RT Journal Article T1 Optimizing the Procedure to Manufacture Clinical-Grade NK Cells for Adoptive Immunotherapy A1 Fernández, Adrián A1 Navarro Zapata, Alfonso A1 Escudero, Adela A1 Matamala, Nerea A1 Ruz Caracuel, Beatriz A1 Mirones, Isabel A1 Pernas, Alicia A1 Cobo, Marta A1 Casado, Gema A1 Lanzarot, Diego A1 Rodríguez Antolín, Carlos A1 Vela, María A1 Ferreras, Cristina A1 Mestre, Carmen A1 Viejo, Aurora A1 Leivas, Alejandra A1 Martínez, Joaquín A1 Fernández, Lucía A1 Pérez Martínez, Antonio AB Natural killer (NK) cells represent promising tools for cancer immunotherapy. We report the optimization of an NK cell activation–expansion process and its validation on clinical-scale. Methods: RPMI-1640, stem cell growth medium (SCGM), NK MACS and TexMACS were used as culture mediums. Activated and expanded NK cells (NKAE) were obtained by coculturing total peripheral blood mononuclear cells (PBMC) or CD45RA+ cells with irradiated K562mbIL15-41BBL or K562mbIL21-41BBL. Fold increase, NK cell purity, activation status, cytotoxicity and transcriptome profile were analyzed. Clinical-grade NKAE cells were manufactured in CliniMACS Prodigy. Results: NK MACS and TexMACs achieved the highest NK cell purity and lowest T cell contamination. Obtaining NKAE cells from CD45RA+ cells was feasible although PBMC yielded higher total cell numbers and NK cell purity than CD45RA+ cells. The highest fold expansion and NK purity were achieved by using PBMC and K562mbIL21-41BBL cells. However, no differences in activation and cytotoxicity were found when using either NK cell source or activating cell line. Transcriptome profile showed to be different between basal NK cells and NKAE cells expanded with K562mbIL21-41BBL or K562mbIL15-41BBL. Clinical-grade manufactured NKAE cells complied with the specifications from the Spanish Regulatory Agency. Conclusions: GMP-grade NK cells for clinical use can be obtained by using different starting cells and aAPC. PB MDPI SN 2072-6694 YR 2021 FD 2021-02-02 LK https://hdl.handle.net/20.500.14352/7352 UL https://hdl.handle.net/20.500.14352/7352 LA eng NO his work was supported by the National Health Service of Spain, Instituto de Salud Carlos III (ISCIII), FONDOS FEDER grant (FIS) PI18/01301 to Pérez-Martínez A, CRIS Foundation to Beat Cancer to Escudero A, Fernández A; Navarro A, Mirones I, and Fundación Mari Paz Jiménez Casado and La Sonrisa de Álex to Vela M. NO Unión Europea NO Instituto de Salud Carlos III NO Fundación CRIS para Vencer al Cáncer DS Docta Complutense RD 13 abr 2025