This article provides a comprehensive resource for researchers and drug development professionals on implementing xeno-free and animal component-free media for the GMP-compliant expansion of Mesenchymal Stem Cells (MSCs).
This article provides a comprehensive resource for researchers and drug development professionals on implementing xeno-free and animal component-free media for the GMP-compliant expansion of Mesenchymal Stem Cells (MSCs). It covers the foundational rationale for transitioning away from animal sera, explores current methodological approaches using human-derived supplements and fully defined commercial media, addresses key troubleshooting and optimization challenges, and outlines critical validation and comparative strategies. By synthesizing current research and best practices, this guide aims to support the manufacturing of safe, consistent, and potent MSC-based therapies for clinical applications.
The transition from traditional serum-containing media to defined formulations is a critical step in the development of clinically relevant mesenchymal stem cell (MSC) therapies. For research and drug development professionals, navigating the precise definitions and implications of different media types is fundamental to ensuring regulatory compliance, product safety, and process consistency. Within the context of Good Manufacturing Practice (GMP) for MSC expansion, the choice of media directly impacts the quality, efficacy, and safety of the final cell product [1] [2]. This document provides a detailed overview of the media landscape, experimental data, and practical protocols to guide the selection and implementation of Xeno-Free (XF), Serum-Free (SF), and Animal Component-Free (ACF) media.
A clear understanding of media classifications is the first step in selecting the appropriate formulation for a GMP-compliant process. The following table clarifies the definitions and key characteristics of each media type, which are often subject to confusion within the industry [3] [4].
Table 1: Definitions and Compositions of Cell Culture Media Formulations
| Media Type | Definition | Permissible Components | Excluded Components | Primary Consideration for GMP MSC Expansion |
|---|---|---|---|---|
| Serum-Free (SF) | Does not contain serum or plasma (e.g., Fetal Bovine Serum, human serum) [1] [5]. | Proteins, growth factors, hormones, and other biological materials not derived from serum/plasma; may include bovine pituitary extract or platelet lysate [1]. | Serum, plasma, hemolymph. | Reduces batch-to-batch variability compared to serum-containing media but may still include other animal-derived components [5]. |
| Xeno-Free (XF) | Does not contain components derived from non-human animal sources [1] [6]. | Components from human sources (e.g., human serum, human transferrin); recombinant proteins from plant, bacterial, or human cell lines [3] [1]. | Any material sourced from non-human animals. | Eliminates non-human antigens but often relies on human-derived components, which carry their own variability and pathogen risk [3] [5]. |
| Animal Component-Free (ACF) | Finished product contains no primary raw materials derived directly from animal (including human) tissue or body fluid [1] [6]. | Recombinant proteins (even if of animal origin, if produced in non-animal systems); components from plant, bacterial, or synthetic sources [1]. | Any component directly derived from animal or human tissue or body fluid. | Highest level of definition and safety; mitigates contamination risks and simplifies regulatory documentation [2] [6]. |
| Chemically Defined (CD) | All components have a known chemical structure and concentration. Does not contain proteins, hydrolysates, or materials of complex/unknown composition [1]. | Small molecules, salts, carbohydrates, amino acids, fatty acids, steroids; may include recombinant proteins. | Serum, tissue extracts, platelet lysate, and any undefined biological materials. | Ensures ultimate lot-to-lot consistency and facilitates precise control over cell phenotype and function [1] [7]. |
It is a common misconception that these terms are interchangeable. For instance, a media can be Serum-Free but not Xeno-Free if it contains bovine pituitary extract [1]. Similarly, a Xeno-Free media is not Animal Component-Free because it typically incorporates human-derived components, and humans are biologically classified as animals [3] [1]. The most stringent formulation for clinical manufacturing is an Animal Component-Free, Chemically Defined medium, as it eliminates all animal- and human-sourced materials and provides a fully defined environment [2].
The theoretical benefits of defined media must be validated through robust experimental data. The following table summarizes key performance metrics from studies comparing different media formulations for immune cell and stem cell culture, which serve as a relevant proxy for MSC expansion.
Table 2: Quantitative Performance Comparison of Media Formulations
| Cell Type | Media Formulation | Key Performance Metrics | Reported Outcome | Source |
|---|---|---|---|---|
| T Cells (Healthy Donor) | Animal Component-Free, Chemically Defined | Expansion & Viability after 10-day culture | Superior expansion & viability maintained >90% | [8] |
| T Cells (Healthy Donor) | Serum-Free, Xeno-Free | Expansion & Viability after 10-day culture | Excellent performance, no serum needed | [8] |
| Patient-derived CAR-T Cells | Animal Component-Free, Chemically Defined | Expansion, Viability, Transduction Efficiency | Robust expansion, high viability, stable CAR expression | [8] |
| CD19 CAR-T Cells | Animal Component-Free, Chemically Defined | Cytotoxic Function (after 7-day culture) | Highly cytotoxic, specific killing of target cells | [8] |
| Mesenchymal Stem Cells (MSCs) | Serum-Free / Xeno-Free | Marker Expression, Differentiation Capacity | Maintained fibroblast morphology, expressed MSC markers, differentiated into adipocytes, chondrocytes, osteocytes | [5] |
Objective: To evaluate the expansion, viability, and functionality of MSCs in a candidate XF/ACF medium against a baseline serum-containing medium.
Materials:
Methodology:
Experimental Seeding:
Cell Expansion and Passaging:
Phenotypic Characterization (Flow Cytometry):
Functional Differentiation Assay:
Data Analysis:
The following diagram outlines a logical decision-making process for selecting and implementing a defined media for GMP MSC expansion.
Media Selection and Implementation Workflow
A gradual, sequential adaptation is the preferred method to minimize cellular stress and allow cells to acclimate to the new culture environment [9].
Sequential Media Adaptation Protocol
Precautions and Notes:
Transitioning to and maintaining MSCs in XF/ACF media requires a suite of well-defined reagents. The table below details key components.
Table 3: Essential Research Reagent Solutions for XF/ACF MSC Culture
| Reagent Category | Specific Examples | Function in MSC Culture | Key Feature for GMP |
|---|---|---|---|
| Basal Media Formulations | PromoCell Mesenchymal Stem Cell Growth Medium XF [6] | Provides base nutrients, vitamins, and salts for cell proliferation. | Xeno-free formulation, supports standardized MSC expansion. |
| Recombinant Proteins & Growth Factors | Recombinant Human Albumin (e.g., Cellastim) [3] [2] | Functions as a carrier protein, stabilizer, and antioxidant; supports cell growth and viability. | Animal-free, recombinant production; reduces contamination risk. |
| Recombinant Human Transferrin (e.g., Optiferrin) [3] [2] | Essential iron carrier protein, facilitates cellular iron uptake and metabolism. | Chemically defined, animal-free replacement for serum-derived transferrin. | |
| Recombinant Human Insulin [3] | Potent mitogen, regulates cellular uptake of glucose and amino acids. | Defined component of supplements like ITS/ITSE, replacing serum. | |
| Chemically Defined Supplements | ITSE Animal-Free (Insulin, Transferrin, Selenium, Ethanolamine) [3] [2] | Provides a defined combination of key growth and survival factors in a single supplement. | Eliminates the need for serum, improves consistency and regulatory alignment. |
| Dissociation Reagents | Recombinant Trypsin or other animal-free dissociation enzymes | Detaches adherent MSCs from culture surfaces for passaging and harvesting. | Animal-free origin, reduces risk of introducing animal-derived pathogens. |
| Extracellular Matrix (ECM) Substitutes | Defined human recombinant ECM proteins (e.g., Laminin-521) | Coats culture surfaces to facilitate MSC attachment and spreading in the absence of serum. | Chemically defined, xeno-free; provides a consistent substrate for adhesion. |
| Cryopreservation Media | Protein-free, defined cryomedium (e.g., Cryo-SFM Plus) [6] | Protects cells during the freeze-thaw process, maintaining high viability and recovery. | Animal component-free and protein-free, ensures post-thaw consistency. |
The migration to Xeno-Free and Animal Component-Free media is a cornerstone of robust, safe, and compliant GMP manufacturing for MSC-based therapies. While "xeno-free" represents a significant step away from non-human antigens, "animal component-free" formulations offer the highest level of definition and risk mitigation by also excluding human-derived materials. By leveraging the defined protocols, performance metrics, and essential reagent toolkit outlined in this document, researchers and drug development professionals can make informed decisions, streamline their transition to defined media, and ultimately accelerate the development of reproducible and efficacious cell therapies.
Fetal Bovine Serum (FBS) has served as a nearly universal supplement in cell culture systems since its introduction in 1958, providing a complex mixture of amino acids, hormones, lipids, proteins, and other nutrients that support cell growth and proliferation in vitro [10]. Despite its widespread use in basic research and clinical applications, FBS presents significant and often underappreciated challenges that complicate its use in clinical-grade cell manufacturing, particularly for mesenchymal stem cell (MSC)-based therapies [10] [11]. The undefined and variable nature of FBS, combined with serious ethical and safety concerns, has prompted the scientific community and regulatory agencies to seek better-defined, xeno-free alternatives for cell expansion processes [12] [13]. This application note details the critical limitations of FBS and provides structured experimental data and protocols to guide the transition toward xeno-free, animal component-free media for GMP-compliant MSC expansion.
The undefined and highly variable composition of FBS represents one of the most significant challenges for reproducible science and consistent manufacturing.
Table 1: Quantitative Variability in FBS Biochemical Composition
| Parameter Category | Specific Analytes | Variability Range (Non-inactivated) | Variability Range (Heat-inactivated) | Impact on Cell Culture |
|---|---|---|---|---|
| Hormones | Luteinizing Hormone | Up to 102% | Not specified | Alters cellular signaling & differentiation [14] |
| Proteins | Transferrin | Up to 102% | Up to 84% | Affects iron transport & cell metabolism [14] |
| Growth Factors | Basic Fibroblast Growth Factor (bFGF) | Considerable | Considerably reduced post-heat inactivation | Disrupts proliferation & maintenance of stemness [14] |
| Growth Factors | Vascular Endothelial Growth Factor A (VEGF-A) | Considerable | Considerably reduced post-heat inactivation | Impairs angiogenesis & endothelial differentiation [14] |
| General | Multiple Parameters | 20 of 58 analytes showed significant variability | 19 of 58 analytes showed significant variability | Compromises experimental reproducibility & product consistency [10] [14] |
This intrinsic variability occurs even between different production lots from the same manufacturer, introducing an uncontrollable variable that contributes to the ongoing reproducibility crisis in scientific research [10]. This batch-to-batch inconsistency necessitates extensive and costly pre-testing procedures to identify suitable lots, creating significant logistical and financial burdens for GMP manufacturing [10] [13].
The use of FBS in clinical applications carries substantial safety risks due to potential contamination with pathogens and the introduction of xenogeneic antigens.
The production of FBS raises significant ethical concerns and presents challenges for sustainable, scalable manufacturing.
Rigorous comparative studies have evaluated the performance of xeno-free alternatives against traditional FBS-supplemented media for MSC expansion.
Table 2: Functional Comparison of MSC Expansion Media Supplements
| Supplement Type | Proliferation Rate | Senescence | Immunosuppressive Properties | Multilineage Differentiation | Clinical Grade Suitability |
|---|---|---|---|---|---|
| Fetal Bovine Serum (FBS) | Baseline | Higher | Potent | Baseline | Not suitable due to xenogenic risks [15] [16] |
| Serum-Free/Xeno-Free (SFM-XF) Media | Increased [15] | Lower | Potent (comparable to FBS) [15] | Maintained (lower than HPL) [15] | Suitable, defined composition [12] [15] |
| Human Platelet Lysate (HPL) | Significantly Increased [15] [11] | Lower | Diminished [15] | Enhanced [15] | Suitable, but batch variability possible [11] |
| Pooled Human Serum (HS) | Higher than FBS [16] | Lower than FBS [16] | Not specified | Maintained [16] | Suitable, requires pathogen testing [16] |
Objective: To systematically compare the growth characteristics, phenotypic stability, and functional properties of MSCs expanded in FBS versus xeno-free alternatives.
