TWI622649B - Preparation of parental cell bank from foetal tissue - Google Patents

Preparation of parental cell bank from foetal tissue Download PDF

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TWI622649B
TWI622649B TW101141391A TW101141391A TWI622649B TW I622649 B TWI622649 B TW I622649B TW 101141391 A TW101141391 A TW 101141391A TW 101141391 A TW101141391 A TW 101141391A TW I622649 B TWI622649 B TW I622649B
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雅珮潔 黎安 羅倫
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沃州醫學中心
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Abstract

本發明係關於一種於體外由胎兒組織製備親代細胞庫(PCB)之方法,該胎兒組織係由胎兒骨骺組織、胎兒跟腱組織及胎兒皮膚組織組成,該方法係使用快速、物理性的初級細胞培養物選擇法來選出要使用在創傷及組織修補的方法中的細胞類型。 The invention relates to a method for preparing a parental cell bank (PCB) from fetal tissue in vitro. The fetal tissue is composed of fetal epiphysis tissue, fetal Achilles tendon tissue, and fetal skin tissue. The method uses a fast, physical primary Cell culture selection method to select cell types to be used in wound and tissue repair methods.

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從胎兒組織製備親代細胞庫 Preparation of a parental cell bank from fetal tissue

本發明係關於在體外由胎兒組織製備親代細胞庫(PCB)之方法,該胎兒組織係由胎兒骨骺組織、胎兒跟腱組織及胎兒皮膚組織組成,該方法係使用快速、物理性的初級細胞培養物選擇法來選出要使用在創傷及組織修補的方法中的細胞類型。 The invention relates to a method for preparing a parental cell bank (PCB) from fetal tissue in vitro. The fetal tissue is composed of fetal epiphysis tissue, fetal Achilles tendon tissue, and fetal skin tissue. The method uses fast and physical primary cells. Culture selection method to select cell types to be used in wound and tissue repair methods.

細胞療法已成為受人關注的作為修補、恢復、或改善組織功能的醫用療法的額外選項,且特別是與習知的手術技術結合而作為修補、恢復、或改善組織功能的醫用療法。對於病患,有些細胞選擇會比起其他更適於細胞療法。對於動物與人類在所有發育的年齡的組織選擇均可針對各個最終細胞類型評估其優點及缺點。目前,針對人類細胞系療法的限制,係關於以下事項的技術極限:細胞增殖能力(簡單培養條件)、維持初級人類細胞培養物之已分化表型、傳染病的傳播,及所選之細胞族群取決於分離程序的一致性(consistency)及穩定性。來自單一器官捐贈物的經培養的初級胎兒細胞符合針對開發醫藥用產品的緊急且嚴格的技術觀點。能在短時間內開發出來自單一胎兒器官捐贈物的種細胞庫(master cell bank)及工作細胞庫(working cell bank),且能在細胞庫製作的各階段實施安全性測試。 Cell therapy has become an additional option of interest as a medical therapy for repairing, restoring, or improving tissue function, and in particular as a medical therapy for repairing, restoring, or improving tissue function in combination with conventional surgical techniques. For patients, some cell options are more suitable for cell therapy than others. For animal and human tissue selection at all developmental ages, their advantages and disadvantages can be assessed for each final cell type. Currently, the limitations on therapies for human cell lines are technical limits regarding: cell proliferation capacity (simple culture conditions), maintaining differentiated phenotypes of primary human cell cultures, transmission of infectious diseases, and selected cell populations Depends on the consistency and stability of the separation procedure. Cultured primary fetal cells from a single organ donation fit the urgent and rigorous technical point of view for the development of medical products. A master cell bank and a working cell bank from a single fetal organ donation can be developed in a short period of time, and safety tests can be implemented at each stage of the cell bank production.

針對外科手術程序及特定組織之組織工程,細胞療法已被提議作為是較少侵入性的替代療法,或作為組合的療法。已有人調查一些細胞類型以利用在細胞療法:胚胎幹細胞(ES)、臍帶細胞、胎兒細胞及成體幹細胞(來自於骨髓-造血性幹細胞或HSC及骨髓幹細胞或MSC),以及脂肪組織、血小板、胎盤及羊水細胞。對於組織工程中的所有應用,細胞來源及類型是主要的重點。針對有各種優缺點的特定療法,需對各類型細胞以不同方法來處理操作其分化及自我更新的能力。 For surgical procedures and tissue engineering of specific tissues, cell therapy has been proposed as a less invasive alternative therapy or as a combination therapy. Some cell types have been investigated for use in cell therapy: embryonic stem cells (ES), umbilical cord cells, fetal cells and adult stem cells (from bone marrow-hematopoietic stem cells or HSC and bone marrow stem cells or MSCs), as well as adipose tissue, platelets, Placenta and amniotic fluid cells. For all applications in tissue engineering, the source and type of cells is the main focus. For specific therapies with various advantages and disadvantages, different types of cells need to be processed in different ways to manipulate their ability to differentiate and self-renew.

胎兒細胞已在生物學及醫學上廣泛使用多年,但對於其重要性特別是在開發必要的疫苗方面,並未有許多的公知知識。胎兒細胞為已分化的細胞,其具有高度的擴增性、再生性及低免疫原性。其可在胚胎期發育9週之後從胎兒組織分離。胎兒皮膚細胞之所以提供有效且安全的細胞療法及組織工程的理想解決法,包括以下的幾個理由;a)可從單一器官捐贈物將細胞擴增的能力;b)細胞生長需求極少;c)適應於供傳送的生物材料;及d)耐受氧化的壓迫。胎兒皮膚細胞有強大的擴增性,因其僅需要單一器官捐贈物(1-4 cm2組織)來創製出足夠的冷凍細胞,以供生產能使用於數十萬次治療的細胞庫(即,針對皮膚,可從單一專用的細胞庫產生超過350億個9 x 12 cm的胎兒皮膚建構物)。而且,比起幹細胞或間葉細胞類型,對於細胞培養的要求極少。由於胎兒皮膚細胞已經分化,且不需要導向或改變,因此在培養細胞及擴增時不需要通常需要的許多種的額外的生長因子。針對製作細胞庫,小心選擇捐贈者並且廣泛篩選捐贈者以及培養的細胞以避免會傳播的病毒性、真菌性或細菌性疾病,可將胎兒細胞安全、無危險地利用在醫療用途。此外,胎兒細胞,與新生細胞、年輕細胞或成體細胞不同,其特別適應生物材料,因而能夠有效率且簡易的傳送至患者。已有報告顯示來自捐贈者(新生至成體)的細胞,不能有效率地整合到各種生物材料,且有些的生物材料事實上對於細胞有毒性。雖然支架(scaffold)對於組織工程真的是重要,但是細胞類型最有可能是限制因子。為了處理供臨床傳送的終產物,均質的分布以及快速開發終產物均係主要重大的優點。若需要長時間的培養期,針對自體移殖或迄今的市售產品,會存在無可忽視的污染風險增加。能有一致且易重複的處理也是重要的。藉由以胎兒細胞發展一致性的細胞庫,可消除許多的風險因子,而對於臨床提供安全且有效的人類細胞系的治療法。 Fetal cells have been widely used in biology and medicine for many years, but there is not much known about their importance, especially in developing the necessary vaccines. Fetal cells are differentiated cells that are highly expandable, regenerative, and low immunogenic. It can be isolated from fetal tissues after 9 weeks of embryonic development. Fetal skin cells provide the ideal solution for effective and safe cell therapy and tissue engineering, including the following reasons: a) the ability to expand cells from a single organ donor; b) the need for cell growth is minimal; c ) Adapted to the biological material being delivered; and d) resistant to oxidative stress. Fetal skin cells are powerfully expandable because they only require a single organ donation (1-4 cm 2 tissue) to create enough frozen cells to produce a cell bank that can be used for hundreds of thousands of treatments (i.e. , For the skin, more than 35 billion 9 x 12 cm fetal skin structures can be generated from a single dedicated cell bank). Moreover, compared to stem or mesenchymal cell types, the requirements for cell culture are minimal. Because fetal skin cells have been differentiated and do not need to be directed or changed, many of the additional growth factors that are normally required are not required for cell culture and expansion. For the production of cell banks, careful selection of donors and extensive screening of donors and cultured cells to avoid spreading viral, fungal or bacterial diseases, fetal cells can be used safely and without risk for medical purposes. In addition, fetal cells, unlike newborn cells, young cells, or adult cells, are particularly adapted to biological materials and can therefore be efficiently and easily delivered to patients. It has been reported that cells from donors (newborn to adult) cannot be efficiently integrated into various biological materials, and some biological materials are actually toxic to cells. Although scaffolds are really important for tissue engineering, the cell type is most likely the limiting factor. In order to handle end products for clinical delivery, homogeneous distribution and rapid development of end products are major significant advantages. If a long incubation period is required, there will be a non-negligible increase in the risk of contamination for autologous transplantation or hitherto commercially available products. It is also important to have a consistent and easily repeatable process. By developing a consistent cell bank with fetal cells, many risk factors can be eliminated, and clinically safe and effective treatments for human cell lines can be provided.

對於細胞系產品,包括同一性、純度、無菌性、穩定性、安定性及有效性係推薦的要因。綜之,新的法規針對製造以及用於製造用在臨床試驗及治療的細胞系產物的環境有嚴格的準則。目前針對人類細胞系治療法的限制係關於在細胞增殖能力(簡單培養條件)、維持初級人類細胞培養物之已分化表型、傳播性疾病的傳播、及所選之細胞群組視其單離步驟之一致性及安定性方面的技術限制。來自單一器官捐贈的培養的初級胎兒細胞符 合用於開發醫療產品的急切的及嚴格的技術觀點。從單一胎兒器官捐贈物可在短時間內培養出種細胞庫及工作細胞庫,且可在細胞庫製作的所有階段實施安全性測試。針對醫療用途,胎兒細胞至多可在規模擴充處理中使用其生命期的2/3期間,且可確保包括蛋白質濃度、基因表現及生物活性的數個生物學性質的一致性。 For cell line products, the factors including identity, purity, sterility, stability, stability and effectiveness are recommended. In summary, the new regulations have strict guidelines for manufacturing and the environment used to manufacture cell line products used in clinical trials and treatments. Current limitations on therapies for human cell lines are in cell proliferation capacity (simple culture conditions), maintenance of differentiated phenotypes in primary human cell cultures, transmission of transmissible diseases, and selected cell populations as separate Technical constraints in terms of consistency and stability of steps. Cultured primary fetal cells from a single organ donation An eager and rigorous technical perspective for developing medical products. From a single fetal organ donation, a seed cell bank and a working cell bank can be cultured in a short time, and safety tests can be performed at all stages of cell bank production. For medical purposes, fetal cells can use up to two-thirds of their lifespan in scale-up processing, and can ensure consistency in several biological properties including protein concentration, gene expression, and biological activity.

胎兒細胞在關於其收集、培養物擴增及保存上相對操作簡單,使得胎兒細胞成為細胞治療法的誘人的選項。與ES細胞不同,胎兒細胞並不會形成腫瘤,而且當移殖時似乎欠缺免疫原性。相較於迄今的間葉細胞,胎兒細胞不需要用於生長的滋養層(feeder layers)或供分化的特定的生長因子。單一器官捐贈物即能製造一致性的種細胞庫(MCB),可供數十萬次的患者治療。可以對於該完整定義的一致的細胞庫,與血清學及病原學分析已完成的原始的器官捐贈物同步地、簡單的評估關於任意潛在病毒或病原的安全性。 Fetal cells are relatively simple to collect, expand and store, making fetal cells an attractive option for cell therapy. Unlike ES cells, fetal cells do not form tumors and appear to be less immunogenic when transplanted. Compared to mesenchymal cells to date, fetal cells do not require feeder layers for growth or specific growth factors for differentiation. A single organ donation can create a consistent seed cell bank (MCB) that can be used for hundreds of thousands of patient treatments. For this fully defined and consistent cell bank, the safety of any potential virus or pathogen can be easily and simultaneously evaluated in tandem with the original organ donations that have been completed for serological and pathogenic analysis.

從特定組織(例如軟骨、腱及皮膚)而來的已分化的胎兒細胞的初級培養物,會決定所開發出的臨床細胞庫的品質,而包括軟骨細胞(軟骨細胞源祖細胞)、皮膚纖維母細胞源祖細胞、及腱源祖細胞之特定細胞來源可自該特定組織發展而來。組織的初始處理對於之後產製的細胞的生理性質為重要的觀點係已為人所接受。在初級培養中常規的技藝係將小片組織以酵素消化來放出供細胞培養的所有的活細胞。此技藝對於“硬”組織特別需要使用,但也針對軟組織使用,常規係使用多次的消化步驟。藉此,可將完整的不同的細胞族群釋出,並且在初級及次級培養物中培養(Carrascosa A,Audi L,Ballabriga A Pediatric Research 19:720-727,1985;Roche S et al,Biomaterials 22:9-18,2001;Bae H.et al.,The Spine Journal Vol.8,No.5,pages 92S-93S,2008;Reginato A.M.et al.,Arthritis and Rheumatism,Vol.37,No.9,1994)。 Primary cultures of differentiated fetal cells from specific tissues (such as cartilage, tendons, and skin) will determine the quality of the clinical cell bank developed, including chondrocytes (chondrocyte-derived progenitor cells), skin fibers Blast cell-derived progenitor cells, and specific cell sources of tendon-derived progenitor cells can develop from that particular tissue. The idea that the initial treatment of the tissue is important for the physiological properties of the cells produced later is accepted. The conventional technique in primary culture is to digest small pieces of tissue with enzymes to release all living cells for cell culture. This technique is particularly needed for "hard" tissues, but it is also used for soft tissues, and conventionally uses multiple digestion steps. In this way, intact different cell populations can be released and cultured in primary and secondary cultures (Carrascosa A, Audi L, Ballabriga A Pediatric Research 19: 720-727, 1985; Roche S et al, Biomaterials 22 : 9-18, 2001; Bae H. et al., The Spine Journal Vol. 8, No. 5, pages 92S-93S, 2008; Reginato AMet al., Arthritis and Rheumatism, Vol. 37, No. 9 ,, 1994).

然而,已知酵素性處理會造成不一致,使細胞族群有不同的外型、生理性質、穩定性及功能(Diaz-Romero J,Gaillard J-P,Grogan P,Nesic,Trub T,Varlet P-M J Cellular Physiol 202:731-742,2005)。 However, it is known that the enzymatic treatment will cause inconsistencies, resulting in different cell populations with different appearance, physiological properties, stability and functions (Diaz-Romero J, Gaillard JP, Grogan P, Nesic, Trub T, Varlet PM J Cellular Physiol 202 : 731-742, 2005).

