Monday, 24 October 202208:00 | Conference Registration, Materials Pick-Up, Morning Coffee and Tea | 09:00 | | Conference Chair Extracellular Vesicles (EVs): An Overview of the Field Dominique PV de Kleijn, Professor Experimental Vascular Surgery, Professor Netherlands Heart Institute, University Medical Center Utrecht, The Netherlands, Netherlands
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| 09:30 | | Conference Chair Liposomes to Lipid Nanoparticles Raymond Schiffelers, Professor of Nanomedicine, University Medical Center Utrecht, Netherlands
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| 10:15 | Morning Coffee and Tea Break and Networking | 11:00 | Extracellular Vesicle-mediated RNA Delivery: From Mechanistic Insights Towards Therapeutic Applications Pieter Vader, Associate Professor, University Medical Center Utrecht, Netherlands
Extracellular vesicles (EVs) form an endogenous system for information transfer between cells. Since the recent discovery that EVs are also capable of functionally transferring RNA molecules, they are increasingly being considered as therapeutic RNA delivery systems. Despite extensive research into the engineering of EVs for RNA delivery, our understanding of the pathways and mechanisms regulating EV-mediated RNA delivery and processing is limited. Moreover, little is known about how their intrinsic RNA delivery efficiency compares to current synthetic RNA delivery systems. Here, we developed a novel CRISPR/Cas9-based reporter system in which eGFP expression is activated upon functional delivery of targeting single guide RNAs (sgRNAs) that allows study of EV-mediated RNA transfer at single-cell resolution. We employed this system to compare the delivery efficiency of EVs to clinically approved state-of-the-art DLin-MC3-DMA lipid nanoparticles and several in vitro transfection reagents. We found that EVs delivered RNA several orders of magnitude more efficiently than these synthetic systems. In addition, we prepared EV-liposome hybrid nanoparticles and evaluated them as siRNA delivery systems in terms of cellular uptake, toxicity, and gene-silencing efficacy [4]. We show that hybrids combine benefits of both synthetic and biological drug delivery systems and might serve as future therapeutic carriers of siRNA. Our data underline the potential of EVs as RNA delivery vehicles and highlight the need to study the mechanisms by which EVs achieve their efficiency. This may in turn contribute to the development of more efficient EV-based RNA delivery systems and accelerate clinical adoption of therapeutic EVs.
| 11:30 | Extracellular Vesicles from Skin Selected Amniotic Fluid MSCs Improve Wound Healing in vitro Mattis Holma, R&D Scientist, Amniotics, Sweden
Neonatal mesenchymal stem cells (MSC) derived from term amniotic fluid (TAF) were sorted with a skin specific marker identified with RNASeq data from TAF-MSC clones. One of these markers was used for cell-sorting using Tyto MACSQuant cell sorter and the positive cell population was expanded to final product stage (CutiStem). CutiStem cells were starved and secretome was collected. Extracellular vesicles were purified by ultracentrifugation and characterized. A THP-1 assay showed that EV derived from CutiStem reduce inflammation by downregulation of the NK- ?B. Furthermore, a scratch assay with human dermal fibroblasts revealed that EV derived from Cutistem also increase wound healing in vitro. | 12:00 | Networking Lunch | 14:00 | | Keynote Presentation Clinical Potential of MSC-EVs and Translational Challenges Bernd Giebel, Group Leader, Institute for Transfusion Medicine, University Hospital Duisburg-Essen, Germany
Small (exosome-sized) extracellular vesicles (sEVs) harvested from supernatants of human mesenchymal stromal cells (MSCs) exert therapeutic functions in various disease models. Furthermore, they have been successfully applied in a steroid-refractory Graft-versus-Host Disease patient and in a single centre, randomized, placebo-controlled phase II/III clinical pilot study on chronic kidney disease patients without revealing any site effects. Apparently one mode of action is their ability to modulate immune responses from the pro-inflammatory into the regulatory state. At the example of an ischemic stroke model, we demonstrate that systemically applied MSC-sEV preparations, considered as therapeutically active, attenuate stroke induced lymphopenia and neutrophil immigration into the lesion site and thus importantly contribute to the MSC-sEVs’ therapeutic effect. Notably, independent MSC-sEV preparations can differ in their immunomodulatory and therapeutic activity, with a proportion of them appearing therapeutically inactive. Thus, according to our understanding it is a challenging but essential task during the translation process into the clinics to develop appropriate potency assays allowing discrimination of therapeutically active and therapeutically inactive MSC-sEV preparations. |
| 14:45 | Production and Biological Activity of RBC-derived Extracellular Vesicles Containing STING Agonist (ADU-S100) Using ERYCEV Platform Karine Senechal, R&D Project Manager, Erytech pharma, France
RBC-derived extracellular vesicles (RBCEVs) represent a new valuable
Drug Delivery System (DDS), due to their intrinsic properties (small
size, natural targeting to immune cells, biocompatibility…) and ease of
production[1]. This study evaluates the feasibility of producing
functional cargo-loaded RBCEVs from ERYCAPS pre-loaded RBCs[2].