Materials:
Methodology:
Table 3: Research Reagent Solutions for Xeno-Free MSC Expansion
| Reagent Category | Specific Product Examples | Function & Application Notes |
|---|---|---|
| Basal XF/SFM Media | StemPro MSC SFM XenoFree, MesenCult-XF Medium, MSC NutriStem XF [11] | Formulated with recombinant proteins, lipids, and growth factors; requires coating substrate for cell adhesion [12] [11] |
| Human-Derived Supplements | Human Platelet Lysate (HPL), Pooled Human Serum (HS), Human Umbilical Cord Serum/Plasma (hUCS/hUCP) [11] | Provides natural complex of human growth factors and adhesion proteins; requires pathogen testing and viral inactivation [15] [11] [16] |
| Cell Dissociation Reagents | TrypLE Express, Animal-Free Recombinant Trypsin [12] [16] | Animal component-free enzymes for cell passaging; eliminates exposure to porcine or bovine trypsin |
| Attachment Substrates | CELLstart CTS, Recombinant Human Vitronectin, Fibronectin [12] | Critical for cell adhesion and spreading in SFM-XF conditions; replaces adhesion proteins normally provided by serum |
| Cryopreservation Media | CryoStor CS10, Serum-Free Freezing Media with DMSO [12] | Chemically defined, protein-free formulations for cryopreserving cells expanded in xeno-free conditions |
The following workflow diagram outlines the critical decision points and pathways for transitioning from FBS-containing to xeno-free culture systems, highlighting key validation steps required for clinical application.
The critical limitations of FBS—including its undefined and variable composition, significant safety concerns, ethical dilemmas, and supply chain constraints—render it unsuitable for advanced clinical applications of MSCs and other cell-based therapies [10] [13]. Experimental evidence demonstrates that xeno-free alternatives, particularly serum-free/xeno-free (SFM-XF) media and well-characterized human-derived supplements, support robust MSC expansion while maintaining critical phenotypic and functional properties [12] [15] [16]. The transition to these defined, GMP-compliant culture systems is not merely a regulatory preference but a fundamental requirement for developing safe, effective, and reproducible cell therapies. As the field advances, continued innovation in chemically defined media formulations will further enhance manufacturing consistency and therapeutic outcomes, ultimately fulfilling the promise of regenerative medicine.
The clinical translation of Mesenchymal Stem Cell (MSC)-based therapies necessitates a critical evolution in cell culture practices, moving from research-grade reagents to clinically compliant materials. Fetal Bovine Serum (FBS) has been a traditional media supplement but presents significant regulatory and safety challenges for therapeutic manufacturing, including batch-to-batch variability, risk of xenogenic pathogen transmission, and potential immunogenic reactions in patients [17] [18]. These concerns directly conflict with the core principles of Good Manufacturing Practice (GMP), which require defined, consistent, and safe raw materials.
Consequently, regulatory bodies, including the U.S. Food and Drug Administration (FDA), emphasize the use of xeno-free and animal component-free (ACF) media for manufacturing cell-based products intended for human therapy [17]. Adopting these media formulations is not merely a technical improvement but a fundamental regulatory and safety driver. This application note details the experimental protocols and data supporting the implementation of a xeno-free culture system for the GMP-compliant expansion of MSCs, ensuring compliance with FDA guidelines and enhancing product safety.
The FDA provides extensive guidance for developing cellular and gene therapy products. While no single document exclusively governs media composition, the overarching requirement for a well-controlled, safe manufacturing process is clear.
The following guidances issued by the FDA's Center for Biologics Evaluation and Research (CBER) are particularly relevant to the development and manufacturing of MSC therapies [19]:
Adopting xeno-free media early in development simplifies the regulatory pathway by eliminating the need for comparability studies that would be required if switching from FBS-containing to xeno-free media later in clinical development [17].
This section provides a detailed methodology for the serum-free and xeno-free culture of human MSCs, utilizing a commercially available, fully defined system [20].
Table 1: Essential Materials for Xeno-Free MSC Culture
| Item | Function | Example Product |
|---|---|---|
| StemPro MSC SFM XenoFree Basal Medium | Serves as the foundation nutrient solution for cell growth. | Thermo Fisher Scientific |
| StemPro MSC SFM XenoFree Supplement | Provides defined growth factors and proteins to replace FBS. | Thermo Fisher Scientific |
| CELLstart Substrate | A xeno-free coating matrix that facilitates cell attachment and growth. | Thermo Fisher Scientific |
| TrypLE Express Enzyme | A xeno-free, recombinant alternative to trypsin for cell dissociation. | Thermo Fisher Scientific |
| GlutaMAX Supplement | A stable, dipeptide form of L-glutamine for cell culture. | Thermo Fisher Scientific |
StemPro MSC SFM XenoFree Supplement overnight at 2–8°C. Do not use a 37°C water bath. Use the thawed supplement immediately or aliquot and store at -20°C.StemPro MSC SFM Basal Medium: 490 mLStemPro MSC SFM XenoFree Supplement: 5 mLGlutaMAX Supplement (200 mM): 5 mL (2 mM final concentration)Gentamicin (50 mg/mL): 50 µL (5 µg/mL final concentration)CELLstart Substrate 1:100 in Dulbecco's Phosphate Buffered Saline (DPBS). For example, add 100 µL of substrate to 10 mL of DPBS. Mix by gentle pipetting.CELLstart-coated vessel at a recommended density of ≥ 5 × 10³ cells/cm².Robust data from independent studies demonstrate that xeno-free media systems not only meet but can exceed the performance of traditional FBS-based systems.
Table 2: Quantitative Comparison of MSC Expansion in Xeno-Free Media vs. FBS
| Parameter | FBS-Based Medium (10% FBS) | XcytePLUS Media (10%) [18] | StemPro MSC SFM XenoFree [20] | Novel ACF Medium [21] |
|---|---|---|---|---|
| Cell Morphology | Fibroblastic, adherent | Fibroblastic, adherent | Comparable to FBS controls | Comparable or improved vs. FBS |
| Growth Rate / Doublings per Day | Baseline | Equivalent or superior | Similar expansion rate | Equal or greater |
| Cumulative Cell Yield | 7.5 x 10⁶ in 9 days | 1.4 x 10⁷ in 9 days | Similar net expansion over passages | Supported long-term culture (90 days) |
| Multipotent Differentiation | Osteo, Chondro, Adipo | Osteo, Chondro, Adipo (comparable) | Maintained (Osteo, Chondro, Adipo) | N/A |
| Surface Marker Phenotype (Flow Cytometry) | CD73+, CD90+, CD105+; CD34-, CD45- | Maintained identity and function | Maintained multipotent phenotype | N/A |
A 2025 study developed a novel fully animal component-free (ACF) medium and validated it for long-term culture (up to 90 days) of adherent cell lines. The research reported that cells cultured in the ACF medium exhibited comparable cellular morphologies and equal or greater growth rates compared with cells cultured in FBS. Transcriptomic analysis revealed that differentially expressed genes were linked to proliferation and cell attachment, indicating a healthy and robust cellular state [21].
Furthermore, a study inducing functional MSCs from human iPSCs under xeno-free conditions confirmed that the resulting cells (XF-iMSCs) maintained their differentiation potential and demonstrated significant in vivo regenerative potency in mouse models for bone and skeletal muscle repair [22].
The transition to xeno-free, chemically defined media is a critical step in the compliant and safe translation of MSC therapies from the research bench to the clinic. The protocols and data presented herein provide a validated roadmap for researchers and manufacturers. By adopting these systems early in development, sponsors can align with FDA guidance, streamline their regulatory pathway, and ultimately produce safer, more consistent cell therapy products for patients.
Figure 1. Experimental workflow for GMP-compliant, xeno-free expansion of human MSCs. This process ensures adherence to regulatory guidelines from initial setup to final product characterization.
Figure 2. Logical relationship between regulatory drivers, limitations of FBS, and the solutions provided by xeno-free media systems for achieving the primary goal of a clinical-grade MSC product.
The development of Advanced Therapy Medicinal Products (ATMPs), including those based on mesenchymal stem cells (MSCs), operates within a critical ethical framework governed by the 3Rs principle: Replacement, Reduction, and Refinement. This principle, first introduced by Russell and Burch in 1959, has become embedded in transnational legislation such as the European Directive 2010/63/EU and informs regulatory approaches worldwide, including FDA guidance [23]. For researchers working toward clinical translation, implementing the 3Rs is not merely an ethical obligation but a prerequisite for robust, reproducible science that aligns with evolving societal expectations regarding animal welfare [24] [23].
Within the specific context of xeno-free, animal component-free GMP MSC expansion research, the 3Rs principle takes on particular significance. The drive to eliminate animal-derived components from cell culture systems is fundamentally aligned with the Replacement tenet of the 3Rs, aiming to avoid the ethical and scientific complications associated with fetal bovine serum (FBS) and other animal-derived supplements [15] [5]. This document provides detailed application notes and protocols to integrate the 3Rs principle throughout preclinical ATMP development, with specific focus on MSC-based therapies.
The 3Rs principle is now enshrined in international regulatory frameworks governing scientific research. In the European Union, Directive 2010/63/EU mandates the implementation of Replacement, Reduction, and Refinement strategies whenever animals are used for scientific purposes [23]. Similarly, the United States FDA, through initiatives like the Breakthrough Therapy Designation and the recent FDA Modernization Act 2.0, encourages the use of alternative methods to animal testing for drug and biological product applications [24] [23]. These regulatory developments reflect a growing consensus that high-quality science must incorporate ethical considerations regarding animal use.
While regulatory compliance provides a baseline, the scientific community faces increasing pressure to exceed minimal standards. Public awareness and concern regarding animal experimentation have grown, as evidenced by European Citizens' Initiatives such as "Stop Vivisection" and "Save Cruelty Free Cosmetics" [23]. A 2022 Swiss plebiscite on banning animal research, though unsuccessful, demonstrated that a significant minority (21%) supported such measures [23]. This evolving social context demands a proactive approach to the 3Rs that goes beyond technical compliance toward genuine ethical engagement. Research indicates that the 3Rs principle navigates between protecting animals and allowing their use in research, creating a nexus for different values embodied in legislation [23].
Replacement involves using non-animal methods to replace experiments that would otherwise require animal use. For MSC expansion, this primarily involves transitioning from FBS-supplemented media to defined, xeno-free alternatives.
Comparative Analysis of Media Formulations:
Research has demonstrated that MSCs can be effectively expanded in media formulations that replace FBS with either human platelet lysates (HPL) or chemically-defined, xeno-free media (SFM/XF) [15]. Each approach presents distinct advantages and limitations for ATMP development, as summarized in Table 1.
Table 1: Comparative Analysis of Media Formulations for MSC Expansion
| Media Formulation | Composition | Proliferation Capacity | Differentiation Potential | Immunosuppressive Properties | Regulatory Status |
|---|---|---|---|---|---|
| Fetal Bovine Serum (FBS) | Undefined animal-derived components | Baseline | Baseline | Potent in resting and IFN-γ primed MSC [15] | Problematic for clinical applications [15] |
| Human Platelet Lysate (HPL) | Human-derived growth factors | Increased vs. FBS [15] | Highest adipogenic and osteogenic potential [15] | Diminished vs. FBS [15] | Reduced xeno-antigen risk [5] |
| Serum-Free/Xeno-Free (SFM/XF) | Chemically-defined, no animal/human components | Increased vs. FBS [15] | Lower than HPL [15] | Potent in resting and IFN-γ primed MSC [15] | FDA-approved available [15]; Ideal for GMP [5] |
Key Findings from Experimental Data:
Reduction refers to methods that minimize the number of animals required while obtaining comparable levels of information.
In Vivo Imaging for Longitudinal Monitoring: Advanced imaging technologies represent a powerful Reduction strategy by enabling repeated measurements in the same animal over time. Techniques including fluorescence imaging (FLI/FRI), bioluminescence imaging (BLI), optical coherence tomography (OCT), ultrasonography, PET/CT, and MRI allow researchers to monitor disease progression or treatment response without terminal endpoints [24]. This approach can reduce animal use by a factor of 2 to 5 in certain studies by increasing statistical power through within-subject comparisons and eliminating the need for intermediate euthanasia time points [24].
Experimental Design and Data Sharing: Robust statistical planning, including appropriate power calculations, prevents the use of excessive animal numbers while maintaining scientific validity. The adoption of FAIR data principles (Findability, Accessibility, Interoperability, and Reusability) maximizes the knowledge gained from each animal and prevents unnecessary duplication of experiments [24].
Refinement addresses the improvement of procedures to minimize pain, distress, and suffering in animals that continue to be used.
Protocol Refinements:
Objective: To expand human bone marrow-derived MSCs (BMMSCs) or adipose-derived MSCs (AdMSCs) in SFM/XF media while maintaining characteristic properties and functionality.
Materials:
Methodology:
Objective: To monitor ATMP efficacy in disease models using non-invasive imaging to reduce animal numbers and refine procedures.
