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REVIEW

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Advances in Lentivirus Purification


Ana Sofia Moreira, David Guia Cavaco, Tiago Q. Faria, Paula M. Alves,
Manuel J. T. Carrondo, and Cristina Peixoto*

usually, the transduction of hematopoi-


Lentiviral vectors (LVs) have been increasingly used as a tool for gene and cell etic stem cells[6–11] or T-cells[12,13] —and in
therapies since they can stably integrate the genome in dividing and vivo—with gene delivery to the central ner-
nondividing cells. LV production and purification processes have evolved vous system[14] and the retina.[15] A compre-
substantially over the last decades. However, the increasing demands for hensive review of the clinical applications
of LV has been published recently.[16] The
higher quantities with more restrictive purity requirements are stimulating the
approval by the US Food and Drug Admin-
development of novel materials and strategies to supply the market with LV in istration (FDA), in 2017, of two chimeric
a cost-effective manner. A detailed review of each downstream process unit antigen receptor (CAR) T-cell therapies for
operation is performed, limitations, strengths, and potential outcomes being the treatment of B-cells lymphoma and
covered. Currently, the majority of large-scale LV manufacturing processes are leukemia evidences the advantages of these
viral vectors and is proof of its successful
still based on adherent cell culture, although it is known that the industry is
use at a clinical level.[17,18] For other types
migrating fast to suspension cultures. Regarding the purification strategy, it of cancer, the use of LV for immunization
consists of batch chromatography and membrane technology. Nevertheless, remains a promising application.[16,19]
new solutions are being created to improve the current production schemes The success of these clinical trials re-
and expand its clinical use. quires improved methods for purification
of LV both quantitively, increasing process
capacity, and qualitatively replacing tradi-
tional methods used at small scales that are
not economically and/or technically viable
1. Introduction for larger scales.[20,21]
Lentiviruses are enveloped viruses members of the Retroviradae The current production technologies commonly result in low
family that have become increasingly relevant for biopharmaceu- functional titers, ranging from 106 to 108 transducing units per
ticals since they lead to stable integration of the transgene(s) to mL (TU mL−1 ), depending on the production system, LV pseu-
be expressed in both dividing and nondividing cells.[1,2] Addition- dotype, harvest conditions, or even the titration technique.[22]
ally, their integration patterns seem less risky than 𝛾-retroviral Additionally, impurities vary with the production system. For
vectors[1,3] justifying their widespread usage from functional ge- example, the serum is present when LVs are produced by ad-
nomics to cell engineering studies, as well as, recombinant pro- herent cell lines, and the plasmid DNA is used for transient LV
tein production and clinical gene therapy.[4] production. Therefore, when developing a downstream process
Over the past years, the number of gene therapy clinical tri- (DSP), the concentration of LV is pursued along with increasing
als based on lentiviral vectors (LVs) has grown to attain 10.1% of LV purity, which must consider the impurities profile of the
the total gene therapy trials in 2019.[5] Their use in gene therapy production broth. Just like any other biological product, the de-
for several conditions has been reported both ex vivo—involving, gree of concentration and purification needed is fundamentally
connected to what the LVs are intended for. Research/small-scale
purposes do not generally require a very pure product.[23] How-
A. S. Moreira, D. G. Cavaco, Dr. T. Q. Faria, Prof. P. M. Alves,
Prof. M. J. T. Carrondo, Dr. C. Peixoto ever, when the product is intended for clinical use, the safety
iBET of the drug is a concern. The standard depends essentially on
Instituto de Biologia Experimental e Tecnológica the type of administration. For ex vivo applications the purity
Apartado 12, Oeiras, Portugal level of the drug product is more flexible.[24] Additionally, the
E-mail: peixoto@ibet.pt
multiplicity of infection (MOI) must be kept as low as possible to
A. S. Moreira, D. G. Cavaco, Dr. T. Q. Faria, Prof. P. M. Alves
Instituto de Tecnologia Química e Biológica António Xavier
reduce the tumorigenic potential and cytotoxicity.[20,100] For an in
Universidade Nova de Lisboa vivo approach doses of, at least, 1011 –1012 per patient are needed,
Av. da República, Oeiras, Portugal which will also vary according to target tissue.[4,27] In this case,
stricter control of the purity to reduce an immunogenic response
© 2020 The Authors. Biotechnology Journal published by Wiley-VCH
GmbH. This is an open access article under the terms of the Creative
by the patients is needed.[24,28–30]
Commons Attribution-NonCommercial License, which permits use, DSP must also consider the low stability of the LV func-
distribution and reproduction in any medium, provided the original work tional particles, which is affected by temperature,[31] ionic
is properly cited and is not used for commercial purposes. strength,[26,33] pH[31] and shear stress.[34,35] Beyond environmen-
DOI: 10.1002/biot.202000019 tal conditions, the stability is highly dependent on the particle

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itself, mainly on the envelope protein (pseudotype) but also on


the viral core.[26,35,36] Vesicular stomatitis virus G protein (VSV-
G) is the most used LV pseudotype due to its broad tropism
and robustness throughout the purification processes. Neverthe-
less, DSP schemes for other protein envelopes (e.g., baboon en-
dogenous virus (BaEV), RD114-TR, gibbon ape leukemia virus
(GaLV)) are emerging since they present higher tropism for spe-
cific target tissues per cells.[26,37,38]
The present article aims to comprehensively review the latest
technical developments in the purification of LV and trace pos-
sible future trends in the field. First, the traditional methods are
identified and then the more promising and easier scalable tech-
nologies are reviewed.

