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. 2026 Aug 25;17:1934758. doi: 10.3389/fimmu.2026.1934758

Table 2.

Proposed minimum release panel for iPSC-derived CAR-NK EV/sEV products.

Release domain Minimum attribute Example assay or readout Rationale
Identity Particle size distribution NTA, TRPS, DLS, TEM or cryo-EM Confirms sEV-enriched particle profile and detects aggregation
Identity Particle concentration NTA, TRPS, high-sensitivity flow or orthogonal particle counting Defines dose input and lot-to-lot particle consistency
Identity EV-associated markers CD9, CD63, CD81, TSG101, ALIX by immunoblot, ELISA, bead-based flow or single-EV analysis Confirms EV/sEV enrichment
Identity NK-related markers CD56, CD16, NKG2D, DNAM-1 or other product-relevant markers Confirms source-cell-related EV features where incorporated
Identity CAR-positive EV fraction Bead-based flow cytometry, ELISA, antigen-capture assay, single-EV imaging Quantifies the fraction of EVs carrying the targeting module
Identity CAR density CAR signal per particle-equivalent dose, antigen-binding units, single-EV or calibrated bead assay Supports dose normalization and lot comparability
Identity Producer-cell identity iPSC-CAR-NK cell phenotype, CAR copy/insertion characterization, NK differentiation markers Links final EV product to the intended producer-cell platform
Purity Residual host-cell DNA qPCR, PicoGreen, ddPCR Controls producer-cell and process-related nucleic acid impurities
Purity Residual host-cell proteins Total protein profile, host-cell protein assay, proteomics Detects non-vesicular protein contamination
Purity Albumin/lipoprotein contamination Albumin, ApoA1, ApoB or lipoprotein particle assays Distinguishes EVs from common extracellular contaminants
Purity Cellular debris markers Calnexin, GM130, cytochrome c or other depleted markers Demonstrates depletion of intracellular organelle or cell-fragment contaminants
Purity Residual cytokines Free IL-15, IL-2, IL-12, IL-18 or process-specific cytokines Controls carryover that could cause unintended immune activation
Purity Residual free targeting ligand Free antibody, soluble CAR-binding ligand, free scFv or Fc-binding reagent Distinguishes EV-associated targeting from soluble ligand carryover
Safety Sterility Compendial sterility test or validated rapid microbiological method Required microbiological safety attribute
Safety Endotoxin LAL or recombinant factor C assay Controls innate immune activation risk
Safety Mycoplasma Culture, PCR or validated rapid test Required safety testing for cell-derived products
Safety Adventitious-agent risk Process-specific viral and adventitious-agent testing Addresses producer-cell and culture-material risks
Potency Antigen-specific binding or uptake Antigen-positive versus antigen-negative NSCLC cells; quantitative uptake imaging or flow assay Demonstrates target-dependent engagement
Potency Dose-response cytotoxicity Viability, apoptosis, impedance or live-cell imaging assay across EV dose range Defines functional activity and dose response
Potency CAR-dependence Antigen blockade, soluble antigen competition, CAR-negative EV control Confirms that activity depends on CAR-mediated targeting
Potency Cytotoxic cargo Granzyme B, perforin, FasL, TRAIL by ELISA, immunoblot or proteomics Supports mechanism-linked cargo comparability
Potency TME modulation, if claimed Macrophage polarization, dendritic-cell activation, T-cell recruitment, TGF-β pathway readout Required only if immunomodulatory claims are made
Potency bridging In vivo or surrogate bridge Tumor-control model, biodistribution-linked exposure assay, validated in vitro surrogate Tests whether in vitro potency predicts in vivo activity
Comparability Matrixed lot analysis Particle number, CAR-positive fraction, cargo content, killing activity, impurity profile across lots Establishes batch consistency and release acceptance ranges

The table lists proposed release attributes for identity, purity, safety, potency, and potency bridging. This panel is intended as a translational framework rather than a finalized regulatory specification. Assays and acceptance criteria should be product-specific and justified by the proposed mechanism of action, manufacturing process, route of administration, and nonclinical validation data. EV terminology and reporting should follow MISEV2018 and EV-TRACK principles, including transparent reporting of producer-cell source, culture conditions, isolation and purification methods, EV-associated markers, negative or depleted markers, impurities, and functional assays.