Materials:
Methodology:
Table 2: Essential Research Reagents for 3R-Compliant MSC Research
| Reagent Category | Specific Examples | Function in 3R Implementation |
|---|---|---|
| Xeno-Free Media | STEMXVivo SFM/XF Media [5] | Replaces FBS; eliminates animal-derived components from culture system |
| Human-Derived Supplements | Human Platelet Lysate (HPL) [15] | Reduces reliance on animal sera; though introduces human-derived variability |
| Cell Dissociation Reagents | Recombinant trypsin alternatives | Avoids animal-derived enzymes in cell processing |
| In Vivo Imaging Agents | Bioluminescent substrates, fluorescent probes | Enables longitudinal monitoring; significantly reduces animal numbers |
| Cytokine Priming Agents | Recombinant IFN-γ [15] | Enhances MSC immunosuppressive potency without animal-derived components |
The following diagram illustrates the integrated application of the 3Rs principle throughout the ATMP development pipeline:
The implementation of the 3Rs principle in ATMP development, particularly for MSC-based therapies, represents both an ethical imperative and a scientific opportunity. The transition to xeno-free, animal component-free culture systems exemplifies how Replacement strategies can simultaneously address ethical concerns and improve product characterization for regulatory approval. When animal studies remain necessary, Reduction and Refinement strategies such as in vivo imaging and welfare-enhanced protocols minimize animal use and suffering while generating more robust, clinically relevant data.
As regulatory landscapes evolve and social awareness increases, researchers developing ATMPs must proactively integrate the 3Rs throughout their workflows. The protocols and strategies outlined herein provide a framework for advancing MSC-based therapies in a manner that is both scientifically rigorous and ethically responsible, ultimately supporting the development of safe and effective treatments for patients in need.
The clinical application of Mesenchymal Stem Cells (MSCs) in regenerative medicine and cell-based therapies requires manufacturing processes that align with Good Manufacturing Practices (GMP) to ensure patient safety and product efficacy. A fundamental aspect of GMP-compliant manufacturing is the elimination of animal-derived components, such as fetal bovine serum (FBS), from cell culture systems. The use of FBS carries risks of xenogenic immune reactions and transmission of zoonotic pathogens, making it unsuitable for clinical-grade cell production [25] [16]. This has driven the adoption of xeno-free and animal component-free (ACF) alternatives, primarily Human Serum (HS) and Human Platelet Lysate (HPL), for the in vitro expansion of MSCs. These human-derived supplements not only mitigate safety concerns but have also been shown to enhance the proliferation capacity and functional properties of MSCs compared to traditional FBS-containing media [25] [26]. This Application Note provides a detailed comparison of HS and HPL and outlines standardized protocols for their use in GMP-compliant MSC expansion.
Human Serum (HS) is derived from human blood and contains a natural profile of growth factors, hormones, and attachment factors conducive to cell growth. Human Platelet Lysate (HPL) is produced from platelet concentrates through freeze-thaw cycling to release a high concentration of mitogenic growth factors, such as Platelet-Derived Growth Factor (PDGF), Transforming Growth Factor-β (TGF-β), Fibroblast Growth Factor (FGF), and Vascular Endothelial Growth Factor (VEGF) [26]. These factors are pivotal in promoting rapid cell proliferation.
Quantitative data from comparative studies are summarized in the table below.
Table 1: Quantitative Comparison of FBS, HS, and HPL in MSC Culture
| Parameter | Fetal Bovine Serum (FBS) | Human Serum (HS) | Human Platelet Lysate (HPL) |
|---|---|---|---|
| Typical Working Concentration | 10-20% [16] | 10% [25] [16] | 2-10% [26] |
| Proliferation Rate | Baseline | Higher than FBS [25] | Superior to both FBS and HS [27] [26] |
| Cellular Senescence | Earlier onset [25] | Decreased compared to FBS [25] | Not specified in results, but implied lower due to high proliferation |
| Key Growth Factors | Variable, non-human | Human-specific profile | High levels of PDGF-AB, PDGF-BB, TGF-β, FGF, VEGF [26] |
| CD Marker Expression (e.g., CD73, CD90, CD105) | Positive | Maintained positive expression [25] [16] | Maintained positive expression [26] |
| Multi-lineage Differentiation | Supported | Maintained [25] [16] | Maintained or enhanced (e.g., chondrogenesis) [26] |
The following diagram outlines the decision-making process for selecting and implementing a human-derived supplement for MSC expansion.
This protocol is adapted from a study demonstrating the effective expansion of fetal pancreas-derived MSCs (FPMSCs) using pooled HS [25] [16].
3.1.1 Materials
3.1.2 Methodology
This protocol synthesizes information from multiple sources for the expansion of MSCs, such as those derived from bone marrow or Wharton's Jelly, using HPL [20] [26].
3.2.1 Materials
3.2.2 Methodology
Table 2: The Scientist's Toolkit - Key Reagent Solutions
| Reagent / Product Name | Function / Application | Key Features |
|---|---|---|
| Pooled Human AB Serum [25] [16] | Serum supplement for xeno-free MSC expansion. | Provides human-specific growth factors and attachment proteins; GMP-compliant sourcing available. |
| Human Platelet Lysate, Fibrinogen-Depleted, Xeno-Free [29] | High-performance, heparin-free supplement for cell culture. | Rich in growth factors; minimizes lot-to-lot variability; no anticoagulant required. |
| StemPro MSC SFM XenoFree [20] | Complete, serum-free/xeno-free medium system. | Defined formulation; includes basal medium and supplement; supports robust MSC expansion. |
| MesenCult-ACF Plus Medium [28] | Animal component-free medium for human MSC culture. | Supports MSC growth without animal components; designed for ease of use. |
| TrypLE Express [20] | Animal-free, recombinant enzyme for cell dissociation. | Non-mammalian origin; gentle on cells; suitable for clinical-grade manufacturing. |
| CELLstart Substrate [20] | Culture vessel coating to support cell attachment in defined systems. | Provides an attachment matrix for cells in serum- and xeno-free conditions. |
The transition to xeno-free manufacturing is a critical step in the clinical translation of MSC-based therapies. Both Human Serum and Human Platelet Lysate are validated, effective supplements that outperform FBS in terms of safety profile and often, cellular performance. HPL, in particular, has emerged as a leading candidate due to its potent growth factor content, which enables rapid cell proliferation at lower concentrations. The protocols and tools provided herein offer researchers a foundational framework for implementing these human-derived supplements in compliance with GMP standards, thereby advancing the development of safe and efficacious cell therapies for patients.
The transition to serum-free (SFM) and xeno-free (XF) media represents a critical advancement in the field of mesenchymal stem cell (MSC) research and therapy development. Traditional MSC expansion has relied on media supplemented with fetal bovine serum (FBS), which presents significant challenges including undefined composition, batch-to-batch variability, and risks of transmitting animal-derived pathogens or eliciting immune responses against bovine antigens in patients [30] [15]. Completely defined SFM/XF media eliminate animal-derived components, contributing to ethical research practices while reducing potential contamination risks and improving reproducibility [31]. For MSC-based therapies classified as Advanced Therapy Medicinal Products (ATMPs), regulatory bodies including the FDA and EMA strongly advocate for the use of animal-origin-free materials to enhance product safety, standardize quality, and align with ethical considerations [2]. This application note provides an overview of leading commercial SFM/XF media, their performance characteristics, and protocols for their implementation in GMP-compliant MSC manufacturing processes.
The market for clinically-oriented MSC media has evolved significantly, with several manufacturers offering specialized formulations designed to support MSC expansion while maintaining therapeutic properties. The table below summarizes leading commercial SFM/XF media and their key characteristics:
Table 1: Leading Commercial SFM/XF Media for MSC Expansion
| Manufacturer | Product Name | Classification | Key Characteristics | Documented MSC Performance |
|---|---|---|---|---|
| STEMCELL Technologies | MesenCult-ACF Plus | Animal Component-Free (ACF) | Entirely free of animal- and human-derived components; chemically defined [30] | Superior phenotype maintenance and increased cellularity over time compared to FBS media [30] |
| Biological Industries | MSC NutriStem XF | Xeno-Free (XF) | Free of animal-derived proteins; may contain human-derived supplements [30] | High collagen deposition and maintenance of MSC characteristics [30] |
| RoosterBio | Allegro Unison hMSC Medium | GMP-compatible, low-serum | Commercial high-performance GMP-compatible medium [32] | Supports MSC viability and maintenance of mesenchymal phenotype equally well as FBS-supplemented media [32] |
| Thermo Fisher Scientific | Gibco CTS MSC Media | Xeno-Free | SFM/XF formulations manufactured under GMP conditions; extensive safety testing [33] | Used in commercially approved cell therapies and over 200 clinical trials [33] |
| PanBiotech | Panexin CD | Serum Replacement | Chemically defined serum replacement with defined components [31] | Developed based on current state of science and 15 years of experience in serum replacements [31] |
Recent comparative studies have provided valuable insights into the functional performance of different media formulations for MSC expansion. The data demonstrate that SFM/XF media not only support MSC growth but also significantly influence their functional properties:
Table 2: Experimental Performance of MSCs in Different Media Formulations
| Media Type | Proliferation Capacity | Phenotype Maintenance | Differentiation Potential | Immunosuppressive Properties | Collagen Deposition |
|---|---|---|---|---|---|
| FBS-based Media | Baseline | Progressive phenotypic drift during expansion [30] | Higher adipogenic differentiation [30] | Potent immunosuppressive properties [15] | Significantly lower than ACF/XF media [30] |
| ACF Media (MesenCult-ACF Plus) | Increased cellularity over time [30] | Overall highest phenotype maintenance [30] | Lower adipogenic differentiation than FBS [30] | Preserved immunosuppressive properties [15] | Highest among tested media [30] |
| XF Media (MSC NutriStem XF) | Increased cellularity over time [30] | Effective phenotype maintenance [30] | Lower adipogenic differentiation than FBS [30] | Preserved immunosuppressive properties [15] | High, comparable to ACF media [30] |
| HPL-supplemented Media | Highest proliferation enhancement [15] | Maintains immunophenotype [15] | Enhanced adipogenic and osteogenic differentiation [15] | Diminished immunosuppressive properties [15] | Not specifically reported |
Objective: To evaluate the performance of different SFM/XF media formulations in maintaining hBMSC characteristics during expansion.
Materials:
Methodology:
Workflow Overview:
Objective: To enhance extracellular matrix (ECM) deposition in SFM/XF media using macromolecular crowding (MMC).
Rationale: MMC follows the principles of excluded volume effect, which enhances and accelerates tissue-specific ECM deposition [30].
Materials:
Methodology:
Successful implementation of SFM/XF media protocols requires a comprehensive set of specialized reagents. The following table details essential components for establishing robust SFM/XF MSC culture systems:
Table 3: Essential Research Reagent Solutions for SFM/XF MSC Culture
| Reagent Category | Specific Examples | Function | Key Characteristics |
|---|---|---|---|
| Basal Media | α-MEM, DMEM | Nutrient foundation for media formulations | α-MEM generally most suitable for MSC isolation and expansion [34] |
| Chemically Defined Supplements | ITSE Animal-Free (Invitria) | Provides insulin, transferrin, selenium, ethanolamine | Recombinant, animal-free supplement for optimal cell growth in SFM [31] |
| Dissociation Reagents | CTS TrypLE Select (Thermo Fisher) | Cell detachment during passaging | Animal origin-free, recombinant enzyme alternative to porcine trypsin [33] |
| Attachment Substrates | ACF Cell Attachment Substrate | Surface coating for cell adhesion | Animal component-free substrate for clinical compliance [30] |
| Growth Factors | Recombinant FGF-2 | Promotes MSC proliferation | Animal-free recombinant versions available [32] [35] |
| MMC Agents | Ficoll 70/400/1000 kDa | Enhances ECM deposition | Increases collagen synthesis and chondrogenic differentiation [30] |
| Quality Control Reagents | Flow cytometry antibodies (CD90, CD73, CD105) | MSC phenotype verification | Critical for monitoring phenotypic stability during expansion [15] |
Media Selection and Testing Workflow:
The transition to SFM/XF media is strongly supported by global regulatory agencies who aim to enhance product safety, standardize quality, and address ethical considerations [2]. Regulatory bodies recognize that products developed with animal-origin-free (AOF) materials are easier to license and market globally, particularly in regions with strict restrictions on animal-derived ingredients [2]. For GMP-compliant manufacturing, MSC expansion in closed bioreactor systems such as hollow fiber-based technologies has been successfully demonstrated using human platelet lysate (HPL) as a xeno-free supplement, providing a safe and efficacious protocol that aligns with EMA requirements for ATMPs [36].