2. Traditional LV Purification and Concentration


Methods
The traditional purification and concentration techniques are
mostly used if the needs of LV can be satisfied by small-scale
production, for instance, scientific research. The centrifugation-
based methods can be used as concentration and/or purification
techniques. Viral pelleting and resuspension procedure is often
used as a concentration method.[39–41] The use of density gradi-
ent centrifugation or ultracentrifugation using sucrose[42,43] or
iodixanol[44] has been reported and can achieve some degree of
purification along with reasonable concentration.[41,45] Another
technique for small-scale purification schemes uses polyethy-
lene glycol (PEG). This polymer sterically excludes viral parti-
Figure 1. Downstream processing workflow for Lentiviral vectors purifi-
cles from the solution leading to their precipitation. Viral par- cation. This image illustrates three different sequences of unit operations
ticles are recovered by centrifugation and high yields can be described for Lentiviral vector processing.[21,24,33] The nuclease used in
achieved.[43,45] the represented processes was Benzonase that can be introduced in dis-
Flaws of traditional methods include concerns with scalability tinct stages of the process. For Valkama et al. the nuclease step is part of
and the concentration of impurities in the product.[22] Although the upstream harvest. NF, Normal flow.
a high degree of purification can be obtained, the use of ultracen-
trifugation reduces the infectiousness given the stress conditions (HEK) 293 or 293T adherent cells in batch mode and the harvest
to which LVs are subject. Thus, the field is gradually moving away occurs generally once or twice at 48–72 h post-transfection. Al-
to more versatile technologies. though, more recently, the industry has been also transitioning
into suspension cultures.[47–53] The harvest quality is highly
dependent on cell viability which impacts the amount of host cell
3. Scalable Methods for LV Downstream (HC) derived impurities. Thus, the choice of the time of harvest
Processing must consider not only the productivity but also the quality of
the supernatant.[46,54]
The development and use of DSP with chromatography steps and The clarification’s main goal is to remove cells and cell de-
membrane-based separation operations have been described over bris from the LV containing media. This step generally com-
the past years.[46] The processes can be divided into three main prises depth filtration,[21,33] normal flow microfiltration,[26,55] low-
phases: i) harvest and clarification; ii) intermediate purification, speed centrifugation, or a combination of these operations. The
with one or more concentration and purification steps; and iii) use of centrifugation followed by microfiltration[36,41,43] is a com-
polishing, formulation, and sterilization. The nucleic acid diges- mon strategy to reduce filter clogging and minimize fouling at
tion is usually required and can take place in different phases of small volumes. With similar goals, but for larger scales, a mem-
the process (see Figure 1). Currently, overall recovery yields for brane cascade is commonly used,[26,49,55] the final pore size being
large scale DSP range from 20% to 40%.[22] 0.45 µm.[24]
The recoveries for these early steps are commonly not re-
ported, although, after optimization, small losses in functional
3.1. Harvest and Clarification titer can be achieved.[21,26,33] Valkama et al. recently reported
functional recoveries close to 100% using a depth filter for clari-
LVs are extracellular bioproducts released by budding from the fication of large supernatant volumes containing VSV-G pseudo-
producer cell. The majority of large-scale LV production pro- typed LV.[21] However, the success of this operation can be highly
cesses use transient transfection of human embryonic kidney dependent on the pseudotype. Using a GaLV-TR pseudotyped LV,

