Purpose-Due to the 4-6-month interval between a diagnostic amniocentesis and birth, clinical application of amniotic mesenchymal stem cell (AMSC)-based therapies demands a 3-stage cell manufacturing process, including isolation/primary expansion, cryopreservation, and thawing/ secondary expansion. We sought to determine the feasibility and cell yield of such a staged cell manufacturing process, within regulatory guidelines.
Methods-HumanAMSCs isolated from diagnostic amniocentesis samples (n=11) were processed under FDA-accredited Good Manufacturing Practice. Expanded cells were characterized by flow cytometry and cryopreserved for 3-5 months. Cell release criteria included: >90% CD29+, CD73+, and CD44+; <5% CD34+ and CD45+; negative mycoplasma QPCR and endotoxin assay; and ≥70% viability.Results-Isolation and ample expansion of AMSCs was achieved in 54.5% (6/11) of the samples. Early processing and at least a 2mL sample were necessary for reliable cell manufacturing. Cell yield before cryopreservation was 223.2±65.4×10 6 cells (44.6-fold expansion), plus a 14.7×10 6 -cell backup, after 36.3±7.8 days. Cell viability post-thaw was 88%. Expanded cells maintained a multipotent mesenchymal progenitor profile.Conclusions-Human amniotic mesenchymal stem cells can be manufactured in large numbers from diagnostic amniocentesis, by an accredited staged processing, under definite procurement guidelines. These data further support the viability of clinical trials of amniotic mesenchymal stem cell-based therapies.