Concise Review: Laying the Groundwork for a First-In-Human Study of an Induced Pluripotent Stem Cell-Based Intervention for Spinal Cord Injury

Author:

Tsuji Osahiko1ORCID,Sugai Keiko1ORCID,Yamaguchi Ryo123,Tashiro Syoichi4,Nagoshi Narihito1,Kohyama Jun2,Iida Tsuyoshi12,Ohkubo Toshiki12,Itakura Go12,Isoda Miho23,Shinozaki Munehisa2,Fujiyoshi Kanehiro15,Kanemura Yonehiro6,Yamanaka Shinya7,Nakamura Masaya1,Okano Hideyuki2ORCID

Affiliation:

1. Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan

2. Department of Physiology, Keio University School of Medicine, Tokyo, Japan

3. Regenerative & Cellular Medicine Office, Sumitomo Dainippon Pharma Co., Ltd., Kobe, Japan

4. Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan

5. Department of Orthopaedic Surgery, National Hospital Organization Murayama Medical Center, Tokyo, Japan

6. Department of Biomedical Research and Innovation, Institute for Clinical Research and Department of Neurosurgery, Osaka National Hospital, National Hospital Organization, Osaka, Japan

7. Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan

Abstract

Abstract There have been numerous attempts to develop stem cell transplantation approaches to promote the regeneration of spinal cord injury (SCI). Our multicenter team is currently planning to launch a first-in-human clinical study of an induced pluripotent stem cell (iPSC)-based cell transplant intervention for subacute SCI. This trial was conducted as class I regenerative medicine protocol as provided for under Japan's Act on the Safety of Regenerative Medicine, using neural stem/progenitor cells derived from a clinical-grade, integration-free human “iPSC stock” generated by the Kyoto University Center for iPS Cell Research and Application. In the present article, we describe how we are preparing to initiate this clinical study, including addressing the issues of safety and tumorigenesis as well as practical problems that must be overcome to enable the development of therapeutic interventions for patients with chronic SCI. Stem Cells  2019;37:6–13

Funder

Research Center Network for Realization of Regenerative Medicine

Centers for Clinical Application Research on Specific Disease/Organ

Research Project for Practical Applications of Regenerative Medicine

Japan Agency for Medical Research and Development

Publisher

Oxford University Press (OUP)

Subject

Cell Biology,Developmental Biology,Molecular Medicine

Reference69 articles.

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2. Global incidence and prevalence of traumatic spinal cord injury;Furlan;Can J Neurol Sci,2013

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4. Transplantation of human neural stem cells for spinal cord injury in primates;Iwanami;J Neurosci Res,2005

5. Transplanted embryonic stem cells survive, differentiate and promote recovery in injured rat spinal cord;McDonald;Nat Med,1999

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