關節的軟骨由於其無血管、無神經、無淋巴管的天性,對於外科醫師及組織工程師而言均使該組織修補變成一項挑戰。作為骨軟骨治療策略的黃金標準,特別是針對細胞來源的選擇,仍然是中心且有爭議的課題,到 目前仍未決定。迄今,成體間葉基質細胞(MSC),即便考慮到表型的均質性、可靠性及穩定性,仍係最常用的細胞來源。 The articular cartilage, due to its non-vascular, nerve-free, and lymphatic-free nature, makes repairing this tissue a challenge for both surgeons and tissue engineers. As the gold standard for osteochondral treatment strategies, especially the choice of cell source, it remains a central and controversial topic. No decision yet. To date, adult mesenchymal stromal cells (MSCs) are still the most commonly used cell source, even considering the phenotype's homogeneity, reliability, and stability.

因為迄今仍無對於骨關節缺陷的令人滿意的治療解決方法,對其的治療需要改善。尤其,開發出能避免軟骨未成熟退化之新的解決方法以避免要替換整個關節,特別重要。新的細胞輔助性外科技術的發展,係基於能符合嚴格的治療劑製備的要求的限定的細胞庫產品。 Because there is still no satisfactory treatment solution for bone and joint defects, the treatment of it needs improvement. In particular, it is particularly important to develop new solutions to avoid the immature degradation of cartilage to avoid replacing the entire joint. The development of new cell-assisted surgery technology is based on a limited cell bank product that can meet the requirements of strict therapeutic agent preparation.

因此,對於開發供用在治療策略的製造新組織比如腱、軟骨、其他肌肉骨骼組織及皮膚的方法,仍有需求。更具體而言,對於提供更穩定且均一的細胞族群的細胞庫以及找尋不會有觸發免疫反應之風險且不帶有任何傳染性劑的適當細胞來源,有所需求。 Therefore, there remains a need to develop methods for manufacturing new tissues such as tendons, cartilage, other musculoskeletal tissues, and skin for use in therapeutic strategies. More specifically, there is a need for a cell bank that provides a more stable and homogeneous population of cells and to find an appropriate source of cells that does not risk triggering an immune response and does not carry any infectious agents.

為了解決上述問題,申請人建立了一非酵素方法,其係以物理性且快速釋出定義樹立親代細胞庫(PCB)之特徵的早期貼附細胞族群。在一些具體例中,該初級、已分化的細胞係來自於特定的軟骨組織、特定的腱組織,及特定的皮膚組織。對於該技術領域中具有通常知識者而言,其他具體例可包括來自皮膚及肌肉骨骼組織,例如腱、骨骼、肌肉及椎間盤的初級已分化細胞。開發PCB能完成進一步的一致且穩定的細胞庫製作。 In order to solve the above-mentioned problems, the applicant has established a non-enzymatic method, which is a group of early attached cells that physically and quickly defines the characteristics of establishing a parent cell bank (PCB). In some specific examples, the primary, differentiated cell line is derived from specific cartilage tissue, specific tendon tissue, and specific skin tissue. For those skilled in the art, other specific examples may include primary differentiated cells from skin and musculoskeletal tissues, such as tendons, bones, muscles, and intervertebral discs. Developing a PCB can complete further consistent and stable cell bank production.

具體而言,本發明之一具體例提供一種體外非酵素方法,其係供單離、擴增及發展選自於由胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒皮膚纖維母細胞構成之群組的胎兒細胞,包含以下步驟:a)使用胎兒樣本,其係選自於包含胎兒骨骺軟骨細胞之胎兒尺骨軟骨;包含胎兒跟腱細胞之胎兒跟腱;或包含胎兒皮膚纖維母細胞之胎兒腹部皮膚;b)將該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本微切片,並藉由以物理性附著於經解剖刀刻劃的表面以分散;c)於體外以該胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒腹部皮膚纖維母細胞增殖的條件培養該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本;d)從其中選擇及單離最早貼附的胎兒骨骺軟骨細胞細胞族群、最早貼附的胎兒跟腱細胞細胞族群、及最早貼附的胎兒皮膚纖維母細胞族群。 Specifically, one embodiment of the present invention provides an in vitro non-enzymatic method for isolation, expansion and development selected from the group consisting of fetal epiphyseal chondrocytes, fetal Achilles tendon cells, or fetal skin fibroblasts. Fetal cells, including the following steps: a) using a fetal sample selected from fetal ulnar cartilage containing fetal epiphyseal chondrocytes; fetal Achilles tendon containing fetal Achilles tendon cells; or fetal abdominal skin containing fetal skin fibroblasts B) microsectioning the fetal ulnar cartilage, fetal Achilles tendon or fetal abdominal skin samples and dispersing by physically attaching to a scalpel-scribed surface; c) using the fetal epiphyseal chondrocytes, fetus in vitro Achilles tendon cells or fetal abdomen skin fibroblasts proliferate under conditions of culture of the fetal ulnar cartilage, fetal Achilles tendon, or fetal abdominal skin samples; d) select and isolate the earliest fetal epiphyseal chondrocyte cell population and earliest attachment Fetal Achilles tendon cell population, and the earliest attached fetal skin fibroblast cell population.

於另一具體例,本發明提供胎兒細胞,其係藉由本發明之非酵素方法獲得,該胎兒細胞,比如:胎兒骨骺軟骨細胞細胞株,命名為FE002-Cart且寄存編號BCRC 960459;胎兒跟腱細胞細胞株,命名為FE002-Ten且寄存編號BCRC 960461;胎兒皮膚纖維母細胞細胞株,命名為FE002-SK2且寄存編號BCRC 960460。 In another specific example, the present invention provides fetal cells, which are obtained by the non-enzymatic method of the present invention. The fetal cells, such as: fetal epiphyseal chondrocyte cell line, are named FE002-Cart and registered as BCRC 960459; fetal Achilles tendon The cell line was named FE002-Ten and registered as BCRC 960461; the fetal skin fibroblast cell line was named FE002-SK2 and registered as BCRC 960460.

於另一具體例,本發明提供由本發明之方法獲得之胎兒細胞之用途,係藉由使用整合到各種基質的該已分化的軟骨、腱或皮膚細胞,以製造新的軟骨組織及/或立體建構物、新的腱組織及/或立體建構物、新的皮膚組織及/或立體建構物。 In another specific example, the present invention provides the use of fetal cells obtained by the method of the present invention, by using the differentiated cartilage, tendon or skin cells integrated into various substrates to create new cartilage tissue and / or three-dimensional Construct, new tendon tissue and / or three-dimensional construct, new skin tissue and / or three-dimensional construct.

於另一具體例,本發明提供由本發明之方法獲得之胎兒細胞,係將其作為治療劑。 In another specific example, the present invention provides fetal cells obtained by the method of the present invention as a therapeutic agent.

於另一具體例,本發明提供由本發明之方法獲得之胎兒細胞,係將其使用在骨軟骨組織及肌肉骨骼組織之修補與再生之方法、腱組織及肌肉骨骼組織之修補與再生之方法,以及皮膚組織之修補與再生之方法,以及治療燒傷、創傷及纖維化病症。 In another specific example, the present invention provides fetal cells obtained by the method of the present invention, which are used for repairing and regenerating osteochondral tissue and musculoskeletal tissue, and repairing and regenerating tendon tissue and musculoskeletal tissue. And methods of repairing and regenerating skin tissue, and treating burns, trauma, and fibrosis.

於另一具體例,本發明提供由本發明之方法獲得之胎兒細胞之,係將其使用在治療骨軟骨疾病或缺陷、關節炎及肌肉骨骼疾病之方法;使用在治療肌肉骨骼疾病與腱病變之方法;使用在治療皮膚疾病之方法。 In another specific example, the present invention provides fetal cells obtained by the method of the present invention, which are used for treating osteochondral diseases or defects, arthritis, and musculoskeletal diseases; for treating musculoskeletal diseases and tendon diseases Method; used in the treatment of skin diseases.

於本發明之又一具體例,提供一種篩選方法,其係供開發用於關節炎、骨軟骨的缺陷的治療、軟骨修補、腱修補、肌肉骨骼組織修補及皮膚修補之治療劑及/或醫學裝置,包含使用由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC)、胎兒跟腱細胞或胎兒皮膚纖維母細胞。 In yet another embodiment of the present invention, a screening method is provided for the development of therapeutic agents and / or medicine for the treatment of arthritis, osteochondral defects, cartilage repair, tendon repair, musculoskeletal tissue repair, and skin repair. A device comprising fetal epiphyseal chondrocytes (FEC), fetal Achilles tendon cells, or fetal skin fibroblast cells obtained using the non-enzymatic method of the present invention.

圖1顯示著手製造針對胎兒皮膚源祖細胞之親代細胞庫的活組織切片,於第4天的細胞選擇物顯示有一致性。 Figure 1 shows the biopsy of the parental cell bank directed at fetal skin-derived progenitor cells. Cell selection on day 4 showed consistency.

圖2顯示在低密度接種(~2000細胞/cm2)後之胎兒皮膚源祖細胞生長情形,且冷凍儲備細胞於第6天及12天的恢復情形顯示有高穩定性、一致性且維持功能。 Figure 2 shows the growth of fetal skin-derived progenitor cells after low-density inoculation (~ 2000 cells / cm 2 ), and the recovery of frozen reserve cells on days 6 and 12 shows high stability, consistency, and maintenance function .

圖3顯示在組織被酵素性消化以製備親代細胞庫的條件下,細胞族群選擇物之外型與生長的差異,且細胞族群不一致。 Figure 3 shows the differences in cell population selection and growth under conditions in which the tissue is enzymatically digested to prepare a parental cell bank, and the cell populations are inconsistent.

圖4顯示著手製造針對胎兒腱源祖細胞(胎兒跟腱細胞)之親代細胞庫的活組織切片,於第4天的細胞選擇物顯示有一致性。 Figure 4 shows the biopsy of the parental cell bank directed to fetal tendon-derived progenitor cells (fetal Achilles tendon cells). Cell selection on day 4 shows consistency.

圖5顯示在低密度接種(~2000細胞/cm2)後之胎兒腱源祖細胞生長情形,且冷凍儲備細胞於第0、3、7天及10天的恢復情形顯示有高穩定性、一致性且維持功能。 Figure 5 shows the growth of fetal tendon-derived progenitor cells after low-density inoculation (~ 2000 cells / cm 2 ), and the recovery of frozen reserve cells on days 0, 3, 7 and 10 shows high stability and consistency. Sexual and functional.

圖6顯示針對胎兒腱源祖細胞之FACS分析及3D基質沉積特性。 Figure 6 shows FACS analysis and 3D matrix deposition characteristics for fetal tendon-derived progenitor cells.

圖7顯示處理近側尺骨的骨骺組織以著手製造針對胎兒軟骨源祖細胞(胎兒骨骺軟骨細胞)之親代細胞庫,於第6天的細胞選擇物顯示有一致性。 Figure 7 shows the treatment of the epiphyseal tissue of the proximal ulna to proceed with the production of a parental cell bank directed against fetal cartilage-derived progenitor cells (fetal epiphyseal chondrocytes). Cell selection on day 6 showed consistency.

圖8顯示在低密度接種(~2000細胞/cm2)後之胎兒軟骨源祖細胞(胎兒骨骺軟骨細胞)生長情形,且冷凍儲備細胞於第6天及12天的恢復情形顯示有高穩定性、一致性且維持功能。 Figure 8 shows the growth of fetal cartilage-derived progenitor cells (fetal epiphyseal chondrocytes) after low-density inoculation (~ 2000 cells / cm 2 ), and the recovery of frozen reserve cells on days 6 and 12 shows high stability , Consistency and maintain function.

圖9顯示針對胎兒軟骨源祖細胞(胎兒骨骺軟骨細胞)之FACS分析及3D基質沉積特性。 Figure 9 shows FACS analysis and 3D matrix deposition characteristics for fetal cartilage-derived progenitor cells (fetal epiphyseal chondrocytes).

圖10顯示胎兒細胞源祖細胞沿著經物理性刻劃的表面於組織培養皿上擴增的情形。 Figure 10 shows the expansion of fetal cell-derived progenitor cells on a tissue culture dish along a physically scored surface.

圖11顯示使用組織之非酵素性製備法快速開發出臨床的親代細胞庫。 Figure 11 shows the rapid development of clinical parental cell banks using non-enzymatic preparation of tissues.

雖然與在此敘述之方法或材料相似或均等者可以用在實施或測試本發明,但本發明在此仍於下敘述適當的方法及材料。所有在此提及的出版品、專利申請案、專利及其他文獻完整納入於此作為參照。在此所討論的出版品及申請案僅針對其在本發明的申請日前揭露的事項提供。不應解讀為承認本發明不能憑藉較早的發明日而早於該出版品。此外,該材料、方法以及實施例僅供便於理解,並不意欲限制。 Although methods or materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, the present invention still hereinafter describes suitable methods and materials. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. The publications and applications discussed herein are provided solely for matters disclosed before the filing date of the present invention. It should not be interpreted as an admission that the present invention cannot be made earlier than the publication by virtue of an earlier invention date. In addition, the materials, methods, and examples are for ease of understanding only and are not intended to be limiting.

當發生抵觸,包括定義,以本說明書為準。除非另有定義,在此使用的所有的技術及科學用語與在此之標的所屬的技術領域中有通常知識者一般理解的含意相同。以下提供定義以有助於理解本發明。 In case of conflict, including definitions, this specification shall prevail. Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field to which this subject belongs. Definitions are provided below to assist in understanding the invention.

此處使用之“一(a)”或“一(an)”係指“至少一”或“一或更多”。 As used herein, "a" or "an" means "at least one" or "one or more".

用語“包含”通常係以包括的含意使用,即容許存在一或更多特徵或成分。 The term "comprising" is generally used in the sense of inclusion, meaning that one or more features or components are allowed.

用語“生物材料”係指天然或合成材料,包括當與細胞或生物組織接觸時 無有害作用的金屬、陶瓷及聚合物。通常,生物材料支持體係選自於如下群組:聚合性支持體,包含烯烴聚合物、氟聚合物、聚苯乙烯、聚丙烯酸聚合物、聚酯聚合物、聚胺酯聚合物、矽聚合物、纖維素聚合物、環氧聚合物、矽酮系聚合物、合成水凝膠、聚碳酸酯;生體可相容性金屬支持體,包含:鈦及鈦合金、鎳鈦形狀記憶合金(nitinol)、氧化鋯、不銹鋼及鈷鉻、氧化鋁-氧化鋯複合物;及/或生體可相容性陶瓷,包含:瓷、羥基磷灰石,及其混合物。 The term "biological material" means natural or synthetic materials, including when in contact with cells or biological tissues No harmful metals, ceramics and polymers. In general, biomaterial support systems are selected from the group consisting of polymerizable supports including olefin polymers, fluoropolymers, polystyrene, polyacrylic polymers, polyester polymers, polyurethane polymers, silicon polymers, and fibers. Element polymers, epoxy polymers, silicone polymers, synthetic hydrogels, polycarbonates; biocompatible metal supports, including: titanium and titanium alloys, nitinol, Zirconia, stainless steel and cobalt chromium, alumina-zirconia composites; and / or biocompatible ceramics, including: porcelain, hydroxyapatite, and mixtures thereof.

