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Prepublished online as a Blood First Edition Paper on September 12, 2002; DOI 10.1182/blood-2002-05-1344.
HEMATOPOIESIS
From the Stem Cell Biology Laboratory, Peter MacCallum
Cancer Institute, Melbourne, Victoria, Australia; and the
Department of Biochemistry and Molecular Biology, Monash University,
Clayton, Australia.
The localization of adult hemopoiesis to the marrow involves
developmentally regulated interactions between hemopoietic stem cells
and the stromal cell-mediated hemopoietic microenvironment. Although
primitive hemopoietic cells exhibit a broad repertoire of
adhesion molecules, little is known about the molecules influencing the
site of cell lodgment within the marrow following
transplantation. However, our recent studies indicate that
hierarchically dependent patterns of migration of transplanted
hemopoietic cells result in the retention of primitive cells
within the endosteal and lineage-committed cells in the central
marrow regions. Herein, we now demonstrate that these 2 subpopulations
exhibit a striking difference in the expression of a cell surface
adhesion molecule, with populations enriched for murine and human
hemopoietic stem cells expressing the carbohydrate hyaluronic acid
(HA). Furthermore, the presence of this glycosaminoglycan appears
critical for the spatial distribution of transplanted stem cells in
vivo. In addition, we also demonstrate that the binding of HA by a
surrogate ligand results in marked inhibition of primitive hemopoietic
cell proliferation and granulocyte differentiation. Collectively, these
data describe an important yet previously unrecognized role for
HA in the biology of primitive hemopoietic progenitor cells.
(Blood. 2003;101:856-862) Considerable evidence supports the proposal that
the localization of hemopoiesis to the bone marrow (BM) in adult
mammals involves developmentally regulated interactions between
primitive hemopoietic stem cells (HSCs) and the stromal cell-mediated
hemopoietic microenvironment (HM) of the marrow (for a review, see
Simmons et al1).
Although the anatomic location of maturing hemopoietic cells within the
BM is well documented,2,3 the spatial distribution of more
primitive cells is less well studied. Previous studies in the mouse
have established that lineage-restricted clonogenic hemopoietic
progenitor cells (HPCs) also conform to a well-defined spatial
distribution across the axis of the femur with greatest numbers near
the central longitudinal vein.4 In contrast,
hierarchically more primitive progenitors, such as spleen
colony-forming units, exhibit the converse distribution with low
numbers in the central region of the marrow and greatest enrichment in
a region adjacent to bone, the endosteum.5 Until recently,
it has not been possible to define the spatial distribution of HSCs
within the BM. This is due to the rarity of HSCs and the lack of a
single, unique antigenic marker allowing their unambiguous
identification in situ.
To circumvent these problems, we recently developed a novel approach to
the study of hemopoietic cell homing and lodgment within the BM that
involves transplantation of phenotypically defined populations of
fluorescently labeled cells and histologic analysis of BM sections to
track individual cells lodging in recipient mice.6 This
approach was used for studies performed in mice, which were not
myeloablated prior to transplantation. Although transplantation into
myeloablated recipients represents the standard means by which patients
are given an HSC graft, the most appropriate method for analyzing the
spatial distribution of cells within the BM and the factors that
regulate this process is one in which the HM has not been altered by
preparative ablation.
