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Large scale containment

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GMO and Biosafety<br />

Laboratory<br />

Production


The Bible


NIH Guidelines<br />

“… any rDNA experiment ... must be submitted to NIH<br />

or another Federal Agency that has jurisdiction for<br />

review and approval.”<br />

rDNA Project<br />

Application<br />

Risk assessment<br />

Go / No go<br />

Exemption:<br />

Specific host/vector<br />

systems<br />

Exception?


Pathogen Classes (NIH)<br />

Risk<br />

Group<br />

RG I<br />

RG II<br />

RG III<br />

RG IV<br />

Definition<br />

Agents not associated with disease in<br />

healthy adult<br />

Agents associated with human disease,<br />

rarely serious; preventive or therapeutic<br />

intervention is available<br />

Agents associated with serious or lethal<br />

disease; preventive or therapeutic<br />

intervention may be available; high<br />

individual risk, low community risk<br />

Agents that are likely to cause serious or<br />

lethal disease; preventive or therapeutic<br />

intervention usually not available; high<br />

individual risk, high community risk<br />

Examples<br />

E. Coli K12,<br />

Asporogenic B.<br />

subtilis,<br />

AAV type 1-4<br />

B. Pertussis<br />

H. Influenzae<br />

Dengue, YF 17D ,<br />

Rabies, Hep AE<br />

Y. Pestis<br />

Brucella, JE, YF WT<br />

HIV, HTLV<br />

No bacteria<br />

Ebola, Marburg,<br />

Lassa, H. simiae


Laboratory Handling of Agents<br />

• General rule<br />

• RG I agents BL1 <strong>containment</strong> (≈ no <strong>containment</strong>)<br />

• RG II agents BL2 <strong>containment</strong><br />

• RG III agents BL3 <strong>containment</strong><br />

• RG IV agents BL4 <strong>containment</strong>


Genetic Manipulation of Pathogens<br />

• General rule<br />

• rDNA into RG II agents BL2 <strong>containment</strong><br />

• rDNA into RG III agents BL3 <strong>containment</strong><br />

• rDNA into RG IV agents BL4 <strong>containment</strong><br />

BUT<br />

• Rec strain more hazardous than parent strain <br />

higher <strong>containment</strong> level<br />

• Rec strain attenuated or having irreversibly lost<br />

virulence factors may qualify for a reduction of<br />

<strong>containment</strong> compared to the RG of the parent strain


Containment Measures<br />

• Biological <strong>containment</strong><br />

Host-vector systems designed to minimize:<br />

• Survival of the vector in its host outside the laboratory<br />

• Transmission of the vector to other non-laboratory hosts<br />

• Physical <strong>containment</strong><br />

• BL1 BL4<br />

• <strong>Large</strong> <strong>scale</strong> <strong>containment</strong><br />