用語“胎兒軟骨細胞或軟骨源祖細胞”、“胎兒跟腱細胞或胎兒腱源祖細胞”或“胎兒纖維母細胞或胎兒皮膚源祖細胞”,相較於未分化的胎兒細胞,其係意指已分化的細胞。與本發明相反,用語"未分化"係用以敘述未成熟或原始細胞。例如,未分化的胎兒皮膚細胞,包括能分化成為真皮纖維母細胞、表皮角質細胞,或甚至其他無關連組織的特定細胞類型者。已分化細胞,係當置於特別針對其他細胞類型的分化培養基或不同的微環境時,不會反分化(de-differentiate)成為不同的細胞族系者。比如,若將胎兒皮膚纖維母細胞置於成骨性分化培養基,其並不會成為完整的骨母細胞族群,或若將其製於脂肪細胞形成性培養基,不會成為完成的脂肪族群,且若將相同細胞置於關連於骨骼的3D基質,將不會由於環境改變而反分化為完整的骨母細胞族群者。此等限定的、已分化的細胞,在針對其作為人類及動物用藥的治療劑的潛在用途方面有重要的優點。 The terms "fetal chondrocytes or cartilage-derived progenitor cells", "fetal Achilles tendon cells or fetal tendon-derived progenitor cells", or "fetal fibroblasts or fetal skin-derived progenitor cells" are compared to undifferentiated fetal cells. Refers to differentiated cells. In contrast to the present invention, the term "undifferentiated" is used to describe immature or primitive cells. For example, undifferentiated fetal skin cells include those that can differentiate into dermal fibroblasts, epidermal keratinocytes, or even other specific cell types that are not related to tissue. Differentiated cells do not de-differentiate into different cell lineages when placed in a differentiation medium or different microenvironment specifically for other cell types. For example, if fetal skin fibroblasts are placed in osteogenic differentiation medium, they will not become a complete osteoblast population, or if they are produced in adipocyte-forming medium, they will not become completed adipose populations, and If the same cells are placed on a 3D matrix connected to bones, they will not be redifferentiated into a complete osteoblast population due to environmental changes. These defined, differentiated cells have important advantages in terms of their potential use as therapeutic agents for human and animal medicine.

用語"適當的培養條件"或“胎兒骨骺軟骨細胞或軟骨源祖細胞、胎兒腱源祖細胞或胎兒皮膚源祖細胞增殖的條件”,係一種用於培養細胞的培養基,其係含有促進增殖的營養素。該營養培養基可含有任意以下成分的適當組合及濃度:等張鹽液、緩衝液、胺基酸、血清或血清替代物,及其他外生性的添加因子。該技術領域中具有通常知識者可認識到所有普通採用的培養條件都可以採用。用於選擇最適當的培養基、培養基製備,以及細胞培養的技術在該技術領域中為周知,且在許多文獻中已敘述,包括Doyle et al.,(eds.),1995,Cell & Tissue Culture:Laboratory Procedures,John Wiley & Sons,Chichester;and Ho and Wang(eds.),1991,Animal Cell Bioreactors,Butterworth-Heinemann,Boston,該等文獻在此引入作為參考。比如,可使用任何適當類型的培養基來單離本發明的胎兒骨骺軟骨細胞,比如但不限 於DMEM、McCoys 5A培養基(Gibco)、Eagle's basal培養基、CMRL培養基、Glasgow極小必要培養基、Ham's F-12培養基、Iscove's經修飾的Dulbecco's培養基、Liebovitz' L-15培養基、RPMI 1640、無血清培養基等。該培養基可補充一或更多種成分,包括例如胎牛血清(FBS)、限定的生長因子血清替代物、馬血清(ES)、人類血清(HS)、限定的細胞培養物生長因子,及一或更多種用於控制微生物污染抗生素及/或抗真菌劑,比如盤尼西林G、鏈黴素硫酸鹽、二性黴素(amphotericin)B、見大黴素(gentamicin),及利黴菌素(nystatin),可為單獨或組合等。 The term "appropriate culture conditions" or "conditions for the proliferation of fetal epiphyseal chondrocytes or chondrocyte-derived progenitor cells, fetal tendon-derived progenitor cells, or fetal skin-derived progenitor cells" is a medium for culturing cells, which contains a Nutrients. The nutrient medium may contain an appropriate combination and concentration of any of the following components: isotonic saline solution, buffer solution, amino acid, serum or serum substitute, and other exogenous additive factors. Those of ordinary skill in the art will recognize that all commonly used culture conditions can be used. Techniques for selecting the most appropriate medium, medium preparation, and cell culture are well known in the art and have been described in many literatures, including Doyle et al., (Eds.), 1995, Cell & Tissue Culture: Laboratory Procedures, John Wiley & Sons, Chichester; and Ho and Wang (eds.), 1991, Animal Cell Bioreactors, Butterworth-Heinemann, Boston, which are incorporated herein by reference. For example, any suitable type of culture medium can be used to isolate fetal epiphyseal chondrocytes of the present invention, such as but not limited to In DMEM, McCoys 5A medium (Gibco), Eagle's basal medium, CMRL medium, Glasgow minimally necessary medium, Ham's F-12 medium, Iscove's modified Dulbecco's medium, Liebovitz 'L-15 medium, RPMI 1640, serum-free medium and so on. The medium may be supplemented with one or more ingredients including, for example, fetal bovine serum (FBS), defined growth factor serum substitutes, horse serum (ES), human serum (HS), defined cell culture growth factors, and a Or more antibiotics and / or antifungals for controlling microbial contamination, such as penicillin G, streptomycin sulfate, amphotericin B, gentamicin, and nystatin ), Can be alone or in combination.

用語"細胞株"係指永久性建立的細胞培養物,其在給予適當的新鮮培養基及足夠的空間下會無限的增殖。用語初級細胞株係指有受限的傳代數的已建立的細胞株。 The term "cell line" refers to a permanently established cell culture that will proliferate indefinitely when given an appropriate fresh medium and sufficient space. The term primary cell line refers to an established cell line with a limited number of passages.

用語"細胞庫"係指:從捐贈者胎兒組織,比如胎兒尺骨軟骨、胎兒跟腱或胎兒皮膚採集活體切片組織;在適當的培養條件使該胎兒組織生長,並使胎兒細胞增殖到高濃度;以酵素性或非酵素性處理(亦即胰蛋白酶)將最終的培養物的組織及細胞處理,使其懸浮;將懸浮的細胞集合,以製作來自該培養物的細胞係大致均勻的懸浮液;小心地與抗凍保護劑混合;將細胞懸浮液的試樣密封於安瓿內;將該等試樣冷凍。最適的冷凍速度可由實驗決定。例如,將安瓿溫度以1℃/min降溫直到-80℃,然後在約24小時後轉成-160℃,或在自動的經校正的Nano-Freezer中以程式化的周期以完整周期冷凍到-165℃。該超冷的溫度庫可保存細胞使其停止老化,俾使其維持在被收集那天的功能及活性。 The term "cell bank" refers to: collecting biopsy tissue from donor fetal tissues, such as fetal ulna cartilage, fetal Achilles tendon, or fetal skin; growing the fetal tissue under appropriate culture conditions and proliferating the fetal cells to a high concentration; Treat the tissues and cells of the final culture with an enzymatic or non-enzymatic treatment (ie, trypsin) to suspend them; assemble the suspended cells to make a roughly uniform suspension of cell lines from the culture; Carefully mix with an antifreeze protector; seal a sample of the cell suspension in an ampoule; freeze the samples. The optimum freezing speed can be determined experimentally. For example, the temperature of the ampoule is reduced to -80 ° C at 1 ° C / min, and then converted to -160 ° C after about 24 hours, or frozen in a calibrated Nano-Freezer in a stylized cycle to complete the cycle to- 165 ° C. This ultra-cold temperature library can save cells from aging and maintain their function and activity on the day of collection.

本發明的冷凍保存的細胞構成一細胞庫(1-107/ml),有一部分可藉由解凍而”提取(withdrawn)",然後用於製造所需的新軟骨細胞及組織。解凍一般應快速進行,比如,將從液體氮拿出的安瓿移到37℃水浴。該安瓿中的已解凍的內容物應立即在無菌條件下移到含有適當培養基比如調配成有10% FBS之DMEM的培養容器內。建議將培養基中的細胞起始密度調整成約1-6×103-4細胞/ml。培養時,可每日檢查細胞,例如以倒置顯微鏡檢測細胞增殖,並且當細胞達到適當濃度時進行次培養,或以掃描式顯微鏡即時監控以供品質控制。 The cryopreserved cells of the present invention constitute a cell bank (1-10 7 / ml), a part of which can be "withdrawn" by thawing, and then used to make the required new chondrocytes and tissues. Thawing should generally be performed quickly, for example, by moving an ampoule taken from liquid nitrogen to a 37 ° C water bath. The thawed content in the ampoule should be immediately transferred under sterile conditions to a culture vessel containing an appropriate medium such as DMEM formulated with 10% FBS. It is recommended to adjust the initial cell density in the culture medium to approximately 1-6 × 10 3-4 cells / ml. During culture, cells can be inspected daily, for example, by using an inverted microscope to detect cell proliferation, and subcultured when the cells reach an appropriate concentration, or monitored by a scanning microscope for quality control.

視需要,可將本發明之細胞從細胞庫提取並且以比如在此所述之立體 軟骨、腱或皮膚培養物的形式於體外製造新的軟骨、腱或皮膚組織或細胞,或是藉由以體外,例如將細胞直接投予到對象中需要新軟骨、新腱或新皮膚組織或細胞的該部位。 If desired, the cells of the invention can be extracted from the cell bank and formatted as described herein. Cartilage, tendon, or skin culture in the form of new cartilage, tendon, or skin tissue or cells in vitro, or by in vitro, such as the direct administration of cells to a subject, requires new cartilage, new tendon, or new skin tissue or That part of the cell.

用語"對象"(作為治療的"對象")或“患者”意指受病症、缺陷、或疾病(如在此所特定)所折磨、或有得病傾向或已罹病的哺乳類個體。本用語未指明特定的年紀或性別。所以,成體及新生對象,不論雄或雌性,均意欲含蓋。該用語也包括人類及動物。比如對象可為比如人、人以外的靈長類、野生動物、犬、貓、馬、牛、豬、綿羊、山羊、兔、大鼠或小鼠。較佳對象為人及馬。在此使用的用語野生動物,包括未馴養的哺乳動物、鳥、二生類或魚。此種野生動物例如但不限於獾、海狸、獅子、老虎、熊、鷹和鹿。 The term "subject" ("subject" as a treatment) or "patient" means a mammalian individual who is afflicted with a disorder, defect, or disease (as specified herein), or who is prone to or has become ill. This term does not indicate a specific age or gender. Therefore, both adult and newborn subjects, male or female, are intended to be covered. The term also includes humans and animals. For example, the object may be, for example, a human, a primate other than a human, a wild animal, a dog, a cat, a horse, a cow, a pig, a sheep, a goat, a rabbit, a rat, or a mouse. People and horses are better candidates. As used herein, the term wildlife includes non-domesticated mammals, birds, secondaries, or fish. Such wild animals are, for example, but not limited to, cormorants, beavers, lions, tigers, bears, eagles and deer.

立體的基質意指選自膠原蛋白基質或PLA、PLGA、PEG、幾丁聚糖、彈性蛋白、水凝膠包括例如HA(透明質酸)、矽酮、幾丁聚糖或其混合物的任何基質。該基質提供立體的空間以確保有適當的覆蓋範圍,並將胎兒細胞比如胎兒骨骺軟骨細胞或軟骨源祖細胞、胎兒腱源祖細胞、胎兒皮膚源祖細胞、或胎兒產物傳送到或與額外的移殖材料一起關連傳送。於一具體例中,本發明之方法容許使用整合到各種基質中的已分化軟骨、腱或皮膚細胞來製備立體建構物。該已分化的軟骨、腱或皮膚細胞與基質的整合,可以藉由將該細胞與基質混合、組合、將該細胞移液、接種、覆蓋、或放置到基質而發生。 Stereoscopic matrix means any matrix selected from collagen matrix or PLA, PLGA, PEG, chitosan, elastin, hydrogel including, for example, HA (hyaluronic acid), silicone, chitosan or mixtures thereof . The matrix provides a three-dimensional space to ensure proper coverage, and transfers fetal cells such as fetal epiphyseal chondrocytes or cartilage-derived progenitor cells, fetal tendon-derived progenitor cells, fetal skin-derived progenitor cells, or fetal products to or with additional Migration materials are transmitted together. In a specific example, the method of the present invention allows the use of differentiated cartilage, tendon, or skin cells integrated into various matrices to prepare a three-dimensional structure. Integration of the differentiated cartilage, tendon, or skin cells with the matrix can occur by mixing, combining, and pipetting the cells with the matrix, plating, covering, or placing the cells on the matrix.

用語"膠原蛋白"係指多胜肽化合物,其本性為親水性,易受胞外酵素降解。因為,該物質被研究透澈,可以控制許多關鍵的參數。膠原蛋白為弱抗原,所以引起排斥的可能性極低。本發明之方法及用途使用的較佳膠原蛋白為馬膠原蛋白或或豬膠原蛋白。 The term "collagen" refers to a polypeptide compound, which is hydrophilic in nature and is susceptible to degradation by extracellular enzymes. Because the substance has been studied transparently, it can control many key parameters. Collagen is a weak antigen, so it is extremely unlikely to cause rejection. The preferred collagen used in the methods and uses of the present invention is horse collagen or or porcine collagen.

“植入物(imPlant)”可視為一醫學裝置,其係要取代缺少的生物結構、支持受損的生物結構或增強已有的生物結構。植入物可由人造或天然材料製作。醫學植入物為人造的裝置,且接觸身體的植入物的表面可由生物醫學材料製作,比如鈦、矽酮、聚合物、磷灰石、生物泡沫及生物凝膠。有些植入物可以有結合的生物活性洗提藥物,比如可植入的膠囊或藥物洗提導引管。植入物材料可以結合於特定的組織類型的已分化胎兒細胞,以針對抗纖維化的應答。 An "imPlant" can be regarded as a medical device, which is to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Implants can be made from artificial or natural materials. Medical implants are artificial devices, and the surface of the implant that contacts the body can be made of biomedical materials, such as titanium, silicone, polymers, apatite, biofoam, and biogels. Some implants can have a combined bioactive eluent, such as an implantable capsule or a drug eluent guide. The implant material can be combined with differentiated fetal cells of a particular tissue type to respond to an anti-fibrotic response.

用語“傳送系”,係指提供將胎兒細胞或胎兒細胞產物單獨或與植入物一起輸送以處理組織或實施植入的機構的任意金屬、或習慣使用的骨科、創傷、頜面天然或合成植入物材料、水凝膠、矽酮或移植物。 The term "delivery system" refers to any metal that provides the delivery of fetal cells or fetal cell products, alone or with implants, to process tissues or to implement implantation mechanisms, or orthopedics, trauma, maxillofacial natural or synthetic, which are customarily used Implant material, hydrogel, silicone or graft.