Transplants using different BM subpopulations demonstrated that
although the majority of cells entered the BM from the central vessels,
their subsequent localization varied according to their phenotype.6 Populations enriched in HSCs such as
lineage-negative (Lin The re-establishment of hemopoiesis by intravenously infused cells
requires several coordinated events including homing, migration, and
lodgment of HPCs within the BM HM. The initial event, homing, is the
specific recruitment of circulating HSCs to the BM and involves the
selective recognition of HSCs by the microvascular endothelium of the
marrow and transendothelial cell migration into the extravascular
hemopoietic space. In contrast, lodgment encompasses events following
extravasation and is defined as the selective migration of cells to
suitable HM niches in the extravascular compartment. Current data
suggest that homing involves a similar cascade of cell adhesion
molecules (CAMs) to those participating in the extravasation of mature
leukocytes into tissues.9 Primitive hemopoietic cells
exhibit a broad repertoire of CAMs including various members of the
integrin, sialomucin, immunoglobulin superfamily (IgGSF), and CD44
families. Current data suggest key roles for the sialomucin receptor
for P-selectin, P-selectin glycoprotein ligand (PSGL-1),10
the HA is a single-chain high-molecular-mass polysaccharide of repeating
disaccharide units (glucuronic acid and N-acetylglucosamine) that is synthesized by 1 of 3 hyaluronic acid synthases
(HASs), encoded by 1 of 3 HAS genes
(Has-1, Has-2, Has-3).13-15 The mode of HA
synthesis is unique among macromolecules. The synthases are integral
membrane glycosyltransferases, located in the plasma membrane and HA is
translocated as a free linear polymer to the pericellular
space,16 not covalently linked to proteins on the cell
surface.17 HA is present in many different organs and is a
component of the extracellular matrix (ECM) within the BM
microenvironment.18 Cell surface HA significantly affects
the adhesion, motility, and growth of a wide variety of cell types,
both normal and neoplastic. Due to its multivalency (which allows
cross-bridging of multiple receptors on adjacent cells), the
interaction of endogenous cell surface HA with its primary receptor,
CD44, mediates aggregation of several cell types.19 There
are many examples of increased cell movement or invasion following
either the exposure of cells to HA or the ectopic expression of
HA.20 Moreover, inhibition of cell movement also occurs as
a consequence of either HA degradation or the blocking of HA
receptors.20 HA also influences cell proliferation, differentiation, and tissue repair,16 and a substantial
body of data implicates HA in the pathogenesis and dissemination of tumors.21
In the present study we have shown for the first time that hemopoietic
cells synthesize and express HA. HA synthesis and expression was shown
in both murine and human hemopoiesis and was restricted to primitive
hemopoietic cells in particular. HA was shown to be critical in the
lodgment of transplanted HSCs within the BM as demonstrated by the
significant alteration in spatial distribution resulting from the
enzymatic removal of HA from HSCs. In addition, the binding of HA on
the surface of HSCs by a surrogate ligand in vitro resulted in a
profound suppression of HSC proliferation and differentiation. Overall,
our data are suggestive of a key role for this polysaccharide in HSC biology.
Umbilical cord blood
Mice
Irradiation The ability of cells to reconstitute hemopoiesis was analyzed in mice receiving a near-lethal dose of irradiation (9.5 Gy) in 2 equal fractions separated by a 4-hour interval, delivered from 2 opposing 137Cs sources (Gammacell 40; Atomic Energy of Canada, Ottawa, QC, Canada) at a dose-rate of 1.4 Gy/min.Isolation of hemopoietic cells Mice were killed by cervical dislocation. BM was routinely collected from femurs, tibiae, and iliac crests. These bones were thoroughly ground in phosphate-buffered saline (PBS) supplemented with 2% heat-inactivated (HI) fetal calf serum (FCS; Hyclone, Logan, UT). Bone fragments were washed, and the supernatant cell suspension was filtered through a 40-µm filter (Becton Dickinson, Franklin Lakes, NJ). The marrow was centrifuged (400g, 5 minutes) and resuspended in fresh buffer. The cell supernatant was refiltered through a 40-µm filter and diluted to 107 cells/mL PBS supplemented with 2% HI FCS (buffer).Strategies for enriching hemopoietic cells Murine.
BM mononuclear cells of low density (< 1.077
g/cm3) were isolated by discontinuous density
centrifugation using Nycoprep for animals (Accurate Chemical and
Scientific, Westbury, NY). Isolated cells were washed prior to
Lin 123Rh labeling.
The remaining Lin Stem cell antigen 1 and c-kit labeling.
Lin Human.
Mononuclear cells of low density were isolated from CB by
discontinuous density centrifugation using Ficoll-Hypaque density gradient (d = 1.077 g/mL, Pharmacia Biotech, Uppsala, Sweden). Isolated cells were washed in PBS prior to Lin CD34, CD38, and CD15 labeling.
