Journal Home > Volume 8 , Issue 4

Currently, there are many different standards for the quality control of olfactory ensheathing cell (OEC) culture prepared from human olfactory bulb and mucosa. It is challenging to compare the clinical results of OEC treatment from different hospitals. Based on various standards, the Chinese Association of Neurorestoratology (CANR; Preparatory) and China Committee of International Association of Neurorestoratology (IANR-China Committee) organized professional experts in this field to evaluate the data and develop a standard for clinical applications, including donor evaluation, sample collection, cell culture, cell testing, packaging labels, storage, transportation, and quality control of intermediate/finished cell products, as well as training and management procedures for laboratory operators, the use and management of materials and equipment, and routine maintenance of a clean environment. These standards apply to the quality and control of OEC culture using human olfactory bulb and mucosa as the sample source for the member units of the CANR (Preparatory) and IANR-China Committee. It serves as a reference for physicians around the world who perform OEC clinical applications. This standard represents the minimum required standards for quality control when performing clinical-grade OEC cultures in clinical neurorestorative treatments.


menu
Abstract
Full text
Outline
About this article

Standards of clinical-grade olfactory ensheathing cell culture and quality control (2020 China Version)

Show Author's information Hongyun Huang1,( )Wenyong Gao1Zhenghui Yan2Aibing Liu3Xijing He4Ming Lu5Ying Liu3Yixin Shen6Jianhua Zhao7Zuncheng Zheng8Tiansheng Sun9Yaojian Rao10Yaojian Rao10
Beijing Hongtianji Neuroscience Academy, Beijing 100143, China
Shanghai Qikang Regenerative Medical Technologies Co., Ltd., Shanghai 200231, China
Institute of Neurorestoratology, Third Medical Center of General Hospital of PLA, Beijing 100039, China
Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi’an International Medical Center Hospital, Xi’an 710004, Shaanxi, China
Department of Neurosurgery, Second Affiliated Hospital of Hunan Normal University, Changsha 410003, Hunan, China
Department of Orthopedics, Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu, China
Department of Neurology, First Affiliated Hospital of Xinxiang Medical University, Henan Key Laboratory of Neurorestoratology, Henan Joint International Research Laboratory of Neurorestoratology for Senile Dementia, Xinxiang 453100, Henan, China
Department of Rehabilitation Medicine, Taian Central Hospital, Taian 271000, Shandong, China, 271000
Department of Orthopedics, Seventh Medical Center of General Hospital of PLA, Beijing 100700, China
Department of Orthopedics, Luoyang Bone Setting Hospital, Luoyang 471000, Henan, China

Abstract

Currently, there are many different standards for the quality control of olfactory ensheathing cell (OEC) culture prepared from human olfactory bulb and mucosa. It is challenging to compare the clinical results of OEC treatment from different hospitals. Based on various standards, the Chinese Association of Neurorestoratology (CANR; Preparatory) and China Committee of International Association of Neurorestoratology (IANR-China Committee) organized professional experts in this field to evaluate the data and develop a standard for clinical applications, including donor evaluation, sample collection, cell culture, cell testing, packaging labels, storage, transportation, and quality control of intermediate/finished cell products, as well as training and management procedures for laboratory operators, the use and management of materials and equipment, and routine maintenance of a clean environment. These standards apply to the quality and control of OEC culture using human olfactory bulb and mucosa as the sample source for the member units of the CANR (Preparatory) and IANR-China Committee. It serves as a reference for physicians around the world who perform OEC clinical applications. This standard represents the minimum required standards for quality control when performing clinical-grade OEC cultures in clinical neurorestorative treatments.

Keywords: neurorestoration, standard, clinical-grade, olfactory ensheathing cell, cell culture, quality control

References(46)