When planning to transition MSC-based therapies to clinical applications, it is essential to consider that SFM/XF media formulations demonstrate differences in their effects on MSC functionality. For instance, while HPL-supplemented media significantly enhance proliferation and differentiation capacity, they may diminish the immunosuppressive properties of MSCs compared to SFM/XF and FBS media [15]. Similarly, IFN-γ primed MSCs expanded in SFM/XF and HPL expressed attenuated levels of IDO-1 compared to those expanded in FBS [15]. These functional differences highlight the importance of matching media selection to the intended therapeutic mechanism of action.
The landscape of commercial SFM/XF media for MSC expansion offers researchers multiple options tailored to different research and clinical applications. Current evidence indicates that ACF and XF media effectively maintain MSC phenotypic characteristics and can enhance certain functional properties compared to traditional FBS-containing media. The selection of an appropriate SFM/XF formulation should be guided by the specific therapeutic application, considering that different media formulations differentially influence MSC proliferation, differentiation capacity, immunomodulatory properties, and ECM deposition potential. As regulatory standards increasingly favor animal-free solutions, the continued optimization and characterization of completely defined media will be essential for advancing clinically compliant MSC-based therapies.
Mesenchymal stem/stromal cells (MSCs) hold immense potential for regenerative medicine due to their remarkable regenerative and immunomodulatory properties, with applications ranging from autoimmune diseases and graft-versus-host disease (GVHD) to orthopedic conditions [37]. However, their therapeutic translation requires large-scale production under stringent Good Manufacturing Practice (GMP) guidelines, presenting significant challenges for researchers and drug development professionals [37]. A critical advancement in this field has been the shift from traditional fetal bovine serum (FBS) to xeno-free, chemically defined media, which eliminates safety concerns associated with animal-derived components, such as xenoantigens and infectious agents, while providing consistent, well-defined composition [15] [38]. This application note details a standardized, GMP-compliant workflow for the isolation and large-scale expansion of MSCs using xeno-free platforms, complete with quantitative comparisons and detailed protocols to facilitate implementation in research and therapeutic development.
The foundation of a successful xeno-free MSC expansion workflow lies in selecting the appropriate culture medium. Different media formulations significantly impact MSC characteristics, including proliferation capacity, differentiation potential, and secretory profile [15] [38] [39]. The table below provides a structured comparison of three common supplement approaches for MSC culture.
Table 1: Quantitative Comparison of Media Supplements for MSC Expansion
| Parameter | Fetal Bovine Serum (FBS) | Human Platelet Lysate (HPL) | Serum-Free/Xeno-Free Medium (SFM/XF) |
|---|---|---|---|
| Definition | Animal-derived serum with undefined components | Human-derived lysate with variable growth factors | Chemically defined, pre-formulated medium |
| Proliferation Rate | Baseline | Increased [15] | Increased [15] [38] |
| Adipogenic Differentiation | Baseline | Enhanced [15] | Reduced compared to HPL [15] |
| Osteogenic Differentiation | Baseline | Highest (ALP expression) [15] | Intermediate (ALP expression) [15] |
| Immunosuppressive Properties | Potent | Diminished [15] | Potent (comparable to FBS) [15] |
| IDO-1 Expression (post IFN-γ priming) | High reference | Attenuated [15] | Attenuated [15] |
| Secretome Profile | Effective for immune cells [39] | Effective for chondrocytes [39] | Less protective features for osteoarthritis [39] |
| GMP Compliance | Not preferred; safety concerns | Improved, but batch variability | Ideal; defined, xeno-free, and consistent [37] |
Selection Guidance: For therapeutic applications where immunosuppressive function is paramount, the data strongly supports the use of SFM/XF medium [15]. In contrast, if the research focus is on maximizing cell yield and differentiation potential for non-immunological applications, HPL may be a suitable option, though its variable composition and diminished immunosuppressive properties are notable drawbacks [15]. FBS is not recommended for clinical-grade manufacturing due to its undefined nature and potential safety risks [15] [37].
This protocol describes the isolation of the Stromal Vascular Fraction (SVF), which contains Adipose-derived MSCs (ASCs), from human lipoaspirate samples [38].
Materials:
Detailed Protocol:
For large-scale workflows, starting with bulk primary cells like leukopaks or pre-isolated Peripheral Blood Mononuclear Cells (PBMCs) can enhance efficiency and reduce donor-to-donor variability [40]. Immunomagnetic cell isolation technologies (e.g., EasySep, RoboSep) provide a scalable, closed-system method for highly purifying target cells from large-volume samples with minimal hands-on time [40].
Transitioning from traditional flask-based culture to automated, closed-system bioreactors is essential for achieving clinically relevant cell numbers under GMP standards. The table below compares several commercial automated expansion platforms.
Table 2: Comparison of Automated GMP-Compliant MSC Expansion Platforms
| Platform Name | Technology Type | Key Features | Reported MSC Yield Example | GMP Compliance |
|---|---|---|---|---|
| Quantum Cell Expansion System (Terumo BCT) | Hollow Fiber Bioreactor | High surface area (21,000 cm²), continuous medium exchange, controlled microenvironment [37]. | 100–276 × 10^6 BM-MSCs from a 20 × 10^6 seed in 7 days [37]. | Closed, automated system, suitable for GMP [37]. |
| CliniMACS Prodigy (Miltenyi Biotec) | Integrated Automation | Automates isolation, cultivation, and harvesting; uses MSC-Brew GMP medium [37]. | >29–50 × 10^6 MSCs (Passage 0) from equine peripheral blood [37]. | Designed for end-to-end clinical grade cell manufacturing [37]. |
| Xuri Cell Expansion System W25 (Cytiva) | Stirred-Tank Bioreactor | Uses microcarriers for cell attachment; scalable wave-induced motion [37]. | Information not specified in search results. | Closed system, designed for GMP environments [37]. |
| Cocoon Platform (Lonza) | Modular Automation | Individual, single-use bioreactors per patient; integrated incubation [37]. | Information not specified in search results. | Designed for decentralized, GMP-compliant production [37]. |
Platform Selection Insight: The Quantum system is currently the most widely documented bioreactor for adherent MSCs, demonstrating robust expansion and preserved immunomodulatory function of MSCs [37]. These platforms significantly reduce manual operations, lower contamination risk, and improve process reproducibility compared to flask-based expansion [37].
This protocol confirms MSC identity according to International Society for Cellular Therapy (ISCT) standards [15] [37].
Materials:
Detailed Protocol:
This protocol confirms the multipotent differentiation capacity of expanded MSCs.
Materials:
Detailed Protocol:
This protocol evaluates the functional capacity of MSCs to suppress immune cell proliferation, a key therapeutic mechanism.
Materials:
Detailed Protocol:
Table 3: Key Reagents for Xeno-Free MSC Workflows
| Reagent Category | Example Product | Function in Workflow |
|---|---|---|
| Xeno-Free Medium | PRIME-XV MSC Expansion XSFM [38] | Defined, serum-free basal medium for GMP-compliant MSC expansion. |
| Xeno-Free Medium | StemFit AK02N [41] | Albumin-containing, xeno-free medium for clinical-grade stem cell expansion. |
| Xeno-Free Medium | ON2/AscleStem PSC medium [41] | Chemically defined, cost-effective xeno-free medium for pluripotent stem cells. |
| GMP-Growth Supplement | Human Platelet Lysate (HPL) [15] [37] | Human-derived supplement for replacing FBS; enhances proliferation. |
| Cell Separation Platform | EasySep/RoboSep [40] | Immunomagnetic technology for scalable, high-purity cell isolation. |
| Defined Matrix | Laminin-521 [42] | Recombinant, xeno-free substrate for cell attachment and growth, replacing Matrigel. |
| Large-Scale Bioreactor | Quantum Cell Expansion System [37] | Automated, closed-system hollow fiber bioreactor for large-scale adherent cell culture. |
| Automated Manufacturing | CliniMACS Prodigy [37] | Integrated system automating cell isolation, expansion, and harvest. |
The following diagram illustrates the complete standardized workflow from sample to characterized cell product, highlighting critical decision points.
This application note outlines a robust and standardized workflow for the isolation and large-scale expansion of MSCs under xeno-free, GMP-ready conditions. The data demonstrates that careful selection of culture media and expansion platforms is not a mere technicality but a critical determinant of the final cellular product's phenotypic and functional properties. By adopting this integrated approach—from primary isolation using scalable technologies to expansion in defined SFM/XF media within automated bioreactors—researchers and therapy developers can enhance the safety, consistency, and efficacy of MSC-based therapies, thereby accelerating their translation into clinical practice.
The therapeutic potential of Mesenchymal Stem Cells (MSCs) in regenerative medicine and treating immune-mediated diseases is well-established [43]. A critical challenge in translating this potential into clinical reality is the efficient and safe expansion of these cells to the required quantities. MSCs can be isolated from various tissues, with bone marrow (BM-MSCs), adipose tissue (AD-MSCs), and the umbilical cord (UC-MSCs) being the most prominent sources [43] [44]. However, these different sources exhibit distinct biological characteristics and present unique challenges for in vitro expansion.
Furthermore, regulatory bodies worldwide, including the FDA and EMA, are driving a shift towards Animal-Origin-Free (AOF) and xeno-free culture systems [2]. This shift is motivated by significant risks associated with traditional supplements like Fetal Bovine Serum (FBS), including ill-defined composition, batch-to-batch variability, and potential for xenogenic contamination with viruses or prions [45] [2]. Therefore, modern optimization strategies must be framed within the context of Good Manufacturing Practice (GMP)-compliant, xeno-free expansion protocols to ensure patient safety, product consistency, and regulatory compliance.
This application note provides a detailed, source-specific guide for the xeno-free expansion of BM-MSCs, AD-MSCs, and UC-MSCs. It summarizes key quantitative data for comparison, outlines detailed experimental protocols, and visualizes critical workflows to aid researchers and drug development professionals in optimizing their production processes.
The tissue of origin profoundly influences the fundamental properties and expansion potential of MSCs. Understanding these differences is paramount for selecting the appropriate cell source for a specific clinical application and for designing an optimized expansion protocol.
The table below summarizes the core characteristics of the three primary MSC types, which directly influence bioprocessing decisions.
Table 1: Key Characteristics of BM-MSCs, AD-MSCs, and UC-MSCs
| Characteristic | BM-MSCs | AD-MSCs | UC-MSCs |
|---|---|---|---|
| Defining Markers (Positive) | CD73, CD90, CD105 [43] | CD73, CD90, CD105 [46] | CD73, CD90, CD105 [43] |
| Defining Markers (Negative) | CD34, CD45, CD14, CD19, HLA-DR [43] | CD45, CD34 [46] | CD34, CD45, HLA-DR [43] |
| Differentiation Potential | Osteogenic, Chondrogenic, Adipogenic [43] | Osteogenic, Chondrogenic, Adipogenic [45] | Osteogenic, Chondrogenic, Adipogenic [20] |
| Ease of Harvest | Invasive, painful [44] | Minimally invasive (liposuction) [44] | Non-invasive, medical waste [44] |
| Proliferation Capacity | Decreases with donor age [45] | High, abundant cell yield [44] | Very high, from young tissue [43] [44] |
| Immunogenicity | Low | Low, can bypass immune barriers [44] | Very low immunogenicity [43] |
| Primary Clinical Strengths | Gold standard, high differentiation potential [43] | Easy autologous use, high yield [44] | High proliferation, suited for allogeneic banks [43] |
When transitioned to xeno-free media, MSC populations from different sources display quantifiable differences in performance. The following table consolidates key metrics essential for process optimization.
Table 2: Quantitative Performance Metrics of MSCs in Xeno-Free Culture
| Performance Metric | BM-MSCs | AD-MSCs | UC-MSCs | Notes & Context |
|---|---|---|---|---|
| Prevalence in Tissue | ~1 in 34,000 cells [45] | Abundant [44] | Varies by cord region (e.g., Wharton's Jelly) [44] | Impacts initial isolation efficiency. |
| Population Doubling Time | Slightly higher in CD146Enr. populations [47] | Information Missing | Information Missing | Meta-analysis showed no significant difference between CD146Enr. and CD146Depl. BM-MSCs [47]. |
| Colony-Forming (CF) Potential | Significantly higher in CD146Enr. populations [47] | Information Missing | Information Missing | Indicates clonogenicity and progenitor frequency. |
| Extracellular Vesicle (EV) Yield | High output in 3D bioreactors [48] | Information Missing | Lower than BM-MSCs in 3D [48] | 3D bioreactors consistently produced more EVs per cell than 2D culture [48]. |
| Key Secreted Factors | Growth factors, cytokines, EVs [43] | Growth factors, cytokines, EVs [43] | Growth factors, cytokines, EVs [43] | Paracrine effect is a primary therapeutic mechanism for all MSC types. |
This section provides standardized, source-agnostic protocols for xeno-free expansion, with notes on specific considerations for each MSC type where applicable. The foundational protocol is adapted from established, commercially available xeno-free systems [20].
