{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T01:17:16Z","timestamp":1782782236240,"version":"3.54.5"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Bioeng. Biotechnol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Cell therapy is a promising field with the potential to improve outcomes for cancer and autoimmune disease patients. However, its complex and resource-intensive manufacturing requires costly infrastructure. Current processes, adapted from academic research, involve open handlings, manual processing, and repurposed equipment from biologics applications, raising quality and safety risks while increasing manufacturing costs. Closed, automated manufacturing systems can overcome these limitations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Allogeneic therapeutic natural killer (NK) cells can be generated from umbilical cord blood (UCB)-derived CD34<jats:sup>+<\/jats:sup> hematopoietic stem cells in a closed, semi-automated process. Here, the automated CliniMACS Prodigy<jats:sup>\u00ae<\/jats:sup> system has been evaluated for reliability and performance in two unit operations, the enrichment of CD34<jats:sup>+<\/jats:sup> stem cells from cord blood and the final product harvest and concentration. In this study, we report the outcome of these two processes across N = 36 different manufacturing runs performed during process development and GMP manufacturing for clinical release.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Efficiency of CD34<jats:sup>+<\/jats:sup> stem cell enrichment was evaluated across cord blood units with low (&amp;lt;4.50E06 CD34<jats:sup>+<\/jats:sup> cells\/unit, N = 11), medium (4.50-7.00E06 CD34<jats:sup>+<\/jats:sup> cells, N = 13) or high (&amp;gt;7.00E06 CD34<jats:sup>+<\/jats:sup> cells, N = 12) content. Robust performance was observed in all groups, with average CD34<jats:sup>+<\/jats:sup> cell recoveries of 68.18%, 68.46%, and 71.94%, respectively. Higher purity was achieved in the high group (69.73%), compared to low (57.48%) and medium (62.11%). Factors such as UCB age, total nucleated cell count, and platelet or red blood cell content had no significant impact. For the final harvest and concentration process, we analyzed batches with low (&amp;lt;2\u00a0L, N = 7), medium (2\u20135\u00a0L, N = 14) or high cell culture volume (&amp;gt;5\u00a0L, N = 8). Approximatively 20% cell loss was reported, with average yields of 74.59% for low, 82.69% for medium, and 83.74% for high volumes. NK cell purity was stable at over 80%, and B and T cell impurities content remained low or undetectable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study presents an agile solution using a single piece of equipment during two steps of a complex NK cell manufacturing process. This approach ensures closed system safety, automation, high consistency, and cost-effectiveness, enabling the successful delivery of high-quality allogeneic NK cell therapies to patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fbioe.2025.1586912","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T05:25:50Z","timestamp":1750829150000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Closed-system manufacturing of therapeutic NK cells using automated cell enrichment and concentration processes enables scalable, robust and cost-effective solutions"],"prefix":"10.3389","volume":"13","author":[{"given":"Nina","family":"Kok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zo\u00eb","family":"Dekkers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anica","family":"Loos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puck","family":"van den Broek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge","family":"Post","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertine","family":"Niessen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Spanholtz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Huppert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Raimo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1002\/cite.201200175","article-title":"Integrated clinical scale manufacturing system for cellular products derived by magnetic cell separation, centrifugation and cell culture","volume":"85","author":"Apel","year":"2013","journal-title":"Chem. Ing. Tech."},{"key":"B2","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/10_2019_118","article-title":"Addressing the manufacturing challenges of cell-based therapies","volume":"171","author":"de Almeida Fuzeta","year":"2020","journal-title":"Adv. Biochem. Eng. Biotechnol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1038\/nm.2080","article-title":"Notch-mediated expansion of human cord blood progenitor cells capable of rapid myeloid reconstitution","volume":"16","author":"Delaney","year":"2010","journal-title":"Nat. Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"4107","DOI":"10.1158\/1078-0432.CCR-16-2981","article-title":"Successful transfer of umbilical cord blood CD34(+) hematopoietic stem and progenitor-derived NK cells in older acute myeloid leukemia patients","volume":"23","author":"Dolstra","year":"2017","journal-title":"Clin. Cancer Res."},{"key":"B5","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1016\/j.jcyt.2017.03.068","article-title":"Natural killer cells differentiated in vitro from cord blood CD34(+) cells are more advantageous for use as an immunotherapy than peripheral blood and cord blood natural killer cells","volume":"19","author":"Domogala","year":"2017","journal-title":"Cytotherapy"},{"key":"B6","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1038\/bmt.2012.186","article-title":"Haploidentical related-donor hematopoietic cell transplantation in children using megadoses of CliniMACs-selected CD34(+) cells and a fixed CD3(+) dose","volume":"48","author":"Dvorak","year":"2013","journal-title":"Bone Marrow Transpl."},{"key":"B7","first-page":"220","article-title":"Inter-laboratory method validation of CD34+ flow-cytometry assay: the experience of Turin Metropolitan Transplant Centre","volume":"34","author":"Ivana Ferrero","year":"2023","journal-title":"EJIFCC"},{"key":"B8","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1016\/j.bbmt.2011.08.017","article-title":"Characteristics of CliniMACS\u00ae system CD34-enriched T\u00a0Cell-Depleted grafts in a multicenter trial for acute myeloid leukemia-blood and marrow transplant clinical trials network (BMT CTN) protocol 0303","volume":"18","author":"Keever-Taylor","year":"2012","journal-title":"Biol. 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