(55b) Microfabricated Immune-Isolating Devices for Long Term Cell Based Therapies

Microfabricated immune-isolating devices for long term
cell based therapies

Suman Bose, Robert Langer and Daniel
Anderson

Koch Institute of Integrative Cancer Research,

Massachusetts Institute of Technology, Cambridge MA
02139.

Introduction: Cell based therapies has the potential to treat a
variety of chronic disease including type 1 diabetes, anemia, liver failure and
Parkinson disease ¹. 
Transplanting engineered or stem cell derived cells that secrete
therapeutic factors for long periods of time have been an enduring goal.
Implanted cells are often immunogenic, and in absence of immune-suppression are
rapidly rejected by the host immune system. Cell encapsulation provides a safer
alternative to immunosuppression for implanting foreign cells in vivo^2,3.
In this work we develop a microfabricated
cell-encapsulating device having optimized geometry and pore-size, which
protects the xenograft from immune cells while providing an optimal environment
for their survival and growth. Through screening various biocompatible
molecules, we develop a unique surface coating that results in dramatic
reduction in foreign body reaction and fibrotic over growth on these devices.
These devices could maintain engineered human cell lines secreting erythropoietin
(EPO), in C57BL/6 mice for over 60 days. Rat islets implanted in these biocompatible
devices restored normoglycaemia in STZ-diabetic mice
for over 30 days.

Methods: Microfabricated PDMS chips
were bonded to polycarbonate track etched membranes (PCTE) using a silanization-based chemical bonding method to make the
final device. Surface modification was performed using surface initiated ATRP to
create polymers from zwitterionic monomers⁴
and small molecules⁵. For animal experiments, 500,000 293T cells engineered
to secrete mouse erythropoietin (EPO) was encapsulated and implanted in 6 wk old C57BL6 mice and serum EPO levels and hematocrit was
measured. Rat islets isolated
from Sprague Dawley rats were encapsulated in our devices and implanted in
STZ-induced C57BL/6 mice.

Results: The device
contains chambers containing the graft cells that are protected from the host
tissue by a thin (~10um) membrane having cylindrical pores of defined sizes
(Fig 1a,b). Implanting devices with different pore
sizes ranging from 1um Ð 100nm demonstrated that pore sizes < 600nm
effectively prevents infiltration of all immune cells. Grafting devices with a
novel small molecule⁵ showed remarkable reduction in collagen
deposition over a period of 4 wk compared to
untreated membranes (Fig 1c). Implanting EPO secreting human cells in C57BL/6
mice resulted in gradual increase in serum EPO and hematocrit over a period of
60 days while uncoated devices failed after 3 weeks (Fig 1d,e).
In another model, we implanted 500 I.E of rat islets in STZ-induced diabetic
mice and found that the biocompatible devices reversed diabetes for more than
30 days and significantly outperformed untreated devices (Fig 1f).

Conclusions:
We have
developed a biocompatible macro-device with optimized features that can maintain
xenografts in immunocompetent mice, for extended periods of time. This work opens new opportunities to develop novel
cell-based therapies for a number of chronic diseases; and forms the basis for
experiments in non-human primate and eventually clinical trials.

References:

1.Allison, S. J. Nat. Rev. Nephrol. 6, 1Ð1 (2010).

2. Nyitray,
C. E. et al. ACS Nano 9, 5675Ð5682 (2015).

3. Hunt, N. C. & Grover,
L. M. Biotechnol. Lett. 32, 733Ð742 (2010).

4. Zhang, L. et.al. Nat
Biotech, (2013).

5. Vegas, A. et al. Nat
Biotech, (2016).