在此使用的用語"軟骨組織",係如同該技術領域一般認為的用語,且係指包括包埋於ECM內的細胞的緻密結締組織的一特化的類型(參見例如Cormack,1987,Ham's Histology,9th Ed.,J.B.Lippincott Co.,pp.266-272)。軟骨的生物化學組成依類型而不同;但是,軟骨的一般組成包括:由以膠原蛋白、蛋白多糖及水組成的緻密ECM所包圍的軟骨細胞。在該技術領域已認識了幾種類型的軟骨,包括比如透明軟骨、關節軟骨、肋軟骨、纖維軟骨、半月板軟骨、彈性軟骨、耳軟骨,和黃軟骨。任意軟骨類型的製備均意欲包含在本發明的範疇內。依據一具體例,本發明指出供較佳為使用在人類的新軟骨組織的製造方法及組成物。但是,本發明也可實施成製造用在有需求的任意哺乳動物的新的軟骨組織,該任意哺乳動物包括馬、犬、貓、綿羊、豬等。治療該等動物也意欲含蓋於本發明的範疇內。 The term "cartilage tissue" as used herein is a term generally recognized in the art and refers to a specialized type of dense connective tissue including cells embedded in the ECM (see, for example, Cormack, 1987, Ham's Histology , 9th Ed., JBLippincott Co., pp. 266-272). The biochemical composition of cartilage varies by type; however, the general composition of cartilage includes chondrocytes surrounded by a dense ECM composed of collagen, proteoglycans, and water. Several types of cartilage have been recognized in this technical field, including, for example, hyaline cartilage, articular cartilage, rib cartilage, fibrocartilage, meniscal cartilage, elastic cartilage, ear cartilage, and yellow cartilage. The preparation of any cartilage type is intended to be included within the scope of the present invention. According to a specific example, the present invention indicates a method and a composition for producing new cartilage tissue for human use. However, the present invention can also be implemented to produce new cartilage tissues for use in any mammal in need, including horses, dogs, cats, sheep, pigs, and the like. The treatment of such animals is also intended to be encompassed within the scope of the present invention.

在此使用的用語"腱組織"係如同該技術領域一般認為的用語,且係指主要包含膠原蛋白、蛋白多糖及水的特化類型的纖維結締組織。 The term "tendon tissue" as used herein is a term generally recognized in the technical field, and refers to a specialized type of fibrous connective tissue mainly comprising collagen, proteoglycan, and water.

在此使用之用語"皮膚組織"係如同該技術領域一般認為的用語,且係指也是包含膠原蛋白、彈性蛋白及蛋白多糖的特化類型的纖維組織。 The term "skin tissue" as used herein is a term generally recognized in the technical field and refers to a fibrous tissue of a specialized type that also includes collagen, elastin, and proteoglycans.

於本發明之一具體例,揭露一非酵素方法,其係以物理性地、快速地釋放定義建立親代細胞庫(PCB)之特性的早期貼附細胞族群。於一些具體例中,該初級、已分化的細胞來自於特定的軟骨組織、來自特定的腱組織,及來自特定的皮膚組織。開發PCB能達成後續細胞庫製造的一致及穩定。 In a specific example of the present invention, a non-enzymatic method is disclosed, which uses physical and rapid release to define an early population of attached cells that establishes the characteristics of a parental cell bank (PCB). In some specific examples, the primary, differentiated cells are derived from specific cartilage tissue, from specific tendon tissue, and from specific skin tissue. The development of PCB can achieve the consistency and stability of subsequent cell bank manufacturing.

因此,依本發明之一具體例,提供一種體外非酵素方法,其係供單離、擴增及發展選自於由胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒皮膚纖維母細胞構成之群組的胎兒細胞,包含以下步驟:a)使用胎兒樣本,其係選自於包含胎兒骨骺軟骨細胞之胎兒尺骨軟骨;包含胎兒跟腱細胞之胎兒跟腱;或包含胎兒皮膚纖維母細胞之胎兒腹部皮膚;b)將該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本微切片,並藉由 以物理性附著於經解剖刀刻劃的表面而使其分散;c)於體外以該胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒腹部皮膚纖維母細胞增殖的條件培養該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本;d)從其中選擇及單離最早貼附的胎兒骨骺軟骨細胞細胞族群、最早貼附的胎兒跟腱細胞細胞族群、及最早貼附的胎兒皮膚纖維母細胞族群。 Therefore, according to a specific example of the present invention, an in vitro non-enzymatic method is provided for isolation, expansion and development selected from the group consisting of fetal epiphyseal chondrocytes, fetal Achilles tendon cells, or fetal skin fibroblasts. Fetal cells, including the following steps: a) using a fetal sample selected from fetal ulnar cartilage containing fetal epiphyseal chondrocytes; fetal Achilles tendon containing fetal Achilles tendon cells; or fetal abdominal skin containing fetal skin fibroblasts ; B) microsectioning the fetal ulnar cartilage, fetal Achilles tendon, or fetal abdominal skin samples, and Physically adhere to the surface scribed by a scalpel to disperse it; c) culture the fetal ulnar cartilage, fetal heel in vitro under conditions of proliferation of the fetal epiphyseal chondrocytes, fetal Achilles tendon cells, or fetal abdominal skin fibroblasts Tendon or fetal belly skin samples; d) Select and isolate the earliest attached fetal epiphyseal chondrocyte cell population, the earliest attached fetal Achilles tendon cell population, and the earliest attached fetal skin fibroblast cell population.

理想的胎兒尺骨軟骨樣本,為胎兒近側尺骨骨骺的樣本。 The ideal fetal ulnar cartilage sample is a fetal proximal ulna callus.

於一特定具體例,本發明係關於從單一組織捐贈物(僅有0.2-2cm組織)來單離、擴增及發展胎兒骨骺軟骨細胞或軟骨源祖細胞(FEC)、胎兒跟腱源祖細胞、及胎兒皮膚源祖細胞親代細胞庫的方法。軟骨、腱及皮膚的來源對於建立一致的細胞庫而言為重要。申請人已發現胎兒尺骨軟骨為優於股骨、脛骨或肋骨軟骨的來源,胎兒跟腱為理想,且來自胎兒腹部的皮膚為理想。胎兒軟骨、腱及皮膚針對修補有卓越的能力,而且胎兒細胞顯示有免疫調節活性,且有顯著的創傷癒合能力。針對軟骨,在此等方面與其天生的在骨骺成骨後的骨軟骨生成能力、FEC之細胞特性組合在一起,使得在本發明之非酵素方法單離得到的細胞族群成為用於骨軟骨及/或軟骨組織修補與再生的非常受人關注的細胞選項。 In a specific embodiment, the present invention relates to the isolation, expansion and development of fetal epiphyseal chondrocytes or chondrogenic progenitor cells (FEC), fetal Achilles tendon-derived progenitor cells from a single tissue donor (only 0.2-2 cm tissue). , And method of parental cell bank of fetal skin-derived progenitor cells. Sources of cartilage, tendons, and skin are important for building a consistent cell bank. The applicant has found that fetal ulnar cartilage is a source superior to femur, tibia or rib cartilage, fetal Achilles tendon is ideal, and skin from the fetal abdomen is ideal. Fetal cartilage, tendon, and skin have excellent ability to repair, and fetal cells show immunomodulatory activity and significant wound healing ability. For cartilage, in this respect, it is combined with its natural osteochondrogenesis ability after epiphyseal osteogenesis, and the cell characteristics of FEC, so that the cell population isolated by the non-enzymatic method of the present invention becomes used for osteochondral and / Or cartilage tissue repair and regeneration is a very interesting cellular option.

本發明之方法並未使用習知用於釋出選擇之細胞族群之消化初級培養物的方法。消化通常是用在不會自動分解的組織(亦即,血液細胞成分、有些胎盤組織部分、一些臍帶部分)。本發明係組合組織之物理性的切片以及引導組織/細胞沿著刻痕長入組織培養板,僅選擇在生長數天後的最早貼附的細胞族群,該族群非常一致且均質。此等細胞族群生長較快,且與以酵素消化的其他細胞族群相較,有不同的外形及生理狀況。申請人已呈現將經過酵素消化的胎兒皮膚組織與對排列在表面之細胞施以物理性處理的胎兒皮膚組織,在二維的生長差異。 The method of the present invention does not use a conventional method for digesting primary cultures for releasing a selected cell population. Digestion is usually applied to tissues that do not break down automatically (ie, blood cell components, some placental tissue parts, some umbilical cord parts). The present invention combines physical slicing of tissues and guides tissues / cells to grow into the tissue culture plate along the score. Only the earliest attached cell population is selected after a few days of growth, which is very consistent and homogeneous. These cell populations grow faster and have different shapes and physiological conditions than other cell populations digested with enzymes. The applicant has presented a two-dimensional growth difference between fetal skin tissues digested with enzymes and fetal skin tissues that are physically treated with cells arranged on the surface.

重要的是,若該初級培養物係以不經組織消化的狀態發育,該胎兒關節的軟骨細胞、胎兒腱源祖細胞及胎兒皮膚源祖細胞不會輕易地反分化成其他的細胞系。在製作細胞庫的程序中未經過酵素消化而發展出的軟骨細胞或軟骨源祖細胞、腱源祖細胞及皮膚源祖細胞,不會分化成神經、成脂肪及完整的成骨性細胞(如間葉幹細胞),而此等細胞卻會由其初級細胞培養物已施以酵素處理或不具有用來附著到塑膠培養皿之固體組織成分的骨髓 或胎兒關節的軟骨細胞衍生而來。另一重要的觀點在於:從非酵素性細胞初級細胞培養物而開發的細胞庫,其細胞在體外的傳代更為穩定。對於使用此等製作成細胞庫的細胞在人類的治療劑,外形及染色體的穩定性係為重要的因子。 It is important that if the primary culture is developed without tissue digestion, chondrocytes, fetal tendon-derived progenitor cells, and fetal skin-derived progenitor cells of the fetal joints will not easily dedifferentiate into other cell lines. Chondrocytes or cartilage-derived progenitor cells, tendon-derived progenitor cells, and skin-derived progenitor cells that have not undergone enzyme digestion during the process of making cell banks do not differentiate into nerves, fat-forming, and intact osteoblasts (such as Mesenchymal stem cells), but these cells have bone marrow that has been treated with enzymes from their primary cell culture or does not have solid tissue components for attachment to plastic culture dishes Or derived from chondrocytes of fetal joints. Another important point is that cell banks developed from primary cell cultures of non-enzymatic cells have more stable cell passage in vitro. For human therapeutics using cells made into such cell banks, the appearance and stability of chromosomes are important factors.

採用了非酵素方法以及組合觀察FEC族群、腱源祖細胞族群及皮膚源祖細胞族群在培養物中的均質性及穩定性的完整的cGMP單離法,能夠容許以該所述方法在體外有可靠性地擴增FEC、腱源祖細胞及皮膚源祖細胞,並且從PCB族群發展大量的種細胞庫。而且也能使用各組織的同細胞庫供數十萬患者的臨床應用,對於新穎的骨軟骨、肌肉骨骼及皮膚再生療法開啟一扇門。 A non-enzymatic method and a complete cGMP isolation method for observing the homogeneity and stability of the FEC population, tendon-derived progenitor cell population, and skin-derived progenitor cell population in culture are adopted, which can allow the in vitro use of this method to have Reliably expand FEC, tendon-derived progenitor cells, and skin-derived progenitor cells, and develop a large number of seed cell banks from the PCB population. Moreover, the same cell bank of various tissues can also be used for clinical applications of hundreds of thousands of patients, opening a door for novel osteochondral, musculoskeletal, and skin regeneration therapies.

源自10-16週的胎兒組織的肌肉骨骼組織比如腱、骨骼、肌肉、盤及軟骨,以及皮膚組織,係快速開發作為供臨床用途的親代細胞庫的理想來源。若組織未經酵素消化且細胞排列係沿著有鋸齒的表面受引導時,從其而來的細胞可快速製備(在12-14天之內,相對於此,有經酵素消化的組織為數週至數個月),其族群均一,且維持著帶有相關的生物標記的特定的組織-對-細胞類型。 Musculoskeletal tissues such as tendons, bones, muscles, discs, and cartilage, as well as skin tissues derived from fetal tissue at 10-16 weeks are rapidly developing as an ideal source of parental cell banks for clinical use. If the tissue is not digested with enzymes and the cell line is guided along the jagged surface, the cells from it can be quickly prepared (within 12-14 days, compared with the enzyme-digested tissues for several weeks to For several months), its population is homogeneous and it maintains specific tissue-to-cell types with associated biomarkers.

本發明之非酵素方法提供與已知的酵素法所獲者為不同的細胞。因此,於一具體例中,本發明提供一種胎兒骨骺軟骨細胞細胞株,其係由本發明之非酵素方法獲得,命名為FE002-Cart且已於2012年12月24日以寄存編號BCRC 960459寄存。於另一具體例,本發明提供一種胎兒跟腱細胞細胞株(也記載為胎兒跟腱源祖細胞細胞株),其係由本發明之非酵素方法獲得,命名為FE002-Ten且已於2012年12月24日以寄存編號BCRC 960461寄存。於另一具體例,本發明提供一種胎兒皮膚纖維母細胞細胞株(也記載為胎兒皮膚源祖細胞細胞株),其係由本發明之非酵素方法獲得,命名為FE002-SK2且已於2012年12月24日以寄存編號BCRC 960460寄存。 The non-enzymatic method of the present invention provides cells different from those obtained by known enzyme methods. Therefore, in a specific example, the present invention provides a fetal epiphyseal chondrocyte cell line, which is obtained by the non-enzymatic method of the present invention, named FE002-Cart, and has been deposited on December 24, 2012 under the registration number BCRC 960459. In another specific example, the present invention provides a fetal Achilles tendon cell line (also described as a fetal Achilles tendon-derived progenitor cell line), which is obtained by the non-enzymatic method of the present invention and named FE002-Ten and has been in 2012. Deposited on December 24 with the deposit number BCRC 960461. In another specific example, the present invention provides a fetal skin fibroblast cell line (also described as a fetal skin-derived progenitor cell line), which is obtained by the non-enzymatic method of the present invention and named FE002-SK2 and has been in 2012. On December 24, it was deposited with the deposit number BCRC 960460.