To this end, RBCs encapsulating ADU-S100 or empty RBCs processed with
ERYCAPS (hypotonic dialysis encapsulation technology) were subjected to
physical vesiculation to produce ERYCEV-STINGa and ERYCEV respectively.
The RBCEVs produced and purified, analyzed by NTA, revealed a uniform
vesicles population of 95 nm mean size and 32 µg/mL mean ADU-S100
concentration in ERYCEV-STINGa. Luminal EVs markers TSG101 and ALIX were
successfully detected by western-blot. Additionally, FACS analysis of
surface markers showed moderate CD81 and CD235a levels and low CD47 and
PS levels. Functionality of produced RBCEVs were successfully
demonstrated in vitro. First, uptake of PKH67-labelled ERYCEV was
confirmed in both THP-1 monocytes and EMT6 murine tumor cells. Moreover,
THP1-derived macrophages phagocytosed pHrodo-labelled ERYCEV-STINGa,
which successfully activated STING pathway, demonstrated by luciferase
activity in THP1-Dual™ cells and type I interferon (IFN-beta)
production.
This first proof of concept to produce functional ERYCEV-STINGa supports
the development of ERYCEV platform by further investigating
pharmacologic properties in vivo and other cargo loading. | 15:15 | Mid-Afternoon Coffee and Tea Break and Networking | 16:00 | The Importance of Suitable Media for Exosome Production Joo Youn Lee, CTO, Xcell Therapeutics Inc.
Mesenchymal stem cells (MSCs) are commonly used as a source of regenerative medicine due to their strong immunosuppressive and regenerative effects. Paracrine effect is one of the key mechanisms of MSC. Recently, it has been shown that the extracellular vesicles (EVs), which include exosomes and microvesicles, orchestrate the principle mechanisms of action of MSCs after infusion. These vesicles are involved in cell-to-cell communication, cell signaling, and altering cell or tissue metabolism at short or long distances in the body. Exosomes are nanoscale-specific lipid bilayer vesicles secreted by cells, with a diameter of 30-150 nm. The use of MSC-derived exosomes may provide several advantages over their counterpart live cells (MSC), potentially reducing undesirable side effects including immune reaction and low stability. However, for effective pharmaceutical research, only the target cell-derived exosomes must be produced and isolated, but contamination of animal/human component-derived exosomes already contained in cell culture media has reduced the purity of exosomes. Therefore, this study aims to introduce the ideal culture environment for the production of exosomes by cultivating MSCs in a serum-free chemically defined media (CDM) and confirming the characteristics of secreted exosomes. MSC derived exosome productivity was compared using several media including CDM. Wound healing assay and angiogenesis assay were conducted to evaluate the characteristics of the produced exosomes.
