首页|快速微生物检测方法在肿瘤浸润淋巴细胞(TIL)产品中的应用

快速微生物检测方法在肿瘤浸润淋巴细胞(TIL)产品中的应用

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目的:采用呼吸信号法和定量聚合酶链反应(QPCR)技术对肿瘤浸润淋巴细胞(TIL)产品的无菌检测进行评估,旨在研究高效、可靠的实验方法,以快速完成免疫细胞产品微生物检测.方法:提取患者外周血或者肿瘤组织中免疫细胞,按照直接接种法、呼吸信号法以及QPCR法,对2020版《中华人民共和国药典》1101中规定的6种菌进行方法适用性验证.结果:结果显示,在<100 CFU·mL-1条件下,TIL6种菌株在呼吸信号法适用性试验中,0.40~1.53 d检测出阳性信号,在QPCR方法检测适用性试验中,4 h内检出阳性信号.TIL中不存在干扰细菌和真菌检出的成分,两种方法专属性、耐用性良好.呼吸信号法检测限最优,QPCR法检测时间最短.结论:呼吸信号法的灵敏度和培养时间优于传统的检测方法,QPCR法将检测时间从传统无菌检测14 d缩短至4 h,两种方法都具有良好的特异性.因此在新鲜或者冻存等不同细胞使用条件下均可以作为快速检测方法的选择,在细胞治疗产品微生物检验中具有良好的应用前景.
Application of Rapid Microbiological Assay in Tumor-Infiltrating Lymphocyte(TIL)Products
Objective:To evaluate sterility detection of tumor-infiltrating lymphocyte(TIL)products by means of respiratory signal-ing method and nucleic acid amplification(QPCR)technology method,to develop an efficient and reliable method for rapid microbial detection of immune cell products.Methods:Live immune cells with short shelf life and limit cell valume,cannot be sampled with tradi-tional microbial detection methods,"This study evaluated sterility detection of tumor-infiltrating lymphocyte(TIL)products by means of respiratory signaling and nucleic acid amplification technology,aiming to develop an efficient and reliable method for rapid microbial detection of immune cell products.With the verification of the 6 strains specified in the 1101 section of 2020 edition of Chinese Pharmaco-poeia,we extract immune cells from the patient's peripheral blood or tumor tissue,andtest TIL product in direct inoculation method of Chinese Pharmacopoeia,respiratory signal method and QPCR method seperately.After in vitro activation,the tumor cells were infused back into the body to kill the tumor cells,at the same time,the immune system of the patients was further activated to achieve the goal of survival or cure with the tumor.Results:Under the condition of<100 CFU·mL-1,the respiratory test result showed that the positive sig-nal was within 0.40~1.53 d.While the positive signal was detected within 4 h by QPCR method.There are no components interfering with the detection of bacteria and fungi in TIL products.The two methods have good specificity and durability with the respiratory signal method having the best detection limit and the QPCR method having the shortest detection time.Conclusion:The sensitivity and culture time of respiratory signal method are superior to the traditional direct inoculation method of Chinese Pharmacopoeia.QPCR reduces the detection time from 14 d to 4 hs.Both methods have good specificity.Therefore,they can be used as a rapid detection method under dif-ferent product conditions such as fresh or frozen,and has good application prospects in microbial testing of cell therapy products.

Immune cellsTumor-infiltrating lymphocyteQPCRRespiratory signalMicrobial detection

王涛、周足力、初明、王星星、董兆惠、王铁山、陈萌、张秀军

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解放军总医院第五医学中心,北京 100039

北京大学人民医院,北京 100044

北京大学基础医学院,北京 100191

国家卫生健康委员会医学免疫学重点实验室,北京 100191

北京循生免疫医学转化研究院,北京 102600

北京中医药大学,北京 100029

中国标准化研究院,北京 100191

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免疫细胞 肿瘤浸润淋巴细胞 定量聚合酶链反应 呼吸信号法 微生物检测

2024

中国医药导刊
国家食品药品监督管理局信息中心

中国医药导刊

影响因子:1.408
ISSN:1009-0959
年,卷(期):2024.26(4)
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