一旦建立了胎兒骨骺軟骨細胞或軟骨源祖細胞培養物,可將其使用在生產能夠製造新的軟骨細胞與組織的軟骨細胞。胎兒骨骺軟骨細胞分化為軟骨細胞及接著從其製造軟骨組織的過程,可藉由對於培養基添加或不添加特別的外生性生長因子而觸發,例如添加或不添加抗壞血酸鹽之BMP,比如BMP-13或TGF-β。可應用與對於胎兒腱源祖細胞及胎兒皮膚源祖細 胞已建立者為同樣的程序。 Once a fetal epiphyseal chondrocyte or chondrogenic progenitor cell culture is established, it can be used to produce chondrocytes capable of producing new chondrocytes and tissues. The differentiation of fetal epiphyseal chondrocytes into chondrocytes and subsequent production of cartilage tissue can be triggered by the addition or absence of special exogenous growth factors to the culture medium, such as BMP with or without addition of ascorbate, such as BMP-13 Or TGF-β. Can be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells The same procedure has been established by cells.

本發明更考量軟骨細胞之培養物及包含胎兒骨骺軟骨細胞及軟骨細胞之混合培養物的建立及維持。就胎兒骨骺軟骨細胞而言,當軟骨細胞之培養物、或胎兒骨骺軟骨細胞及軟骨細胞之培養物建立,該細胞的族群藉由取決於細胞密度而更換到細胞培養基,於會進行細胞增殖但不形成軟骨的條件,比如在缺少TGF-β或其他生長因子的培養基中,以有絲分裂在體外擴增。針對軟骨細胞源祖細胞,必需在到達足夠的細胞密度時,將軟骨細胞之培養物、以及胎兒骨骺軟骨細胞及軟骨細胞之混合培養物移到新鮮的培養基。因此,應預防形成單層細胞或使此現象儘可能減少,就作法而言,可藉由例如將一部分細胞移到新的培養容器或移到新鮮培養基來實施。此種移走及轉移應在細胞單層超過約25%匯合(confluency)的任意培養容器中進行。或者,可將培養系攪動以防止細胞黏連(sticking)。此相同方法可以同樣應用在胎兒腱源祖細胞及胎兒皮膚源祖細胞。 The invention further considers the establishment and maintenance of a culture of chondrocytes and a mixed culture comprising fetal epiphyseal chondrocytes and chondrocytes. For fetal epiphyseal chondrocytes, when a culture of chondrocytes, or a culture of fetal epiphyseal chondrocytes and chondrocytes is established, the cell population is changed to the cell culture medium depending on the cell density. Conditions that do not form cartilage, such as mitotic expansion in vitro in media lacking TGF-β or other growth factors. For chondrocyte-derived progenitor cells, it is necessary to transfer the culture of chondrocytes and the mixed culture of fetal epiphyseal chondrocytes and chondrocytes to fresh medium when sufficient cell density is reached. Therefore, the formation of a monolayer of cells should be prevented or minimized, and as a matter of practice, it can be carried out by, for example, moving a part of the cells to a new culture container or to a fresh medium. Such removal and transfer should be performed in any culture vessel in which the cell monolayer exceeds about 25% confluency. Alternatively, the culture line can be agitated to prevent cell sticking. This same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

本發明之另一具體例中,從胎兒尺骨軟骨單離的胎兒骨骺軟骨細胞或軟骨源祖細胞的族群,係在體外以有絲分裂擴增及培養以成為能產生供作治療用途的軟骨組織與細胞的軟骨細胞。該相同方法也可同樣應用在胎兒腱源祖細胞及胎兒皮膚源祖細胞。因此於一具體例中,本發明係關於由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC)、胎兒跟腱細胞及胎兒皮膚纖維母細胞作為治療劑的用途。 In another embodiment of the present invention, a group of fetal epiphyseal chondrocytes or cartilage-derived progenitor cells isolated from fetal ulnar cartilage is mitotically expanded and cultured in vitro to produce cartilage tissues and cells for therapeutic use. Chondrocytes. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells. Therefore, in a specific example, the present invention relates to the use of fetal epiphyseal chondrocytes (FEC), fetal Achilles tendon cells, and fetal skin fibroblasts as therapeutic agents obtained by the non-enzymatic method of the present invention.

於本發明之另一具體例,從胎兒尺骨軟骨單離的胎兒骨骺軟骨細胞或軟骨源祖細胞係冷凍保存且以冷凍保存在一"庫"中,可視需要從庫解凍並用於製造軟骨組織及細胞。從此採集或生產的該胎兒骨骺軟骨細胞或軟骨源祖細胞,可以在"庫"中冷凍保存數年的期間。該細胞可視需要利用解凍從該庫提取,且該已解凍的細胞可使用於製造新的組織及細胞,以供修補、替換或加長軟骨,及其他間葉組織比如骨骼、腱或韌帶。該方法可相同地應用在胎兒腱源祖細胞及胎兒皮膚源祖細胞。 In another specific example of the present invention, fetal epiphyseal chondrocytes or cartilage-derived progenitor cell lines isolated from fetal ulnar cartilage are cryopreserved and stored frozen in a "bank", and can be thawed from the bank and used to make cartilage tissue and cell. The fetal epiphyseal chondrocytes or cartilage-derived progenitor cells collected or produced from this can be frozen in a "bank" for several years. The cells can be extracted from the library by thawing as needed, and the thawed cells can be used to make new tissues and cells for repair, replacement or lengthening of cartilage, and other mesenchymal tissues such as bones, tendons or ligaments. This method can be similarly applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

由於從胎兒尺骨軟骨樣本單離之細胞有"胎兒"的本質,被移植的本發明之胎兒骨骺軟骨細胞、或從其所產製之軟骨組織的免疫排斥可以極小化。因此,依本發明另一具體例,此種細胞作為供使用在任意需要之對象的"無所不在(ubiquitous)之捐贈細胞"係為有用。相同特性針對胎兒腱源祖細胞及 胎兒皮膚源祖細胞也可觀察到。 Because the cells isolated from the fetal ulnar cartilage sample have the "fetal" nature, the immune rejection of the transplanted fetal epiphyseal chondrocytes or cartilage tissue produced from them can be minimized. Therefore, according to another embodiment of the present invention, such a cell is useful as a "ubiquitous donor cell" system for use in any desired object. Same characteristics for fetal tendon-derived progenitor cells and Fetal skin-derived progenitor cells are also observed.

於本發明之另一具體例,將胎兒骨骺軟骨細胞或軟骨源祖細胞細胞、胎兒跟腱源祖細胞或胎兒皮膚源祖細胞懸浮於水凝膠溶液,以能夠對於患者注射或移殖。或者,可先將細胞接種到水凝膠中,然後在移植前先培養。較佳者,將細胞在水凝膠中培養,使其在移植前先以有絲分裂擴增。 In another specific example of the present invention, fetal epiphyseal chondrocytes or cartilage-derived progenitor cells, fetal Achilles tendon-derived progenitor cells, or fetal skin-derived progenitor cells are suspended in a hydrogel solution to enable injection or transplantation into a patient. Alternatively, the cells can be seeded into a hydrogel and then cultured before transplantation. Preferably, the cells are cultured in a hydrogel so that they are expanded by mitosis before transplantation.

於本發明之又另一具體例,從本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞製備新的軟骨組織及細胞族群,並用於以該技術領域中已知的任意修補、替換或增長的技術或未來將開發的技術來修補、替換或增長對象中的軟骨組織。例如,可將本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞接種在由生體可相容性的非活體材料製成的立體的框架或支架上,該等材料有能由軟骨細胞橋接的空隙空間、開口或孔洞。在適當的體外培養條件下,該被接種的細胞會實質上包絡該立體的框架並且分泌胞外基質以形成可進行體內移植的新的、活的軟骨組織。或者,將本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞接種在立體的框架,並立即移植到對象的一部位。該被接種的細胞在體內進行形成新的軟骨組織,或刺激接受者軟骨修補及重新組織。該方法可以同樣應用在胎兒腱源祖細胞及胎兒皮膚源祖細胞,以形成或刺激接受者腱或皮膚的新的腱組織或新的皮膚組織修補或重新組織。 In yet another specific example of the present invention, a new cartilage tissue and cell population is prepared from fetal epiphyseal chondrocytes or chondrogenic progenitor cells of the present invention, and is used to repair, replace or grow any of Or future technologies to repair, replace, or grow cartilage tissue in a subject. For example, the fetal epiphyseal chondrocytes or cartilage-derived progenitor cells of the present invention can be seeded on a three-dimensional frame or scaffold made of non-living materials that are compatible with the living body. Void space, opening or hole. Under appropriate in vitro culture conditions, the seeded cells will substantially envelope the three-dimensional framework and secrete extracellular matrix to form new, living cartilage tissue that can be transplanted in vivo. Alternatively, the fetal epiphyseal chondrocytes or chondrogenic progenitor cells of the present invention are seeded in a three-dimensional frame and immediately transplanted to a part of the subject. The inoculated cells undergo new cartilage formation in the body, or stimulate the recipient's cartilage repair and reorganization. The method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells to form or stimulate new tendon tissue or new skin tissue repair or reorganization of the recipient's tendon or skin.

於另一具體例,本發明之細胞被接種的立體框架,係更包含或包覆有一或更多種有生物活性的藥劑或其他選自於抗發炎劑、生長因子、免疫因子等組成的群組中的化合物。 In another specific example, the three-dimensional frame in which the cells of the present invention are seeded further comprises or covers one or more biologically active agents or other groups selected from the group consisting of anti-inflammatory agents, growth factors, immune factors, and the like. Compounds in group.

於本發明又另一具體例,本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞係接種並在立體框架上生長,並且放置於能夠容許間歇性壓力改變的容器內,或放置在特製於用來以體外產製軟骨組織構造物的生物反應器系,該生物反應系容許在生長期間將腔體加壓,並且對於軟骨細胞藉由對流(convection)提供足夠的營養素補給。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞。 In yet another specific example of the present invention, the fetal epiphyseal chondrocytes or cartilage-derived progenitor cell lines of the present invention are inoculated and grown on a three-dimensional frame, and placed in a container that can tolerate intermittent pressure changes, or placed in a special purpose To produce cartilage tissue structures in vitro, the bioreactor system allows the cavity to be pressurized during growth and provides sufficient nutrient replenishment to the chondrocytes by convection. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

以支架為主的細胞療法提供一極明瞭的優點,即所傳送之治療用組織產生劑,在本情況中為細胞,可以輕易地定位且能與該支架一起以關節鏡手術移殖(Iwasa et al.,2009)。此療法繞過需要重大的侵入性外科手術(整個 關節置換),且儘可能保留原本的組織,所以,顯著減少可能非常負面影響該療法的發炎發生(van Osch et al.,2009)。為了提供支持3D組織生長的模板,需要小心地搭配支架的結構與組成。合成的材料,比如聚乙二醇(PEG)、聚乳酸(PLA)及聚甘醇酸(PGA),及天然衍生的材料,比如透明質酸、硫酸軟骨素及幾丁聚糖,已在進一步施加或未加以化學修飾及側基團的狀態被使用,以產生骨骼及軟骨(Ahmed et al.,2010;Chung et al.,2008;Khan et al.,2008)。 Scaffold-based cell therapy offers a very clear advantage, that the therapeutic tissue-generating agent delivered, in this case, a cell, can be easily positioned and can be transplanted with the stent by arthroscopic surgery (Iwasa et al. , 2009). This treatment bypass requires major invasive surgery (whole joint replacement) and preserves the original tissues as much as possible, so a significant reduction can significantly negatively affect the occurrence of inflammation in the treatment (van Osch et al. , 2009). In order to provide a template that supports 3D tissue growth, the structure and composition of the scaffold need to be carefully matched. Synthetic materials, such as polyethylene glycol (PEG), polylactic acid (PLA), and polyglycolic acid (PGA), and naturally derived materials, such as hyaluronic acid, chondroitin sulfate, and chitosan, have been further developed. The state with or without chemical modification and side groups is used to generate bone and cartilage (Ahmed et al. , 2010; Chung et al. , 2008; Khan et al. , 2008).

生物材料支架其作用為當作胞外基質,來提供保護細胞的物理性結構並導引組織生長。整合到基質中對於具有供運送到關注的手術部位的立體系是必要的。胎兒細胞,不像成體及間葉細胞,其顯示由於其固有的貼附及遷移性質,會穿透各種的生物性材料。此性質容許將該細胞快速地接種到各自的生物材料,並且在移植前對於移植物做較少的處理。不同的材料及組建方法能形成有不同性質可適應於軟骨組織工程的生物材料。已有人開發了許多的供其他手術用途的生物可降解的生物材料及水凝膠,比如止血海綿及組織填料(Mast et al.,1993;Patino et al。2002;Drury and Moony,2003)。此等生物材料提供臨床等級材料(分類為醫學裝置),需測試其生體相容性,並確保無由於生物材料傳遞系及細胞產物相關所產生的放射性衍生產物。 Biomaterial scaffolds function as an extracellular matrix to provide physical structures that protect cells and guide tissue growth. Integration into the matrix is necessary to have a standing system for delivery to the surgical site of interest. Fetal cells, unlike adult and mesenchymal cells, are shown to penetrate various biological materials due to their inherent attachment and migration properties. This property allows the cells to be quickly seeded into their respective biomaterials and requires less treatment of the graft before transplantation. Different materials and construction methods can form biomaterials with different properties that are suitable for cartilage tissue engineering. Many biodegradable biomaterials and hydrogels have been developed for other surgical uses, such as hemostatic sponges and tissue fillers (Mast et al. , 1993; Patino et al. 2002; Drury and Moony, 2003). These biomaterials provide clinical grade materials (classified as medical devices) that need to be tested for biocompatibility and ensure that there are no radioactively derived products due to the biomaterial delivery system and the cellular product related.

於另一具體例,本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞,係未附著於立體框架而是直接利用例如注射以投予到體內的一部位,以在該部位產生新的軟骨組織及細胞族群。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞。因此於一具體例中,本發明係關於一種由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC)之用途,其係供製造新的軟骨組織及/或立體建構物;一種由本發明之非酵素方法獲得之胎兒跟腱細胞之用途,其係供製造新的腱組織及/或立體建構物,及一種由本發明之非酵素方法獲得之胎兒皮膚纖維母細胞之用途,其係供製造新的皮膚組織及/或立體建構物。 In another specific example, the fetal epiphyseal chondrocytes or cartilage-derived progenitor cells of the present invention are not attached to a three-dimensional frame, but are directly injected into a part of the body by, for example, injection to generate new cartilage tissue in the part. And cell populations. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells. Therefore, in a specific example, the present invention relates to the use of fetal epiphyseal chondrocytes (FEC) obtained by the non-enzymatic method of the present invention, which is used for manufacturing new cartilage tissue and / or three-dimensional structures; The use of fetal Achilles tendon cells obtained by the enzyme method is used for manufacturing new tendon tissue and / or three-dimensional structure, and the use of fetal skin fibroblasts obtained by the non-enzymatic method of the present invention is used for manufacturing new Skin tissue and / or three-dimensional structures.

本發明之另一具體例中,本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞 細胞,使用外生性補給的生長因子例如TGF-β、或BMP比如BMP-2、BMP-12及BMP-13刺激,以產生軟骨。 In another specific example of the present invention, the fetal epiphyseal chondrocytes or chondrogenic progenitor cells of the present invention Cells are stimulated with exogenously supplied growth factors such as TGF-β, or BMPs such as BMP-2, BMP-12 and BMP-13 to produce cartilage.