Objective: To prepare a GMP-compliant, animal-origin-free basal medium and coat culture vessels to support MSC attachment and growth.
Materials:
Method:
Objective: To isolate and establish the primary culture of MSCs from BM, AD, or UC tissues under xeno-free conditions.
Materials:
General Workflow for MSC Isolation and Expansion: The following diagram outlines the overarching process from tissue sourcing to a clinically relevant cell product.
Source-Specific Isolation Steps:
Post-Isolation Culture:
Objective: To scale up MSC production in a closed, automated, and GMP-compliant bioreactor system, such as a hollow fiber bioreactor.
Materials:
Method:
Successful GMP-compliant expansion relies on a suite of specialized reagents. The table below lists critical components for establishing a robust xeno-free process.
Table 3: Key Research Reagent Solutions for Xeno-Free MSC Expansion
| Reagent Category | Example Products | Function & Importance |
|---|---|---|
| Basal Media | StemPro MSC SFM Basal Medium, DMEM/Ham's F12 [45] [20] | Provides essential inorganic ions, biosynthetic precursors, and catabolic substrates for cell growth. |
| Xeno-Free Supplements | StemPro MSC SFM XenoFree Supplement, Human Platelet Lysate (hPL) [45] [20] [49] | Supplies a defined cocktail of growth factors, cytokines, and attachment proteins to replace FBS. |
| Recombinant Proteins | Cellastim S (rHSA), Optiferrin (Recombinant Transferrin) [2] | Chemically defined, animal-free proteins that support cell growth, iron transport, and stabilization. |
| Cell Adhesion Substrates | CELLstart substrate [20] | A recombinant attachment matrix that replaces animal-derived collagens or fibronectin, enabling cell adherence. |
| Dissociation Enzymes | TrypLE Express [20] | A recombinant, animal-free enzyme mixture used to detach adherent cells for passaging and harvesting. |
| Bioreactor Systems | Hollow Fiber Cell Expansion System (CES) [49] | Provides a closed, automated, and scalable platform for GMP-compliant cell manufacturing, minimizing open-handling steps. |
Ensuring the quality and safety of the final cell product is as critical as the expansion process itself. Robust analytics are required to define Critical Quality Attributes (CQAs).
Post-expansion, MSCs must be characterized to confirm they meet predefined specifications. Key CQAs and their analytical methods include:
The quality of the MSC product is not solely determined by the final analysis but is profoundly shaped by specific, controllable parameters during the upstream manufacturing process. The following diagram illustrates the relationship between these process parameters and the resulting CQAs, based on empirical studies.
In the context of xeno-free, animal component-free, Good Manufacturing Practice (GMP)-compliant expansion of Mesenchymal Stem Cells (MSCs), providing a physiologically relevant attachment surface is not merely a technical convenience but a critical prerequisite for success. MSCs, like most adherent cells, require a surface to attach, spread, and proliferate. In native tissues, this function is served by the extracellular matrix (ECM), a complex network of proteins and proteoglycans [51]. However, standard tissue culture plastic or glass offers a poor imitation of this natural environment, especially in defined, serum-free systems that lack the attachment factors traditionally provided by fetal bovine serum (FBS) [52] [51].
Choosing the correct coating substrate is therefore paramount for efficient cell attachment, growth, migration, and the maintenance of key cellular functions. This application note details the role and selection of coating substrates, providing a structured framework and practical protocols to ensure robust and reproducible MSC attachment under xeno-free, GMP-compliant conditions.
Coating substrates can be broadly classified into two categories: naturally-occurring (ECM-derived) and synthetic. The choice between them hinges on the specific application, the degree of definition required, and the intended signaling mechanisms.
These substrates are purified from human or animal tissues and interact with cells via specific cell-surface receptors, such as integrins. This binding triggers intracellular signaling pathways that facilitate adhesion complex formation, and can also influence proliferation and differentiation [52].
The table below summarizes key natural substrates for MSC culture.
Table 1: Key Naturally-Occurring / ECM-Derived Substrates
| Substrate | Source | Key Receptors | Primary Functions in Cell Culture | Considerations for Xeno-Free GMP |
|---|---|---|---|---|
| Collagen I | Human, Bovine | α1β1, α2β1 integrins | Cell attachment, orientation, migration, ECM studies [53]. | Select human-derived versions for xeno-free applications [53]. |
| Collagen IV | Human placenta | α1β1, α2β1 integrins | Key component of basement membrane; supports differentiation [54]. | Human-sourced ensures compatibility. |
| Fibronectin | Human plasma | α5β1 integrin (RGD-dependent) | Cell adhesion, growth, migration, wound healing [51]. | Essential for robust attachment; human-sourced is available. |
| Laminin | Human | αβγ integrin heterodimers | Major basement membrane component; regulates growth, motility, neurite outgrowth [51]. | Critical for polarized cells; specific isoforms may be required. |
| Vitronectin | Human plasma | αvβ3, αvβ5 integrins | Cell attachment and spreading, particularly for pluripotent stem cells [53]. | Defined, xeno-free recombinant versions are available. |
| Fibrinogen | Human plasma | αIIbβ3, αvβ3 integrins | Forms provisional matrix; useful for serum-free culture of MSCs [55]. | Component of some commercial attachment solutions like NutriCoat [55]. |
These are not derived from animal or human by-products and offer a more defined and consistent alternative. The most common examples are poly-L-lysine (PLL) and poly-D-lysine (PDL). These are polymers of amino acids that create a positive charge on the culture surface, non-specifically attracting the negatively charged cell membrane to enhance attachment [52] [51]. Poly-D-lysine is often preferred for long-term cultures as it is more resistant to cellular proteolysis [51]. While excellent for initial attachment, they do not provide the specific bioactive signals of ECM proteins and are often used in combination with other factors (e.g., laminin) to support more complex functions like differentiation [51].
The following diagram illustrates the strategic decision-making process for selecting an appropriate coating substrate.
This protocol is adapted from methods used to identify optimal substrates for neuronal cell lines, a process directly applicable to optimizing MSC attachment [54].
Objective: To identify the substrate that best supports MSC attachment and spreading under defined, xeno-free conditions.
Materials:
Method:
Cell Seeding and Culture:
Analysis:
Percentage of cells with spread morphology (%) = (Number of cells with spread morphology / Total number of cells) × 100Once the optimal substrate is identified, determining the minimal effective concentration ensures cost-effectiveness, a critical consideration for large-scale GMP manufacturing.
Objective: To find the lowest concentration of a selected substrate that supports optimal MSC attachment.
Materials:
Method:
In automated, closed-system bioreactors for large-scale MSC production, coating remains a critical step. The Quantum Cell Expansion System, a hollow fiber bioreactor, requires its fibers to be coated with an adhesive substrate like fibronectin or cryoprecipitate before cell seeding to facilitate efficient MSCs expansion [56]. Studies have successfully integrated the use of human platelet lysate (hPL) as a growth supplement with these coated systems, moving away from FBS and aligning with xeno-free GMP standards [56]. This underscores that substrate selection is not an isolated variable but an integral part of the entire bioprocess design.
The table below outlines key reagent solutions essential for implementing these protocols in a GMP-compliant workflow.
Table 2: Research Reagent Solutions for Xeno-Free MSC Attachment
| Reagent / Product | Function / Application | Key Features | Example Product |
|---|---|---|---|
| MesenCult-ACF Attachment Substrate | Serum-free, animal component-free substrate for human MSC attachment. | Optimized for use with MesenCult-ACF Medium [53]. | STEMCELL Technologies |
| NutriCoat Fibrinogen | Human fibrinogen solution for coating. | Useful for cells incapable of synthesizing their own biomatrix in serum-free medium [55]. | REPROCELL |
| Vitronectin XF | Defined, xeno-free substrate for cell attachment and spreading. | Compatible with pluripotent stem cell culture; suitable for defined systems [53]. | STEMCELL Technologies |
| Human Collagen I & IV | Natural ECM substrates for cell attachment, orientation, and differentiation studies. | Human-sourced for xeno-free applications; available as solution or lyophilized powder [53] [54]. | Various Manufacturers |
| Poly-D-Lysine | Synthetic polymer for non-specific cell attachment. | Creates positive charge; resistant to proteolysis; good for initial attachment [51]. | Sigma-Aldrich, Merck |
| Pre-mixed Coating Solutions | Ready-to-use combinations of substrates (e.g., Laminin + PDL). | Simplifies workflow, reduces optimization time, improves reproducibility [51]. | Sigma-Aldrich |
The strategic selection and application of coating substrates are foundational to the successful xeno-free, GMP-compliant expansion of MSCs. There is no single universal substrate; the optimal choice must be empirically determined for specific cell sources and culture conditions. By systematically evaluating natural and synthetic options using the provided protocols, researchers can significantly enhance MSC attachment, maintain critical cellular functions, and ensure the manufacturing of a safe, efficacious, and high-quality cell product for therapeutic applications.
The therapeutic efficacy of Mesenchymal Stem Cells (MSCs) hinges critically upon their immunomodulatory capacity, which can be significantly influenced by ex vivo expansion conditions. Transitioning from traditional fetal bovine serum (FBS) to xeno-free, animal component-free media is essential for clinical compliance and safety, yet this shift must not compromise the functional properties that define MSC therapeutic utility [15] [57]. Achieving this balance requires careful media selection and culture protocol optimization, as different xeno-free formulations can differentially impact MSC proliferation, differentiation potential, and crucially, immunosuppressive capabilities [15]. Research demonstrates that while some alternative media enhance proliferation, they may inadvertently diminish immunomodulatory function, making systematic evaluation imperative for clinical translation [15] [58]. This Application Note provides detailed methodologies for evaluating xeno-free media to ensure expanded MSCs retain their critical therapeutic properties.
Systematic evaluation of various media supplements reveals significant differences in their ability to support MSC expansion while maintaining immunomodulatory function. The table below synthesizes key performance metrics from published studies comparing FBS, Human Platelet Lysate (HPL), and Serum-Free/Xeno-Free (SFM/XF) media.
Table 1: Functional Properties of MSCs Expanded in Different Media Formulations
| Media Supplement | Proliferation Rate | Immunosuppressive Capacity (Resting MSC) | Immunosuppressive Capacity (IFN-γ Primed) | IDO-1 Expression Post-Priming | Adipogenic/Osteogenic Potential |
|---|---|---|---|---|---|
| Fetal Bovine Serum (FBS) | Baseline [15] | Potent [15] | Potent [15] | High [15] | Moderate [15] |
| Human Platelet Lysate (HPL) | Increased [15] | Diminished [15] | Diminished [15] | Attenuated [15] | Highest [15] |
| Serum-Free/Xeno-Free (SFM/XF) | Increased [15] | Potent [15] | Potent [15] | Attenuated [15] | Moderate [15] |
| GMP-Grade SFM (MSC-Brew) | Enhanced (lower doubling time) [59] | Not Reported | Not Reported | Not Reported | Maintained [59] |
Table 2: Cost and Composition Analysis of Culture Supplements
| Parameter | FBS | Human Platelet Lysate (HPL) | Serum-Free Media (SFM) |
|---|---|---|---|
| Relative Cost | Moderate | Lower [58] | Significantly Higher [58] |
| Batch-to-Batch Variability | High [15] | Present [58] | Theoretically Reduced [58] |
| Growth Factor Content | Complex, undefined [15] | High, defined profile [58] | Defined, composition varies [58] |
| Risk of Xenogenic Contaminants | Present [15] | Absent (if properly sourced) [58] | Absent [5] |
Research indicates that SFM/XF formulations effectively balance proliferation and immunomodulatory function. Specifically, MSCs expanded in FDA-approved SFM/XF media maintained potent immunosuppressive properties in both resting and IFN-γ primed conditions, whereas HPL-expanded MSCs showed diminished immunosuppressive capacity despite superior proliferation and differentiation potential [15]. This highlights a critical dissociation between proliferation and immunomodulatory function, necessitating functional validation beyond expansion efficiency.
GMP-grade SFM formulations like MSC-Brew demonstrate enhanced proliferation rates with lower population doubling times across passages while maintaining MSC marker expression and differentiation capacity [59]. Furthermore, some commercial SFM formulations have been shown to support large-scale expansion in closed systems, achieving greater than 8-fold expansion within 7 days while maintaining >90% viability [60].