• “BL+”<br />

• Containment for animal testing facilities


Host-Vector Systems<br />

HV-1<br />

• Moderate level of<br />

biological <strong>containment</strong><br />

• E. Coli K12 with nonconjugative<br />

plasmid or<br />

variants of bacteriophages<br />

such as λ. No conjugative<br />

plasmids nor generalized<br />

transducing phages<br />

• Other hosts comparable to<br />

E.coli K12<br />

HV-2<br />

• High level of biological<br />

<strong>containment</strong><br />

• Escape of DNA via survival<br />

or transmission to other<br />

organisms


Physical Containment


BL1<br />

• Practices<br />

• Lab access restricted<br />

• Work surfaces decontaminated every day and after any<br />

spillage<br />

• Contaminated liquid/solid waste decontaminated before<br />

disposal (transfer to distant decon site in leak-proof<br />

container)<br />

• No mouth pipetting<br />

• No smoking, eating, drinking, no food storage in lab<br />

• Hand wash procedures<br />

• Avoid aerosols<br />

• Protective clothes & change rooms<br />

• Insect and rodent control program in place


• Facilities - equipment<br />

BL1<br />

• Lab design to permit easy cleaning<br />

• Benchtop impervious to water, acids, alkalis, organic<br />

solvents, moderate heat<br />

• Sturdy lab furniture, space between benches & cabinets<br />

for easy cleaning<br />

• Hand wash sink<br />

• Screens if windows can be opened


BL2<br />

• Practices: BL1 +<br />

• Training and information of personnel<br />

• Specific requirements: immunizations<br />

• Serological monitoring of personnel, if appropriate<br />

• Hazard warning sign identifying pathogen and name + tel<br />

of prioncipal investigator<br />

• Dedicated protective clothes & change rooms<br />

• Gloves to avoid skin contact with rDNA molecules and for<br />

handling experimental animals<br />

• Use of sharps restricted to the strict minimum,<br />

autoclaveable sharp disposal container<br />

• Spill accidents reporting to the NCA<br />

• Biosafety manual


BL2<br />

• Facilities - equipment: BL1 +<br />

• Windows sealed<br />

• Biological safety cabinets (cat. I or II)<br />

• Other appropriate personal protective or physical<br />

<strong>containment</strong> whenconducting procedures with high<br />

potential of creating aerosols (grinding, centrifuging, sonic<br />

disruption…)<br />

• Centrifugation in the open lab with sealed safety cups,<br />

opening under biological safety cabinet


• Practices: BL2 +<br />

BL3<br />

• Lab doors closed when work in progress<br />

• All activities in biosafety cabinet<br />

• No operation in open vessels conducted on benches<br />

• Use of plastic-backed paper toweling for easy cleaning<br />

• Dedicated protective clothes & change rooms,<br />

decontaminated prioe to laundering or disposal<br />

• Gowns including surgical masks<br />

• Respirator in rooms containing experimental animals<br />

• HEPA filtration of vacuum lines


BL3<br />

• Facilities - equipment: BL2 +<br />

• Biological safety cabinets (cat. I, II or III)<br />

• Lab separated from areas of unrestricted traffic flow<br />

• Passage through a set of two doors<br />

• Double-door clothe change room with airlock<br />

• Shower optional<br />

• Wall, floor, ceiling impervious to water, acids, alkalis,<br />

organic solvents, moderate heat<br />

• Thru-wall pipework, cables etc… sealed<br />

• Foot-, elbow-operated or automatic hand wash station<br />

• Windows closed and sealed<br />

• Self-closing access doors<br />

• Decon autoclave preferably in the lab


BL3<br />

• Facilities - equipment: BL2 + (contd.)<br />

• Ducted exhaust air ventilation system creating directional<br />

airflow that draws air into the lab from the entry area<br />

• Exhaust air from the lab room may be dischared to the<br />

outside withoout being filtered<br />

• Exhaust air away from air intakes and not re-circulated<br />

• HEPA-filtered air from biosafety cabinets Cat. I or II is<br />

dischared directly through the builmding exhaust system;<br />

in this case, interference with the lab air balance must be<br />

avoided<br />

• HEPA-filtered air from biosafety cabinets Cat. I or II may<br />

be recirculated within the lab provided the cabinet is tested<br />

and certified at least every 12 months


BL4<br />

• BL4 units (4 total in the world) are for lab <strong>scale</strong><br />

operations with the most dangerous viruses (Ebola,<br />

Lassa, Marburg…)<br />

• Agents mostly lethal, no prevention, no cure<br />

• NIH guidelines provide the requirements for lab <strong>scale</strong><br />

BL4 <strong>containment</strong>. <strong>Large</strong> <strong>scale</strong> operations under this<br />

type of environment are not considered.