於本發明又另一具體例,本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞可經過遺傳工程處理以產生或增加特定的生長因子、胜肽、蛋白質或其他作用於增強產生的軟骨量、或改善移植的成功率,例如降低排斥的風險或伴隨移植物的發炎或增加產量的分子。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞。 In yet another specific example of the present invention, the fetal epiphyseal chondrocytes or chondrogenic progenitor cells of the present invention may be genetically engineered to produce or increase specific growth factors, peptides, proteins, or other actions that enhance the amount of cartilage produced, Or improve the success rate of the transplant, such as molecules that reduce the risk of rejection or accompany inflammation of the graft or increase yield. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

本發明也係關於前述方法的產物,包括但不限於本發明之胎兒骨骺軟骨細胞或軟骨源祖細胞細胞、經有絲分裂擴增者等;由其產製的新的軟骨組織;由其萃取的胞外基質;及立體軟骨/框架建構物。本發明亦係關於此等細胞、建構物及組織的用途,供在體內修補、替換或增長軟骨,或在體外形成有用於產製新的軟骨組織或有生物活性之劑的立體軟骨培養物,或測試有潛力的治療劑的細胞毒性。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞。 The present invention also relates to the products of the foregoing methods, including but not limited to fetal epiphyseal chondrocytes or chondrogenic progenitor cells of the present invention, mitotic amplifiers, etc .; new cartilage tissue produced therefrom; Outer matrix; and stereo cartilage / framework. The present invention also relates to the use of these cells, structures and tissues for repairing, replacing or growing cartilage in vivo, or forming a three-dimensional cartilage culture in vitro for producing new cartilage tissue or a biologically active agent, Or test the cytotoxicity of potential therapeutics. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

本發明之一具體例中,從胎兒尺骨軟骨單離的胎兒骨骺軟骨細胞或軟骨源祖細胞,以及從其分化的軟骨細胞,可用於產製新的軟骨組織及細胞以供修補或替換軟骨。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞,此等可用於產製新的腱或皮膚組織及細胞以供修補或替換腱或皮膚。 In a specific example of the present invention, fetal epiphyseal chondrocytes or cartilage-derived progenitor cells isolated from fetal ulnar cartilage and chondrocytes differentiated therefrom can be used to produce new cartilage tissues and cells for repair or replacement of cartilage. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells. These can be used to produce new tendons or skin tissues and cells for repair or replacement of tendons or skin.

本發明之另一具體例中,依本發明之方法從胎兒尺骨軟骨單離之胎兒骨骺軟骨細胞或軟骨源祖細胞,及從其分化的軟骨細胞,可用於作為治療劑。較佳為,依本發明之方法從胎兒尺骨軟骨單離之胎兒骨骺軟骨細胞、及從其分化的軟骨細胞,用於骨軟骨修補(包括軟骨修補及腱修補)與再生之方法及用於治療骨軟骨疾病或缺陷(包括骨軟骨病變、損傷、創傷、碎裂和骨折、下軟骨的骨骼壞死和骨軟骨炎)及/或關節炎的方法。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞以供腱及皮膚之特定治療。 In another embodiment of the present invention, fetal epiphyseal chondrocytes or chondrogenic progenitor cells isolated from fetal ulnar cartilage according to the method of the present invention and chondrocytes differentiated therefrom can be used as a therapeutic agent. Preferably, fetal epiphyseal chondrocytes isolated from fetal ulnar cartilage and chondrocytes differentiated therefrom according to the method of the present invention are used for osteochondral repair (including cartilage repair and tendon repair) and regeneration methods and for treatment. Methods of osteochondral disease or defect (including osteochondral lesions, injuries, trauma, fragmentation and fractures, osteonecrosis of the lower cartilage and osteochondritis) and / or arthritis. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells for specific treatment of tendons and skin.

因此於一具體例中,本發明係關於一種由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC),其係用於骨軟骨組織及肌肉骨骼組織之修補與再生的方法;一種由本發明之非酵素方法獲得之胎兒跟腱細胞,其係用於腱組織及肌肉骨骼組織之修補與再生之方法;及一種由本發明之非酵素方法獲得 之胎兒皮膚纖維母細胞,其係用於皮膚組織之修補與再生之方法,及用於處理燒傷、創傷及纖維化病症。 Therefore, in a specific example, the present invention relates to a fetal epiphyseal chondrocyte (FEC) obtained by the non-enzymatic method of the present invention, which is a method for repair and regeneration of osteochondral tissue and musculoskeletal tissue; Fetal Achilles tendon cells obtained by non-enzymatic methods, which are methods for repairing and regenerating tendon tissue and musculoskeletal tissue; and a non-enzymatic method obtained by the present invention Fetal skin fibroblasts are methods for repairing and regenerating skin tissue, and for treating burns, wounds, and fibrotic conditions.

本發明之另一具體例中,提供:一種由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC),其係供使用於治療骨軟骨疾病或缺陷、關節炎及肌肉骨骼疾病之方法;一種由本發明之非酵素方法獲得之胎兒跟腱細胞,其係供使用於治療肌肉骨骼疾病及腱病變之方法;一種由本發明之非酵素方法獲得之胎兒皮膚纖維母細胞,其係供使用於治療皮膚疾病之方法。 In another specific example of the present invention, there is provided: fetal epiphyseal chondrocytes (FEC) obtained by the non-enzymatic method of the present invention, which is used for treating osteochondral diseases or defects, arthritis, and musculoskeletal diseases; a Fetal Achilles tendon cells obtained by the non-enzymatic method of the present invention are used for the treatment of musculoskeletal diseases and tendon diseases; a fetal skin fibroblast cell obtained by the non-enzymatic methods of the present invention are used for the treatment of skin Methods of disease.

胎兒骨骺軟骨細胞(FEC)或軟骨源祖細胞在骨軟骨組織工程的用途非常有前景。事實上,在整個胎兒發育過程中,該骨骺成為二次骨化中心(SOC)的主要部位,其將FEC凝聚物(condensate)轉形成關節的軟骨的區域、以及在血管侵入後成為骨骺索前軟骨(trabecular)骨骼及骨髓的部分(Blumer et al.,2008;Onyekwelu et al.,2009)。已知胎兒軟骨,如同在胎兒皮膚所觀察到,有強大的自我修補能力。於山羊胎兒模型,顯示缺陷在無外痂或纖維組織形成的狀態被修補(Namba et al.,1998)。 The use of fetal epiphyseal chondrocytes (FEC) or chondrogenic progenitor cells in osteochondral tissue engineering is very promising. In fact, throughout the development of the fetus, this epiphysis becomes the main site of the secondary ossification center (SOC), which transforms FEC condensate into the area of cartilage of the joint, and before the epiphyseal cord after blood vessel invasion Trabecular bone and bone marrow (Blumer et al. , 2008; Onyekwelu et al. , 2009). It is known that fetal cartilage, as observed in fetal skin, has a strong ability to repair itself. In a goat fetal model, it was shown that the defect was repaired without lemma or fibrous tissue formation (Namba et al. , 1998).

本發明之細胞(胎兒骨骺軟骨細胞或軟骨源祖細胞及軟骨細胞)以及軟骨組織,可於體外使用以篩選製藥劑、生長/調節因子、抗發炎劑等的有效性及細胞毒性的多種化合物。為此,如上述本發明之細胞、或組織培養物,係於體外維持並且暴露於待測的化合物。細胞毒性的化合物其活性可藉由其損傷或殺死培養物中之細胞的能力來測量。其可容易地利用活體染色技術評估。生長/調節因子的作用,可藉由以體外分析活細胞數目來評估,例如總細胞數計數,及計數差別的細胞數。此可藉由使用標準的細胞學及/或組織學技術來達成,包括採用能識別類型專一性的細胞抗原之抗體的免疫細胞化學技術。可以評估各種藥物對於本發明細胞在懸浮培養物或上述立體系狀態的效果。因此,從胎兒尺骨軟骨單離的胎兒骨骺軟骨細胞或軟骨源祖細胞,也可用於開發供治療關節炎、骨軟骨缺陷、軟骨修補、腱修補的先進的治療劑及/或醫學裝置。相同方法可以同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞,其也可應用於開發供治療肌肉骨骼組織的先進的治療劑及/或醫學裝置。 The cells of the present invention (fetal epiphyseal chondrocytes or chondrogenic progenitor cells and chondrocytes) and cartilage tissue can be used in vitro to screen a variety of compounds for the effectiveness and cytotoxicity of pharmaceutical agents, growth / regulatory factors, anti-inflammatory agents, and the like. To this end, the cells, or tissue cultures of the invention as described above, are maintained in vitro and exposed to the compound to be tested. The activity of a cytotoxic compound can be measured by its ability to damage or kill cells in culture. It can be easily evaluated using live staining techniques. The effects of growth / regulatory factors can be assessed by analyzing the number of living cells in vitro, such as total cell counts, and counting the number of cells that differ. This can be achieved by using standard cytological and / or histological techniques, including immunocytochemical techniques using antibodies that recognize type-specific cellular antigens. The effects of various drugs on the cells of the present invention in suspension culture or the above-mentioned state of the system can be evaluated. Therefore, fetal epiphyseal chondrocytes or cartilage-derived progenitor cells isolated from fetal ulnar cartilage can also be used to develop advanced therapeutic agents and / or medical devices for the treatment of arthritis, osteochondral defects, cartilage repair, and tendon repair. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells, and it can also be applied to the development of advanced therapeutic agents and / or medical devices for treating musculoskeletal tissues.

因此於本發明之一具體例中,提供一種篩選方法,其係供發展用於治療關節炎的、骨軟骨缺陷、軟骨修補、腱修補、肌肉骨骼組織修補及皮膚 修補之治療劑及/或醫學裝置,包括使用由本發明之非酵素方法獲得之胎兒骨骺軟骨細胞(FEC)、胎兒跟腱細胞或胎兒皮膚纖維母細胞。 Therefore, in one embodiment of the present invention, a screening method is provided for the development of osteochondral defects, cartilage repair, tendon repair, musculoskeletal tissue repair, and skin for the treatment of arthritis. Repairing therapeutic agents and / or medical devices include fetal epiphyseal chondrocytes (FEC), fetal Achilles tendon cells, or fetal skin fibroblasts obtained using the non-enzymatic method of the present invention.

本發明之細胞(胎兒骨骺軟骨細胞或軟骨源祖細胞及軟骨細胞)以及軟骨組織,可用作模型系,以供研究生理情形或致病情形。例如,被固定的關節會相當快速在許多方面受損。軟骨細胞的代謝活性由於喪失蛋白多糖而受影響,且很快觀察到水含量增加。軟骨的正常白色、晶瑩的外觀變得沉悶、色調偏藍,且軟骨厚度減少。然而,至今尚不明瞭此改變量究是歸因於營養上的欠缺、壓迫依存性代謝恆定受擾亂。本發明之細胞及軟骨組織,可用於在不同的物理條件例如間歇加壓、及藉由將營養培養基以幫浦打入及打出軟骨建構物而決定軟骨的營養需求。此特別有用於研究與年紀相關或與受傷相關的關節軟骨(例如膝蓋中)的拉伸強度減低的基礎成因,其使得強度減弱的軟骨易受創傷損害。相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞,有用於研究年紀相關或受傷相關的腱及皮膚之拉伸強度減低而造成受創傷性損害或年紀相關性損害的基礎原因。 The cells of the present invention (fetal epiphyseal chondrocytes or chondrogenic progenitor cells and chondrocytes) and cartilage tissue can be used as a model line for studying physiological conditions or pathogenic conditions. For example, fixed joints can be damaged fairly quickly in many ways. The metabolic activity of chondrocytes is affected by the loss of proteoglycans, and an increase in water content is quickly observed. The normal white, shiny appearance of cartilage becomes dull, the hue is bluish, and the thickness of cartilage is reduced. However, it is unknown to this day that the magnitude of this change is due to nutritional deficiencies and constant disruption of stress-dependent metabolism. The cells and cartilage tissue of the present invention can be used to determine the nutritional requirements of cartilage under different physical conditions, such as intermittent pressurization, and by driving nutrient medium into and out of cartilage structures. This is particularly useful for investigating the underlying causes of reduced tensile strength of articular cartilage (such as in the knee) related to age or injury, which makes weakened cartilage vulnerable to trauma. The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells. It is used to study the underlying causes of traumatic or age-related damage caused by the reduction of the tensile strength of tendons and skin related to injury or injury.

本發明之細胞(胎兒骨骺軟骨細胞或軟骨源祖細胞及軟骨細胞)及軟骨組織,也可用於研究細胞激素及其他原發炎媒介因子例如IL-1、TNF及前列腺素的作用機制,此等係由於風濕性疾病而釋放到滑膜液。因此,可在體外測試該患者自己的關節,以研究此等化合物對於本發明之細胞之生長的作用。此外,可針對特定的患者篩選最有效的細胞毒性及/或藥學製劑,比如篩選減少或防止軟骨再吸收或以其他方式增進關節軟骨的均衡生長的製劑。已證實在體外有效的藥劑,可接著用來以治療性地處置患者。同樣方法可相同地應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞,有用於研究造成組織修補不均衡的生長因子、細胞激素及其他發炎前驅媒介因子的作用機制。 The cells (fetal epiphyseal chondrocytes or chondrogenic progenitor cells and chondrocytes) and cartilage tissue of the present invention can also be used to study the mechanism of action of cytokines and other pro-inflammatory mediators such as IL-1, TNF and prostaglandins. Released into synovial fluid due to rheumatic diseases. Therefore, the patient's own joints can be tested in vitro to study the effect of these compounds on the growth of the cells of the invention. In addition, the most effective cytotoxic and / or pharmaceutical preparations can be screened for specific patients, such as those that reduce or prevent reabsorption of cartilage or otherwise promote balanced growth of articular cartilage. Agents that have proven effective in vitro can then be used to treat patients therapeutically. The same method can be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells in the same way. It has been used to study the mechanism of growth factors, cytokines, and other inflammatory precursor mediators that cause imbalance in tissue repair.

本發明所屬技術領域中具有通常知識者當可了解在此敘述的本發明在有特別敘述以外,可經改變以及修飾。應瞭解:本發明包括所有未偏離本發明精神或主要特性的所有此等改變以及修飾。本發明也包括所有在本說明書個別或共同地提到所指出的步驟、特性、組合及化合物,以及該等步驟或特性的所有組合或任意2或更多種。所以本揭示意欲視為供理解而非限定性,本發明之範疇係由附帶的申請專利範圍所指明,且所有在含意及均 等範圍內的所有改變均意欲包括在內。 Those having ordinary knowledge in the technical field to which the present invention pertains can understand that the present invention described herein may be changed and modified in addition to the special description. It should be understood that the invention includes all such alterations and modifications without departing from the spirit or essential characteristics of the invention. The present invention also includes all of the steps, characteristics, combinations, and compounds mentioned individually or collectively in this specification, and all combinations or any two or more of those steps or characteristics. Therefore, this disclosure is intended to be understood rather than limiting, and the scope of the present invention is specified by the scope of the accompanying patent application, and all All changes within the scope are intended to be included.

