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10.1016/j.omtm.2016.12.003

http://scihub22266oqcxt.onion/10.1016/j.omtm.2016.12.003
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suck abstract from ncbi


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pmid28345003
      Mol+Ther+Methods+Clin+Dev 2017 ; 4 (ä): 178-191
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  • Expansion of Human Tregs from Cryopreserved Umbilical Cord Blood for GMP-Compliant Autologous Adoptive Cell Transfer Therapy #MMPMID28345003
  • Seay HR ; Putnam AL ; Cserny J ; Posgai AL ; Rosenau EH ; Wingard JR ; Girard KF ; Kraus M ; Lares AP ; Brown HL ; Brown KS ; Balavage KT ; Peters LD ; Bushdorf AN ; Atkinson MA ; Bluestone JA ; Haller MJ ; Brusko TM
  • Mol Ther Methods Clin Dev 2017[Mar]; 4 (ä): 178-191 PMID28345003 show ga
  • Umbilical cord blood is a traditional and convenient source of cells for hematopoietic stem cell transplantation. Thymic regulatory T cells (Tregs) are also present in cord blood, and there is growing interest in the use of autologous Tregs to provide a low-risk, fully human leukocyte antigen (HLA)-matched cell product for treating autoimmune diseases, such as type 1 diabetes. Here, we describe a good manufacturing practice (GMP)-compatible Treg expansion protocol using fluorescence-activated cell sorting, resulting in a mean 2,092-fold expansion of Tregs over a 16-day culture for a median yield of 1.26 × 10(9) Tregs from single-donor cryopreserved units. The resulting Tregs passed prior clinical trial release criteria for Treg purity and sterility, including additional rigorous assessments of FOXP3 and Helios expression and epigenetic analysis of the FOXP3 Treg-specific demethylated region (TSDR). Compared with expanded adult peripheral blood Tregs, expanded cord blood Tregs remained more naive, as assessed by continued expression of CD45RA, produced reduced IFN-? following activation, and effectively inhibited responder T cell proliferation. Immunosequencing of the T cell receptor revealed a remarkably diverse receptor repertoire within cord blood Tregs that was maintained following in vitro expansion. These data support the feasibility of generating GMP-compliant Tregs from cord blood for adoptive cell transfer therapies and highlight potential advantages in terms of safety, phenotypic stability, autoantigen specificity, and tissue distribution.
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