<strong>Large</strong> Scale<br />

Physical Containment


<strong>Large</strong> Scale<br />

• History (EU)<br />

• <strong>Large</strong> <strong>scale</strong> (>5 or 10 L) required an increase by one<br />

stage of the <strong>containment</strong> level<br />

e.g. B. pertussis (BL2) BL3 at large <strong>scale</strong><br />

• Appendix K (NIH): BLx BLx-<strong>Large</strong> Scale<br />

• BL1-<strong>Large</strong> Scale recommended for production of viable<br />

organisms containing rDNA that require BL1 at lab <strong>scale</strong><br />

• BL2-<strong>Large</strong> Scale recommended for production of viable<br />

organisms containing rDNA that require BL2 at lab <strong>scale</strong><br />

• BL3-<strong>Large</strong> Scale recommended for production of viable<br />

organisms containing rDNA that require BL3 at lab <strong>scale</strong><br />

• No provisions for production of viable organisms<br />

containing rDNA that require BL4 at lab <strong>scale</strong>


<strong>Large</strong> Scale: Principles<br />

• Primary <strong>containment</strong><br />

• Closed systems: fermentor, bioreactor, Westfalia<br />

separator…, CIP-SIP<br />

• Open system in an enclosure: centrifuge, filtration<br />

system in biosafety cabinet…<br />

• Secondary <strong>containment</strong><br />

• Controlled area design: airlocks, change rooms, negative<br />

pressure in controlled area, self closing doors, dedicated<br />

decontamination autoclave, exhaust air handling…


BL1-<strong>Large</strong> Scale<br />

• = BL1 +:<br />

• Reporting of spills and accidents resulting in overt<br />

exposure of organisms reported to Lab Director; medical<br />

evaluation, surveillance and treatment of staff as<br />

appropriate<br />

• Anything >10 L must be in a closed system; smaller<br />

cultures (seeding etc…) can be handled outside a closed<br />

system provided all BL1 physical <strong>containment</strong><br />

requirements are met<br />

• Culture fluid (including samples…) shall not be removed<br />

from a closed system unless inactivated by a validated<br />

inactivation procedure<br />

• Sample collection from-, addition of materials to a closed<br />

system conducted to minimize aerosol & contamination


BL1-<strong>Large</strong> Scale (contd.)<br />

• Exhaust gases removed from a closed system or other<br />

primary <strong>containment</strong> equipment treated by filters<br />

equivalent to HEPA filters or other processes<br />

(incineration…) to minimize the release of viable<br />

organisms<br />

• No opening of closed system until after sterilization<br />

• Emergency plan: procedures to handle large losses of<br />

culture on an emergency basis


BL2-<strong>Large</strong> Scale<br />

• = BL1-<strong>Large</strong> Scale +:<br />

• Anything >10 L must be in a closed system; smaller<br />

cultures (seeding etc…) can be handled outside a closed<br />

system provided all BL2 physical <strong>containment</strong><br />

requirements are met<br />

• Rotating seals of a closed system designed to prevent<br />

leakage of viable organisms (e.g. double mechanichal<br />

seal with steam circulation)<br />

• Sensing devices to monitor integrity of <strong>containment</strong><br />

during operations<br />

• Closed system integrity testing: prior to usage and after<br />

replacement or modification of <strong>containment</strong> features;<br />

Procedures for testing appropriate to the equipment<br />

design (e.g. supplier’s specs);


