Background aims.
Human dermal ABCB5-expressing mesenchymal stromal cells (ABCB5
+
MSCs) represent a promising candidate for stem cell based therapy of various currently uncurable diseases in several fields of regenerative medicine. We have developed and validated a method to isolate, from human skin samples, and expand ABCB5
+
MSCs that meet the guideline criteria of the International Society for Cellular Therapy. We are able to process these cells into a Good Manufacturing Practice conforming, MSC-based advanced-therapy medicinal product.
Methods.
To support the development of ABCB5
+
MSCs for potential therapeutic topical, intramuscular and intravenous administration, we have tested our product in a series of Good Laboratory Practice compliant nonclinical
in-vivo
studies addressing all relevant aspects of biosafety, including potential long-term persistence and proliferation, distribution to nontarget tissues, differentiation into undesired cell types, ectopic tissue formation, tumor formation and local tissue reaction.
Results.
(i) Subcutaneous application of 1 × 10
7
ABCB5
+
MSCs/animal and intravenous application of 2 × 10
6
ABCB5
+
MSCs/animal, respectively, to immunocompromised mice did not result in safety-relevant biodistribution, persistence or proliferation of the cells; (ii) three monthly subcutaneous injections of ABCB5
+
MSCs at doses ranging from 1 × 10
5
to 1 × 10
7
cells/animal and three biweekly intravenous injections of 2 × 10
6
ABCB5
+
MSCs/animal, respectively, to immunocompromised mice were nontoxic and revealed no tumorigenic potential; and (iii) intramuscular injection of 5 × 10
6
ABCB5
+
MSCs/animal to immunocompromised mice was locally well tolerated.
Discussion.
The present preclinical
in vivo
data demonstrate the local and systemic safety and tolerability of a novel advanced-therapy medicinal product based on human skin-derived ABCB5
+
MSCs.