Objective: Systematically assess the impact of xeno-free media on MSC proliferation, phenotype, differentiation potential, and immunomodulatory capacity.
Materials:
Methodology:
Diagram 1: Experimental Workflow for MSC Media Evaluation
Objective: Implement cytokine priming to reduce donor-dependent heterogeneity and enhance immunomodulatory capacity of MSCs expanded in xeno-free media.
Materials: Recombinant human IFN-γ, TNF-α, IL-1β, Xeno-free basal media, Flow cytometry reagents for immunophenotyping
Methodology:
Understanding the molecular basis of MSC immunomodulation reveals why media composition significantly impacts therapeutic efficacy. The immunomodulatory properties of MSCs are not constitutive but are induced by inflammatory stimuli through specific signaling pathways.
Diagram 2: MSC Immunomodulatory Signaling Pathways
The efficacy of these pathways is directly influenced by culture conditions. Research shows that MSCs expanded in SFM/XF and HPL express attenuated levels of IDO-1 following IFN-γ priming compared to those expanded in FBS [15]. This molecular difference may underlie the functional variations observed in immunomodulatory capacity between media formulations. Furthermore, cytokine priming not only enhances immunomodulatory function but also reduces inter-donor variability, addressing a significant challenge in MSC therapy standardization [61].
Table 3: Key Reagents for Xeno-Free MSC Research
| Reagent Category | Specific Product/Component | Function & Application | Considerations |
|---|---|---|---|
| Xeno-Free Media | SFM/XF FDA-approved media [15] | Defined formulation for clinical MSC expansion | Supports immunomodulatory function |
| GMP-Grade Media | MSC-Brew GMP Medium [59] | GMP-compliant expansion with enhanced proliferation | Lower doubling times, maintained potency |
| Large-Scale Expansion | PRIME-XV MSC Expansion XSFM [60] | Closed-system, large-scale MSC manufacturing | Enables >8-fold expansion in 7 days |
| Cryopreservation | PRIME-XV FreezIS DMSO-Free [60] | DMSO-free cryopreservation maintaining post-thaw function | Similar recovery to DMSO-containing solutions |
| Recombinant Albumin | Optibumin 25 rHSA [62] | Animal-free albumin replacement for media formulations | Eliminates plasma-derived component risks |
| Cytokine Priming | IFN-γ, TNF-α, IL-1β [61] | Preconditioning to enhance immunomodulatory capacity | Reduces donor-dependent heterogeneity |
Based on current evidence, FDA-approved SFM/XF media provide the optimal balance for maintaining MSC immunomodulatory properties while achieving necessary expansion for clinical applications. The data consistently demonstrate that unlike HPL-supplemented media, SFM/XF preserves potent immunosuppressive function in both resting and primed MSCs while supporting robust proliferation [15]. For enhanced functionality, cytokine priming with IFN-γ, TNF-α, and IL-1β is recommended to boost immunomodulatory capacity and reduce donor-dependent variability [61].
Implementation of these protocols and media selection criteria will enable researchers and therapy developers to manufacture MSCs that retain critical immunomodulatory functions while meeting regulatory requirements for clinical applications. Regular functional validation through the described assays remains essential, as media performance can vary between specific formulations and MSC sources.
The transition to xeno-free and animal component-free (ACF) culture systems is a critical objective in the development of mesenchymal stromal cell (MSC)-based therapies under Good Manufacturing Practice (GMP) standards [2]. While this shift eliminates risks associated with animal-derived components like fetal bovine serum (FBS), it introduces a new challenge: managing the inherent biological variability of human-derived raw materials [63] [2]. Sources of this variability include donor-specific biological differences in human-derived supplements and the natural heterogeneity of primary MSC isolates from different tissue donors [64] [65]. This application note outlines standardized protocols and analytical frameworks to effectively manage and reduce batch-to-batch variability, ensuring the consistent production of high-quality MSCs for clinical applications.
Batch-to-batch variation in cell therapy manufacturing originates from two primary sources: the inherent biological variability of the patient's own immune cells used as starting material and the variability in critical raw materials such as plasmids, viral vectors, and human-derived supplements [66]. For MSC therapies, the problem is compounded by donor-dependent variability, where some donors yield higher quality cells or larger quantities than others [65]. This variability affects critical quality attributes including proliferation capacity, metabolic activity, differentiation potential, and therapeutic potency [64] [67].
Recent investigations into donor pooling strategies reveal that simply combining MSCs from multiple donors does not necessarily average out their characteristics. Instead, pools often become dominated by the fittest donor, potentially skewing results and compromising the representation of natural biological diversity [64]. This underscores the necessity for robust screening and manufacturing controls to ensure consistent product quality.
The selection of appropriate, standardized reagents is fundamental to minimizing variability in ACF MSC expansion systems. The table below catalogues essential materials and their functions for establishing a controlled manufacturing process.
Table 1: Essential Research Reagents for Animal Component-Free MSC Expansion
| Reagent Category | Specific Product Examples | Function & Importance |
|---|---|---|
| Basal Media | MSC-Brew GMP Medium, MesenCult-ACF Plus Medium | Provides nutrient foundation for cell growth; chemically defined formulations ensure lot-to-lot consistency [67]. |
| Recombinant Albumin | Cellastim S (rHSA), Exbumin | Replaces human or bovine serum albumin as a carrier protein and stabilizer; eliminates adventitious agent risk [2]. |
| Recombinant Iron Carriers | Optiferrin (Transferrin) | Delivers iron to cells in a bioavailable form without serum-derived transferrin, reducing variability [2]. |
| Recombinant Growth Supplements | ITS/ITSE Animal-Free Supplements | Provides insulin, transferrin, selenium, and ethanolamine in a defined, ACF format to support robust cell growth [2]. |
| Recombinant Cytokines | Recombinant Human LIF | Supports pluripotency and self-renewal in stem cell cultures with greater purity and consistency than animal-derived analogs [2]. |
| Human-Derived Supplements | Human Platelet Lysate (HPL) | ACF-compliant replacement for FBS; requires rigorous donor screening and pooling strategies to mitigate variability [49]. |
| Dissociation Reagents | Animal-free recombinant enzymes (e.g., trypsin) | ACF enzymes for cell passaging that avoid contamination risks and variability of pancreatic extracts [63]. |
Establishing a qualified starting cell bank begins with a rigorous donor screening process. This protocol ensures consistency from the initial isolation stage.
Diagram: Donor MSC Screening and Qualification Workflow
This protocol provides a methodology for quantitatively evaluating different ACF media to select the optimal formulation for a consistent process.
Doubling Time = (Duration of Culture × log(2)) / (log(Final Cell Count) - log(Initial Cell Count)) [67].Table 2: Quantitative Comparison of ACF Media Formulations
| Performance Metric | MSC-Brew GMP Medium | MesenCult-ACF Plus Medium | Assay Method & Reference |
|---|---|---|---|
| Average Population Doubling Time | Lower doubling times across passages, indicating enhanced proliferation [67]. | Higher doubling times compared to MSC-Brew [67]. | Calculated from cell counts over 3 passages [67]. |
| Clonogenic Potential (CFU) | Higher colony formation, supporting enhanced potency [67]. | Lower colony formation compared to MSC-Brew [67]. | Colony-forming unit (CFU) assay after 10 days [67]. |
| Surface Marker Expression | Maintained >95% positive for CD73, CD90, CD105; <5% negative for hematopoietic markers [67]. | Maintained >95% positive for CD73, CD90, CD105; <5% negative for hematopoietic markers [67]. | Flow cytometry analysis with BD Stemflow Human MSC Analysis Kit [67]. |
| Post-Thaw Viability | >95% viability post-thaw, exceeding the >70% minimum release requirement [67]. | Data not provided in search results. | Trypan Blue exclusion assay [67]. |
For scalable production, this protocol details the use of a closed hollow-fiber bioreactor system for the animal-free expansion of MSCs.
Implementing rigorous quality control testing is essential for ensuring batch-to-batch consistency and product safety. The following table summarizes the critical release criteria for a clinical-grade MSC product.
Table 3: Essential Quality Control and Release Criteria for MSC Products
| Test Category | Target Specification | Test Method | Significance |
|---|---|---|---|
| Viability | >95% (Minimum >70%) | Trypan Blue Exclusion [67]. | Ensures product potency and metabolic health. |
| Sterility | No detection of microorganisms. | BacT/Alert culture system [67]. | Confirms product is free from bacterial/fungal contamination. |
| Mycoplasma | Not detected. | Mycoassay (e.g., PCR-based) [67]. | Confirms product is free from mycoplasma contamination. |
| Endotoxin | Below specified limit (e.g., <5 EU/kg). | Limulus Amebocyte Lysate (LAL) assay [67]. | Confirms product is free from pyrogenic contaminants. |
| Identity/Purity | >95% positive for CD73, CD90, CD105; <5% positive for CD34, CD45, etc. | Flow Cytometry [67]. | Verifies cell population conforms to ISCT MSC criteria. |
| Potency | Meets pre-defined functional criteria (e.g., immunosuppression in co-culture). | Cell-based functional assay (e.g., T-cell inhibition) [49]. | Correlates with intended biological/therapeutic effect. |
Managing batch-to-batch variability in human-derived raw materials is a multifaceted challenge that requires an integrated approach. Success hinges on several key strategies: the rigorous qualification of human-derived starting materials, the adoption of performance-qualified, recombinant ACF reagents, the implementation of scalable and closed expansion technologies like hollow-fiber bioreactors, and the enforcement of rigorous quality control and release criteria. As regulatory bodies continue to drive the industry toward animal-origin-free solutions, the standardized protocols and quantitative frameworks outlined in this application note provide a actionable pathway for developing safer, more consistent, and efficacious MSC-based therapies.
The transition from Fetal Bovine Serum (FBS)-supplemented media to Xeno-Free/Serum-Free Media (XF/SFM) is a critical step in the manufacturing of Mesenchymal Stromal Cells (MSCs) for clinical applications. Despite its historical use, FBS presents significant challenges for clinical-grade manufacturing, including batch-to-batch variability, risk of xenogenic pathogen transmission, and the introduction of undefined animal-derived components that can elicit immune responses in patients [10] [15]. The field is increasingly adopting XF/SFM formulations to ensure reproducibility, enhance safety, and comply with Good Manufacturing Practice (GMP) standards for cell-based therapies. This application note provides detailed, practical protocols for successfully adapting MSC lines from FBS to XF/SFM conditions, framed within the context of GMP-compliant expansion.
Understanding the terminology is essential for selecting the appropriate media for clinical applications.
Successful adaptation requires careful planning and assessment of the starting cell population. The following checklist outlines the essential prerequisites.
Two primary methods can be employed for adapting MSCs to XF/SFM: Direct Adaptation and Sequential Adaptation. The sequential method is generally preferred as it is less stressful for the cells [68].
This method gradually exposes cells to the new medium over several passages, allowing for a more gentle acclimation [68]. The workflow for this process is outlined below.
Detailed Procedure:
Troubleshooting Tip: If cells struggle to progress past a certain step, return them to the previous, well-tolerated medium ratio and passage them 2-3 times to re-stabilize before attempting the next step [68].
For some robust cell lines, a direct switch is feasible.
Following successful adaptation, a thorough characterization of the MSCs is mandatory to confirm that key biological properties are retained. The table below summarizes critical quality attributes and corresponding assays.
Table 1: Post-Adaptation MSC Characterization Assays
| Quality Attribute | Recommended Assays | Expected Outcome |
|---|---|---|
| Immunophenotype | Flow cytometry for CD73, CD90, CD105 (positive) and CD14, CD34, CD45 (negative) [70] [15] | >95% expression of positive markers; <5% expression of negative markers [70]. |
| Viability | Trypan blue exclusion, ATP-based luminescence assays [70] | Viability >90% [68] [70]. |
| Proliferation | Population doubling time, BrdU incorporation, growth kinetics [70] [15] | Stable or enhanced proliferation rate in XF/SFM [38] [15]. |
| Trilineage Differentiation | Osteogenic (Alizarin Red), Adipogenic (Oil Red O), Chondrogenic (Alcian Blue/Toluidine Blue) staining [70] [69] | Positive staining confirming retained differentiation potential [15] [69]. |
| Functional Potency | Immunosuppression assays (e.g., T-cell proliferation inhibition), IDO activity measurement, in vivo wound/engraftment models [70] [15] | Retention of potent immunosuppressive and regenerative capacities [15]. |
Research indicates that MSCs adapted to specific XF/SFM formulations can exhibit superior properties, such as enhanced proliferation rates and improved angiogenic activity, compared to their FBS-cultured counterparts [38]. Furthermore, a study comparing media formulations found that MSCs expanded in an FDA-approved SFM/XF medium preserved their immunosuppressive properties more effectively than those grown in human platelet lysate (HPL) [15].