| 16:30 | RNA Printer to Answer Increasing Demands for GMP-Grade mRNA Material Martin Winter, Senior Director Strategic Marketing, CureVac RNA Printer GmbH, Germany
New approaches for personalized cancer therapies and fast responses to pandemics require rapid manufacturing of mRNA material. GMP-grade mRNA manufacturing normally is time consuming, expensive and requires extensive and specialized laboratories as well as highly qualified staff. To answer this demand, CureVac has developed an mRNA manufacturing platform, the mRNA Printer, for automated and integrated manufacturing of GMP-grade vaccines and therapeutics, engineered in collaboration with Tesla Automation. The system covers all steps for standardized and fast production of mRNA material and herewith facilitates broad access to mRNA technology and speeds up the process from research to therapy. The RNA Printer is capable to produce several grams of LNP-formulated mRNA within a few weeks and can be switched from one mRNA product to another in a short time. Due to its modular design, the platform is mobile and will therefore enable local manufacturing of mRNA medicines. | 17:00 | | Keynote Presentation EV Therapeutics - Challenges of Clinical Translation Eva Rohde, Head of Department for Transfusion Medicine, Director of GMP Laboratory, Paracelsus Medical University Salzburg, Austria
Extracellular vesicles (EV) have emerged as promising biological therapeutics representing the first truly new biologic drug modality since about three decades. Challenges in manufacturing of EVs with reproducible identity and potency are major hurdles to widespread application of EVs, especially for therapeutic purposes. A central topic of many discussions is how we, as experts in EV research, develop practical biopharmaceutical standards that can help to accelerate clinical testing of EV-Tx. An example for the clinical translation to treat inner ear traumatic injury is provided. EVs derived from the secretome of human mesenchymal stromal cells (MSC) contain numerous factors that are known to exert anti-inflammatory effects. MSC-EVs may serve as promising cell-based therapeutics for the inner ear to attenuate inflammation-based side effects from cochlear implantation which represents an unmet clinical need. In this individual treatment performed on a ‘named patient basis’, we intraoperatively applied allogeneic umbilical cord-derived MSC-EVs produced according to good manufacturing practice. A 55-year-old patient suffering from Menière’s disease was treated with intracochlear delivery of EVs- prior to the insertion of a cochlear implant. This first-in-human use of UC-MSC-EVs demonstrates the feasibility of this novel adjuvant therapeutic approach. The safety and efficacy of intracochlear EV-application to attenuate side effects of cochlea implants are planned in future controlled clinical trials. Most importantly, in early (pre)clinical research, the paradigm of “the process is the product” is valid for complex biological products such as cells or EVs. There will be no “one-size-fits-all” solution to technical and regulatory issues in (large-scale) EV production. The manufacturing, the intended therapeutic use and the claimed mechanism of action of a candidate EV-Tx will determine the requirements to be met. Benchmarking of candidate EV-Tx with complex approved biopharmaceutics is a focused approach to define individual roadmaps to be followed for each therapeutic concept. |
| 17:30 | Networking Reception with Dutch Beer Sponsored by Emulate: Engage and Network with Colleagues | 18:30 | Close of Day 1 of the Conference |
Tuesday, 25 October 202208:00 | Morning Coffee, Tea and Networking | 09:00 | Cost-Effective GMP Production of Extracellular Vesicles Marcin Jurga, Chief Scientific Officer, EXO Biologics SA, Belgium
The therapeutic effect of Extracellular Vesicles (EVs) has been demonstrated in numerous non-clinical studies. The efficacy and safety of EVs have been proven in different animal models including treatment of Bronchopulmonary Dysplasia (BPD), among other indications. Currently, the most advanced projects are being translated into the clinic to confirm the safety and efficacy of EVs in humans. This requires pharmaceutical grade EVs, manufactured to be compliant with Good Manufacturing Practice (GMP). In the emerging EV field, there are various methods and instruments qualified for the production of GMP-grade EVs and most of the manufacturers use their own proprietary techniques. It is important for a biotech