[1]
F Féron, C Perry, J Cochrane, et al. Autologous olfactory ensheathing cell transplantation in human spinal cord injury. Brain. 2005, 128(Pt 12): 2951-2960.
[2]
YS Ren, GZ Tian, HM Wang, et al. Quality specification of human embryo olfactory ensheathing cells from olfactory bulb (in Chinese). J Clin Rehabil Tissue Eng Res. 2008, 16: 3156-3157.
[3]
YS Ren, HY Huang, L Chen, et al. The primary culture for human embryonic olfactory ensheathing cells of olfactory bulb (in Chinese). Prog Anat Sci. 2010, 16(2): 97-100.
[4]
P Tabakow, W Jarmundowicz, B Czapiga, et al. Transplantation of autologous olfactory ensheathing cells in complete human spinal cord injury. Cell Transplant. 2013, 22(9): 1591-1612.
[5]
J Xiao, L Chen, GS Mao, et al. Neurorestorative clinical application standards for the culture and quality control of olfactory ensheathing cells. J Neurorestoratology. 2017, 5: 175-179.
[6]
G Raisman. Specialized neuroglial arrangement may explain the capacity of vomeronasal axons to reinnervate central neurons. Neuroscience. 1985, 14(1): 237-254.
[7]
R Doucette. Glial influences on axonal growth in the primary olfactory system. Glia. 1990, 3(6): 433-449.
[8]
R Doucette. PNS-CNS transitional zone of the first cranial nerve. J Comp Neurol. 1991, 312(3): 451-466.
[9]
A Ramón-Cueto, M Nieto-Sampedro. Regeneration into the spinal cord of transected dorsal root axons is promoted by ensheathing glia transplants. Exp Neurol 1994, 127(2): 232-244.
[10]
A Ramón-Cueto, F Valverde. Olfactory bulb ensheathing glia: a unique cell type with axonal growth-promoting properties. Glia. 1995, 14(3): 163-173.
[11]
RJ Franklin, JM Gilson, IA Franceschini, et al. Schwann cell-like myelination following transplantation of an olfactory bulb-ensheathing cell line into areas of demyelination in the adult CNS. Glia. 1996, 17(3): 217-224.
DOI
[12]
Y Li, PM Field, G Raisman. Repair of adult rat corticospinal tract by transplants of olfactory ensheathing cells. Science. 1997, 277(5334): 2000-2002.
[13]
A Ramón-Cueto, J Avila. Olfactory ensheathing glia: properties and function. Brain Res Bull. 1998, 46(3): 175-187.
[14]
A Ramón-Cueto, GW Plant, J Avila, et al. Long-distance axonal regeneration in the transected adult rat spinal cord is promoted by olfactory ensheathing glia transplants. J Neurosci. 1998, 18(10): 3803-3815.
[15]
A Ramón-Cueto, MI Cordero, FF Santos-Benito, et al. Functional recovery of paraplegic rats and motor axon regeneration in their spinal cords by olfactory ensheathing glia. Neuron. 2000, 25(2): 425-435.
[16]
RJ Franklin. Remyelination by transplanted olfactory ensheathing cells. Anat Rec B New Anat. 2003, 271(1): 71-76.
[17]
G Raisman, Y Li. Repair of neural pathways by olfactory ensheathing cells. Nat Rev Neurosci. 2007, 8(4): 312-319.
[18]
EH Franssen, FM de Bree, J Verhaagen. Olfactory ensheathing glia: their contribution to primary olfactory nervous system regeneration and their regenerative potential following transplantation into the injured spinal cord. Brain Res Rev. 2007, 56(1): 236-258.
[19]
MW Richter, AJ Roskams. Olfactory ensheathing cell transplantation following spinal cord injury: hype or hope? Exp Neurol. 2008, 209(2): 353-367.
[20]
Z Su, C He. Olfactory ensheathing cells: biology in neural development and regeneration. Prog Neurobiol. 2010, 92(4): 517-532.
[21]
A Ramón-Cueto, C Muñoz-Quiles. Clinical application of adult olfactory bulb ensheathing glia for nervous system repair. Exp Neurol. 2011, 229(1): 181-194.
[22]
JR Higginson, SC Barnett. The culture of olfactory ensheathing cells (OECs)——a distinct glial cell type. Exp Neurol. 2011, 229(1): 2-9.
[23]
Y Li, L Chen, YX Zhao, et al. Intracranial transplant of olfactory ensheathing cells can protect both upper and lower motor neurons in amyotrophic lateral sclerosis. Cell Transplant. 2013, 22(1): S51-S65.
[24]
WJ Wu, GZ Hui, H Lu, et al. Effects of different materials and culture methods on the purity of fetal olfactory ensheathing cells (in Chinese). Chin J Exp Surg. 2004, 21(7): 841-844.
[25]
LM Qian, ZJ Zhang, P Jiang. A novel glia: olfactory ensheathing cell (in Chinese). Prog Anat Sci. 2006, 12(1): 63-66.
[26]
HY Huang. Basic and clinical study of olfactory ensheathing cell transplantation for spinal cord injury (in Chinese). Chin J Clin Rehabil. 2002, 6(14): 2027-2029.
[27]
