) Vivek Tanavde Felicia Ng Susie Koh Konduru S. R. Sastry The University of Tokyo Hideaki Kagami Hideki Agata Case Western Reserve University Luis Solchaga 64 65