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迈向快速、广泛可及的自体 CAR-T 细胞疗法——人工智能与自动化赋能智慧制造医院

英文原题:Toward Rapid, Widely Available Autologous CAR-T Cell Therapy - Artificial Intelligence and Automation Enabling the Smart Manufacturing Hospital.

查看英文原题

Toward Rapid, Widely Available Autologous CAR-T Cell Therapy - Artificial Intelligence and Automation Enabling the Smart Manufacturing Hospital.

PubMed 2022/06/06(内容时间) Front Med (Lausanne) Q1 · IF 3.6(JCR 2025)

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中文摘要

CAR-T 细胞疗法是治疗急性白血病和淋巴瘤的一种有前景的方法。目前已有三种产品获得欧洲药品管理局(EMA)批准,使CAR-T 疗法成为自体基因治疗的先行领域。

然而,由于制造流程耗时且劳动密集、对生物工艺缺乏全面了解,其临床应用和成功机会仍受限。这导致制造成本较高、临床成功率有限,阻碍CAR-T 疗法普及。需要新的制造方法以降低成本、提高产能并缩短供药时间。Miltenyi Prodigy等半自动化设备旨在减少人工操作时间,但缺乏全面表征和控制流程所需的过程分析技术。为应对这些挑战,研究者正在开发用于智能制造医院(SMH)的自动化、AI驱动CAR-T 细胞制造平台。自动化可提高制造成本效益和稳健性;利用人工智能解释平台采集的数据,可提供有价值的流程洞察并支持流程优化决策。将自动化CAR-T 制造平台智能整合至医院,可实现自体CAR-T 产品的院内独立制造。本文探讨患者特异性、高度自动化且由AI支持的CAR-T 制造当前挑战与机遇,并展示一种基于当前工业4.0方法进行AI整合的初步自动化概念和系统架构。

展开英文摘要原文

CAR-T cell therapy is a promising treatment for acute leukemia and lymphoma. CAR-T cell therapies take a pioneering role in autologous gene therapy with three EMA-approved products.

However, the chance of clinical success remains relatively low as the applicability of CAR-T cell therapy suffers from long, labor-intensive manufacturing and a lack of comprehensive insight into the bioprocess. This leads to high manufacturing costs and limited clinical success, preventing the widespread use of CAR-T cell therapies. New manufacturing approaches are needed to lower costs to improve manufacturing capacity and shorten provision times. Semi-automated devices such as the Miltenyi Prodigy were developed to reduce hands-on production time.

However, these devices are not equipped with the process analytical technology necessary to fully characterize and control the process. An automated AI-driven CAR-T cell manufacturing platform in smart manufacturing hospitals (SMH) is being developed to address these challenges. Automation will increase the cost-effectiveness and robustness of manufacturing. Using Artificial Intelligence (AI) to interpret the data collected on the platform will provide valuable process insights and drive decisions for process optimization.

The smart integration of automated CAR-T cell manufacturing platforms into hospitals enables the independent manufacture of autologous CAR-T cell products. In this perspective, we will be discussing current challenges and opportunities of the patient-specific but highly automated, AI-enabled CAR-T cell manufacturing. A first automation concept will be shown, including a system architecture based on current Industry 4. 0 approaches for AI integration.

论文信息

作者
Hort S、Herbst L、Bäckel N、Erkens F、Niessing B、Frye M、König N、Papantoniou I
单位
Fraunhofer Institute for Production Technology IPT, Aachen, Germany.Germany
期刊
Frontiers in medicine2022
原文标识
PubMed 35733863 · DOI 10.3389/fmed.2022.913287