학술논문

Preclinical Efficacy and Safety of a Human Embryonic Stem Cell-Derived Midbrain Dopamine Progenitor Product, MSK-DA01
Document Type
article
Source
Cell Stem Cell. 28(2)
Subject
Medical Biotechnology
Biomedical and Clinical Sciences
Stem Cell Research
Brain Disorders
Aging
Parkinson's Disease
Transplantation
Stem Cell Research - Nonembryonic - Human
Regenerative Medicine
Stem Cell Research - Nonembryonic - Non-Human
Neurosciences
Neurodegenerative
5.2 Cellular and gene therapies
Development of treatments and therapeutic interventions
Neurological
Animals
Cell Differentiation
Dopamine
Dopaminergic Neurons
Human Embryonic Stem Cells
Mesencephalon
Mice
Rats
Tissue Distribution
GMP
Parkinson’s disease
cell therapy
dopamine neurons
human embryonic stem cells
human pluripotent stem cells
preclinical study
safety studies
transplantation
Biological Sciences
Medical and Health Sciences
Developmental Biology
Biological sciences
Biomedical and clinical sciences
Language
Abstract
Parkinson's disease is characterized by the loss of dopaminergic neurons in the substantia nigra leading to disabling deficits. Dopamine neuron grafts may provide a significant therapeutic advance over current therapies. We have generated midbrain dopamine neurons from human embryonic stem cells and manufactured large-scale cryopreserved dopamine progenitors for clinical use. After optimizing cell survival and phenotypes in short-term studies, the cell product, MSK-DA01, was subjected to an extensive set of biodistribution, toxicity, and tumorigenicity assessments in mice under GLP conditions. A large-scale efficacy study was also performed in rats with the same lot of cells intended for potential human use and demonstrated survival of the grafted cells and behavioral amelioration in 6-hydroxydopamine lesioned rats. There were no adverse effects attributable to the grafted cells, no obvious distribution outside the brain, and no cell overgrowth or tumor formation, thus paving the way for a future clinical trial.