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Boudeffa et al. obtained very low recoveries in the clarification ideal for virus capture. Anion-exchange and affinity chromatog-
step later improved by supernatant dilution and stabilization.[26] raphy have been used in the early purification steps of LV
Nonetheless, to meet the LV’s increasing demand, recent (Table 1).
developments in upstream processing (USP) are emerging and
the integration of the early steps of DSP in USP can be highly
advantageous.[48,49,56] Recently, Oxford Biomedica reported the 3.3.1. Anion-Exchange Chromatography
use of Tangential Flow Depth Filtration (TFDF) to harvest and
clarify LV produced in suspension culture[57] resulting in high Anion-exchange chromatography (AEX) is widely used for cap-
recoveries and potentiating multiple harvests. Moreover, for ture in large-scale bioprocesses. Briefly, the purification of these
suspension cell cultures operating under perfusion, retention viruses is performed in a bind-elute mode where the LV particles,
devices, like the Virus Harvest Unit (VHU), allow the harvest having a negative surface charge at working pH, are adsorbed by
of clarified viral stocks.[48,58,59] Regarding adherent cell cultures, the positively charged matrix.[41,54] The elution is performed with
several bioreactor configurations can be used for continuous buffer ionic strengths between 0.5–1 m NaCl.[4,56] As LVs are la-
LV production.[60–63] Tangential flow microfiltration[64,65] and bile, high salt concentration can lead to virus inactivation.[1,77] A
continuous flow disk-stack centrifugation[65] are also continuous loss of 50% of LV biological activity after 1 h of exposure to 1 m
techniques, although never reported for LV clarification. NaCl has been reported.[78] To reduce losses during the AEX step
it is often necessary to dilute the viral vector right after the elution
step.[79]
3.2. Nucleic Acid Cleavage Membranes and monoliths stationary phases, as with conven-
tional chromatography resins, can be functionalized with strong
To increase the overall biosafety of the final product[20] and com- or weak ion ligands.[41,80] Strong ion exchangers with quaternary
ply with the regulatory standards[66] a nucleic acid cleavage step amines as ligands have been used to produce high-quality
must occur. The use of Benzonase or Denarase reduces DNA size virus stocks,[81] in particular with Sartobind Q and Mustang
and decreases bulk viscosity.[41,46] These enzymes require mag- Q commercial membranes.[21,26] Conversely, weak exchangers,
nesium ions as a co-factor and show optimum activity at 37 °C; for example, CIM Monolith with DEAE (diethylaminoethanol)
however, different experimental conditions (e.g., amount of en- ligand, have also been reported in LV purification with high re-
zyme, temperature, incubation time, salt concentration, pH, and covery yields.[33] In general, this technique results in functional
the presence of enzyme inhibitors) are reported regarding nu- particle recovery yields ranging from 30% to 80% (Table 1).
cleic acid cleavage step. Recently, Oxford Biomedica developed Since binding is driven by electrostatic interactions, AEX ma-
a system (SecNuc) that avoids the addition of nucleases that are trices are not selective for LV, and negatively charged nucleic acids
co-produced with LV.[67] and proteins bind to the chromatographic media.[54,77] The high
Many times, nuclease step immediately precedes[21,68] or suc- salt concentration required to elute LV leads also to the release of
ceeds clarification.[24,69] In other processes, it is included in the bound impurities. Merten et al. achieved around 99% and 86% of
USP[26,55] or later DSP phases after some volume reduction.[70–72] protein and DNA removals.[24] However, additional purification
The early location of this step results in higher nuclease con- steps are usually required to obtain clinical-grade virus stocks.[81]
sumption increasing the manufacturing costs which can be Novel stationary phases are continually being developed.
counterweighted by easier subsequent DNA clearance and also Ruscic et al. reported LV purification using regenerated cellulose
nuclease removal which must be accomplished if LVs are in- nanofibers derivatized with a quaternary amine and produced
tended for clinical use.[4] by electrospinning. The authors claimed to achieve a volumetric
concentration factor of 100, with a recovery yield of 85%.[36]

3.3. Intermediate Purification


3.3.2. Affinity Chromatography
Following clarification, scalable purification steps for LV use
chromatography and/or Tangential Flow Filtration (TFF), both The affinity chromatography (AC) is used to separate particles
techniques achieving some degree of concentration of the bulk from the broth-based on a highly specific interaction between
product. them and a selected immobilized ligand.[4,82] Unlike AEX, AC
Chromatography is a key technology in purification protocols presents a high selectivity, which potentially leads to higher
for the main biotherapeutic products offering scalability, purity, purity and concentration outcomes. Therefore, its incorporation
high recovery rates, and reproducibility.[73] The classic resin in a DSP can lead to a reduction in the number of unit operations
media were originally designed for protein purification; thus, required and consequently greater overall recoveries.[4]
the large hydrodynamic radius of the LV raised some technical One of the first reported studies used the immobilized metal
constraints. The use of beads often restricts access to the bind- affinity chromatography (IMAC). This technique explores the
ing sites, resulting in small dynamic binding capacities.[74,75] binding between an immobilized metal ion and a molecule
Additionally, the high column backpressure also leads to limited capable of sharing electrons with it. For LV purification this
flow rates. The mass transfer in this kind of stationary phase is would involve the modification of the envelope protein with
predominantly limited by diffusion, whereas in membrane ad- the introduction of a histidine tag. Such insertion can result in
sorbers and monoliths it is mostly convective.[73,76] This allows a lower expression or compromise the protein’s function, with
quicker processing and larger throughput, making this supports loss in particle infectivity.[83–85] Furthermore, the desorption step

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Table 1. Anion exchange and affinity chromatography methods used for the purification of LV.

