Processes for making and using a mesenchymal stem cell derived secretome

1. A bone marrow-derived mesenchymal stem cell (MSC) secretome composition comprising:

HGF; Pentraxin-3 (TSG-14); VEGF; TIMP-1; Serpin E1; <5 ng/mL IL-8, and a tonicity modifying agent.

2. The MSC secretome composition according to claim 1 , wherein the MSC secretome composition further comprises:

i. at least one trophic factors/cytokines selected from the group consisting of TIMP-2, and VEGF-A;

ii. at least one additional factor selected from the group consisting of PEDF (Serpin F1), IGFBP-2, IGFBP-3, SDF-1, Kallikrein 3, MCP-1, Angiogenin, MCP-2, Angio-2, IL-6, IL-17, G-CSF, M-CSF, GM-CSF, IL-8, TNF-beta, and PDGF; and

iii. at least one additional factor selected from the group consisting of DPPIV (dipeptidyl peptidase-4), uPA, Angiopoietin-1, Angiopoietin-2, Amphiregulin, Endostatin, Endothelin-1, Thrombospondin-2, and Thrombospondin-1.

3. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition comprises 1 ng/mL-100 ng/mL of at least one factor selected from the group consisting of Serpin E1, TIMP-1, Thrombospondin-1, Pentraxin-3 (TSG-14), and Serpin F1.

4. The MSC secretome composition according to claim 2 , wherein the MSC secretome comprises 400 pg/mL-3000 pg/mL of at least one factor selected from the group consisting of Angiopoietin-1, Angiopoietin-2, Amphiregulin, Endostatin, Endothelin-1, Thrombospondin-2, Thrombospondin-1, Angiogenin, DPPIV, IGFBP-3, and uPA.

5. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition further comprises at least one factor selected from the group consisting of Apolipoprotein A1, Complement Factor D, C-reactive protein, Cystatin C, DKK-1, Emmprin, Osteopontin, vitamin D BP, MIF, RANTES, uPAR, IL-17a, GDF-15, and IFNγ.

6. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition comprises ratios of anti-angiogenic to pro-angiogenic wherein the ratio is >2, >3, >4, or >5.

7. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition comprises 1 pg/mL-400 pg/mL of VEGF.

8. The MSC secretome composition according to claim 2 , wherein the level of VEGF is 5-10 fold lower than the level of Serpin E1.

9. The MSC secretome composition according to claim 2 , wherein the composition comprises one or more anti-angiogenic factors, and wherein the ratio of the sum of the concentration of the one or more anti-angiogenic factors relative to the concentration of VEGF is >2, >3, >4, or >5.

10. The MSC secretome composition according to claim 2 , wherein the MSC secretome comprises less than 1000 pg/mL of bFGF, PLGF, and PDGF.

11. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition has a pH of about 4.7 to about 7.5.

12. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition is formulated in a buffer system selected from the group consisting of di/mono sodium phosphate, sodium citrate/citric acid, boric acid/sodium citrate, boric acid/sodium tetraborate, and citric acid/disodium phosphate.

13. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition further comprises mono/di-sodium phosphate, mannitol, and trehalose, and wherein the composition has a pH of about pH 7.4.

14. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition further comprises divalent cations.

15. The MSC secretome composition of claim 14 , wherein the divalent cations are selected from the group consisting of Mg2+, Ca2+, and Zn2+.

16. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition further comprises di-sodium phosphate/citric acid, mannitol, and trehalose, wherein the composition has a pH of about pH 6.4.

17. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition further comprises an agent that increases viscosity.

18. The MSC secretome composition according to claim 17 , wherein the adhesive agent is selected from the group consisting of hypromellose, Poloxamer 407, Poloxamer 188, Poloxomer 237, Poloxomer 338, Hypromellose, (HPMC), polycarbophil, polyvinylpyrrolidone (PVP), PVA (polyvinyl alcohol), polyimide, sodium hyaluronate, gellan gum, poly(lactic acid-co-glycolic acid) (PLGA), polysiloxane, polyimide, carboxymethylcellulose (CMC), or hydroxypropyl methylcellulose (HPMC), hydroxy methyl cellulose, hydroxy ethyl cellulose, sodium carboxy methyl cellulose, fibrin glue, polyethyelene glycol, and GelCORE.

19. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition does not comprise one or more components selected from the group consisting of: xenobiotic components; Phenol red; peptides and biomolecules <3 kDa; antibiotics; protein aggregates >200 nm; cells; non-exosome/non-Extracellular Vesicles cell debris; hormones; and L-glutamine.

20. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition comprises:

i. 0.3-4.5 ng/mL HGF;

ii. 0.5-20 ng/mL Pentraxin-3 (TSG-14);

iii. 100-600 pg/mL VEGF;

iv. 10-200 ng/mL TIMP-1;

v. 20-80 ng/mL Serpin E1; and

vi. <5 ng/mL IL-8.

21. The MSC secretome composition according to claim 2 , wherein the MSC secretome composition comprises an anti-angiogenic MSC secretome or an anti-scarring MSC secretome.

22. The MSC secretome composition according to claim 1 , wherein the tonicity modifying agent is selected from the group consisting of NaCl, KCl, mannitol, dextrose, sucrose, sorbitol, and glycerin.

23. A stable bone marrow-derived mesenchymal stem cell (MSC) secretome formulation comprising:

i. 2 μg-20 μg of MSC secretome per mL;

ii. 2 mg-3 mg monobasic sodium phosphate per mL;

iii. 11 mg-12 mg dibasic sodium phosphate per mL;

iv. 11.5 mg-13 mg mannitol per mL;

v. 23 mg-24 mg trehalose dihydrate;

vi. 0.5 mg-2 mg hypromellose per mL; and

wherein the pH is about 4.7 to about 7.5.

24. A stable bone marrow-derived mesenchymal stem cell (MSC) secretome formulation comprising:

i. 0.004%-0.08% w/w of MSC secretome;

ii. 4%-5% w/w monobasic sodium phosphate;

iii. 21.5%-23% w/w dibasic sodium phosphate;

iv. 23%-25% w/w mannitol;

v. 46%-48% w/w trehalose dehydrate;

vi. 1%-3% w/w hypromellose; and

wherein the pH is about 4.7 to about 7.5.