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Bioeng Transl Med. 2020 Jul 15;6(1):e10171. doi: 10.1002/btm2.10171. eCollection 2021 Jan.

Personalized-induced neural stem cell therapy: Generation, transplant, and safety in a large animal model.

Bioengineering & translational medicine

Hunter N Bomba, Kevin T Sheets, Alain Valdivia, Simon Khagi, Laura Ruterbories, Christopher L Mariani, Luke B Borst, Debra A Tokarz, Shawn D Hingtgen

Affiliations

  1. Division of Pharmacoengineering and Molecular Pharmaceutics, UNC Eshelman School of Pharmacy The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
  2. Department of Neurosurgery The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
  3. Lineberger Comprehensive Cancer Center The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
  4. Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA.
  5. Comparative Medicine Institute North Carolina State University Raleigh North Carolina USA.
  6. Department of Population Health and Pathobiology, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA.

PMID: 33532581 PMCID: PMC7823134 DOI: 10.1002/btm2.10171

Abstract

In this study, we take an important step toward clinical translation by generating the first canine-induced neural stem cells (iNSCs). We explore key aspects of scale-up, persistence, and safety of personalized iNSC therapy in autologous canine surgery models. iNSCs are a promising new approach to treat aggressive cancers of the brain, including the deadly glioblastoma. Created by direct transdifferentiation of fibroblasts, iNSCs are known to migrate through the brain, track down invasive cancer foci, and deliver anticancer payloads that significantly reduce tumor burden and extend survival of tumor-bearing mice. Here, skin biopsies were collected from canines and converted into the first personalized canine iNSCs engineered to carry TNFα-related apoptosis-inducing ligand (TRAIL) and thymidine kinase (TK), as well as magnetic resonance imaging (MRI) contrast agents for in vivo tracking. Time-lapse analysis showed canine iNSCs efficiently migrate to human tumor cells, and cell viability assays showed both TRAIL and TK monotherapy markedly reduced tumor growth. Using intraoperative navigation and two delivery methods to closely mimic human therapy, canines received autologous iNSCs either within postsurgical cavities in a biocompatible matrix or via a catheter placed in the lateral ventricle. Both strategies were well tolerated, and serial MRI showed hypointense regions at the implant sites that remained stable through 86 days postimplant. Serial fluid sample testing following iNSC delivery showed the bimodal personalized therapy was well tolerated, with no iNSC-induced abnormal tissue pathology. Overall, this study lays an important foundation as this promising personalized cell therapy advances toward human patient testing.

© 2020 The Authors. Bioengineering & Translational Medicine published by Wiley Periodicals LLC on behalf of The American Institute of Chemical Engineers.

Keywords: glioblastoma; neural stem cells; stem cell delivery

Conflict of interest statement

K. T. S. and S. D. H have an ownership interest in Falcon Therapeutics, Inc., which has licensed aspects of iNSC technology from the University of North Carolina at Chapel Hill. H. N. B., A. V., S. K.

References

  1. Hum Exp Toxicol. 1997 Sep;16(9):505-11 - PubMed
  2. J Magn Reson Imaging. 2015 Apr;41(4):884-98 - PubMed
  3. Nat Neurosci. 2011 Dec 25;15(2):197-204 - PubMed
  4. Neuro Oncol. 2010 Sep;12(9):928-40 - PubMed
  5. Stem Cells Transl Med. 2013 Oct;2(10):766-75 - PubMed
  6. J Card Surg. 2003 Nov-Dec;18(6):486-93 - PubMed
  7. Sci Transl Med. 2013 May 8;5(184):184ra59 - PubMed
  8. Dis Model Mech. 2019 Sep 6;12(9): - PubMed
  9. Eur J Pharmacol. 2009 Dec 25;625(1-3):63-72 - PubMed
  10. Biochim Biophys Acta. 2013 Aug;1836(1):158-65 - PubMed
  11. Clin Microbiol Infect. 2014 Feb;20(2):160-6 - PubMed
  12. Toxicol Sci. 2014 May;139(1):220-33 - PubMed
  13. Drugs. 2005;65(6):859-78 - PubMed
  14. Nanomedicine (Lond). 2013 Dec;8(12):1969-83 - PubMed
  15. J Neurooncol. 1998 Jun-Jul;38(2-3):141-3 - PubMed
  16. J Gene Med. 2016 Sep;18(9):234-43 - PubMed
  17. Sci Transl Med. 2017 Feb 1;9(375): - PubMed
  18. J Clin Invest. 1999 Jul;104(2):155-62 - PubMed
  19. Nat Med. 2002 Aug;8(8):808-15 - PubMed
  20. Medicine (Baltimore). 2018 Nov;97(44):e12977 - PubMed
  21. Cancer Res. 2005 Apr 15;65(8):3307-18 - PubMed
  22. Vet Pathol. 2003 Nov;40(6):659-69 - PubMed
  23. Stem Cell Rev Rep. 2017 Feb;13(1):127-138 - PubMed
  24. Neuro Oncol. 2019 Jul 11;21(7):890-900 - PubMed
  25. Pediatr Neurol. 2017 Feb;67:23-35 - PubMed
  26. Stem Cells. 2011 Jun;29(6):920-7 - PubMed
  27. Cancer Gene Ther. 2000 Feb;7(2):240-6 - PubMed
  28. J Pharmacol Exp Ther. 2001 Oct;299(1):31-8 - PubMed
  29. J Control Release. 2018 Jul 10;281:42-57 - PubMed
  30. Oncogene. 1991 Aug;6(8):1427-35 - PubMed
  31. Clin Cancer Res. 2007 Mar 15;13(6):1663-74 - PubMed
  32. Clin Cancer Res. 2017 Jun 15;23(12):2951-2960 - PubMed
  33. Cancer Gene Ther. 2012 Jun;19(6):431-42 - PubMed
  34. Nat Commun. 2016 Feb 02;7:10593 - PubMed

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