A successful transition to XF/SFM relies on a set of core reagents. The following table details essential materials and their functions.
Table 2: Key Research Reagent Solutions for XF/SFM MSC Culture
| Reagent Category | Example Components | Function in Culture |
|---|---|---|
| Basal XF/SFM Formulations | PRIME-XV MSC XSFM, StemPro MSC SFM [38] [69] | Provides a defined, GMP-compliant base containing salts, vitamins, energy sources, and lipids. |
| Recombinant Growth Factors | bFGF, PDGF-BB, TGF-β1 [69] | Promotes MSC self-renewal, proliferation, and maintains undifferentiated state. |
| Cell Attachment Substrates | Recombinant human fibronectin, CELLstart [69] | Functional replacement for attachment factors normally provided by serum, enabling adherent cell growth. |
| Supplemental Additives | Insulin-Transferrin-Selenium (ITS), Ascorbic Acid, Lipids, Albumin (human recombinant) [71] [69] | Provides essential hormones, antioxidants, and carriers for cell growth and membrane integrity. |
Adaptation to a new environment can present specific hurdles. The following diagram illustrates the logical relationship between common challenges and their recommended solutions.
Additional Considerations:
The transition of MSC manufacturing platforms from research-grade FBS to clinically compliant XF/SFM is a foundational requirement for advancing cell therapies. The sequential adaptation protocol, coupled with rigorous post-adaptation characterization, provides a robust framework for this critical process. By adhering to these detailed protocols and leveraging the defined reagents outlined in this application note, researchers and drug development professionals can enhance the safety, reproducibility, and regulatory compliance of their MSC-based therapeutic products.
Mesenchymal Stromal Cells (MSCs) represent one of the most extensively investigated cellular therapeutic products in regenerative medicine and immunomodulatory therapy [43] [72]. The accurate characterization of these cells through specific marker expression profiles is not merely a technical formality but a fundamental requirement for ensuring experimental reproducibility, manufacturing consistency, and ultimately, clinical efficacy [73] [74]. The field has historically been challenged by cellular heterogeneity, differing tissue sources, and evolving nomenclature, all of which can contribute to conflicting data and variable therapeutic outcomes [73] [72].
This application note details the current standards and methodologies for confirming MSC phenotype and identity, with particular emphasis on the International Society for Cell & Gene Therapy (ISCT) criteria, recently updated in 2025 [75]. Framed within research utilizing xeno-free, animal component-free media under GMP-compliant conditions, this guide provides researchers and drug development professionals with detailed protocols to verify MSC marker expression, ensuring cellular products meet rigorous identity and quality specifications for preclinical and clinical applications.
The definition of MSCs has evolved significantly since their initial discovery, reflecting a deepening understanding of their biology and function.
Initially identified by Alexander Friedenstein in the 1960s as plastic-adherent, fibroblast-like cells from bone marrow, these cells were later termed "Mesenchymal Stem Cells" by Arnold Caplan in 1991 [73] [43]. However, the persistent inability to prove that all cultured cells possessed true stem cell properties in vivo led to a nomenclature debate [72].
The ISCT established minimal criteria for defining human MSCs in 2006, creating a foundational standard that has been widely adopted [73] [43] [77]. In May 2025, the ISCT released updated identification standards to reflect scientific advancements and address inconsistencies in the field [75].
The table below summarizes the key changes between these standards.
Table 1: Evolution of ISCT MSC Identification Standards
| Standard Element | 2006 Standard | 2025 Standard |
|---|---|---|
| Cell Definition | Mesenchymal Stem Cells (MSCs) | Mesenchymal Stromal Cells (MSCs) |
| Stemness Requirement | Must demonstrate trilineage differentiation | Must provide evidence to use the term "stem" |
| Marker Detection | Qualitative (positive/negative) | Quantitative (thresholds and percentages) |
| Tissue Origin | Not emphasized | Must be specified and considered |
| Critical Quality Attributes | Not required | Must assess efficacy and functional properties |
| Culture Conditions | No standard reporting requirement | Detailed parameter reporting required |
The 2025 updates emphasize quantitative reporting, tissue source specification, and the inclusion of Critical Quality Attributes (CQAs) related to the intended clinical function, moving beyond mere phenotypic checks to ensure therapeutic relevance [75].
The ISCT criteria define MSCs by a specific set of positive and negative surface markers, typically analyzed via flow cytometry [73] [77].
A core set of markers is used to distinguish MSCs from hematopoietic and other contaminating cells.
Table 2: Essential Positive and Negative Markers for Human MSC Identification
| Marker | Expression Status | Typical Threshold | Biological Role / Significance |
|---|---|---|---|
| CD105 (Endoglin) | Positive | ≥ 95% | Type I membrane glycoprotein essential for cell migration and angiogenesis [43]. |
| CD90 (Thy1) | Positive | ≥ 95% | Part of the immunoglobulin superfamily, mediates cell–cell and cell–ECM interactions [43]. |
| CD73 (5'-Nucleotidase) | Positive | ≥ 95% | Catalyzes AMP hydrolysis to adenosine, plays a role in cell signaling within the bone marrow [43]. |
| CD45 | Negative | ≤ 2% | Pan-leukocyte marker; exclusion ensures population is not contaminated by hematopoietic lineages [43] [75]. |
| CD34 | Negative | ≤ 2% | Biomarker for hematopoietic stem cells and endothelial cells [43]. |
| CD14 / CD11b | Negative | ≤ 2% | Expressed on monocytes and macrophages [43]. |
| CD19 / CD79α | Negative | ≤ 2% | Markers of B cells [43]. |
| HLA-DR | Negative | ≤ 2% | MHC Class II molecule; its absence indicates non-activated, immuno-evasive state [73] [43]. |
The following diagram illustrates the decision-making workflow for characterizing MSCs according to the core ISCT criteria.
This protocol provides a standardized method for verifying MSC surface marker expression using flow cytometry, a cornerstone technique for MSC characterization [77].
The Scientist's Toolkit: Essential Reagents for MSC Marker Analysis
| Item | Function / Description | Example / Note |
|---|---|---|
| Single-Cell Suspension | Starting material for analysis. | Harvested MSCs at 70-90% confluence [78]. |
| Enzymatic Detachment Reagent | Dissociates adherent cells without damaging surface epitopes. | TrypLE Express or similar animal origin-free reagents [78]. |
| Flow Cytometry Staining Buffer | Isotonic buffer for antibody dilution and cell washing. | PBS + 0.5-2% BSA or FBS. |
| Fluorochrome-Conjugated Antibodies | Primary antibodies for specific detection of MSC markers. | Anti-CD73, CD90, CD105, CD45, CD34, CD14, CD19, HLA-DR. |
| Isotype Controls | Negative controls to set fluorescence thresholds and assess non-specific binding. | Matched to the host species and isotope of primary antibodies. |
| Viability Stain | Distinguishes live from dead cells to ensure analysis of a healthy population. | Propidium Iodide (PI) or 7-AAD. |
| Flow Cytometer | Instrument for quantitative analysis of fluorescently-labeled cells. | Calibrate prior to use. |
| Centrifuge | For pelleting cells during washing steps. |
Cell Harvesting:
Cell Counting and Aliquoting:
Antibody Staining:
Washing and Fixation:
Flow Cytometry Acquisition and Analysis:
Adherence to marker criteria is necessary but not sufficient for clinically relevant MSCs. The 2025 ISCT standards emphasize the critical need to assess functionality and potency [75].
CQAs are biological properties linked to the intended clinical mechanism of action. For MSCs, these extend beyond surface markers and trilineage differentiation.
The move towards xeno-free, animal component-free, and GMP-compliant culture systems is critical for clinical translation [1] [78]. The choice of culture medium and substrates can significantly influence MSC phenotype, function, and marker expression.
The diagram below summarizes the expanded set of attributes required for comprehensive MSC characterization in a modern therapeutic context.
Rigorous confirmation of MSC phenotype and identity through verified marker expression is a non-negotiable standard in both basic research and clinical drug development. The ISCT criteria provide a essential framework for this characterization, and the recent 2025 updates push the field toward greater transparency, quantitative rigor, and functional relevance [75]. By integrating precise flow cytometry protocols with assessments of functional potency and employing GMP-compliant, xeno-free culture systems, researchers can generate robust, reproducible, and clinically meaningful MSC data. This comprehensive approach is fundamental to overcoming historical challenges of heterogeneity and variability, ultimately accelerating the development of safe and effective MSC-based therapies.
Within the framework of xeno-free, Good Manufacturing Practice (GMP)-compliant mesenchymal stem cell (MSC) expansion research, confirming functional potency is a critical and non-negotiable requirement for clinical translation. The therapeutic efficacy of MSCs is intrinsically linked to their core biological capabilities, namely the capacity for trilineage differentiation and potent immunomodulation [80]. These functions are highly influenced by culture conditions, and the transition from fetal bovine serum (FBS) to animal component-free (ACF) and xeno-free (XF) media necessitates a re-validation of standard potency assays [81] [15]. This Application Note provides detailed protocols and data for assessing these essential functional attributes, ensuring that MSCs expanded under GMP-compliant, xeno-free conditions meet the rigorous standards for therapeutic application.
The performance of MSCs in functional assays can vary significantly based on the culture media used for expansion. Research comparing different ACF/XF media to traditional FBS-supplemented media reveals distinct profiles for proliferation and differentiation potential. The tables below summarize key quantitative findings from recent studies.
Table 1: Impact of Culture Media on MSC Proliferation and Differentiation Potential
| Media Type | Proliferation (Doubling Time) | Adipogenic Potential | Osteogenic Potential | Immunomodulatory Marker (IDO-1) | Source / Cell Type |
|---|---|---|---|---|---|
| MSC-Brew GMP Medium | Lower doubling time vs. standard media [82] | Not Specified | Not Specified | Not Specified | Infrapatellar Fat Pad MSCs [82] |
| Xeno-Free, Serum-Free Medium (SFM/XF) | Increased proliferation vs. FBS [15] | Lower than HPL [15] | Lower than HPL [15] | Attenuated vs. FBS (after IFN-γ priming) [15] | Bone Marrow & Adipose MSCs [15] |
| 10% Human Platelet Lysate (HPL) | Increased proliferation vs. FBS [15] | Highest (Adiponectin/PPAR-γ) [15] | Highest (ALP expression) [15] | Attenuated vs. FBS (after IFN-γ priming) [15] | Bone Marrow & Adipose MSCs [15] |
| PRIME-XV XSFM | Significantly faster vs. FBS/PLT [38] | Most pronounced differentiation [38] | Not Specified | Not Specified | Adipose MSCs [38] |
Table 2: Advanced 3D Spheroid Culture Model Outcomes (Serum-/Antibiotic-Free)
| Parameter | Adipogenic Differentiation | Chondrogenic Differentiation | Osteogenic Differentiation |
|---|---|---|---|
| Measurement Method | Glycerol secretion [81] | Sulfated Glycosaminoglycan (sGAG) secretion [81] | Alkaline Phosphatase (ALP) activity [81] |
| Key Finding | Functional adipocytes demonstrated lipolysis [81] | Robust sGAG production confirmed chondrogenesis [81] | ALP activity indicated active osteoblast differentiation [81] |
| Cell Type Applicability | Adipose-, Bone Marrow-, Umbilical Cord-derived MSCs [81] | Adipose-, Bone Marrow-, Umbilical Cord-derived MSCs [81] | Adipose-, Bone Marrow-derived MSCs (UC-MSCs excepted) [81] |
This protocol leverages a physiologically relevant model that combines three-dimensional spheroid culture, hypoxic conditions, and a serum- and antibiotic-free environment to enhance the biological reliability of differentiation data [81].
Workflow Overview:
Materials:
Methodology:
The immunomodulatory capacity of MSCs is not constitutive but is induced by inflammatory cytokines like interferon-gamma (IFN-γ). This protocol details how to prime MSCs and evaluate a key mechanistic pathway [15].
Workflow Overview:
Materials:
Methodology:
Selecting the appropriate reagents is fundamental to successfully implementing xeno-free MSC expansion and potency assays.
