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Phenotypic and functional characterization of long-term culture- initiating
cells present in peripheral blood progenitor collections of normal donors
treated with granulocyte colony-stimulating factor
F Prosper, D Stroncek and CM Verfaillie
Department of Medicine, University of Minnesota, Minneapolis, USA.
Granulocyte colony-stimulating factor (G-CSF) mobilized peripheral blood
progenitor cells (PBPC) have successfully been used as stem cells for both
autologous and allogeneic transplants. However, little is known concerning
the absolute number and phenotype of primitive progenitors, such as
long-term culture-initiating cells (LTC-IC) in mobilized PBPC. The aim of
our study was to evaluate the capacity of G- CSF to mobilize LTC-IC in the
PB of normal individuals and to evaluate the phenotypic and functional
characteristics of G-CSF mobilized LTC- IC. G-CSF was administered to 29
healthy volunteers at 7.5 micrograms or 10 micrograms/kg/d subcutaneously
(SC) for 5 consecutive days and PBPC were harvested on day 6. Mobilization
with G-CSF increased the absolute number of week 5 LTC-IC in PB 60-fold,
while the number of CD34+ cells and committed colony forming cells (CFC)
was increased sevenfold to 12-fold. The frequency of CFC and week 5 LTC-IC
in CD34+ cells selected by fluorescence-activated cell sorter (FACS) from
mobilized PBPC was 2 +/- 0.3-fold and 9 +/- 2.2-fold higher respectively
than in CD34+ cells selected from unmobilized PBMNC. CFC were enriched in
the CD34+ CD38+ and CD34+ HLA-DR+ populations. The absolute number of
LTC-IC present in CD34+ CD38- and CD34+ HLA-DR- cells selected by FACS from
either mobilized PBPC, unmobilized PBMNC or steady state bone marrow (BM)
was similar (0.5% to 2%). In contrast to unmobilized PBMNC or steady state
BM CD34+ CD38+ and CD34+ HLA-DR+ cells, which contain less than 0.1%
LTC-IC, CD34+ CD38+ and CD34+ HLA- DR+ cells sorted from mobilized PBPC
contained 0.5% to 5% of cells capable of sustaining hematopoiesis in
long-term cultures for 5 weeks. However, 90% to 95% of LTC-IC present in
mobilized CD34+ CD38+ and CD34+ HLA-DR+ cells were not able to sustain
hematopoiesis for 8 weeks, while 30% of CD34+ CD38- and CD34+ HLA-DR-
LTC-IC present in mobilized PBPC could sustain hematopoiesis for at least 8
weeks. This suggests that the majority of CD34+ CD38+ and CD34+ HLA-DR+
week 5 LTC-IC represent progenitors at an intermediate state of
differentiation. We conclude that G-CSF effectively mobilizes LTC-IC in the
blood of normal individuals. Although a fraction of these cells has
functional characteristics similar to those of steady state PBMNC or BM
LTC-IC, more than 85% of mobilized PBPC LTC-IC are CD34+ CD38+ and CD34+
HLA- DR+, capable of sustaining hematopoiesis for 5 weeks, but not for 8
weeks. The functional and phenotypic characterization of primitive and more
mature populations of LTC-IC in mobilized PBPC should prove extremely
useful in future studies examining the role of these progenitors in
engraftment following transplantation.
Volume 88,
Issue 6,
pp. 2033-2042,
09/15/1996
Copyright © 1996 by The American Society of Hematology

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