Mobilized Peripheral Blood Stem Cells Provide Rapid Reconstitution but Impaired Long-Term Engraftment in a Mouse Model
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Bone Marrow Transplantation (2007) 39, 401–409 & 2007 Nature Publishing Group All rights reserved 0268-3369/07 $30.00 www.nature.com/bmt ORIGINAL ARTICLE Mobilized peripheral blood stem cells provide rapid reconstitution but impaired long-term engraftment in a mouse model JSG Yeoh, A Ausema, P Wierenga, G de Haan and R van Os Department of Cell Biology, Section Stem Cell Biology, University Medical Centre Groningen, Groningen, The Netherlands In this study, we use competitive repopulation to compare become the primary source of hematopoietic stem cells for the quality and frequency of stem cells isolated from clinical transplantation over the past 10 years.4 mobilized blood with stem cells isolated from bone marrow Although multiple hematopoietic growth factors are (BM) in a mouse model. LinÀSca-1 þ c-Kit þ (LSK) cells capable of inducing mobilization of hematopoietic pro- were harvested from control BM and peripheral blood of genitors, granulocyte colony-stimulating factor (G-CSF) is mice following granulocyte colony-stimulating factor (G- at present the most used mobilizing molecule in clinical CSF) administration. LSK cells were used because oftheir protocols.5 The ability of G-CSF to mobilize BM resemblance to human CD34 þ cells. We confirmed that precursors and long-term repopulating cells was initially transplantation ofphenotypically defined mobilized per- shown in preclinical studies. Molineux et al.6 observed a ipheral blood (MPB) stem cells results in rapid recovery of marked increase in the colony-forming unit spleen pool in blood counts. However, in vitro results indicated that LSK the peripheral blood of mice treated with repeated doses of cells purified from MPB had lower cobblestone area- G-CSF. In addition, it was observed that G-CSF alone and forming cell day 35 activity compared to BM. Addition- in combination with stem cell factor or interleukin-7 ally, evaluation ofchimerism after co-transplantation of mobilizes hematopoietic precursors capable of both radio- LSK cells purified from blood and BM revealed that MPB protection and generating sustained lymphohematopoiesis stem cells contained 25-fold less repopulation potential in transplanted recipients.7 In vitro data from human compared to BM stem cells. Competitive repopulating patients appear consistent with the concept that the quality unit frequency analysis showed that freshly isolated MPB of human mobilized peripheral blood (MPB) progenitor LSK cells have 8.8-fold fewer cells with long-term cells is at least equivalent to that corresponding to BM repopulating ability compared to BM LSK cells. Second- grafts.8,9 ary transplantation showed no further decline in contribu- Surprisingly, despite the prevalent use of hematopoietic tion ofhematopoiesis relative to BM. We conclude that stem cell mobilization in clinical transplantation, few the reduced frequency of stem cells within the LSK reports exist describing the competitive repopulating population ofMPB, rather than poorer quality, causes the quality of mobilized stem cells compared to BM stem cells reduced repopulation potential. following G-CSF treatment. Most available reports only Bone Marrow Transplantation (2007) 39, 401–409. outlined the differences in the kinetics and efficiency of doi:10.1038/sj.bmt.1705601; published online 12 February 2007 engraftment, in homing properties and in cell cycle profiles Keywords: granulocyte colony-stimulating factor; mobi- between mobilized blood stem cells and those isolated from lized peripheral blood stem cells; bone marrow stem cells; resting BM.10–13 competitive repopulating unit; long-term engraftment In view of the increased use of peripheral blood stem cells in clinical transplant settings, it is of relevance to investigate long-term functioning of stem cells isolated from different sources. In this study, we directly assessed the function of MPB stem cells compared to control BM Introduction stem cells when co-transplanted in a single recipient mouse in an in vivo competitive repopulation assay. We show a The initial source of hematopoietic cells used for trans- 1 reduced frequency of repopulating stem cells in purified plantation was bone marrow (BM). However, owing to the G-CSF-MPB LinÀSca-1 þ c-Kit þ (LSK) stem cells, which faster regeneration of both circulating neutrophils (9–11 2,3 caused a 25-fold reduction in repopulation potential days) and platelets, peripheral blood stem cells have compared with BM LSK cells. Correspondence: Dr R van Os, Department of Cell Biology, Section Materials and methods Stem Cell Biology, University Medical Centre Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands. E-mail: [email protected] Mice Received 14 September 2006; revised 29 November 2006; accepted 5 Female C57BL/6 (B6), C57BL/6.SJL (CD45.1), (C57BL/ January 2007; published online 12 February 2007 6 Â C57BL6.SJL) F1 (CD45.1/2) or C57BL/6-Tg(ACTB- MPB stem cells have impaired long-term engraftment JSG Yeoh et al 402 