AI Article Synopsis

  • Pyrogen contamination is a major safety concern for parenteral drugs, prompting efforts to replace the traditional in vivo rabbit pyrogen test with a more ethical in vitro alternative.
  • Researchers developed an in vitro pyrogen detection model using THP-1 cell lines engineered to measure NF-κB activity, which allows for the effective detection of both endotoxin and nonendotoxin pyrogens.
  • The new test shows strong reproducibility and accuracy, with high sensitivity (89.9%) and specificity (90.9%), making it a promising alternative for ensuring the safety of various biological products and medical devices.

Article Abstract

Pyrogen, often as a contaminant, is a key indicator affecting the safety of almost all parenteral drugs (including biologicals, chemicals, traditional Chinese medicines and medical devices). It has become a goal to completely replace the in vivo rabbit pyrogen test by using the in vitro pyrogen test based on the promoted 'reduction, replacement and refinement' principle, which has been highly considered by regulatory agencies from different countries. We used NF-κB, a central signalling molecule mediating inflammatory responses, as a pyrogenic marker and the monocyte line THP-1 transfected with a luciferase reporter gene regulated by NF-κB as an in vitro model to detect pyrogens by measuring the intensity of a fluorescence signal. Here, we show that this test can quantitatively and sensitively detect endotoxin (lipopolysaccharide from different strains) and nonendotoxin (lipoteichoic acid, zymosan, peptidoglycan, lectin and glucan), has good stability in terms of NF-κB activity and cell phenotypes at 39 cell passages and can be applied to detect pyrogens in biologicals (group A & C meningococcal polysaccharide vaccine; basiliximab; rabies vaccine (Vero cells) for human use, freeze-dried; Japanese encephalitis vaccine (Vero cells), inactivated; insulin aspart injection; human albumin; recombinant human erythropoietin injection (CHO Cell)). The within-laboratory reproducibility of the test in three independent laboratories was 85%, 80% and 80% and the interlaboratory reproducibility among laboratories was 83.3%, 95.6% and 86.7%. The sensitivity (true positive rate) and specificity (true negative rate) of the test were 89.9% and 90.9%, respectively. In summary, the test provides a novel alternative for pyrogen detection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874988PMC
http://dx.doi.org/10.1038/s41392-024-01744-0DOI Listing

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