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Blood, Vol. 92 No. 3 (August 1), 1998:
pp. 842-848
By
From Hokkaido Red Cross Blood Center, Sapporo; and the Department of
Internal Medicine II, Hokkaido University School of Medicine, Sapporo,
Japan.
We identified the cell cycle status of CD34+ cells of
steady-state bone marrow (BM) and peripheral blood (PB) obtained from healthy volunteers, and those of apherasis PB samples collected from
healthy donors who had been administered granulocyte colony-stimulating factor (G-CSF). More than 10% of CD34+ cells in BM were
in S+G2/M phase. In contrast, regardless of whether G-CSF
treatment was performed, less than 2% of CD34+ cells in
PB were cycling. BM CD34+ cells showed greater VLA-4
expression and adherence to stromal cells than PB CD34+
cells. In addition, when cycling and dormant BM CD34+
cells were analyzed separately, the cells in S+G2/M phase
expressed more VLA-4 and adhered to the stromal cell monolayer more
efficiently than the cells in G0/G1 phase.
Furthermore, this adhesion of CD34+ cells to the stromal
cell layer was almost completely inhibited by anti-VLA-4
antibody. Taken together, these results suggest that
CD34+ progenitors in G0/G1 phase
of the cell cycle differ from those in S+G2/M phase in
adhesiveness mediated by VLA-4 in the hematopoietic microenvironment.
© 1998 by The American Society of Hematology.
FOLLOWING THE FINDINGS that treatment
with cytokines, including granulocyte colony-stimulating factor
(G-CSF),1-4 granulocyte-macrophage colony-stimulating
factor (GM-CSF),5 interleukin-3 (IL-3),6,7 stem
cell factor (SCF),8-11 and IL-3/GM-CSF fusion protein
PIXY32112-14 could efficiently recruit hematopoietic
progenitors and stem cells into the peripheral blood (PB) in murine,
primate, and human systems, peripheral blood stem cell transplantation
(PBSCT) was introduced to the clinical field. It was then observed that
the recovery of hematopoiesis was faster after PBSCT than after bone
marrow (BM) and cord blood transplantation. One reason for the
accelerated recovery of hematopoiesis after PBSCT could be that PB stem
cell samples obtained after apheresis contain approximately 10-fold as
many CD34+ cells as do BM samples.2,4,15-17
Alternatively, PB progenitor cells are at an active phase in the cell
cycle and thus produce mature blood cells more rapidly than do BM
progenitors. This issue has not been fully clarified. The mechanism
that regulates the cytokine-induced mobilization of hematopoietic
progenitors from BM to PB has not been identified either.
During the course of this study, we determine the cell-cycle status of
CD34+ cells of BM and PB from healthy donors and from
donors who had received G-CSF treatment for stem cell mobilization.
Interestingly, the PB CD34+ cells from both the healthy and
G-CSF-treated donors were much more quiescent than the BM
CD34+ cells. Thus, we identified the cell-cycle status of
the nonadherent, adherent, and cobblestone area-forming cells that
appeared after a coculture of CD34+ cells with cytokines or
stromal cells. We also examined the expression of adhesion molecules
and the adhesiveness to stromal cells of CD34+ cells
fractionated on the basis of cell-cycle status. We further examined the
effects of anti-VLA-4 antibody on the adhesion of CD34+
cells and stromal cells.
Cytokines
Cells
Cell-Surface Markers and Cell-Cycle Status Analysis Enriched CD34+ cells were stained with the fluorescein isothiocyanate (FITC)-conjugated anti-CD34 MoAb (HPCA-2; Nippon Becton Dickinson Co [BD], Tokyo, Japan) or with a cocktail of phycoerythrin (PE)-conjugated anti-CD34 MoAb (BD) and FITC-conjugated MoAbs specific for VLA-4, VLA-5 (Immunotech, Marseille, France) or LFA-1 (Pharmingen, San Diego, CA). FITC-conjugated mouse IgG1 and IgG2b (DAKO, Japan Co, Kyoto, Japan) and PE-conjugated mouse IgG1 (DAKO) were used as isotype controls. After staining with the antibodies, the cells were treated with phosphate-buffered saline (PBS) containing 0.5% paraformaldehyde (Sigma Chemical Co, St Louis, MO) and 0.5% saponin (Sigma) at 4°C for 5 minutes, then incubated with 5 µg/mL propidium iodide (Sigma) in PBS and 1 mg/mL RNase (Sigma) at 4°C for 5 minutes. The stained cells with low to medium forward scatter and low side scatter were analyzed using an Ortho Cytoron (Ortho Diagnostic Systems, Raritan, NJ).Adhesion Assay for CD34+ Cells First, 1 × 105 steady-state BM or mobilized PB CD34+ cells were incubated on a monolayer of the murine stromal cell line MS-5 in a medium consisting of -MEM (Flow
Laboratories, Rockville, MD) and 10% fetal calf serum (FCS; Hyclone,
Logan, UT) in 24-well tissue culture plates at 37°C in a humidified
atmosphere with 5% CO2/95% air. After a 1-hour
incubation, nonadherent cells were obtained by gentle agitation and in
some cases adherent cells were also harvested after vigorous pipetting.
In some experiments, mouse anti-human VLA-4 MoAb (clone:SG/73, mouse
IgG1; a gift of Dr Kensuke Miyake, Saga Medical University,
Saga, Japan) or isotype-matched control antibody (DAKO) was added to
the culture at a concentration of 10 µg/mL. The untreated cells,
nonadherent cells, and adherent cells were counted and analyzed for
cell-cycle status and the expression of adhesion molecules.