Column/matrix PT Load BV Des. reagent Buffer pH Rec. (%) Ref.

Anion Exchange
Resin
HiTrap Q HP VSV-G 1 mL 1 mL LG: up to 1 m NaCl 100 × 10−3 m Tris 7.5 89.6 [41]

DEAE Sepharose FF – 30 mL 16 mL SW: 0.65 to 1 m NaCl – – 95 [116]

DEAE resin VSV-G 48 L – 750 × 10−3 m NaCl PBS – – [24]

Poros DM/50 GaLV-TR 45/29 mL 8 mL SW: elution at 0.7 m 20 × 10−3 m Bis–Tris 6.0 61.5 [26]

NaCl + 5% sucrose +
2 × 10−3 m MgCl2
Poros D 50 GaLV-TR 20 mL 4 mL 0.65 m NaCl 20 × 10−3 m Bis–Tris 5.5 100 [91]

Membrane
a)
Sartobind Q VSV-G 11 kg 400 mL SW: 0.3–1.50 m NaCl 50 × 10−3 m HEPES 7.5 22.4 [21]

b)
Mustang Q XT5 BaEV-R-less 1L 5 mL 2 m NaCl 50 × 10−3 m Tris 8.0 >33 [49]
b)
Mustang Q XT5 VSV-G 1L 5 mL 2 m NaCl 50 × 10−3 m Tris 8.0 >55 [49]

Nanofiber (RC w/Q) RDPro 400 mL 0.1 mL LG: elution at PBS + Tween 20 7.45 85.4 [36]

0.6–0.9 m NaCl
Mustang Q VSV-G 6L 60 mL 1.2 m NaCl 25 × 10−3 m Tris–HCl 8 – [55]

Mustang Q XT5 VSV-G 1.5 L 5 mL 1.5 m NaCl PBS 7.2 – [39]

Mustang Q Acrodiscs MVG 540 mL 0.8 mL LG: elution at 25 × 10−3 m Tris–HCl 7.4 64.36 [117]

0.2–0.4 m NaCl
Mustang Q XT – 3L – SW: 0.5 and 1.2 m 20 × 10−3 m Tris + 7.6 50–60 [68]

NaCl 2 × 10−3 m MgCl2


Sartobind Q75 VSV-G – 75 mL SW: elution at 1.2 DMEM (or TSSM) – – [118]

NaCl
Mustang Q capsule VSV-G – – 1.5 m NaCl 50 × 10−3 m Tris–HCl 8 – [96]

c)
Microcapillary film (EVOH VSV-G 15 mL 1.5 mL 1.3 m NaCl 25 × 10−3 m Tris–HCl 8.0 11/10 [119]

w/Q)
LentiSELECT 40/500/1000 VSV-G 40 mL – – – – 52 [79]

LentiSELECT 40/500/1000 VSV-G 500 mL – – – – 38 [79]

LentiSELECT 40/500/1000 VSV-G 1000 mL – – – – 37 [79]

Mustang Q VSV-G 36–52 L 60 mL 1.5 m NaCl – 7.5 >60 [72]

Monolith
CIM DEAE VSV-G – – SW: elution at 10 × 10−3 m Tris 8.0 80 [33]

0.65 m NaCl
Affinity
CIMac RDPro 50 mL 0.1 mL 15 × 10−3 m biotin + X-VIVO 15 – 20 [85]

BSA
Pierce monomeric avidin VSV-G 12 mL 2 mL 2 × 10−3 m biotin PBS – 68 [86]

coated column
d)
Fractogel EMD Heparin VSV-G 35 mL 1 mL 0.35 m NaCl 20 × 10−3 m Tris–HCl 7.5 53 [47]

PT, Pseudotyping; BV, Bed volume; Des. reagent, Desorbing reagent; Rec., Recovery of functional particles; SW, Stepwise elution; LG, Linear gradient elution. Calculated by
a) b) c)
the authors based on the article’s data. Recovery for a peak at 444 × 10−3 m NaCl. Recovery of more than one unit operation, including chromatography. Capture of
d)
clarified LV/capture of unclarified LV. Fractogel EMD Heparin had been discontinued.

requires the use of imidazole resulting in LV inactivation.[4,84] Another strategy involves LV labeling with desthiobiotin[86] or
Finally, another major drawback of IMAC for LV purification is biotin mimics[85] that binds streptavidin columns (or magnetic
the possible adverse effects promoted by His-tag in clinical trials, beads) with low affinity. LV desorption is made with biotin. Chen
thus ensuring its current rejection.[77] et al.[86] modified a cell line to generate desthiobiotin-labeled
The use of heparin AC in LV purification enables an elution LV further purified in monomeric avidin-coated chromatography
under mild conditions.[47] However, its low selectivity can result columns. More recently, Mekkaoui et al.[85] reported the purifica-
in a binding competition of host cell proteins and DNA with LV tion of an RDPro pseudotyped LV labeled with cTag8. This biotin
and consequently co-elution.[1,4,47] Given the animal origin of mimic was genetically encoded, and the technique is envelope-
heparin, its use will be avoided in industrial applications.[22] protein independent.