BL2-<strong>Large</strong> Scale (contd.)<br />

• All operations, interventions and testing recorded<br />

• Biosafety sign posted on each closed system and<br />

primary <strong>containment</strong> equipment when in use


• = BL2-<strong>Large</strong> Scale +:<br />

BL3-<strong>Large</strong> Scale<br />

• Anything >10 L must be in a closed system; smaller<br />

cultures (seeding etc…) can be handled outside a closed<br />

system provided all BL3 physical <strong>containment</strong><br />

requirements are met


BL3-<strong>Large</strong> Scale (contd.)<br />

• Specific lab requirements: closed systems and<br />

primary <strong>containment</strong> equipment located in a<br />

dedicated area which:<br />

• Has a separate entry area: double doored space such as<br />

an airlock & change room<br />

• Surfaces of walls, ceilings and floors permit easy<br />

decontamination<br />

• Sealed thru-wall tubing, cables etc…<br />

• Hand washing facility (foot-, elbow- or automatic<br />

operation) near each major work area and near each<br />

primary exit<br />

• Shower facility in close proximity to the controlled area


BL3-<strong>Large</strong> Scale (contd.)<br />

• Controlled area designed to preclude release of fluids<br />

outside the controlled area in case of accidental spill<br />

• Decontamination procedure in place<br />

• Ventilation controlling air movement; movement must be<br />

from areas of lower contamination potential to areas of<br />

higher contamination potential<br />

• If the ventilation system provides positive pressure<br />

supply air, the system must operate in a way that<br />

prevents the reversal of air movement<br />

• Exhaust air from controlled area is not recirculated to<br />

other areas of the facility<br />

• Exhaust air must be treated (HEPA-filtered, thermal<br />

oxidation…) to prevent the release of viable organism


BL3-<strong>Large</strong> Scale (contd.)<br />

• Personnel operational procedures<br />

• Entry exclusively through entry area<br />

• City clothes exchanged with work garments such as<br />

jump suits, lab coats, pants & shirts, head cover, shoe<br />

covers<br />

• On exit from controlled area, work clothing is stored in a<br />

separate locker than the entry locker; clothing must be<br />

decontaminated before laundering.<br />

• Entry restricted to authorized personnel, no authorization<br />

under 18 years of age<br />

• No animals or plants in controlled area<br />

• Access doors kept closed except as strictly necessary;<br />

service doors sealed & locked during operations<br />

• Hand wash upon exiting


What Category is<br />

our Bp Strain?


Wild type B. pertussis<br />

ptx (S1…S5)<br />

Cm R<br />

pSS4245::Gen R<br />

ptx promoter<br />

I-SceI gene<br />

I-SceI site<br />

Cointegrate (Str R, Cm R )<br />

Cm R<br />

Str R<br />

Str R active in B. pertussis, NOT in E. coli<br />

Conjugative transfer, Str selection,<br />

ptx repression<br />

ptx induction<br />

DSB<br />

Wild type (~50%)<br />

Resolution<br />

Cm R (~50%)<br />

Cm R<br />

ptx (S2…S5)


B. Pertussis (Cm R ) Cm R ptx (S2…S5)<br />

S1*<br />

pSS4245::S1*<br />

ptx promoter<br />

I-SceI gene<br />

I-SceI site<br />

Cointegrate (Str R , Cm R )<br />

Str R active in B. pertussis, NOT in E. coli<br />

Conjugative transfer, Str selection,<br />

ptx repression<br />

Str R<br />

ptx induction<br />

DSB<br />

Cm R<br />

Cm R (~50%)<br />

Resolution<br />

S1*, Cm S (~50%)<br />

ptx (S1*…S5)


• NIH scope<br />

Our rec. B. pertussis strain?<br />

• Irreversible loss of active pertussis toxin, an<br />

important virulence factor<br />

• However, B. pertussis produces several other toxic<br />

and non-toxic virulence factors which are still<br />

present: dermonecrotic toxin, tracheal cytotoxin,<br />

adenylate cyclase/hemolysin, FHA, pertactin…<br />

Bp 9K-129G remains a RG II pathogen<br />

Production in BL2-<strong>Large</strong> Scale


Our rec. B. pertussis strain?<br />

• EU scope<br />

• Probably not subject to EU directive on the contained<br />

use of GMO:<br />

“Self-cloning consisting in the removal of nucleic acid<br />

sequences from a cell of an organism which may or<br />

may not be followed by reinsertion of all or part of<br />

that nucleic acid (or a synthetic equivalent) with or<br />

without prior enzymic or mechanical steps into cells<br />

of the same species…”<br />

Bp 9K-129G has to be treated as wt B. pertussis<br />

Production in BL2-<strong>Large</strong> Scale


Our Pilot Plant?<br />

• General industry trend<br />

• Do more than strictly required:<br />

- guidelines are always evolving<br />

- modifying an operating plant is difficult and costly<br />

• Necessity to combine:<br />

- GMP (protect the product)<br />

- Biosafety (protect staff and environment)<br />

Our Ayuthaya facility is destined to a RG II agent, thus<br />

requiring BL2-LS but is designed to qualify to BL3-LS

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