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Table. 1.

Challenges faced during CGT product manufacturing that may affect their clinical use


Type of therapy Type of cell or vector Points to consider during the manufacturing process
Cell-based therapy MSCs

Quality of the tissue source (starting material)

Duration of cell cultivation

Presence of residual xenogeneic serum

Gene-based therapy AAV Separation of empty from full AAV capsids
LV

Presence of residual impurities (including xenogeneic serum)

Optimization of transfection conditions

Development of (a) stable producer cell line(s)

Cell-based gene therapy CAR-T cells

Quality of leukapheresis material

Impurities

Complex, multistep procedures

Abbreviations: CGT, cell and gene therapy; MSCs, mesenchymal stem cells; AAV, adeno-associated virus; LV, lentiviral vector; CAR-T, chimeric antigen receptor T.

Ann Lab Med 2024;44:314~323 https://doi.org/10.3343/alm.2023.0382

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