title: Highly sensitive biosafety model for stem-cell-derived grafts.
abstract: BACKGROUND
  The recent success in the derivation of differentiated cell types from stem cells has raised prospects for the application of regenerative cell therapy. In particular, embryonic stem cells are attractive sources for cell transplantation, due to their immortality and rapid growth. These cells, however, also possess tumorigenic properties, which raises serious safety concerns and makes biosafety testing mandatory. Our goal was to establish a highly sensitive animal model for testing the proliferative potential of stem-cell grafts.
  
  
  METHODS
  BALB/c nude mice received cell grafts of non-neoplastic MRC-5 cells containing defined numbers of mouse embryonic stem cells. We either injected 1 million viable cells into the kidney capsule, or mixed 2 million cells with Matrigel for s.c. transplantation. To analyze the possible impact of an intact immune response on tumor development, we also transplanted the cells into immunocompetent mice. Animals were sacrificed when the tumors became >1 cm and were analyzed in detail.
  
  
  RESULTS
  The nude mouse model reproducibly allowed detection of 20 tumorigenic cells, and even as few as 2 ES cells were found to form teratoma. Interestingly, the administration of cell grafts at two different application sites resulted in different growth kinetics and tumor phenotypes. The highest level of sensitivity (100% detection of 20 tumorigenic ES cells) was achieved by s.c. injection of cells mixed with Matrigel. The influence of the immune system on tumor-cell development was demonstrated by a higher tumor rate of transplants in immunodeficient nude mice compared with immunocompetent mice.
  
  
  CONCLUSIONS
  We have established a reliable animal model for routine assessment of the biosafety profile of stem-cell-derived cell transplants. This model will facilitate the generation of homogenous non-tumorigenic cell populations, and will help to integrate standardized safety systems into the application of stem-cell-derived grafts for clinical purposes.
authors.affiliation: CARDION AG, Erkrath, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Lawrenz
authors.forename: H
authors.initials: H
authors.lastname: Schiller
authors.forename: E
authors.initials: E
authors.lastname: Willbold
authors.forename: M
authors.initials: M
authors.lastname: Ruediger
authors.forename: A
authors.initials: A
authors.lastname: Muhs
authors.forename: S
authors.initials: S
authors.lastname: Esser
mesh_terms: D000818:Animals; D001681:Biological Assay / Q000379:methods*; D002460:Cell Line; D002471:Cell Transformation, Neoplastic / Q000276:immunology; D002999:Clone Cells / Q000187:drug effects / Q000276:immunology; D003094:Collagen / Q000494:pharmacology; D004338:Drug Combinations; D007108:Immune Tolerance / Q000276:immunology; D016867:Immunocompromised Host / Q000276:immunology*; D007797:Laminin / Q000494:pharmacology; D051379:Mice; D008807:Mice, Inbred BALB C; D023421:Models, Animal; D009369:Neoplasms / Q000276:immunology / Q000517:prevention & control; D039904:Pluripotent Stem Cells / Q000187:drug effects / Q000276:immunology*; D011237:Predictive Value of Tests; D011509:Proteoglycans / Q000494:pharmacology; D015203:Reproducibility of Results; D033581:Stem Cell Transplantation / Q000009:adverse effects / Q000379:methods*
chemical_list: D004338:Drug Combinations; D007797:Laminin; D011509:Proteoglycans; C059485:matrigel; D003094:Collagen