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Table 2. Tangential-flow filtration for concentration and/or diafiltration of LV.

PT MWCO Pressure data Area Feed VCF Rec. (%) Ref.

Cassette
5 × Sartocon Hydrosart (Sartorius) Cellulose VSV-G 100 kDa TMP ≤ 0.1 bar 3.0 m2 126.8 kg 13 70–80 [21]

2 × Sartocon Hydrosart + Cellulose VSV-G 100 kDa TMP ≤ 0.2 bar 4.2 m2 178.4 kg 18 – [21]

1 × Sartocube Hydrosart (Sartorius) Cellulose VSV-G 100 kDa TMP ≤ 0.2 bar 4.2 m2 178.4 kg 18 – [21]

a)
Sartocon Slice Hydrosart (Sartorius) TMP ≤ 0.2 bar 0.1 m2 855 mL 1.5 ≈60
Vivaflow 50 (Sartorius) – VSV-G 100 kDa – – – – >55 [49]

BaEV R-less >33


Centramate cassette (PALL) Omega PES VSV-G 50 kDa ΔP = 0.3 bar – 300 mL 11–12 100 [43]
b)
Centramate cassette (PALL) Omega PES VSV-G 100 kDa PFeed = 1 bar – 300 mL 11–12 91.4 [43]

Centramate cassette (PALL) Omega PES VSV-G 300 kDa – 300 mL 11–12 81.3 [43]

ΔGP Jenv 50 kDa 184 mL 7.4 97.9


Omega T series (PALL) Omega PES VSV-GI 100 kDa – 0.1 m2 – 40 – [68]

Omega T series (PALL) Omega PES VSV-GNJ 100 kDa – 0.1 m2 – 40 – [68]

Omega T series (PALL) Omega PES Cocal 100 kDa – 0.1 m2 – 40 – [68]

Pellicon-2 mini filter (Merck PVDF VSV-G 500 kDa – 0.1 m2 – 10 – [96]

Millipore)
Vivaflow (Sartorius) – VSV-G 100 kDa PFeed = 1 bar – – 72 [33]

Omega screen channel-cassette Omega PES VSV-G 100 kDa PFeed = 1 bar – 67 100 [88]

(PALL) 300 kDa


Hollow fiber
(Spectrum Labs) mPES RDPro 500 kDa TMP = 0.075 bar – – – ≈20 [36]

(Spectrum Labs) – VSV-G 500 kDa TMP = 0.35 bar 190 cm² 1.2 L 8 – [55]

c),d)
(Spectrum Labs) mPES GalV-TR 500 kDa PFeed = 0.5 bar 115 cm² – – 40 [ 26,91]

c)
(GE Healthcare) PES 750 kDa 110 cm² 190 11.2 64–74
c)
410 cm² 550 36.6 86
c)
(GE Healthcare) PES VSV-G 750 kDa 110 cm² 190 11.2 100
FlexStand (GE Healthcare) PS VSV-G 100 kDa TMP = 0.5 bar – – – – [71]

(GE Healthcare) – VSV-G 500 kDa – – – 100 – [70]

(GE Healthcare) – VSV-G 500 kDa – – – 20 – [69]

(GE Healthcare) – VSV-G 750 kDa – – – 20 L – [24]

e)
Tandem TFF (Spectrum Labs) – VSV-G 500 kDa PFeed 615 + 40 cm2 5.5 L 2000 94–100 [120]

FP1: < 0.45 bar


FP2: < 0.6 bar
a)
PT, Pseudotyping; MWCO, Molecular weight cut-off; VCF, Volumetric Concentration Factor, Recovery of functional particles. Calculated by the authors based on the article’s
b) c)
data. The authors consistently reported a recovery increase when operating at higher feed and retentate pressures, maintaining the differential pressure constant. pH of
d) e)
the DF buffer has a considerable impact on vector recovery. Before optimization. Uses a system with two sequential and integrated HF filters, FP1, and FP2.