Lin HA labeling The presence of HA on the cell surface was detected using a final concentration of 20 µg/mL biotinylated hyaluronic acid-binding protein (HABP; Seikagaku, Tokyo, Japan) on ice for 15 minutes. Cells were washed, and labeled with streptavidin-PE (Biosource; 1:400 final concentration) or Red 670 as described in "Stem cell antigen 1 and c-kit labeling."Hyaluronidase treatment To ensure that HABP labeling was specific, as well as to assess the importance of cell surface HA on the spatial distribution of engrafting cells, BM subpopulations were treated with 0.1 U Streptomyces hyaluronidase (HY; Sigma Aldrich, Castle Hill, New South Wales, Australia) for 15 minutes at 21°C to remove HA. Cells were washed in PBS 0.5% HI FCS.Cell culture Cells were sorted directly into 96-well plates containing 100 µL serum-deprived media containing multiple cytokines consisting of either stem cell factor (SCF; 75 ng/mL), interleukin 11 (IL-11), FLT3 ligand, and IL-6 (all 100 ng/mL) or granulocyte colony-stimulating factor (G-CSF), SCF, FLT3 ligand, megakaryocyte growth and development factor (MGDF) (all 100 ng/mL), and IL-6 and IL-3 (both 10 ng/mL) for murine and human HSCs, respectively, and 1, 5, 10, and 20 µg/mL HABP. Murine cells were cultured in Iscove modified Dulbecco medium (Gibco BRL) containing 1% bovine serum albumin (BSA), 10 µg/mL human insulin, 200 µg/mL human transferrin, 0.05 mM 2-mercaptoethanol, and 21 µg/mL low-density
lipoprotein. Human cells were cultured in X Vivo 10 media
(Biowhittaker, Walkersville, MD) containing 0.5% human serum albumin
(Buminate; Baxter, Glendale, CA). Cells were cultured at 37°C in the
presence of 5% O2, 10% CO2, and 85% N2 for 6 days.
HA synthesis The ability of CB HPCs to synthesize HA was determined by culturing the cells as described, with the addition of 5 µCi/mL (0.185 MBq) D-[6-3H]-glucosamine hydrochloride (Perkin Elmer, Boston, MA) for 60 hours at 37°C in the presence of 5% O2, 10% CO2, and 85% N2. The presence of [3H]-HA was determined by digestion of cell-free supernatant with Streptomyces hyalurolyticus hyaluronidase (Calbiochem, Darmstadt, Germany). Cell culture supernatant was adjusted to pH 6 using Sorenson buffer to give a final concentration of 9 mM KH2PO4 and 7 mM Na2HPO4. Hyaluronidase was reconstituted in 9 mM KH2PO4 and 7 mM Na2HPO4 · 2H20, pH 6, and 5 turbidity-reducing units (TRU) were added to the sample at 0 and 3 hours. The digestion was incubated at 37°C for 24 hours. Conditioned media was subjected to size exclusion chromatography in a Superose 12 column (1 × 30 cm) equilibrated in 0.15 M NaCl/PO4 buffer containing 0.2% Teric X-10 and eluted at 20 mL/h in fractions of 0.5 mL. The radioactive content was then determined for each fraction using a Wallac 1410 scintillation counter (LKB, Melbourne, Victoria, Australia) by adding 3 mL HiSafe 2 scintillant. Counts due to unincorporated glucosamine (known to be eluted in fractions 35-40) and the nonspecific binding of glucosamine to human serum albumin (as shown by pronase pretreatment, and known to be eluted in fractions 24-26) were removed, and the amount of degradation products under the glucosamine peak presented as [3H] eluted per 0.5-mL fraction versus fraction number. The molecular weight of synthesized HA was determined by comparison with eluted purified HA of known molecular size.Flow cytometry Labeled cells were sorted on a FACStarPLUS cell sorter equipped with a 5-W argon ion laser (Coherent Innova 90, Palo Alto, CA) emitting 488 nm light at 200 mW. Light-scatter signals were collected through a 488 ± 10-nm band pass filter and a 1-decade logarithmic neutral density filter in the forward light scatter path. Rh-emitted green fluorescence pulses were collected through a 530 ± 15-nm band pass filter. Orange fluorescence pulses emitted following excitation of PE were reflected through a 440 dichroic short pass mirror, and collected through a 575 ± 26-nm band pass dichroic filter. Pulses emitted following the excitation of Red 670 were collected through a long-pass RG655 filter.CFSE labeling Cells to be transplanted for spatial distribution analysis were labeled with the fluorescent dye 5- (and 6)-carboxyfluorescein diacetate succinimidyl ester (CFSE; Molecular Probes) as previously described.6 Briefly, cell populations were resuspended in PBS 0.5% HI FCS at a density of 106 cells/mL and preincubated at 37°C for 3 minutes. CFSE was diluted to 5 mM in dimethyl sulfoxide (DMSO) and then to 5 µM in PBS. CFSE was added to the cells to give a final concentration of 0.5 µM, and the dye solution/cell mixture was incubated at 37°C for a further 10 minutes. Staining was stopped by adding 10 times the dye solution/cell volume of ice-cold PBS containing 20% FCS.Transplants Cells were transplanted by injection in 0.2 mL PBS into the lateral tail vein. The actual numbers were 500 Lin Sca+HA+, 500 Lin Sca+HA , 5000 to 6000 Lin HA+, 5 to 6 × 105
Lin HA , 1.1 × 105
Lin Rhdull, and 5.5 × 105
Lin Rhbright untreated and
hyaluronidase-treated cells.
