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Table. 2.

Measurement of QC specifications


Quality attribute Measurement methods for CGT therapies
Cell-based (i.e., MSCs) [19] Gene-based (i.e., AAV, LV) [30, 31] Cell-based gene (i.e., CAR-T cell) [57, 58]
Identity

Morphology (microscopy)

Immunophenotyping (FACS)

Differentiation potential (respective staining method)

Viral protein (ELISA)

Vector genome copies (PCR)

Specific viral proteins (western blot) or sequences (sequencing)

% of T cells

% of CAR-expressing T cells (FACS)

Viability Cell counting (i.e., acridine orange, propidium iodide, or trypan blue) NA Cell counting (i.e., acridine orange, propidium iodide, or trypan blue)
Purity Residual contaminants, such as FBS (ELISA) Residual contaminants, such as host cell proteins or DNA (ELISA, qPCR)

% of other immune cells (FACS)

Residual contaminants, such as beads and feeder cells (FACS)

Potency Secretion of paracrine factors (ELISA)

Titer (qPCR)

In vitro functional assay

In vitro assay (i.e., cytotoxic T lymphocyte assay)
Endotoxin Bacterial endotoxin test (i.e., LAL) LAL LAL
Adventitious agents Adventitious assay (in vitro and in vivo) Adventitious assay (in vitro and in vivo) Adventitious assay (in vitro and in vivo)
Mycoplasma Test for mycoplasma (NAT) Test for mycoplasma Test for mycoplasma (NAT)
Sterility Sterility testing (bacteria and fungi) Sterility testing (bacteria and fungi) Sterility testing (bacteria and fungi)
Replication competence NA RCV assay RCV assay
Ann Lab Med 2024;44:314~323 https://doi.org/10.3343/alm.2023.0382

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