Despite the encouraging results at a lab-scale for LV purifica- pressure (TMP) increase during the concentration process. TFF
tion using AC, much has to be improved to translate this tech- can be applied at different stages of the downstream process.
nique into an industrial setting. Particularly, modifications on the First, it can be used for concentration of the feed stream, after
LV envelope may compromise the viral biologic activity, by vector virus clarification, reducing the feed volume for the later steps,
inactivation or tropism alteration. and if diafiltration is performed, exchanging the buffer to an
appropriate composition for subsequent operation units.[77] Sec-
ond, it is also commonly employed in the downstream polishing
3.3.3. Tangential Flow Filtration steps for concentration and buffer exchange or formulation[87]
(see below).
Ultrafiltration/diafiltration is the gold standard for virus large- As previously mentioned, one of the major challenges in
scale concentration and buffer exchange since it is a fast and ro- LV purification is the maintenance of their biological activity.
bust technique, easily scaled-up and, transferred to good manu- Pressure variations, high shear forces, and foaming can lead
facturing practices (GMP).[4] Briefly, TFF is used to concentrate to loss of infectivity or even envelope disruption.[21] Membrane
viral particles in the retentate, whereas small impurities such as chemistry and pore size are selected by experimental screening
proteins and DNA fragments are removed throughout the pores followed by optimization of the critical process parameters
into the permeate.[46] Membrane fouling can be a major limita- such as flow rate, TMP, membrane throughput, and process
tion leading to permeate flow rate decrease and transmembrane time to assure a smooth operation. Flat sheet cassettes[21,88] or

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Figure 2. General purification scheme of lentiviral vectors for ex vivo or in vivo therapies. Impurities eliminated in each step and added elements during
the process are also represented.

hollow fibers[24,26,72] are used for LV concentration and different As mentioned above, TFF is frequently used to concentrate
materials are available—polysulfone (PS), polyethersulfone and formulate LV.[21,55,93] A proper virus formulation is cru-
(PES), polyvinylidene fluoride (PVDF), or regenerated cellulose cial to provide maximum stability and guarantee therapeutic
(RC).[46,56] The selected molecular weight cut-offs (MWCO) success.[26] The LV must remain biologically active after freeze-
range between 100 and 750 kDa. A higher impurity clearance thaw or lyophilization[4,30] and during its clinical use.[56,70] For
and decrease of process time can be achieved for devices with ex vivo applications, there is some flexibility in the formulation
larger pore size; however, this can lead to viral loss, as observed that leads to the use of protein-containing media such as Lonza’s
by Valkama et al.[21] These non-recovered LV can leave the system X-VIVO and CellGenix’s CellGro media.[8,24,26,49] Traditionally,
in the permeate or be entrapped in the membrane. Table 2 lists the stabilization of LV has been accomplished with the use of
the high recovery yields that have been reported by different different buffers systems—PIPES,[70,94] HEPES,[21] HIS-HCl,[95]
groups using LV pseudotyped with VSV-G. This technique Tris-HCl,[68] or PBS[26,96] —coupled with stabilizer adjuvants.
started to be employed for more envelope types as described by The more common excipients include sugars (sucrose[21,26,70] or
different research teams.[26,43,49] The maximum concentration trehalose[95,97] ), or proteins such as recombinant human albumin
factor achieved and the number of diafiltration volumes should and gelatin.[32,95,98]
be established considering the final clinical use of the viruses. Finally, sterilization of the drug substance is achieved by fil-
tration through a 0.22 µm filter, before vialing. This is a standard
regulatory requirement[22] and a critical step regarding vector
3.4. Polishing, Formulation, and Sterilization losses. Valkama et al. reported losses between 30% and 50% in
the last step of their large-scale DSP.[21] The recoveries on this
The polishing and formulation of LV preparations can be step are dependent on the membrane material[4] and the LV titer.
achieved either by using chromatographic methods (based on Oxford BioMedica verified that sterilization after the final concen-
size exclusion) or by TFF. tration step resulted in a low LV functional recovery. Therefore,
Some large-scale processes explore the difference in the size in their DSP protocol, the sterile filtration is placed before the
of the LV compared to remaining impurities for the polishing final TFF which is done under aseptic conditions.[93] Sterilization
step.[22,24,70,72] In the size exclusion chromatography (SEC), viral can be skipped if the process is performed aseptically in a semi-
vectors are excluded from the internal pores of the packing ma- closed system.[22,69] The final product is then stored at –80 °C to
terial while other biomolecules migrate slowly as they are more protect the virus from thermal inactivation[4,13] or lyophilized.[68]
likely retained in the pores.[4,73] A maximum MWCO of 750 kDa
(equivalent to 50 nm) is commonly used to prevent titer loss.[22] 4. Analytical Approaches and Regulatory
This method enables the efficient removal of small-sized particles Requirements
with well-reported recoveries, from 50% to 80%.[4,26,33,72] How-
ever, low flow rate and sample size limitations make this tech- From the impure LV containing supernatant to a final prod-
nique not ideal for the processing of large volumes.[89,90] Besides, uct, an increase of the vector titer and a decrease of the total
sample dilution by two- to fourfold hampers the production of amount of impurities is expected (Figure 2).[30,56] Those impu-
highly concentrated viral stocks.[30] Nevertheless, a scalable pro- rities are commonly distinguished between process-related and
cess for purification of GaLV-TR pseudotyped LV was reported product-related that were extensively reviewed by Segura et al.[4]
adopting SEC for polishing.[26] Analytical methods play a key role in process development
Alternatively, multimodal chromatography, like Capto Core and operation, as well as in the characterization of the produced
700, can be used for polishing.[26,41,46,91] This kind of flow- lots.[61] This characterization is required in GMP manufacturing
through chromatography combines the properties of SEC and and to enter clinical trials.[4] However, like other advanced ther-
AEX. The chromatographic media is composed of particles with apeutic medicinal products, there are still no strict guidelines
a functionalized core, to which larger particles cannot access, for LV manufacturing.[56,99] Efforts in standardization have been
and a non-functionalized outer layer.[92] Boudeffa et al. reported made resulting in a standard for LV analytics[100] and an LV
recovery of 86% in TU for an LV pseudotyped with GaLV-TR.[91] reference material that will be released soon.[21,25] Each lot