Analysis of transplanted cell spatial distribution The spatial distribution of CFSE+ cells was analyzed 15 hours after transplantation, as previously described.6 The location of CFSE-labeled cells (positive cells) from at least 6 longitudinal sections per transplant recipient was recorded. Central longitudinal sections were analyzed as opposed to transverse sections, because each individual section encompasses more of the entire femur. To ensure that individual cells were only analyzed once, every alternate 3.5-µm section was analyzed. The location of positive cells was designated as either endosteal (previously arbitrarily defined as within 12 cells of the endosteum23) or central (> 12 cells from either endosteum).6RNA extraction RNA was extracted using an RNAzol B (Geneworks, Adelaide, Australia) extraction method. Briefly, cells isolated by FACS were centrifuged and RNA prepared by lysing with 0.8 mL RNAzol B/106 cells. The homogenate was extracted with chloroform and precipitated with isopropanol. RNA was washed, dried, and resuspended in sterile water.RT-PCR Template cDNA was prepared using random hexamers (Pharmacia Biotech) and Superscript II reverse transcriptase (RT; Gibco BRL, Gaithersburg, MD). Polymerase chain reaction (PCR) was performed using the following oligonucletide primers: murine Has-1 sense, 5' CGTGGACTACGTGCAGGTCTGTG 3' and antisense, 5' GAGCGCGAGGTATACTTGGTAGC 3'; murine Has-2 sense, 5' GACCACACAGACAGGCGGA 3' and antisense, 5' TCCCAGGGTAGGTCAGCCTT 3'; murine Has-3 sense, 3' 5' 5' GAGCGTGTGC GAGCTGTGGT GTG 3' and antisense, 5' GAAGCATCTCAATGGTGCAGGCT 3'; human HAS-1, sense 5' GCTACCAAGTACACCTCCAGGTC 3' and antisense, 5' CGCGTAGAACAGACGCAGCACAG 3'; human HAS-2 sense, 5' GCTCGCAACACGTAACGCAA 3' and antisense 5' GGCACTTAGATCGAGCTGTG 3'; and human HAS-3 sense, 5' AGCCTGCAGGAGGGCATGGA 3' and antisense 5' GGAGCGCGCGGTATACTTAGTTCGG 3' synthesized by Geneworks (Adelaide, Australia). All PCRs were performed in a 25-µL volume under 30 µL paraffin oil in a gene machine (Innovonics, Melbourne, Australia). Each PCR consisted of 1 × Taq gold buffer, 200 µM dNTPs (Boehringer Mannheim, Branchburg, NJ), 4 µg/mL of each primer, 1.5 mM MgCl2, 10% DMSO, and 0.5 U Taq gold (Boehringer Mannheim). PCRs were performed with a profile of 10 minutes of Taq gold activation at 94°C for the first cycle and 30 seconds of denaturing for subsequent cycles, 30 seconds of annealing at 60°C for 10 cycles followed by 30 seconds of annealing at 55°C for a further 25 cycles, and 30 seconds of extension at 72°C for the 35 cycles followed by a final 5-minute extension at 72°C.Statistical analysis Differences between means were evaluated by one-way analysis of variance (ANOVA) or Student t test where appropriate.