前述敘述將由以下的實施例而更能被完整了解。然而,此等實施例係本發明實施的例示方法,並未意欲要限定本發明的範疇。 The foregoing description will be more fully understood from the following examples. However, these embodiments are exemplary methods implemented by the present invention and are not intended to limit the scope of the present invention.

[實施例] [Example]

該近側尺骨的骨骺、跟腱及腹部皮膚,係依照嚴格的移殖法律及針對器官捐贈及篩選的細則及指南處理以創製供組織工程應用的FEC、腱及皮膚親代細胞庫(CHUV Ethics Committee protocol # 62/07)。將組織活體組織切片(軟骨,~2mm3,腱,~0.2mm3,皮膚,~2cm2)做微切片並且利用物理性附著於經解剖刀刻劃的表面而分散(未使用酵素處理,以確保僅有貼附的軟骨、腱或皮膚長出,且確保細胞族群的一致:此係對於臨床用途為必要的準則)。在1~2天至1星期觀察到FEC、腱及皮膚長出,並且在1週及2週完成擴增。以每個小玻璃瓶5-10 x106個細胞共50-200個小玻璃瓶,建立親代細胞庫,並且在液體氮的氣相中保存。對於單離的細胞進行體外定性,顯示以單層培養物的形式有出色的均質性,且有傾向於重疊的顯著的增殖潛能(3D培養物)。FEC、腱源祖細胞及皮膚源祖細胞在前6代似乎未顯示有顯著的表型變動。FEC、腱源祖細胞,當置於丸狀培養形式,能夠自發性的接合,使基質沉澱並且表現基礎的成軟骨或腱細胞標記。流式細胞儀分析顯示出單峰的分布,代表有均質的族群。與由成體骨髓所衍生之MSC比較,結果顯示FEC或腱表面標記輪廓與軟骨或腱細胞一致而非未分化的源祖細胞表型。 The epiphysis, Achilles tendon, and abdominal skin of the proximal ulna were processed in accordance with strict transplantation laws and detailed rules and guidelines for organ donation and screening to create a FEC, tendon, and skin parental cell bank for tissue engineering applications (CHUV Ethics Committee protocol # 62/07). Tissue biopsy sections (cartilage, ~ 2mm 3 , tendon, ~ 0.2mm 3 , skin, ~ 2cm 2 ) are micro-sectioned and dispersed by physical attachment to a scalpel-scratched surface (without enzyme treatment, to Make sure that only the attached cartilage, tendon, or skin grows, and that the cell population is consistent: this line is a necessary criterion for clinical use). FEC, tendon, and skin growth were observed from 1 to 2 days to 1 week, and expansion was completed at 1 and 2 weeks. From 5-10 x 10 6 cells per vial to 50-200 vials, the parental cell bank was established and stored in liquid nitrogen gas phase. Characterization of isolated cells in vitro showed excellent homogeneity in the form of monolayer cultures and significant proliferative potential (3D cultures) that tend to overlap. FEC, tendon-derived progenitor cells, and skin-derived progenitor cells did not appear to show significant phenotypic changes in the first 6 passages. FEC, tendon-derived progenitor cells, when placed in a pellet culture format, can spontaneously join, precipitate the matrix, and display basic chondrogenic or tendon cell marks. Flow cytometry analysis showed a unimodal distribution, representing a homogeneous population. Compared with MSCs derived from adult bone marrow, the results show that the contours of FEC or tendon surface markers are consistent with cartilage or tendon cells instead of the undifferentiated source progenitor phenotype.

胎兒軟骨細胞、腱源祖細胞及皮膚源祖細胞細胞庫製作、關於治療劑製備的定性 Preparation of fetal chondrocytes, tendon-derived progenitor cells, and skin-derived progenitor cell banks, and characterization of the preparation of therapeutic agents

製作細胞庫 Making a Cell Bank

細胞庫係在Lausanne大學醫院建立,係從有經告知後書面同意且已由1993年起成立的當地醫學學校倫理委員會,更具體而言為自2007前成立的臨床細胞庫許可的中止懷孕的已懷孕12~14週之間獲得的胎兒活組織切片。迄今已從2名獨立的捐贈者成功地發展出臨床前的關節軟骨細胞庫。使用其中之一(FE002-Cart第0代;FE-002-Ten第0代;FE-002-SK2第0代),將能夠建立所有供臨床前及臨床試驗用的低傳代數的細胞(第3代的MCB,第5代的WCB)。 The cell bank department was established at the Lausanne University Hospital. It is a local medical school ethics committee that has been approved in writing and has been established since 1993. More specifically, it has been approved by the clinical cell bank established before 2007 to terminate pregnancy. Fetal biopsies obtained between 12 and 14 weeks of pregnancy. To date, preclinical articular chondrocyte cell banks have been successfully developed from 2 independent donors. Using one of them (FE002-Cart Generation 0; FE-002-Ten Generation 0; FE-002-SK2 Generation 0) will enable the establishment of all low-passage cells for preclinical and clinical trials (Section MCB of 3rd generation, WCB of 5th generation).

從約0.3cm3關節的軟骨(橈骨)(見圖7)、約0.2mm3跟腱及約1cm2腹部皮膚,製備0代及1代的臨床前細胞庫。將組織儘可能分切為<0.5mm3的碎片,使生長於補充了10% FCS及麩醯胺酸的DMEM培養基,並將細胞於第3及6代或第1及9代用於定性及實驗。在切割前將其生長成匯合,並以PBS洗滌2次並計數。 Pre-clinical cell banks of generations 0 and 1 were prepared from cartilage (radius) of about 0.3 cm 3 joints (see Fig. 7), Achilles tendon of about 0.2 mm 3 and abdominal skin of about 1 cm 2 . Tissues were cut into pieces as small as <0.5mm 3 as much as possible to grow in DMEM medium supplemented with 10% FCS and glutamic acid, and the cells were used for qualitative and experimental purposes at passages 3 and 6 or passages 1 and 9 . They were grown to confluence before cutting and washed twice with PBS and counted.

未經酵素處理的詳細程序:儘可能將組織分入二個10cm平盤,每盤有約5片完整組織碎片(<0.5mm3)。先將組織培養皿於層流罩下以無菌解剖刀深深地刻畫出棋盤格樣式。將組織的碎片放入有刻畫的塑膠區,溫和的切碎並使碎片附著在塑膠的刻紋內。在各碎片的周圍放置少量的營養培養基,以防止組織在頭24小時漂浮。經過頭24小時後,對各10cm平盤加入8ml的培養基,並且在傳代前每週更換2次。使此等碎片在僅補充10%胎牛血清(Hyclone)的DMEM中生長,以協助確保細胞培養物的一致性。細胞培養物於37℃於95%空氣/10%二氧化碳的加溼的氛圍中生長。重要者且需提及的:所有供臨床試驗的細胞培養物所必要的營養成分,均應有完整的安全要求及追蹤。所有的動物衍生的產物,例如胎牛血清及胰蛋白酶,應採用已測試過外來劑的特定的臨床批的胰蛋白酶及經gamma輻射的血清。雖然在第1天後可觀察到細胞生長,但是在細胞再生長5-7天後,將組織及細胞碟利用胰蛋白酶分解(0.25%胰蛋白酶-0.1% ethylene diaminetetraacetic acid[EDTA])或單獨使用EDTA來從平板移走,以傳代到多組織培養燒瓶或將其冷凍以供製作細胞庫。於此點,將有些胎兒軟骨、胎兒腱或胎兒皮膚細胞以個別的單元冷凍在液態氮中,並將其他者以1,000-2,000細胞/cm2或10,000-50,000細胞/cm2傳代以供產製PCB。將細胞以2000g離心15min並且再懸浮於冷凍溶液DMEM(5ml)+FCS(4ml)+DMSO(1ml,Fluka),於-80℃冷凍,在Nalgene Cryo 1℃冷凍容器(Nalgene)中以1ml等份(~5-10百萬個細胞)達到1℃/min的冷卻及冷凍曲線。24小時後,將細胞移到液態氮以作更長期保存。 Detailed procedure without enzyme treatment: As far as possible, divide the tissue into two 10cm flat disks, with about 5 complete tissue fragments (<0.5mm 3 ) per disk. First, the tissue culture dish was deeply drawn into a checkerboard pattern with a sterile scalpel under a laminar flow hood. Place fragments of the tissue into the plastic area where it is depicted, gently shred and attach the fragments to the plastic cuts. Place a small amount of nutrient medium around each fragment to prevent the tissue from floating in the first 24 hours. After the first 24 hours, 8 ml of medium was added to each 10 cm flat plate and changed twice a week before passage. These fragments were grown in DMEM supplemented with only 10% fetal bovine serum (Hyclone) to help ensure the consistency of the cell culture. Cell cultures were grown at 37 ° C in a humidified atmosphere of 95% air / 10% carbon dioxide. Important and need to mention: All nutritional components necessary for clinical trials of cell cultures should have complete safety requirements and tracking. All animal-derived products, such as fetal bovine serum and trypsin, should use specific clinical batches of trypsin and gamma-irradiated serum that have been tested for foreign agents. Although cell growth can be observed after day 1, tissues and cell dishes are trypsinized (0.25% trypsin-0.1% ethylene diaminetetraacetic acid [EDTA]) after 5-7 days of cell regrowth or used alone EDTA is removed from the plate for passage into multi-tissue culture flasks or frozen for cell banks. At this point, some fetal cartilage, fetal tendon, or fetal skin cells are frozen in liquid nitrogen in individual units, and others are passaged at 1,000-2,000 cells / cm 2 or 10,000-50,000 cells / cm 2 for production.制 PCB。 System PCB. The cells were centrifuged at 2000 g for 15 min and resuspended in a frozen solution of DMEM (5 ml) + FCS (4 ml) + DMSO (1 ml, Fluka), frozen at -80 ° C, and 1 ml aliquots in a Nalgene Cryo 1 ° C freezer (Nalgene). (~ 5-10 million cells) reached 1 ° C / min cooling and freezing curve. After 24 hours, the cells were moved to liquid nitrogen for longer storage.

使用1-2瓶小玻璃瓶的臨床前胎兒關節的軟骨、胎兒腱或胎兒皮膚製備供定性用的一致的工作細胞庫(WCB)。程序的設計,如同在cGMP製造時使用者。簡而言之,開始時將細胞以1,500細胞/cm2或1,000-100,000細 胞/cm2放於含有15ml的營養培養基(DMEM+10%臨床級胎牛血清,Invitrogen)的100個細胞培養燒瓶(T75,Nunc)。將有細胞之培養基每2天更換一次,並且細胞的產製/增殖係於37℃、濕度10%實施10-14天,或以較高密度的接種量實施3-6天。於第12-14天,將10T75批的燒瓶實施TrypLE消化,以將細胞從燒瓶分離,並置入離心管內。在離心前於各離心管中加入等體積的營養培養基以緩衝TrypLE的作用。將從所有的燒瓶獲得的細胞丸粒再懸浮於200ml冷凍培養基溶液(DMEM,血清,DMSO,比例5:4:1),並等分到100個Nunc冷凍小玻璃瓶(1.5ml),稀釋度為10 x 106個細胞/ml。 Use 1-2 vials of preclinical fetal joint cartilage, fetal tendon, or fetal skin to prepare a consistent working cell bank (WCB) for characterization. The design of the program is the same as when the cGMP was manufactured. Briefly, cells were initially placed at 1,500 cells / cm 2 or 1,000-100,000 cells / cm 2 in 100 cell culture flasks containing 15 ml of nutrient medium (DMEM + 10% clinical-grade fetal bovine serum, Invitrogen) ( T75, Nunc). The culture medium with cells was changed every 2 days, and the production / proliferation of the cells was performed at 37 ° C and 10% humidity for 10-14 days, or at a higher density for 3-6 days. On Days 12-14, a 10T75 batch of flask was subjected to TrypLE digestion to separate cells from the flask and placed in a centrifuge tube. Before centrifugation, an equal volume of nutrient medium was added to each centrifuge tube to buffer the effect of TrypLE. Cell pellets obtained from all flasks were resuspended in 200 ml frozen medium solution (DMEM, serum, DMSO, ratio 5: 4: 1), and aliquoted into 100 Nunc frozen vials (1.5 ml), dilution 10 x 10 6 cells / ml.

經細胞於-80℃冷凍,於Nalgene Cryo 1℃冷凍容器(Nalgene)以達到-1℃/min的冷卻及冷凍曲線的速度。24小時後,將細胞移到液態氮的氣相中。該WCB處於第2傳代,且係用於細胞定性,所使用的細胞處於各種傳代數,但主要是2-8之間。 Cells were frozen at -80 ° C and frozen in a Nalgene Cryo 1 ° C freezing container (Nalgene) to achieve a cooling and freezing curve speed of -1 ° C / min. After 24 hours, the cells were moved to the gas phase of liquid nitrogen. The WCB is in the second passage and is used for cell characterization. The cells used are in various passage numbers, but mainly between 2-8.

胎兒軟骨細胞定性:同一性、穩定性、一致性、遺傳穩定性 Characterization of fetal chondrocytes: identity, stability, consistency, genetic stability

在申請人的整個研究,比較製作成細胞庫的胎兒軟骨細胞與依同樣技術條件在其實驗室製作的BM-MSC細胞庫。MSC係同種異系(allogenic)細胞,且係在組織中在軟骨再生的臨床前及臨床實驗中已提出並使用的主要的其他細胞類型的1種(但是,間葉細胞非組織專一性,必需經過程控以成為其他組織類型)。再者,MSC細胞庫較不穩定,必需在第4代以下使用。相同的方法可同樣應用在胎兒腱源祖細胞及胎兒皮膚源祖細胞。 Throughout the applicant's entire study, fetal chondrocytes made into a cell bank were compared with BM-MSC cell banks made in their laboratory under the same technical conditions. MSC is an allogenic cell, and is one of the main other cell types that have been proposed and used in pre-clinical and clinical experiments of cartilage regeneration in tissues (however, mesenchymal cells are non-tissue-specific and must be Controlled to become another organization type). Furthermore, the MSC cell bank is relatively unstable and must be used below the fourth generation. The same method can be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

相較於BM-MSC之胎兒軟骨定性 Characterization of fetal cartilage compared to BM-MSC

胎兒關節的軟骨細胞庫,已與BM-MSC細胞比較,藉由FACS分析進行表面標記的定性、針對功能性試驗之基質沉積進行定性。已將衍生自關節的骨骺組織的胎兒軟骨細胞單離,且已將親代細胞庫冷凍。 The fetal joint chondrocyte cell bank has been compared with BM-MSC cells, the surface labeling is qualitatively analyzed by FACS analysis, and the stromal deposition for functional tests is qualitative. Fetal chondrocytes derived from the epiphyseal tissue of the joint have been isolated, and the parental cell bank has been frozen.