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Table 3. Assays for quality assessment of LV preparations.

Target Assay(s) Ref.

Identity
Confirm identity Western Blot, vector sequencing, restriction enzyme mapping, [ 100]

reverse phase HPLC, SDS-PAGE


Purity
Total protein Bradford, BCA protein assay [ 24,68]

Host cell protein ELISA [24]

Residual endonuclease ELISA [24]

Residual BSA ELISA [24]

Total DNA Fluorimetry (PicoGreen) [24]

Host cell DNA qPCR, fluorimetry [36,121]

DNA size distribution Agarose gel eletrophoresis, capillary electrophoresis [69,122]

E1A and SV40 LTA sequences in the vector qPCR, Southern blot [24]

Transfer of plasmid (vsv-g and gag-pol), and host-cell (EIA qPCR, Southern blot [4,24]

and SV40 LTA) sequences to target cells


Potency
Total viral particles p24 ELISA, PERT, RT qPCR [ 24,69,100]

Functional viral particles (analysis of transduced cells) Flow cytometry, qPCR, ddPCR [ 24,69,100]

Safety
Recombinant competent lentiviruses (RCL) RCL amplification in suitable cell line by serial passages [4,24]

followed by quantitation assay (e.g., PCR, p24 ELISA)


Adventitious agents In vitro testing, PCR-based methods [4,69]

Mycoplasma Culture-based methods, PCR-based methods [4]

Endotoxins/pyrogens LAL test, rabbit pyrogen test [4]

Sterility Bacterial and fungal sterility [4]

Ref., reference; BCA, bicinchoninic acid; ELISA, enzyme-linked immunosorbent assay; PCR, polymerase chain reaction; qPCR, quantitative polymerase chain reaction; PERT,
product-enhanced reverse transcriptase; RT qPCR, quantitative reverse transcription-polymerase chain reaction; ddPCR, droplet digital polymerase chain reaction; LAL, Limu-
lus amebocyte lysate.

must be tested for identity, purity, potency, and safety.[1,4] Some of magnitude are reported.[24,69] The number of total particles
examples of assays used for LV release are depicted in Table 3. is commonly inferred by p24 titration using ELISA kits.[4,56,100]
The identity can be confirmed using Western Blot for gag pro- Other analytical methods for quantification of total particles
teins, vector sequencing, restriction enzyme mapping, reverse may include the assessment of reverse transcriptase activity
phase high performance liquid chromatography (HPLC), or and determination of genomic RNA.[4,102] Physical methods are
sodium dodecyl sulphate polyacrylamide gel electrophoresis commercially available and enable a quicker quantification of
(SDS-PAGE).[100] total particles and characterization of size distribution. Those
Regarding purity, both process-related and product-related im- methods include field-flow fractionation multiple-angle laser
purities should be well characterized in the final product. The light scattering (FFF-MALLS), nanoparticle tracking analysis
quantification of total proteins can be acquired[101] using colori- (NTA), flow cytometry, and tunable resistive pulse sensing
metric assays, like Bradford or BCA.[4,13,24] Other impurities such (TRPS).[56,103,104] The number of active particles is estimated
as HC proteins, nuclease, and bovine serum albumin can be by a gene transfer or gene expression assay in a suitable cell
quantified by ELISA.[4] The DNA must be present at a concen- line.[4] For research purposes, when using GFP as the transgene,
tration below 10 ng per dose and the DNA size under 200 base the functional titer is often estimated by flow cytometry of the
pairs.[101] Their quantification can involve spectrofluorimetry and fluorescent cells.[56,102] However, for clinical purposes, it should
agarose gel electrophoresis.[1,4,24,69] Since HEK293T has a tumori- be quantified by the number of reverse-transcribed viral genomes
genic phenotype, the LV produced with these cell lines must be integrated into target cells using droplet digital PCR (ddPCR)
analyzed to quantify E1A and SV40 LTA DNA sequences. If the or quantitative PCR (qPCR) via classical TaqMan of genomic
production process involves transient transfection, the number DNA[100] or by another method suitable for the used transgene.[61]
of copies of plasmid sequences (vsv-g and gag-pol) must also be Also, each vector batch must be evaluated regarding sev-
assessed, using qPCR or Southern Blot.[4,24,69,101] eral safety parameters, mainly analyzing for recombinant
A good indication of vector quality is the ratio between total competent lentiviruses (RCL), endotoxins, mycoplasma, adven-
and active particles, correlated with its potency. If this parameter titious agents, and sterility.[4,105] Physicochemical parameters
is too high, the lot must be rejected.[1,4] No reference value is like pH, osmolarity, and appearance complement product
defined by current guidelines but ratio values in the 103 order characterization.[4]

