Identity
Establishes the tissue origin, cellular characteristics and immunophenotypic profile of the preparation.
MSC characterisation is the structured scientific process used to establish the identity, composition, viability, purity, safety, stability and functional activity of a mesenchymal stromal cell preparation.
Mesenchymal stromal cells are heterogeneous, culture-expanded cellular populations obtained from tissues such as bone marrow, adipose tissue and perinatal tissues.
MSC characterisation is the collection of laboratory tests used to determine what the cells are, whether the preparation is sufficiently consistent, and whether it meets predefined research or clinical-quality specifications.
Characterisation does not rely on one marker or one assay. A scientifically credible assessment combines cellular identity, phenotype, viability, purity, microbiological quality, stability and functional information.
Establishes the tissue origin, cellular characteristics and immunophenotypic profile of the preparation.
Evaluates viable-cell dose, purity, microbiological safety, stability and consistency.
Examines whether the cells demonstrate a measurable biological activity relevant to their proposed mechanism or intended use.
The widely used ISCT framework identifies three minimum characteristics for human culture-expanded mesenchymal stromal cell populations.
The cells should demonstrate adherence to tissue-culture plastic when maintained under standard culture conditions.
Adherence is useful for establishing a conventional MSC culture, but it is not unique to MSCs and does not independently prove therapeutic function.
Flow cytometry is commonly used to assess the proportion of cells expressing or lacking selected surface markers.
Under defined laboratory conditions, the population should demonstrate differentiation toward:
These assays demonstrate laboratory differentiation capacity; they do not prove that administered cells will form new tissue in a patient.
Clinical and advanced research preparations generally require broader testing than the original minimum MSC definition.
Document whether the cells originate from bone marrow, adipose tissue, umbilical-cord tissue or another defined source.
Record donor eligibility, relevant medical information, tissue collection and source-material traceability.
Examine cell shape, attachment pattern, confluence, abnormal morphology and changes during expansion.
Evaluate population-doubling time, expansion capacity, passage history and evidence of reduced proliferative performance.
Assess passage-associated cellular ageing and functional decline using appropriate markers or assays.
Where scientifically justified, evaluate chromosomal or genomic stability during extended expansion.
Determine whether unwanted haematopoietic, endothelial or other cellular populations remain in the final preparation.
Characterise selected cytokines, chemokines, growth factors or extracellular-vesicle-associated outputs when relevant.
Compare pre-freeze and post-thaw viability, recovery, phenotype and functional performance.
Establish tissue origin, donor information, collection, transport and chain of custody.
Document media, supplements, culture surface, oxygen conditions, passage number and expansion time.
Evaluate attachment, cellular appearance, confluence, proliferation and abnormalities.
Use a defined flow-cytometry panel with appropriate controls, thresholds and reporting.
Confirm expected in-vitro lineage-associated differentiation under controlled conditions.
Review microbiological testing, unwanted populations, process residuals and cellular aggregates.
Apply mechanism-relevant assays appropriate to the intended research or clinical application.
Determine whether the final batch meets predefined identity, quality, safety and functional acceptance criteria.
A product intended for administration requires additional release and safety considerations beyond basic MSC identity.
Determine total cell number, viable-cell concentration, recovery and the acceptable viability threshold.
Evaluate microbial contamination using methods appropriate to the process, sample and release timeline.
Assess mycoplasma contamination through validated or otherwise appropriately qualified testing.
Measure bacterial endotoxin where relevant to the final product and intended route of administration.
Evaluate clumping, visible particles and other characteristics that may affect administration or patient safety.
Establish how transport, temperature, storage and time before administration affect product quality.
Surface phenotype confirms selected characteristics, but it does not demonstrate that an MSC preparation has the biological activity required for a particular application.
Assays may evaluate effects on lymphocyte proliferation, macrophage responses, inflammatory signalling or other immune-cell functions.
Testing may examine endothelial-cell migration, network formation, survival or vascular-associated signalling.
Assays may evaluate whether MSC-derived signals influence recipient-cell survival under defined stress conditions.
Functional testing may address matrix production, degradation, fibrosis-associated signalling or tissue-remodelling mechanisms.
When the proposed mechanism involves released factors, relevant secretory or extracellular-vesicle-associated activity may be assessed.
Complex cellular products may require several complementary assays rather than one universal potency test.
Characterisation helps physicians and investigators understand the exact cellular preparation being considered and whether it meets applicable protocol and quality requirements.
Characterisation supports product definition, batch release, comparability, safety monitoring and interpretation of clinical results.
Where legally permitted, defined product specifications should be linked to the clinical protocol, patient evaluation and administration plan.
Testing helps determine whether changes to media, equipment, passage, scale, cryopreservation or formulation alter the product.
Product data allow the treating physician to distinguish one MSC preparation from another instead of relying on the general term “stem cells.”
Batch records and analytical results support the investigation of unexpected reactions, quality deviations or adverse events.
Detailed product characterisation helps determine whether clinical outcomes can reasonably be compared across studies.
MSC characterisation is applicable wherever an MSC preparation is being developed, manufactured, studied or evaluated. It is not itself a medical treatment and does not create a clinical indication.
Characterised MSC products are being investigated across musculoskeletal, immune-mediated, neurological, vascular, wound-healing and organ-injury research programmes.
Evidence from one indication or one MSC product cannot automatically be applied to a different tissue source, manufacturing process, dose, route or disease.
Meeting the original MSC minimum criteria does not by itself establish sterility, purity, genetic stability, potency, manufacturing consistency or suitability for administration.
MSC products from different tissues, donors, laboratories or manufacturing processes cannot be assumed to be equivalent.
Surface-marker expression and in-vitro differentiation do not independently demonstrate that cells will regenerate cartilage, neurons, organs or other complex tissues in patients.
Clinical use must be considered in relation to the specific product, patient, indication, evidence, manufacturing standards and applicable regulatory requirements.
Availability of an MSC preparation at a treatment facility does not by itself establish regulatory authorisation or demonstrated clinical effectiveness.
Record tissue origin, donor, collection, traceability and starting-material quality.
Define isolation, culture, passage, cryopreservation, recovery and final formulation.
Interpret morphology, immunophenotype, viability, purity, microbiology and stability together.
Connect functional assays to the proposed biological mechanism and intended clinical programme.
Cytotherapy. 2006;8(4):315–317.
View publicationCytotherapy. 2019;21(10):1019–1024.
View publicationCytotherapy. 2016;18(2):151–159.
View publicationCell Stem Cell. 2018;22(6):824–833.
View publicationQuality, nonclinical and clinical considerations for defined stem-cell-based medicinal products.
View EMA documentRegulatory and patient-safety information concerning marketed regenerative-medicine products.
View FDA informationPhysicians, researchers and institutions may request information concerning cellular identity, immunophenotyping, quality control, potency assessment and research collaboration.