HA expression on murine hemopoietic cells Expression of HA was demonstrated by flow cytometric analysis through the binding of a biotinylated form of HABP, which demonstrates absolute specificity for HA.24 Using this approach, HABP binding was detected on 2 subpopulations enriched for murine HSCs: Lin Sca+Kit+ (Figure
1A-B) and
Lin Rhdull (Figure 1D). Although the level of
HA expression on these populations was of low intensity, it was clearly
above that observed for the control (Figure 1C) and was completely
eliminated by prior treatment of the cells with the specific
HA-cleaving enzyme hyaluronidase (HY) (Figure 1E). In addition, a
similar proportion of Lin Rh123dull cells
isolated from CD44 / mice22 exhibited
binding of HABP (25.0% compared with 26.5%), demonstrating that HA
detected on the cell surface is not due to the binding of
exogenous HA to its major receptor, CD44.19 RT-PCR
analysis demonstrated that
Lin Sca+Kit+,
Lin HA+ but not HA cells express
transcripts for Has-1, Has-2, and Has-3 (Figure 2). Interestingly, HABP
cells expressed Has-3, but synthesize undetectable levels of HA. This
phenomenon has previously been reported in adenocarcinoma cells.25
HA expression on human HPCs The expression of HA by primitive BM cells is not a unique feature of the mouse but is also a characteristic of human HPCs. FACS analysis of human CB (Figure 3) using CD34, CD38, and HABP showed that putative human HSCs (CD34+CD38 cells) exhibited the
highest levels of HA expression. Furthermore, as demonstrated by the
histograms of Figure 3B,D,F,H, HA expression decreased as HPC matured,
as evidenced by acquisition of CD38 and decreased expression of CD34.
In accordance with data in the mouse, isolated human CD34+
and Lin HA+ cells but not
Lin HA also express HAS-1, HAS-2, and HAS-3
(Figure 4).
HA synthesis by human HPCs To exclude the possibility that the HA detected on primitive hematopoietic cells was bound to the cells by a CD44-independent mechanism, but was actually produced by these cells, we examined whether primitive human HPCs synthesize and secrete HA. Putative human HSCs (CD34+CD38 ) synthesized HA of 3 different molecular weights (high, > 100 000 Da; intermediate,
48 000 Da; and low, 20 000 Da) when cultured for 3 to 4 days in
serum-free conditions in the presence of multiple cytokines
and D-[6-3H]-glucosamine hydrochloride (Figure
5). Isolated HSCs were CD45+,
and in none of the synthesis assays did any of the cells adhere to the
plastic culture wells, demonstrating an absence of contaminating stromal cells. These results are consistent with the expression of the
3-hyaluronan synthases Has-1, Has-2, and Has-3 by this population of
HPCs (Figure 4). Collectively these data demonstrate that HA is
synthesized by and expressed on human hemopoietic populations enriched
for HSCs.
HA is expressed on cells capable of reconstituting the hemopoietic compartment To determine whether the HA+ cells were capable of reconstituting the hemopoietic compartment of a lethally ablated recipient, FACS was used to isolate Lin HA+
and Lin HA subpopulations and the cells were
assayed in vivo using the congenic Ly5.1/Ly5.2 mouse transplant
model.26 A total of 5000 to 6000 Lin HA+ cells reconstituted all hemopoietic
lineages in the peripheral blood of lethally irradiated recipients 8 weeks after transplantation (Table 1),
whereas an equivalent number of Lin HA cells
failed to do so, with the recipients dying 14 to 16 days after
transplantation. Isolating the more enriched HSC
Lin Sca+ population, and subfractionating on
the basis of HA, resulted in reconstitution of multiple hemopoietic
lineages of lethally irradiated recipients 4 weeks after
transplantation of 500 Lin Sca+HA+
cells (Table 1). However, recipients given transplants of 500 Lin Sca+HA+ cells exhibited an
average of only 9.4% donor engraftment, which is significantly lower
than predicted from infused unfractionated Lin Sca+ cells. Studies by Spangrude and
Scollay demonstrate that transplanting as few as 100 Lin Sca+ cells results in the survival of
greater than a third of recipients with more than 75% donor cells in
the peripheral blood 12 weeks after transplantation.27 In
only 1 of 6 recipients were HA cells capable of rescuing
lethally irradiated recipients (following a transplant of 500 Lin Sca+HA cells), suggesting
that fewer long-term repopulating cells (LTRCs) are contained
within this population compared with the HA+ fraction. In
the one surviving recipient, there was an equivalent proportion of
donor cells to that seen following a transplant of HA+
cells (about 9%). The reason for this lower than expected
level of engraftment remains unclear, but as discussed, is
suggestive of HA playing an active role in homing or lodgment of HSCs
to and within the BM.
