Development of a flow cytometry-based pulse-width assay for detection of aggregates in cellular therapeutics to be infused by catheter.

Abstract

BACKGROUND AIMS:

Delivery of cell-based therapies through the carotid artery with the use of an intra-arterial catheter could introduce aggregates and cause focal ischemia in the brain. We developed a pulse-width flow cytometry method for aggregate detection and quantification. The assay was designed to be used as a cell product release assay in a clinical trial seeking to treat ischemic stroke with sorted cells brightly expressing aldehyde dehydrogenase (ALDH(br) cells) delivered through intra-arterial catheters.

METHODS:

The forward light scatter pulse-width axis of a flow cytometer was calibrated for particle diameter measurements through the use of traceable standard microspheres and linear regression. As a positive control, Concanavalin A-aggregated cells were counted manually and sorted onto slides to compare with pulse width-determined values. Known numbers of aggregates were spiked into purified singlet cells for quantification. A clinical standard for aggregate count and diameter was determined. The assay was used to qualify catheters with the use of ALDH(br) cells.

RESULTS:

The pulse-width axis was highly linear for microsphere diameter (r(2) > 0.99), which allowed for size calibration. Microscopically determined counts and diameters corresponded to pulse width-determined values. Known aggregate counts were linear with pulse width-determined aggregate counts (r(2) = 0.98). The limit of detection was determined to be 0.004%. Flow of ALDH(br) cells through catheters did not generate aggregates. The final method to be used as a release assay for the stroke clinical trial was tested successfully on samples from volunteer donors.

CONCLUSIONS:

The pulse-width aggregate detection assay provides a reliable, reproducible, accurate and rapid means of detection, classification and quantification of aggregates in cell therapy products.

• Authors: Darren H M Hickerson, Hannah Storrie White, Alan Nguyen, Elizabeth Nieman, Norin Meadows, Tracy Gentry, Sandra J Foster, Andrew E Balber, Michelle Fiordalisi, James M Hinson Jr
• Journal: Cytotherapy (Cytotherapy) Vol. 16 Issue 11 Pg. 1545-1557 (Nov 2014) ISSN: 1477-2566 [Electronic] England
• PMID: 24972743 (Publication Type: Journal Article)
• Copyright: Copyright © 2014 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved.

Chemical References

• Aldehyde Dehydrogenase

Topics

• Aldehyde Dehydrogenase (biosynthesis, isolation & purification)
• Bone Marrow Cells (pathology)
• Brain Ischemia (diagnosis, immunology)
• Catheters (adverse effects)
• Cell Aggregation
• Cell- and Tissue-Based Therapy (adverse effects)
• Flow Cytometry
• Gene Expression Regulation
• Humans
• Limit of Detection
• Stem Cells (pathology)
• Stroke (pathology)