company to develop a robust and cost-effective process, capable of producing EVs on different scales, starting from low-volume, which can be used in the non-clinical phase, and moving on to a large-scale production for clinical trials and ultimately commercial drug manufacture. Considering that EVs as biological drug products are defined by their production process, any major changes in the manufacturing method can have an impact on the drug product identity and activity. EXO Biologics has developed a GMP-approved custom platform for EV manufacturing, based on a closed and scalable bioreactor system. The production process is flexible and allows for a manual production with a low-volume bioreactor during the early phases of drug development. Subsequently, the process can be scaled up to a fully automated large-volume system for commercial manufacturing, without changing the characteristics of the product. The platform can be used for production of multiple EV types, including the 1st generation of non-modified EVs, which are currently being manufactured for clinical tests in BPD, and also engineered EVs designed for enhanced activity and drug delivery. | 09:30 | | Keynote Presentation EVs and CDVs: Nanovesicle Therapeutics and Drug Delivery Systems Mario Gimona, Head of Manufacturing, GMP Unit, Paracelsus Medical University Salzburg, Austria
Nanovesicle-based therapy is increasingly being pursued as a safe, cell-free strategy to combat various immunological, musculoskeletal and neurodegenerative diseases. Small secreted extracellular vesicles (sEVs) obtained from multipotent mesenchymal stromal cells (MSCs) are of particular interest for therapeutic use since they convey anti-inflammatory, anti-scarring and neuroprotective activities to the recipient cells. A novel drug delivery platform technology that is based on cell-derived vesicles (CDVs) produced by a proprietary extrusion process generates nanosized vesicles that are surrounded by a lipid bilayer membrane with a correct membrane topology and that display biological activities similar to MSC-derived EVs. Translation of nanovesicle-based therapeutics into clinical application requires quantitative, and reproducible analysis of bioactivity and stability. The GPI-anchored ecto-5’-nucleotidase CD73 is abundantly present on MSC-derived EVs and CDVs and efficiently converts AMP to Adenosine. In an in-vitro assay the enzymatic activity per particle correlated with CD73 abundance and we reproducibly obtained 2 - 8 x 10-8 mM Adenosine production / particle in both sEV and CDV preparations. Nucleotides can work as trophic, differentiating, and immunomodulatory molecules in many physiological and pathological situations through autocrine and paracrine mechanisms, and purinergic ligands are potent candidates to mediate cellular crosstalk and to promote cell growth and survival, regulate inflammation and contribute to local tissue homeostasis and repair. Our data suggest that CD73-mediated Adenosine signaling supports the creation of an anti-inflammatory and pro-regenerative environment that can pave the road to tissue repair and functional regeneration. |
| 10:15 | Mesenchymal Stromal Cell-derived Extracellular Vesicles as Therapeutic Tool in Neonatology: The Case of Bronchopulmonary Dysplasia Maurizio Muraca, Professor, Università degli Studi di Padova, Italy
Extreme premature newborns are a fragile population because of immaturity of various organs, requiring variable stays in the ICU. Bronchopulmonary Dysplasia is the most common respiratory disease in babies, resulting in high mortality and high incidence of long-lasting complications and for which no definite cure exists. Treatment with mesenchymal stromal cells (MSCs) and more recently with MSC-derived extracellular vesicles has provided proof-of-principle in animal models and is now entering the clinical phase. In addition to providing preclinical evidence and to complying with regulatory requirements, the therapeutic approach to this peculiar patient population requires a delicate balance between efficacy and potential risks. | 10:45 | Mid-Morning Coffee, Tea and Networking | 11:15 | From Small Molecules to Proteins and Nanoparticles: Exploring Novel Tools For Intracellular Delivery Koen Raemdonck, Professor, Ghent University, Belgium