When 10-fold more Lin The potential role of HA in the lodgment of transplanted murine HSCs Transplantations were performed using HSCs and HPCs incubated with and without HY to investigate the role of HA in cell lodgment. When Lin Rhdull cells were treated with HY prior to
transplantation, there was an approximate 40% reduction in the
proportion of cells located at the endosteum 15 hours after
transplantation compared with untreated cells (39% ± 3% and
65% ± 8%, respectively; n = 4). In contrast, HY treatment of
Lin Rhbright cells, shown not to synthesize HA
or transcribe the HAS genes (data not shown), did not alter
their spatial distribution at the same time point (41% ± 3% and
37% ± 4% respectively; n = 3). This suggests a specific
functional role for HA in determining the spatial localization of HSCs
but not HPCs.
The potential role of HA as a negative regulator of HSC proliferation Previous studies within this and other laboratories have demonstrated that ligation of certain cell surface adhesion molecules on primitive hemopoietic cells such as PSGL-1, CD164, and CD43 can result in the in vitro inhibition of HSC proliferation.28 Accordingly, the possibility that the cross-linking of HA by its surrogate ligand HABP could result in similar growth inhibition was investigated in stroma-free, cytokine-dependent cultures. As demonstrated in Figure 6, the ligation of HA by HABP results in a profound suppression of human HSC proliferation stimulated by a potent combination of early acting hemopoietic growth factors. This resulted in a dose-dependent inhibition of cell proliferation that was maximal at 10 µg/mL HABP in both the human (Figure 6A) and murine (data not shown) cultures. In addition to growth inhibition, incubating human HSCs in increasing amounts of HABP inhibited myeloid differentiation as evidenced by the decreased number of CD15+ cells generated in culture (Figure 6B). In accordance with the inhibition of cell differentiation, incubating cells with increasing amounts of HABP also maintained a population of cells characterized by a CD34+CD38 phenotype
(Figure 6C). It should be noted that the presence of this phenotype in
culture does not necessarily indicate immature progenitors and future
transplant experiments after culture in the presence of HABP are
required to confirm this.
HA is a major constituent of the ECM in a wide variety of tissues. For example, HA is a major ECM constituent within the vitreous of the human eye, and although representing less of the physical mass of the tissue HA serves as an essential structural element within the ECM of cartilage. In the BM, HA is the third main glycosaminoglycan produced by stromal cells, with HA synthesis hypothesized to be an initial step in ECM organization.29 HA has been shown to account for 40% of the glycosaminoglycans in BM stromal cultures17,30 and interacts through its principal ligand CD4419 with T and B cells and neutrophils.31 However, to date there are no reports of hemopoietic cells synthesizing HA. This study is the first report of hemopoietic cells themselves synthesizing and expressing HA. Of great interest but as yet unknown significance, this synthesis and expression was largely restricted to very primitive cells in both murine and human systems. It would also be of great interest to determine if stem cells in other tissues and organs similarly are distinguished by their synthesis of HA. Our data demonstrate that HSCs synthesize and express HA from all 3 of the HAS synthases. Previous analysis of the size distribution of HA generated in vitro by the recombinant proteins demonstrated that HAS-1 and HAS-2 synthesize HA with molecular masses of 2 × 105 to about 2 × 106 Da. In contrast HAS-3 synthesized shorter HA of 1 × 105 to 1 × 106 Da.32 Has-1 is known to produce HA that is extruded from the cell. In contrast Has-2 produces HA that forms a pericellular coat, has been correlated with increased cell migration, and been associated with increased HA production in solid tumors.21 The physiologic significance of why cells transcribe the 3 different HAS genes and produce 3 molecular weight species of HA remains unknown, but may provide a mechanism for the flexible control of HA synthesis and resulting function. In the current study, putative HSCs isolated from human CB were shown to extrude HA of 3 molecular weights into the culture media. In contrast, no HA was detected in the cell lysates (data not shown), suggesting that the higher molecular weight HA was predominately synthesized by HAS-1 and not HAS-2, and the lower molecular weight HA was synthesized by HAS-3. This is further supported by the abundance of HAS-1 mRNA detected from these cells compared