HY Huang, HM Wang, B Xiu, et al. Preliminary report of clinical trial for olfactory ensheathing cell transplantation treating the spinal cord injury (in Chinese). J Navy Gen Hosp PLA. 2002 (1): 18-21.
[28]
HY Huang, L Chen, HM Wang, et al. Influence of patients’ age on functional recovery after transplantation of olfactory ensheathing cells into injured spinal cord injury. Chin Med J (Engl). 2003, 116(10): 1488-1491.
[29]
HY Huang, L Chen, HT Xi, et al. Fetal olfactory ensheathing cells transplantation in amyotrophic lateral sclerosis patients: a controlled pilot study. Clin Transplant. 2008, 22(6): 710-718.
[30]
A Mackay-Sim, F Féron, J Cochrane, et al. Autologous olfactory ensheathing cell transplantation in human paraplegia: a 3-year clinical trial. Brain. 2008, 131(Pt 9): 2376-2386.
[31]
HY Huang, L Chen, HT Xi, et al. Olfactory ensheathing cells transplantation for central nervous system diseases in 1,255 patients (in Chinese). Chin J Repar Reconstruct Surg. 2009, 23(1): 14-20.
[32]
L Chen, HY Huang, HT Xi, et al. Intracranial transplant of olfactory ensheathing cells in children and adolescents with cerebral palsy: a randomized controlled clinical trial. Cell Transplant. 2010, 19(2): 185-191.
[33]
HY Huang, HT Xi, L Chen, et al. Long-term outcome of olfactory ensheathing cell therapy for patients with complete chronic spinal cord injury. Cell Transplant. 2012, 21(Suppl 1): S23-S31
[34]
L Chen, D Chen, H Xi, et al. Olfactory ensheathing cell neurorestorotherapy for amyotrophic lateral sclerosis patients: benefits from multiple transplantations. Cell Transplant. 2012, 21(Suppl): S65-S77.
[35]
YJ Rao, WX Zhu, YX Guo, et al. Long-term outcome of olfactory ensheathing cell transplantation in six patients with chronic complete spinal cord injury. Cell Transplant. 2013, 22(Suppl 1): S21-S25.
[36]
P Tabakow, G Raisman, W Fortuna, et al. Functional regeneration of supraspinal connections in a patient with transected spinal cord following transplantation of bulbar olfactory ensheathing cells with peripheral nerve bridging. Cell Transplant. 2014, 23(12): 1631-1655.
[37]
L Chen, HT Xi, HY Huang, et al. Multiple cell transplantation based on an intraparenchymal approach for patients with chronic phase stroke. Cell Transplant. 2013, 22(Suppl 1): S83-S91.
[38]
HT Xi, L Chen, HY Huang, et al. Preliminary report of multiple cell therapy for patients with multiple system atrophy. Cell Transplant. 2013, 22(Suppl 1): S93-S99.
[39]
L Chen, HY Huang, HT Xi, et al. A prospective randomized double-blind clinical trial using a combination of olfactory ensheathing cells and Schwann cells for the treatment of chronic complete spinal cord injuries. Cell Transplant. 2014, 23(Suppl 1): S35-S44.
[40]
S Wang, JK Lu, YA Li, et al. Autologous olfactory lamina propria transplantation for chronic spinal cord injury: 3-year follow-up outcomes from a prospective double-blinded clinical trial. Cell Transplant. 2016, 25(1): 141-157.
[41]
XL Guo, X Wang, Y Li, et al. Olfactory ensheathing cell transplantation improving cerebral infarction sequela: a case report and literature review. J Neurorestoratology. 2019, 7(2): 82-88.
[42]
YL Wang, XL Guo, J Liu, et al. Olfactory ensheathing cells in chronic ischemic stroke: A phase 2 double-blind, randomized, controlled trial. J Neurorestoratology. 2020, 8(3): 182-193.
[43]
HY Huang, WY Gao, J Xiao. Preparation Method for Olfactory Ensheathing Cells. US patent, No. US 10828734(B2), Nov 20, 2020.
[44]
HY Huang, W Young, L Chen, et al. Clinical cell therapy guidelines for neurorestoration (IANR/CANR 2017). Cell Transplant. 2018, 27(2): 310-324.
[45]
GT Gobbel, D Kondziolka, W Fellows-Mayle, et al. Cellular transplantation for the nervous system: impact of time after preparation on cell viability and survival. J Neurosurg. 2010, 113(3): 666-672.
[46]
XR Jiang, J Xiao, YS Ren, et al. The influence of 4 degree centigrade concervation on cells activity of rats’ olfactory bulbs derived olfactory ensheathing cells (in Chinese). Prog Anat Sci. 2011, 17(5), 17: 424-427.
Publication history
Copyright
Rights and permissions

Publication history

Received: 23 October 2020
Revised: 05 October 2020
Accepted: 28 December 2020
Published: 07 February 2021
Issue date: December 2020

Copyright

© The authors 2020

Rights and permissions

This article is published with open access at http://jnr.tsinghuajournals.com

Return