Intracellular delivery of membrane-impermeable cargo (e.g. nucleic acid- or protein-based drugs) provides unique opportunities for cell biology and biomedical applications. A wide variety of intracellular delivery technologies is available to date, such as carrier- and membrane disruption-based approaches. However, existing tools are often suboptimal and alternative technologies that merge delivery efficiency, biocompatibility and applicability remain highly sought after. This presentation will first describe the repurposing of two distinct cationic amphiphiles, i.e. both low molecular weight cationic amphiphilic drugs (CADs) as well as lung surfactant-inspired proteins and peptides, to improve cellular delivery of RNA therapeutics. Both approaches significantly promote cytosolic RNA delivery, albeit by adopting a different mode-of-action for permeabilization of the endosomal and/or lysosomal compartments. In contrast to carrier-based protocols, physical delivery approaches do not rely on the endosomal pathway and allow the direct cytosolic access of cell-impermeable agents. Our group recently developed two innovative physical delivery technologies based on non-viral nanoparticles that can be implemented in cell engineering protocols. One platform (Hydrogel-enabled nanoPoration or HyPore) exploits cationic hydrogel nanoparticles to disrupt the plasma membrane of cells, enabling cytosolic delivery of nanobodies and enzymes. Of note, HyPore-mediated delivery of the neutral MRI contrast agent gadobutrol significantly improved T1-weighted MRI signal intensities in primary human T cells, outperforming state-of-the-art nucleofection. A second platform technology is nanoparticle-sensitized photoporation. By attaching photothermal nanoparticles to the cell surface followed by pulsed laser illumination, transient membrane pores can be generated that allow delivery of biologics into cells with high efficiency. To avoid direct contact of the nanoparticles with cells and the associated regulatory concerns, light-sensitive iron oxide nanoparticles were embedded in electrospun nanofibers. The resulting photothermal electrospun nanofibers (PENs) successfully delivered CRISPR-Cas9 ribonucleoprotein complexes and siRNAs into embryonic stem cells and T cells, while maintaining cellular fitness and phenotype (6). In conclusion, the above described approaches are considered promising concepts towards improved cellular delivery of a wide variety of cargo for biomedical applications. | 11:45 | SPARTA® - Enabling Nanoformulations For Next-Generation Therapeutics Jelle Penders, CEO & CTO, SPARTA Biodiscovery Ltd., United Kingdom
SPARTA® (Single Particle Automated Raman Trapping Analysis) is a cutting-edge benchtop instrument that chemically analyses and characterizes single nanoparticles in a fully automated, high-throughput, non-destructive label-free process. Dr. Penders will talk through the benefits of this technique for nanoformulation research as well as industry applications and show the breath of data that can be acquired and analyzed. | 12:15 | | Keynote Presentation Bioengineering of Extracellular Vesicles Samir EL-Andaloussi, Associate Professor, Karolinska Institutet, Sweden
Extracellular vesicles (EVs) have emerged as important mediators of intercellular communication due to their ability to transfer bioactive lipids, proteins and different species of RNA into cells. As such, EVs can be harnessed for the delivery of macromolecular drugs. Adapting EVs for drug delivery requires cellular engineering that allows for selective loading of biotherapeutics inside or on the surface of EVs. This presentation will cover our recent developments in EV engineering, with focus on selective protein loading, as well as strategies for their purification and characterization. In addition to addressing PK, PD and functional delivery of EVs in normal and diseased mice, strategies to enhance tissue targeting and extending plasma half-life of circulating EVs will be discussed. |
| 13:00 | Networking Lunch | 14:00 | Periphery-Brain Communication via Extracellular Vesicles Roosmarijn Vandenbroucke, Associate Professor, Ghent University, Group Leader at VIB, Belgium
Our brain is protected from the periphery via the presence of different brain barriers, including the blood-brain barrier (BBB) and blood-cerebrospinal fluid (CSF) barrier. While this blocks access to the brain for most molecules, recent research has shown that some extracellular vesicles (EVs) are able to cross these barriers. In this talk, I will focus on the consequences of this phenomenon, including the impact of bacterial-derived EVs on the brain and the use of EVs to deliver therapeutics to the brain. |
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