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5. Concluding Remarks Fundação para a Ciência e Tecnologia/Ministério da Ciência e do En-


sino Superior (FCT/MCES). Funds by FEDER under the PT2020 Part-
Over the past decade, lentiviral vectors have become a funda- nership Agreement is also acknowledged. The authors Ana Sofia Mor-
mental tool for gene and cell therapy, explaining the increasing eira and Tiago Q. Faria acknowledge FCT/MCES for the Ph.D. fellowship
number of clinical trials that use these viruses. The approval PD/BD/135501/2018 and the project PTDC/EQU-EPQ/29306/2017, re-
spectively.
of Kymriah[17] and Yescarta[18] cell therapeutic products have
reinforced the urgent need for simple, fast, and robust manu-
facturing processes of viral vectors. In recent years, this field has
witnessed a tremendous effort to develop and optimize large- Conflict of Interest
scale production and purification processes capable to meet the The authors declare no conflict of interest.
demanding number of viral doses necessary for clinical use.
In this article, a detailed review of each downstream operation
unit was performed, and significant strengths and limitations Author Contribution
were highlighted. For chromatography, the use of convective
driven devices is effective in LV purification schemes and new A.S.M. and D.G.C. contributed equally to this work. A.S.M.: Conceptual-
stationary phases are emerging with very promising results.[36] ization, data curation, investigation, methodology, visualization, writing-
original draft, writing-review, and editing. D.G.C.: Methodology, visual-
Additionally, affinity chromatography using tailor-made ligands ization, writing-original draft, writing-review, and editing. T.Q.F.: Concep-
might prove valuable due to its high selectivity allowing to de- tualization, data curation, methodology, supervision, validation, writing-
crease the number of purification steps and increasing recovery original draft, writing-review, and editing. P.M.A.: Funding acquisition,
yields.[82,106] project administration, supervision. M.J.T.C.: Funding acquisition, project
LVs purification processes have evolved significantly, however, administration, resources. C.P.: Conceptualization, project administra-
recovery yields remain far from their maximal potential, and the tion, resources, supervision, writing-review, and editing.
amount of virus required cannot be efficiently obtained using
these with current technologies. The transition to new produc-
tion systems may overcome these hurdles but can introduce dif- Keywords
ferent challenges into the downstream processing of LV.[107] The bioseparation, chromatography, downstream processing, lentiviral vec-
increase of the production titer will of course benefit the purifica- tors
tion train, but the shift for a suspension system will increase the
cell mass during the clarification step. The impurity profile will Received: May 29, 2020
also change and an increase in process-related impurities will be Revised: October 15, 2020
observed (e.g., genomic DNA, HC proteins). Therefore, the DSP Published online: December 8, 2020
has to engage with those challenges to achieve the same high-
quality viral stocks.[108]
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Acknowledgements
[8] A. Biffi, E. Montini, L. Lorioli, M. Cesani, F. Fumagalli, T. Plati, C. Bal-
The authors would like to acknowledge funding from the iNOVA4Health doli, S. Martino, A. Calabria, S. Canale, F. Benedicenti, G. Vallanti, L.
Research Unit (LISBOA-01-0145-FEDER-007344), which is co-funded by Biasco, S. Leo, N. Kabbara, G. Zanetti, W. B. Rizzo, N. A. L. L. Mehta,

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Cristina Peixoto graduated in Applied Chemistry (Branch Biotechnology) New University of Lisbon
and she holds a Ph.D. in Engineering Sciences (ITQB-NOVA). Since 2009, she is the Head of the
Downstream Process Development lab at Animal Cell Technology Unit of iBET. Meanwhile Cristina
coordinated more than 12 research contract projects with Industrial partners, some of the processes
developed are nowadays in GMP for phase I. More recently, the activities were expanded to stem cells
purification and to development of new purification trains for viral based biopharmaceuticals using
advanced materials in integrated and continuous process.

Biotechnol. J. 2021, 16, 2000019 2000019 (11 of 11) © 2020 The Authors. Biotechnology Journal published by Wiley-VCH GmbH

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