Human induced pluripotent stem cell (hiPSC)-derived midbrain dopaminergic cells (mDACs) represent a promising source for autologous cell therapy in Parkinson's disease (PD), but standardized regulatory criteria are essential for clinical translation. In this pre-clinical study, we generated multiple clinical-grade hiPSC lines from freshly biopsied fibroblasts of four sporadic PD patients using episomal reprogramming and differentiated them into mDACs using a refined 21-day protocol. Rigorous evaluations included whole-genome/exome sequencing, RNA sequencing, and in vivo studies, including a 39-week Good Laboratory Practice-compliant mouse safety study. While mDACs from all lines met safety criteria, mDACs from one patient failed to improve rodent behavioral outcomes, underscoring inter-individual variability. Importantly, in vitro assessments did not reliably predict in vivo efficacy, identifying dopaminergic fiber density as a key efficacy criterion. These findings support comprehensive quality control guidelines for autologous cell therapy and pave the way for a clinical trial with eight sporadic PD patients, scheduled to commence in 2025.
Pre-clinical safety and efficacy of human induced pluripotent stem cell-derived products for autologous cell therapy in Parkinson's disease.
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作者:Jeon Jeha, Cha Young, Hong Yean Ju, Lee In-Hee, Jang Heejin, Ko Sanghyeok, Naumenko Serhiy, Kim Minseon, Ryu Hannah L, Shrestha Zenith, Lee Nayeon, Park Tae-Yoon, Park HoeWon, Kim Seo-Hyun, Yoon Ki-Jun, Song Bin, Schweitzer Jeffrey, Herrington Todd M, Kong Sek Won, Carter Bob, Leblanc Pierre, Kim Kwang-Soo
期刊: | Cell Stem Cell | 影响因子: | 20.400 |
时间: | 2025 | 起止号: | 2025 Mar 6; 32(3):343-360 |
doi: | 10.1016/j.stem.2025.01.006 |
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