在初步實驗中已比較過的標記包括:CD105:Endoglin。TGFBeta受體複合體的一部分。MSC陽性選擇時的主要標準。 Marks that have been compared in preliminary experiments include: CD105: Endoglin. Part of the TGFBeta receptor complex. The main criteria for MSC positive selection.

CD90:Thy-1。MSC陽性選擇時的主要標準。 CD90: Thy-1. The main criteria for MSC positive selection.

CD44:PTPRC。白血球標記。bmMSC陰性選擇時的標準。 CD44: PTPRC. White blood cells mark. Criteria for bmMSC negative selection.

CD73:NT5E。MSC陽性選擇時的主要標準。 CD73: NT5E. The main criteria for MSC positive selection.

CD166:ALCAM。 CD166: ALCAM.

(見圖8及9) (See Figures 8 and 9)

相同方法可同樣應用於胎兒腱源祖細胞及胎兒皮膚源祖細胞。 The same method can also be applied to fetal tendon-derived progenitor cells and fetal skin-derived progenitor cells.

生體可相容性:胎兒軟骨與水凝膠及基質間的生體可相容性 Biocompatibility: Biocompatibility between fetal cartilage and hydrogel and matrix

最初先測試供醫療用途的不同基質的生體可相容性。在最初的實驗中係使用各種組成的水凝膠、膠原蛋白,以及一些生物可降解的聚合物。針對水凝膠,將細胞培養於已插入在預製的瓊脂模型內的凝膠內。此舉對於防止細胞附著於試管,以及能容許立體生長係為必要。該模型之製備係藉由以移液管注入1ml的熔融瓊脂糖(20%瓊脂,低熔點瓊脂)到1.5ml的無菌圓錐狀的微量離心管(eppendorf),再於每個微量離心管的液體瓊脂插入0.5ml的無菌圓錐狀微量離心管,使其固化,然後將該0.5ml的微量離心管抽出,留下圓錐狀的嵌入物。在加入凝膠及細胞後,以移液管將100μl的培養基加到各管的表面上,每週更換2次培養基。將細胞在37℃培養箱中於相對濕度95%及10%二氧化碳的條件培養達1週、2週及4週。 Biocompatibility of different matrices for medical use was initially tested. In the initial experiments, various compositions of hydrogels, collagen, and some biodegradable polymers were used. For hydrogels, cells were cultured in a gel that had been inserted into a preformed agar model. This is necessary to prevent cells from attaching to the test tube and to allow three-dimensional growth. The model is prepared by injecting 1ml of molten agarose (20% agar, low melting point agar) into a 1.5ml sterile conical microcentrifuge tube (eppendorf) through a pipette, and then filling the liquid in each microcentrifuge tube. The agar was inserted into a 0.5 ml sterile conical microcentrifuge tube and allowed to solidify, and then the 0.5 ml microcentrifuge tube was withdrawn, leaving a conical insert. After adding the gel and cells, 100 μl of the medium was added to the surface of each tube with a pipette, and the medium was changed twice a week. The cells were cultured in a 37 ° C incubator at 95% relative humidity and 10% carbon dioxide for 1 week, 2 weeks, and 4 weeks.

針對基質製備,實施調查細胞接種密度(103至104細胞cm2)以及生長週期(1至28天)的初步實驗,以決定胎兒細胞傳送的最適條件。將第3或4代的胎兒細胞及BM-MSC(由於之後的穩定性的原故,MSC最多第4代)置於10ml培養基(DMEM,含10% FBS),並接種在基質上。將含有細胞的該基質放入37℃的培養箱,於相對濕度95%及10%二氧化碳培養。然後在1小時之後加入額外的30ml培養基。基質每週2次以營養培養基更換。生體可相容性也藉由接觸試驗測量,作法係將細胞培養在已有水凝膠或基質的組織培養板。以目視分析在水凝膠與基質交界的細胞生長及遷移。於1週、2週及4週之後,以吉姆薩染液將樣本染色,並拍照(Sony CyberShot DSC-S70,Zeiss微距鏡頭,Zoom 6x,330萬畫素)。 For the preparation of the matrix, the investigation preliminary experiments cell seeding density (10 3 to 10 4 cells cm 2) and a growth period (1-28 days), and to determine the optimal conditions for the transfer of fetal cells. Fetal cells from the 3rd or 4th passage and BM-MSC (MSCs up to 4th passage due to subsequent stability) were placed in 10 ml medium (DMEM, containing 10% FBS), and seeded on the substrate. The matrix containing the cells was placed in a 37 ° C incubator and cultured at 95% relative humidity and 10% carbon dioxide. An additional 30 ml of medium was then added after 1 hour. Matrix was changed twice a week with nutrient medium. Biocompatibility is also measured by contact tests by culturing cells on a tissue culture plate that already has a hydrogel or matrix. Visual analysis of cell growth and migration at the interface of hydrogel and matrix. After 1 week, 2 weeks, and 4 weeks, the samples were stained with Giemsa stain and taken photos (Sony CyberShot DSC-S70, Zeiss macro lens, Zoom 6x, 3.3 million pixels).

【生物材料寄存】 [Biological Material Storage]

國內寄存資訊【請依寄存機構、日期、號碼順序註記】 Domestic Deposit Information [Please note according to the order of deposit organization, date, and number]

1.財團法人 食品工業發展研究所 2012/12/24 BCRC960459 1. Institute for Food Industry Development 2012/12/24 BCRC960459

2.財團法人 食品工業發展研究所 2012/12/24 BCRC960460 2. Institute for Food Industry Development 2012/12/24 BCRC960460

3.財團法人 食品工業發展研究所 2012/12/24 BCRC960461 3. Institute of Food Industry Development 2012/12/24 BCRC960461

國外寄存資訊【請依寄存國家、機構、日期、號碼順序註記】 Information on foreign deposits [Please note according to the order of the depositing country, institution, date, and number]

1.英國 European Collection of Cell Cultures(ECACC) 2012/7/3 12070301 1.UK European Collection of Cell Cultures (ECACC) 2012/7/3 12070301

2.英國 European Collection of Cell Cultures(ECACC) 2012/7/3 12070302 2.UK European Collection of Cell Cultures (ECACC) 2012/7/3 12070302

3.英國 European Collection of Cell Cultures(ECACC) 2012/7/3 12070303 3.UK European Collection of Cell Cultures (ECACC) 2012/7/3 12070303

Claims (9)

一種體外非酵素方法,其係供單離、擴增及發展選自於由胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒皮膚纖維母細胞構成之群組的胎兒細胞,包含以下步驟:a)使用胎兒樣本,其係選自於包含胎兒骨骺軟骨細胞之胎兒尺骨軟骨;包含胎兒跟腱細胞之胎兒跟腱;或包含胎兒皮膚纖維母細胞之胎兒腹部皮膚;b)將該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本微切片,並藉由以物理性附著於經解剖刀刻劃的表面而使其分散在刻紋內;c)於體外以該胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒腹部皮膚纖維母細胞增殖的條件培養該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本;d)在生長5-7天後,從其中選擇及單離最早貼附的胎兒骨骺軟骨細胞細胞族群、最早貼附的胎兒跟腱細胞細胞族群、及最早貼附的胎兒皮膚纖維母細胞族群。An in vitro non-enzymatic method for isolating, expanding and developing fetal cells selected from the group consisting of fetal epiphyseal chondrocytes, fetal Achilles tendon cells, or fetal skin fibroblasts, comprising the following steps: a) using A fetal sample is selected from fetal ulnar cartilage containing fetal epiphyseal chondrocytes; fetal Achilles tendon containing fetal Achilles tendon cells; or fetal abdominal skin containing fetal skin fibroblasts; b) the fetal ulnar cartilage, fetal heel Tendons or fetal abdomen skin samples are micro-sectioned and dispersed within the engravings by physically attaching to the scribed surface with a scalpel; c) using the fetal epiphyseal chondrocytes, fetal Achilles tendon cells or fetuses in vitro The conditions of the proliferation of abdominal skin fibroblasts are to culture the fetal ulnar cartilage, fetal Achilles tendon or fetal abdominal skin samples; d) After 5-7 days of growth, select and isolate the earliest attached fetal epiphyseal chondrocyte cell population, The earliest attached fetal Achilles tendon cell population and the earliest attached fetal skin fibroblast population. 如申請專利範圍第1項之體外非酵素方法,其中,胎兒尺骨軟骨樣本係胎兒近側尺骨骨骺的樣本。For example, the in vitro non-enzymatic method of the scope of patent application, wherein the fetal ulnar cartilage sample is a fetal proximal ulna callus. 一種胎兒骨骺軟骨細胞(FEC)細胞株,其係由如申請專利範圍第1項之體外非酵素方法獲得,命名為FE002-Cart且寄存編號為BCRC 960459。A fetal epiphyseal chondrocyte (FEC) cell line, which is obtained by an in vitro non-enzymatic method such as item 1 of the patent application scope, is named FE002-Cart, and the deposit number is BCRC 960459. 一種胎兒跟腱細胞細胞株,其係由如申請專利範圍第1項之體外非酵素方法獲得,命名為FE002-Ten且寄存編號為BCRC 960461。A fetal Achilles tendon cell line, which is obtained by an in vitro non-enzymatic method such as item 1 of the patent application scope, is named FE002-Ten, and is registered as BCRC 960461. 一種胎兒皮膚纖維母細胞細胞株,其係由如申請專利範圍第1項之體外非酵素方法獲得,命名為FE002-SK2且寄存編號為BCRC 960460。A fetal skin fibroblast cell line, which is obtained by an in vitro non-enzymatic method such as item 1 of the patent application scope, is named FE002-SK2, and is registered as BCRC 960460. 如申請專利範圍第3項之胎兒骨骺軟骨細胞(FEC)細胞株,其係用於作為治療劑。For example, the fetal epiphyseal chondrocyte (FEC) cell line of the third patent application scope is used as a therapeutic agent. 如申請專利範圍第4項之胎兒跟腱細胞細胞株,其係用於做為治療劑。For example, the fetal Achilles tendon cell cell line No. 4 in the scope of patent application is used as a therapeutic agent. 如申請專利範圍第5項之胎兒皮膚纖維母細胞細胞株,其係用於作為治療劑。For example, the fetal skin fibroblast cell line in the scope of the patent application No. 5 is used as a therapeutic agent. 一種在體外由胎兒組織製備親代細胞庫(PCB)之方法,該胎兒組織係由胎兒骨骺組織、胎兒跟腱組織及胎兒皮膚組織組成,該方法包含以下步驟:a)使用胎兒樣本,其係選自於包含胎兒骨骺軟骨細胞之胎兒尺骨軟骨;包含胎兒跟腱細胞之胎兒跟腱;或包含胎兒皮膚纖維母細胞之胎兒腹部皮膚;b)將該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本微切片,並藉由以物理性附著於經解剖刀刻劃的表面而使其分散在刻紋內;c)於體外以該胎兒骨骺軟骨細胞、胎兒跟腱細胞或胎兒腹部皮膚纖維母細胞增殖的條件培養該胎兒尺骨軟骨、胎兒跟腱或胎兒腹部皮膚樣本;d)在生長5-7天後,從其中選擇及單離最早貼附的胎兒骨骺軟骨細胞細胞族群、最早貼附的胎兒跟腱細胞細胞族群、及最早貼附的胎兒皮膚纖維母細胞族群;e)冷凍已單離的該最早貼附的胎兒骨骺軟骨細胞細胞族群、最早貼附的胎兒跟腱細胞細胞族群、及最早貼附的胎兒皮膚纖維母細胞族群以用於細胞庫。A method for preparing a parental cell bank (PCB) from fetal tissue in vitro. The fetal tissue is composed of fetal epiphyseal tissue, fetal Achilles tendon tissue, and fetal skin tissue. The method includes the following steps: a) using a fetal sample, which is Selected from fetal ulnar cartilage containing fetal epiphyseal chondrocytes; fetal Achilles tendon containing fetal Achilles tendon cells; or fetal abdominal skin containing fetal skin fibroblasts; b) the fetal ulnar cartilage, fetal Achilles tendon, or fetal abdominal skin The sample is micro-sectioned and dispersed in the engraving by being physically attached to the scribed surface of the scalpel; c) the fetal epiphyseal chondrocytes, fetal Achilles tendon cells, or fetal abdominal skin fibroblasts are dispersed in vitro The fetal ulnar cartilage, fetal Achilles tendon, or fetal abdominal skin samples were cultured under conditions of proliferation; d) After 5-7 days of growth, select and isolate the earliest fetal epiphyseal chondrocyte cell population and the earliest attached fetus. Achilles tendon cell cell population and the earliest attached fetal skin fibroblast cell population; e) freezing the earliest attached fetal epiphyseal chondrocytes that have been isolated Cell groups, the first group cells attached Achilles fetal cells, fetal and attaching the first skin fibroblasts cell bank for the group.
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Non-Patent Citations (5)

* Cited by examiner, † Cited by third party
Title
Çetinkaya, Gaye, et al. "Derivation, characterization and expansion of fetal chondrocytes on different microcarriers." Cytotechnology 63.6 (2011): 633-643
Çetinkaya, Gaye, et al. "Derivation, characterization and expansion of fetal chondrocytes on different microcarriers." Cytotechnology 63.6 (2011): 633-643 Maffulli, Nicola, et al. "Tenocytes from ruptured and tendinopathic Achilles tendons produce greater quantities of type III collagen than tenocytes from normal Achilles tendons an in vitro model of human tendon healing." The American journal of sports medicine 28.4 (2000): 499-505 Rajabalian, Saeed, et al. "Supportive effects of human embryonic fibroblast cell lines on growth and proliferation of EBV-transformed lymphoblastoid cells."Iranian Biomedical Journal 7.4 (2003): 147-153 Tracy, Erin C., et al. "Cell‐type Selective Phototoxicity Achieved with Chlorophyll‐a Derived Photosensitizers in a Co‐culture System of Primary Human Tumor and Normal Lung Cells." Photochemistry and photobiology 87.6 (2011): 1405-1418 *
Maffulli, Nicola, et al. "Tenocytes from ruptured and tendinopathic Achilles tendons produce greater quantities of type III collagen than tenocytes from normal Achilles tendons an in vitro model of human tendon healing." The American journal of sports medicine 28.4 (2000): 499-505
Rajabalian, Saeed, et al. "Supportive effects of human embryonic fibroblast cell lines on growth and proliferation of EBV-transformed lymphoblastoid cells."Iranian Biomedical Journal 7.4 (2003): 147-153
Tracy, Erin C., et al. "Cell‐type Selective Phototoxicity Achieved with Chlorophyll‐a Derived Photosensitizers in a Co‐culture System of Primary Human Tumor and Normal Lung Cells." Photochemistry and photobiology 87.6 (2011): 1405-1418

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