to HAS-2. Our recent development of a methodology allowing us to track transplanted cells at the individual cell level as they engraft and lodge within the BM has provided a unique and very powerful tool for identifying and characterizing key molecules involved in these processes.6 HA is the first molecule identified in this manner that appears to have a significant impact on the lodgment of engrafting HSCs. In a previous study we showed that more than 60% of an enriched population of HSCs lodged within the endosteal region 15 hours after transplantation.6 However, following HY pretreatment, the proportion of cells residing at the endosteum at the same time point was significantly reduced to about 40% of HSCs. Further studies will help to resolve whether HA is playing a dual role in both the migration and anchoring of HSCs in this lodgment process. In addition, the present study also showed the binding of HA on HSCs by HABP, acting as a surrogate ligand, inhibits the proliferation and differentiation of these cells. This role is in accordance with a recent report showing that the addition of HA to in vitro long-term bone marrow cultures (LTBMCs) results in perturbation of hemopoiesis.33 In this study, exogenous HA was added to murine LTBMCs, resulting in enhanced production of both progenitors and mature BM cells, whereas the addition of HY resulted in the inhibition of cell production. In these cultures, HA was thought to be regulating hemopoiesis through a progenitor ancestral to the common myeloid and lymphoid progenitor. In addition, our observed growth regulatory role of HA is very similar to that recently described for the sialomucin PSGL-1/P-selectin interaction.28 In addition to its well-documented role as an adhesion molecule, PSGL-1 has now been shown to be a potent negative regulator of human hemopoietic progenitors in vitro. In vivo there are a number of potential receptors of HA in the marrow, of which CD44H from the Link superfamily is the most widely recognized. CD44 is present on many cell types in a nonfunctional form that requires some activation process to acquire HA-binding capabilities. The regulation of CD44 activity is highly complex and is influenced by glycosylation status, differential splicing to generate distinct isoforms, cytoskeletal attachment, receptor density on the cell surface, and phosphorylation of the intracytoplasmic domain.34,35 Receptor for hyalurenan acid-mediated motility (RHAMM) is also an HA receptor expressed in the BM, which has recently been identified as the major HA-binding receptor expressed by mobilized blood HPCs.36 Furthermore, the study by Pilarski et al37 suggests that RHAMM and CD44 played key roles in cell motility and trafficking after mobilization versus adhesion to the ECM by marrow HPCs, respectively. Further studies will help to define whether the interactions of HA with these 2 receptors may also be responsible for the functions of HA on HSC described in this study. Overall, our data comprise the first demonstration of the synthesis and expression of HA by HSCs in vitro and in vivo, representing a very specific but as yet unrecognized characteristic of primitive hemopoietic cells in at least 2 mammalian species. The presence of HA on HSCs is functionally significant in stem cell biology, specifically in the regulation of HSC lodgment after transplantation. In addition, demonstrating inhibition of cell proliferation and differentiation through the interaction of HA and the surrogate ligand HABP suggests an important role for this glycosaminoglycan in vivo in regulating HSCs within the hemopoietic "niche." Potentially, these processes could be occurring through interactions with the 2 HA receptors RHAMM and CD44H.
The authors would like to acknowledge Kate Sells for her help with the animal work, Brenda Williams for the isolation of different BM subpopulations, and Ralph Rossi and Andrew Fryga for their help with flow cytometry. The authors would also like to acknowledge Angie Dinning at the Mercy Hospital for Women for her help in coordinating cord blood collections and Dr Tak Mak for providing the CD44 knockout mice.
Submitted May 8, 2002; accepted August 27, 2002.
Prepublished online as Blood First Edition Paper, September 12, 2002; DOI 10.1182/blood-2002-05-1344.
S.K.N. is an RD Wright Fellow, granted from the National Health and Medical Research Council (Canberra, ACT, Australia).
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Susan K. Nilsson, Stem Cell Laboratory, Peter MacCallum Cancer Institute, Locked Bag No. 1, A'Beckett St, Melbourne, 3000, Australia; e-mail: s.nilsson{at}pmci.unimelb.edu.au.
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