Study of the immune cell function before and after freezing

ISRCTN ISRCTN95230607
DOI https://doi.org/10.1186/ISRCTN95230607
Secondary identifying numbers Protocol ID: YHER25-PBC_study protocol_v3.0_02Jul2025
Submission date
17/07/2025
Registration date
22/07/2025
Last edited
18/07/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study is looking at how freezing and thawing blood cells may affect immune cell functions. Immune cells are cells in our body that help fight infections. The study focuses on two types of immune cells: Natural Killer (NK) cells, which help kill infected cells; and Monocytes, which help "eat up" bacteria and other harmful things in the body. In future research, scientists want to study how stress affects our immune system. They will therefore analyze several parameters in the blood. But sometimes, blood samples can't be tested right away and need to be frozen. This is why this study is conducted: to check if freezing the cells changes their function too much compared to “fresh cells”, and if letting them "rest" overnight after thawing helps them to recover.

Who can participate?
Healthy female or male volunteers aged 18 to 60 years inclusive at the time of the blood draw.

What does the study involve?
Participants will voluntarily give a blood sample (about 26 mL, or roughly five teaspoons) that will be analyzed in this study. There will be one single visit during which the volunteers will first discuss the study with the study personnel and sign an Informed Consent Form (document explaining the study and that is signed by the participant to confirm the willingness to participate in the study). Then, some demographic information from the participants will be collected and a blood sample will be drawn. The blood will be processed to separate plasma (the fluid remaining after removing the blood cells) and immune cells. Some cells will be tested immediately, while the others will be frozen and tested later. Researchers will compare the fresh versus frozen cells to see if they perform in a similar way. They’ll also measure certain immune-related molecules (called cytokines) in the blood plasma.

What are the possible benefits and risks of participating?
No direct benefits are expected for participants. The goal is to improve future studies and research methods.

The only procedure is a blood draw, which is low risk. Minor issues like bruising or swelling may happen, and very rarely, infection or long-term marks might occur.

Where is the study run from?
This study is being led by Yakult Honsha European Research Center for Microbiology VOF, with help from Harmony Clinical Research (CRO) in Flanders, Belgium.

When is the study starting and how long is it expected to run for?
July 2025 to December 2025

Who is funding the study?
Yakult Honsha, Japan

Who is the main contact?
Mr Masatoshi Morikawa, masatoshi.morikawa@yher.be

Contact information

Mr Masatoshi Morikawa
Public, Scientific, Principal Investigator

Yakult Honsha European Research Center for Microbiology VOF
Technologiepark 94, BUS3
Gent-Zwijnaarde
9052
Belgium

Phone +32 92241 11 37
Email masatoshi.morikawa@yher.be

Study information

Study designSingle-arm blood collection study
Primary study designObservational
Secondary study designMethodology validation
Study setting(s)Laboratory, Workplace
Study typeOther
Scientific titleStudy for the impact of PBMC cryopreservation on the immune function assays
Study acronymYHER25-PBC
Study objectivesHuman peripheral blood mononuclear cells (PBMCs) are widely used in clinical studies as they can assess systemic immune function in a relatively minimally invasive manner. For an upcoming interventional study examining the link between psychological stress and upper respiratory tract infections (URTIs), PBMC-based assessments will be essential to elucidate the underlying mechanisms (Naito et al., 2025). However, immediate PBMC processing may not be feasible on all blood collection days. This study aims to evaluate the impact of cryopreservation of the PBMC cells on the outcome of the analysis of the immune function, particularly Natural Killer (NK) cell cytotoxicity and monocyte phagocytic activity. This pilot study is therefore designed to: (1) assess the effects of cryopreservation on NK cell cytotoxicity and monocyte phagocytic activity, (2) determine whether overnight recovery post-thaw improves functional readouts, and (3) validate methodological feasibility for future large-scale observational and interventional studies.
Ethics approval(s)

Approved 14/07/2025, Committee for Medical Ethics UZA-UA (Drie Eikenstraat 655, Edegem, 2650, Belgium; +32 3 821 38 97; ethisch.comite@uza.be), ref: 7759

Health condition(s) or problem(s) studiedTo evaluate the impact of cryopreservation on immune functions
InterventionImmune functions, focusing on cell-mediated responses such as NK cell cytotoxicity and monocyte phagocytic activity, were assessed under fresh, thawed, and recovered PBMC conditions.

This study involves a single-visit, non-interventional blood collection from healthy adult volunteers. After obtaining written informed consent, a total of 26 mL of venous blood is drawn from each participant. The blood samples are then processed to isolate peripheral blood mononuclear cells (PBMCs) and plasma.
PBMCs are subjected to cryopreservation and subsequent immune functional assays, including:
- Natural Killer (NK) cell cytotoxicity assay using K562 cancer cell line
- Monocyte phagocytic activity assay using fluorescent bacteria
These functional assays are performed under three conditions: fresh, post-thaw (immediately after thawing), and post-thaw with recovery in culture. Plasma samples are stored for cytokine measurement using ELISA.
There is no follow-up for participants beyond the single blood collection visit. The total duration per participant is approximately 30 minutes.
Intervention typeOther
Primary outcome measure1. NK cell cytotoxicity, assessed by a flow cytometry-based assay using K562 target cells under fresh, post-thaw, and post-thaw with recovery conditions at one timepoint
2. Monocyte phagocytic activity, assessed by uptake of fluorescent bacteria via flow cytometry at one timepoint
Secondary outcome measures1. Concentrations of IFN-γ and IL-12 measured using ELISA in cryopreserved plasma samples collected at the time of blood draw, in terms of assay feasibility, reproducibility, and sensitivity at one timepoint

Overall study start date14/07/2025
Completion date31/12/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit60 Years
SexBoth
Target number of participants12
Key inclusion criteria1. A female or male participant aged 18 to 60 years inclusive at the time of the blood draw
2. Willing to participate in blood collection
3. A participant in good health, as confirmed by the participant (self-declaration)
Key exclusion criteria1. Difficulty providing blood samples
2. A history or evidence of immunodeficiency
3. Use of any prescription medication or NSAIDs within 14 days before blood draw, except for contraceptives
4. Fever at the time of the blood draw (body temperature >38°C)
5. Recent vaccination (within the past 6 months)
6. Pregnancy
Date of first enrolment28/07/2025
Date of final enrolment29/10/2025

Locations

Countries of recruitment

  • Belgium

Study participating centre

Bio-incubator
Technologiepark 94 bus 3
Ghent-Zwijnaarde
9052
Belgium

Sponsor information

Yakult Honsha European Research Center for Microbiology VOF
Industry

Technologiepark 94, BUS3
Gent-Zwijnaarde
9052
Belgium

Website https://institute.yakult.co.jp/en/europe/

Funders

Funder type

Industry

Yakult Honsha
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Yakult
Location
Japan

Results and Publications

Intention to publish date31/12/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planNo, individual participant data (IPD) will not be shared. This study involves a small sample size and sensitive immunological data from healthy volunteers. Due to privacy concerns and the nature of the internal research conducted by the sponsor, there is no plan to make individual-level data publicly available.

Editorial Notes

17/07/2025: Study's existence confirmed by the Ethics Committee of the University Hospital Antwerp and the University of Antwerp.