EGFP)10sb/J transgenic GFP (GFP) mice were used as national IBL 637 137Cs-source, 20–24 h before transplant donors, competitors or recipients of blood and marrow ation. For competitive repopulation determination, stem cells depending on the experimental model. CD45.1 unfractionated cells or MPB LSK cells, were mixed with and transgenic GFP mice were originally obtained from the competitor cells (unfractionated or LSK BM cells) and Jackson Laboratory (Bar Harbor, ME, USA) and bred in intravenously transplanted into recipient mice. Each our local animal facility. Wild-type female B6 mice were transplant group consisted of 8–10 recipients. Following purchased from Harlan (Horst, The Netherlands) and transplantation, blood samples (60 ml) were taken monthly maintained under clean conventional conditions in the to determine donor chimerism. Levels of chimerism animal facilities of University Medical Centre Groningen were determined by detecting the presence of GFP þ or (The Netherlands). Mice were fed ad libitum with food CD45.1 þ and CD45.2 þ cells in transplanted mice. To pellets and acidified tap water (pH ¼ 2.8). All animal detect CD45.1 þ and CD45.2 þ cells, cells were stained with procedures were approved by the local animal ethics anti-CD45.2 (FITC) and anti-CD45.1 (PE) antibodies (BD committee of the University Medical Centre Groningen. Pharmingen, San Diego, CA, USA) for 30 min and analyzed on a flow cytometer (fluorescence-activated cell Mobilization and harvesting of stem cells sorter (FACS) Calibur; Becton Dickinson Biosciences, San BM cells were harvested by flushing the femoral shaft with Jose, CA, USA). In addition, the competitive repopulating a-Modified Eagle’s Medium (GibcoBRL, Invitrogen, CA, index (CRI) was determined. CRI is a relative measure of USA) supplemented with 2% fetal calf serum (FCS; the competitive ability of test cells to that of fresh BM cells. GibcoBRL, Invitrogen, CA, USA). Pegylated G-CSF The CRI was calculated by taking the ratio of white blood (Neulasta) (Amgen, Thousand Oaks, CA, USA) (250 mg/ cell (WBC) derived from mobilized blood cells to BM cells kg/mouse) was used to mobilize stem cells.14 Two doses of in the circulation and dividing it by the ratio of mobilized G-CSF were subcutaneously administered to donor mice at blood cells to BM cells transplanted. A CRI value of one day À6 and day À3 before stem cell harvest. MPB cells indicates by definition that MPB cells and BM cells have were harvested by cardiac puncture. Approximately 1 ml of equal competitive ability. blood was collected and was diluted with 4 ml of Iscove’s modified Dulbecco’s modified Eagle’s medium (IMDM; CRU assay GibcoBRL, Paisley, Scotland) supplemented with 5% FCS B6-recipient mice were transplanted with a series of diluted (GibcoBRL, Invitrogen, CA, USA) and heparin (25 IU) CD45.1 LSK cells (1200, 600 and 300) from mobilized (Leo Pharma, Breda, Netherlands). The collected blood cell blood and control BM and with a fixed number of B6 suspension (5 ml) was centrifuged over an equal volume of competitor cells (5 Â 105). Twelve weeks after transplant- Lympholyte-M (Cedarlane Laboratories Ltd, Hornby, ation, donor cell contribution in the peripheral blood was Canada) at 400 Â g for 30 min at room temperature. After determined. Recipients with a contribution of X5% in both centrifugation, the mononuclear cells within the opaque myeloid and lymphoid lineages were considered to be interface layer were isolated and washed in IMDM/5% positive. FCS for 5 min at 2000 r.p.m. at 41C. Alternatively, red To evaluate and quantify the repopulating potential of blood cells were lysed using ammonium chloride (NH4Cl) mobilized blood LSK cells and control BM LSK cells, the without prior density separation. Nucleated cells were frequency of competitive repopulation units (CRU) was measured on a Coulter Counter Model Z2 (Coulter calculated. CRU frequencies per 1000 LSK were calculated Electronics, Hialeah, FL, USA). from the resultant percentage positive recipients by limiting dilution analysis procedures which uses Poisson statistics.16 Isolation of LSK cells BM and MPB cells were stained as described previously15 CAFC assays with biotinylated lineage-specific Mouse Lineage Panel CAFC assays were performed as described17–19 to assess the antibodies, containing anti-CD45R, anti-CD11b, anti- number of hematopoietic progenitor cells (CAFC day 7) or TER119, anti-Gr-1 and anti-CD3e (BD Pharmingen, San more primitive stem cells (CAFC day 35) in MPB Diego, CA, USA), fluorescein isothiocyanate (FITC)-anti- stem cells. Sca-1 and APC-anti-c-kit (BD Pharmingen, San Diego, CA, USA). Biotinylated antibodies were visualized with Secondary transplantations streptavidin–phycoerythrin (PE) (Pharmingen, San Diego, In one of the competitive repopulation experiments, in CA, USA). After antibody staining, cells were sorted by a which recipients were transplanted in different ratios with MoFlow cell sorter (DakoCytomation, Fort Collins, CO, CD45.1 MPB LSK cells and CD45.2 BM LSK competitor À þ þ USA). LSK and Lin non-Sca-1 c-Kit cells were sorted cells, mice were killed for secondary transplantation.