Table 3: Essential Reagents for Xeno-Free MSC Potency Assays
| Reagent / Solution | Function & Importance | Example Products / Components |
|---|---|---|
| Xeno-Free Expansion Media | Provides nutrients and growth factors for MSC proliferation without animal-derived components, ensuring GMP-compliance and reducing immunogenicity risks. | MSC-Brew GMP Medium [82]; MesenCult-ACF Plus Medium [82]; STEMPRO MSC SFM XF [15]; PRIME-XV MSC expansion XSFM [38] |
| Xeno-Free Differentiation Kits | Defined media formulations to induce and assess adipogenic, osteogenic, and chondrogenic differentiation under serum-free conditions. | Commercially available xeno-free trilineage differentiation kits (e.g., from StemCell Technologies, Thermo Fisher, R&D Systems) |
| Human Platelet Lysate (hPL) | A human-derived alternative to FBS, rich in growth factors that support robust MSC expansion. Requires heparin to prevent gelation. | Produced in-house from pathogen-inactivated platelet concentrates [84] or sourced commercially. |
| Enzymatic Dissociation Reagents | For passaging cells without the use of animal-derived trypsin, maintaining the xeno-free chain. | TrypLE Select, recombinant trypsin [83] |
| Cell Culture Coatings | Provides a defined attachment substrate for MSCs when using certain serum-free media that lack adhesion factors. | MesenCult XF Attachment Substrate [83], CELLstart CTS [83] |
| Interferon-Gamma (IFN-γ) | Critical cytokine for priming MSCs to enhance their immunomodulatory properties and induce IDO1 expression. | Recombinant Human IFN-γ, GMP-grade |
Rigorous and physiologically relevant potency assays are the cornerstone of developing effective MSC-based therapeutics. The protocols outlined herein, centered on 3D spheroid differentiation and IFN-γ-mediated immunomodulation, provide a robust framework for characterizing MSCs manufactured under xeno-free, GMP-compliant conditions. By adopting these detailed methodologies, researchers and drug developers can generate highly relevant biological data, ensure product consistency, and confidently advance MSC therapies toward clinical application.
Within the advancing field of regenerative medicine, the transition to xeno-free and animal component-free culture media is critical for the safe and scalable manufacturing of mesenchymal stromal cells (MSCs) under Good Manufacturing Practice (GMP) standards. While traditional fetal bovine serum (FBS) has been the historical supplement for MSC expansion, its ill-defined nature, risk of xenogeneic immune responses, and potential for transmitting zoonotic pathogens render it unsuitable for clinical therapies [85] [86]. This application note provides a structured comparison of proliferation rates and genetic stability of MSCs cultivated in various advanced media, supported by quantitative data and detailed protocols to guide researchers and drug development professionals in optimizing GMP-compliant MSC manufacturing processes.
The following tables summarize key performance metrics for MSCs expanded in different media formulations, based on aggregated data from recent studies.
Table 1: Proliferation Metrics of MSCs in Different Media Formulations
| Media Type | Specific Product/Supplement | Population Doubling Time (Hours, Mean ± SD or Range) | Cumulative Cell Yield | References |
|---|---|---|---|---|
| Serum-Free/Xeno-Free (SFM-XF) | StemPro MSC SFM XenoFree | ~30 - 40 hours | High, sustained over multiple passages | [12] [86] |
| SFM-XF | MesenCult-ACF Plus | ~35 - 50 hours | High, sustained over multiple passages | [86] |
| GMP-grade, Animal Component-Free | MSC-Brew GMP Medium | Significantly lower vs. standard media | Enhanced colony-forming unit capacity | [67] |
| Human Platelet Lysate (HPL) | Various (Pooled) | ~40 - 60 hours | High, but can show donor-to-donor variability | [85] [11] |
| Fetal Bovine Serum (FBS) - Control | 10% FBS | ~45 - 70 hours (increases at later passages) | Lower than SFM-XF and HPL; higher senescence | [12] [86] |
Table 2: Assessment of Genetic Stability and Cellular Health
| Parameter | FBS-Based Media | SFM-XF & GMP Media | Key Findings |
|---|---|---|---|
| Cellular Senescence | Higher β-galactosidase activity | Significantly lower senescence levels | SFM-XF reduces stress-induced senescence [86] |
| DNA Damage Response | Up-regulation of pro-apoptotic genes | Favorable gene expression profile | Reduced DNA damage in SFM-cultured MSCs [86] |
| Karyotype Stability | Generally stable in early passages | Maintains normal karyotype over long-term expansion | No gross chromosomal abnormalities reported in SFM-XF [12] |
| Immunogenicity Profile | Presence of xeno-antigen (Neu5Gc) | Absence of xeno-antigens | Reduces risk of immune reactions in recipients [86] [87] |
This protocol is designed to evaluate the long-term proliferation capacity and stability of MSCs in different media [12] [86].
Key Materials:
Methodology:
This protocol assesses the long-term genetic health of MSCs, a critical safety parameter for clinical applications [86].
Key Materials:
Methodology:
The following diagrams illustrate the core experimental workflow and the signaling environment that influences MSC proliferation in defined media.
Table 3: Key Reagents for XF/ACM MSC Expansion Research
| Reagent Category | Example Products | Critical Function & Notes |
|---|---|---|
| Serum-Free/Xeno-Free Media | StemPro MSC SFM XenoFree (Thermo Fisher), MesenCult-XF (STEMCELL), MSC NutriStem XF (Biological Industries) | Defined formulations free of animal components; often require coating. Support clinical-grade expansion [12] [11]. |
| GMP-Grade Media | MSC-Brew GMP Medium (Miltenyi Biotec), Corning MSCulture Max-GMP | Manufactured under strict quality controls for clinical bioproduction. Ensures batch-to-batch consistency and traceability [67] [88]. |
| Cell Attachment Substrates | CELLstart CTS (Thermo Fisher), Animal Component-Free Cell Attachment Substrate (STEMCELL) | Provides a defined matrix for cell adhesion and spreading in coating-dependent SFM-XF systems [12] [86]. |
| Dissociation Reagents | TrypLE Select (Thermo Fisher), Recombinant Trypsin | Animal-origin-free enzymes for cell passaging, reducing immunogenicity risks [12]. |
| Human-Derived Supplements | Human Platelet Lysate (hPL), Pooled Human Serum | "Humanized" alternative to FBS. Requires rigorous screening for pathogens and may exhibit batch variability [85] [11] [87]. |
The collective data demonstrate that modern SFM-XF and GMP-grade media not only meet but can exceed the performance of traditional FBS-based systems in supporting the rapid proliferation of MSCs while concurrently enhancing critical safety parameters such as genetic stability and reduced senescence. The choice of medium directly impacts the functional characteristics of the final cell product, including its secretome [39]. Therefore, selecting a well-defined, GMP-compliant medium is not merely a regulatory hurdle but a fundamental step in ensuring the efficacy, safety, and consistency of MSC-based therapies destined for clinical application. The protocols and data presented here provide a framework for the rigorous, evidence-based selection and validation of culture media in translational MSC research.
The transition to xeno-free (XF) and animal component-free (ACF) culture systems is a critical advancement in the manufacturing of Mesenchymal Stem Cells (MSCs) for clinical applications. This shift, driven by regulatory agencies worldwide, aims to eliminate risks associated with animal-derived components, such as viral/prion contamination, immunogenic reactions, and batch-to-batch variability, which are inherent in traditional supplements like fetal bovine serum (FBS) [2]. Adhering to Good Manufacturing Practice (GMP) is paramount for ensuring that these advanced therapy medicinal products (ATMPs) are safe, efficacious, and of consistent quality [89]. This document outlines the essential quality control (QC) and release criteria for the clinical lot manufacturing of MSCs expanded in XF/ACF media, providing a detailed framework for researchers and drug development professionals.
A robust QC system for MSCs must verify a suite of critical quality attributes (CQAs) throughout the manufacturing process. The table below summarizes the essential release criteria for a clinical lot.
Table 1: Essential Release Criteria for a Clinical MSC Lot
| Quality Attribute | Test Method | Release Criteria | Rationale & Regulatory Basis |
|---|---|---|---|
| Viability | Trypan Blue Exclusion [82] | >70% (Minimum)>95% (Typical Target) [82] | Ensures metabolic fitness and therapeutic potential. |
| Identity & Purity | Flow Cytometry for CD73, CD90, CD105 positive (≥95%) and CD34, CD45, HLA-DR negative (≤2%) [16] [82] | ISCT minimal criteria [82] | Confirms MSC phenotype and absence of hematopoietic contaminants. |
| Potency | In vitro differentiation (osteogenic, adipogenic, chondrogenic) [16] [82] or other mechanism-based assay (e.g., immunomodulation) | Demonstration of multi-lineage differentiation capacity or other relevant biological activity | Links product quality to biological activity; critical for lot-to-lot consistency. |
| Sterility | BacT/Alert microbial culture [82] | No microbial growth observed | Ensures product is free from bacterial and fungal contamination. |
| Mycoplasma | PCR or culture-based assay [16] | Negative | Confirms absence of mycoplasma contamination. |
| Endotoxin | Limulus Amebocyte Lysate (LAL) assay [16] | < X EU/mL (Per specified limit, e.g., FDA guideline) | Verifies low levels of pyrogenic substances. |
| Karyotype | G-banding analysis [89] | Normal karyotype (46, XX or XY) | Ensures genomic stability after in vitro expansion. |
| Cell Count & Dosage | Automated cell counter (e.g., Scepter) [90] | Meets pre-defined dosage specification | Critical for dosing accuracy in clinical trials. |
A critical component of QC is the handling of OOS results. The FDA guidance mandates a formal, documented investigation procedure [91]. The process must be initiated immediately upon obtaining an OOS result and involves two key stages:
Principle: This protocol confirms MSC identity by detecting the presence of characteristic surface markers and the absence of hematopoietic markers, as per International Society for Cell Therapy (ISCT) guidelines.
Materials:
Procedure:
Principle: This assay demonstrates the functional capacity of MSCs to differentiate into osteocytes, adipocytes, and chondrocytes.
Materials:
Procedure:
Successful GMP-compliant, XF expansion of MSCs relies on a suite of critical reagents. The table below details essential materials and their functions.
Table 2: Key Research Reagent Solutions for XF/ACF MSC Expansion
| Reagent Category | Example Product | Function & Importance |
|---|---|---|
| Basal Media | DMEM-LG, MEM-α [16] [82] | The nutrient foundation for cell growth. Must be AOF/XF. |
| XF Serum Replacement | CTS KnockOut SR XenoFree [90], Human Serum (HS) [16], hPL [89] | Replaces FBS, providing essential growth factors and hormones while mitigating contamination risks. |
| Dissociation Enzyme | TrypLE Select [90] | A recombinant, animal-free protease for cell passaging, replacing trypsin. |
| Cell Separation Medium | — | For density gradient isolation of mononuclear cells from starting tissue. |
| Critical Reagents | Recombinant Human Serum Albumin (rHSA) [2], Recombinant Transferrin (e.g., Optiferrin) [2], Chemically Defined Lipids | Functionally replace key serum proteins; essential for a chemically defined medium. |
| Cryopreservation Medium | CryoStor [89] or DMSO (USP) in HS/XF media [16] | Protects cell viability during freeze-thaw. DMSO-free, defined formulations are ideal. |
| Quality Control Kits | Mycoplasma Detection Kit, Endotoxin (LAL) Assay Kit, Flow Cytometry Antibody Kits | Essential for verifying product safety, identity, and purity per release specifications. |
The following diagram illustrates the comprehensive pathway from tissue sourcing to final product release, highlighting key QC checkpoints.
This diagram outlines the structured decision-making process required when a quality control test yields an out-of-specification (OOS) result.
Establishing and adhering to a rigorous set of quality control and release criteria is non-negotiable for the clinical lot manufacturing of MSCs in xeno-free, GMP-compliant systems. The framework presented here, encompassing identity, purity, potency, and safety testing, provides a foundation for ensuring that cell therapy products are reliable, safe, and effective. As regulatory landscapes evolve and manufacturing science advances, these QC protocols will continue to be refined. However, the core principles of thorough testing, meticulous documentation, and structured investigation of discrepancies will remain the bedrock of producing high-quality clinical-grade MSCs.
The transition to xeno-free and animal component-free media is no longer an optional consideration but a fundamental requirement for the clinical advancement of MSC therapies. This synthesis demonstrates that modern SFM/XF platforms are capable of supporting robust MSC expansion while maintaining critical identity, function, and genetic stability. Successful implementation requires a holistic strategy that integrates a deep understanding of media formulations, rigorous process optimization, and comprehensive analytical validation. Future progress hinges on continued collaboration between researchers, manufacturers, and regulators to further standardize these platforms, enhance their cost-effectiveness, and fully elucidate their impact on the in vivo therapeutic mechanisms of MSCs, ultimately accelerating the delivery of safe and effective cell-based treatments to patients.