In Vitro Culture of CD34+ Cells With IL-3 and SCF CD34+ cells, 5 × 105, derived from BM and mobilized PB samples were cultured for 4 days in the presence of IL-3 and SCF in 25-cm2 culture flasks. Cells were obtained, stained with FITC-anti-CD34 MoAb, and then incubated on an MS-5 monolayer for 1 hour. The recovered nonadherent and adherent cells were subjected to cell-cycle analysis on CD34+ cells.Culture of Cobblestone Area-Forming Cells First, 1 × 106 steady-state BM or mobilized CD34+ cells were cultured on an MS-5 monolayer in 25-cm2 flasks. On day 4 of the culture, the nonadherent and adherent cells were removed by vigorous pipetting, and the culture was continued for 2 more days. By the end of the culture, cobblestone areas in addition to nonadherent and adherent cells appeared. After collecting the nonadherent population by gentle agitation, the adherent cells were recovered by vigorous pipetting, and then the cobblestone area-forming cells were collected after trypsin treatment. The MS-5 cells were removed from the last cell fraction by culturing the trypsin-treated cells with medium containing -MEM and 10% FCS for 1 hour in tissue-culture flasks. Most of the MS-5 cells adhered to the
culture flasks within 1 hour. The nonadherent, adherent, and
cobblestone area-forming cells were then stained with FITC-anti-CD34
MoAb and subjected to cell-cycle analysis.
Cell-Cycle Analysis of CD34+ Cells Mononuclear cells enriched for CD34+ cells obtained from steady-state BM and PB and mobilized PB were stained with an anti-CD34 antibody (HPCA-2) and propidium iodide to determine the cell-cycle status of CD34+ cells. As shown in Table 1, more than 10% of the CD34+ cells in the steady-state BM were in S + G2/M phase of the cell cycle, whereas the majority of the CD34+ cells in the PB samples, both from the steady-state volunteers and the G-CSF-treated donors, were cell-cycle dormant (<2% of the cells were in S + G2/M phase).
Relationship Between Adhesiveness of CD34+ Cells and Their Cell-Cycle Status We first compared the adhesiveness to the stromal cell layer of steady-state BM and mobilized PB CD34+ cells. CD34+ cells were incubated on a monolayer of the mouse BM stromal cell line MS-5 for 1 hour. After gentle agitation, nonadherent cells were obtained. The adherent cells were then collected by vigorous pipetting. Approximately twice as many BM CD34+ cells (32%) were recovered as adherent cells as were PB CD34+ cells (17%), indicating that BM CD34+ cells adhere to stromal cells more strongly than PB CD34+ cells (Table 2). We then analyzed the cell-cycle status of the recovered cells. Figure 1A shows the percentages of the nonadherent and adherent BM CD34+ cells that were in S + G2/M phase. Approximately twice as many adherent cells were in S + G2/M phase compared with the nonadherent cells. PB samples were not analyzed for cell-cycle status (Fig 1B) because most PB CD34+ cells were in G0/G1 phase as shown in Table 1.
Cell-Cycle Status of Cobblestone Area-Forming Cells and Nonadherent Cells in Culture Steady-state BM and mobilized PB CD34+ cells were cultured on a monolayer of MS-5 cells. On day 4 of the culture, the nonadherent and adherent cells were removed as much as possible by vigorous pipetting without disturbing the cells growing underneath the stroma layer, and the culture was continued. On day 6 of the culture, when nonadherent cells, adherent cells, and cobblestone area-forming cells had developed, these three cell populations were obtained by gentle agitation, vigorous pipetting, and trypsin treatment, respectively. The cells were then stained with the anti-CD34 MoAb, and CD34+ cells were analyzed for their cell-cycle status. With both BM and PB samples, twice as many CD34+ cobblestone area-forming cells were in S + G2/M phase compared with CD34+ nonadherent cells. The results of mobilized PB samples are presented in Fig 2. The adherent cells recovered were too few for the analysis.
Expression of Adhesion Molecules by CD34+ Cells We next examined the expression of the adhesion molecules VLA-4, VLA-5, and LFA-1 by CD34+ cells using freshly prepared BM and mobilized PB CD34+ cells. BM and mobilized PB cells were collected from the same four individuals, purified for CD34+ cells, and then analyzed for the expression of the adhesion molecules. In all four individuals, the mean fluorescence intensities of VLA-4 expressed by the mobilized PB CD34+ cells were markedly lower than those expressed by the BM CD34+ cells (Fig 3A and B), while there were no differences in the expressions of VLA-5 and LFA-1 (data not shown). We further investigated the adhesion molecule expression by the nonadherent cultured CD34+ cells and cobblestone area-forming CD34+ cells derived from PB CD34+ cells, the cell-cycle status of which is presented in Fig 2. We used trypsin to obtain cobblestone-forming cells. Because trypsin treatment did not affect the VLA-4 expression of nonadherent cells, it is likely that this treatment did not influence the expression of VLA-4 by cobblestone-forming cells. As shown in Fig 3C and D, the nonadherent cultured CD34+ cells expressed less VLA-4 than the cobblestone area-forming CD34+ cells. We obtained the same results using BM samples. From this relatively lower expression of VLA-4 by the mobilized PB CD34+ cells and nonadherent cultured CD34+ cells compared with the BM CD34+ cells and cobblestone area-forming CD34+ cells, respectively, it was suggested that dormant CD34+ cells express VLA-4 less than cycling CD34+ cells. To test this possibility, we examined the VLA-4 expression by BM CD34+ cells fractionated on the basis of their cell-cycle status. As shown in Fig 4, the mean fluorescence intensities of VLA-4 expressed by the CD34+ cells in G0/G1 phase were significantly lower than those expressed by the CD34+ cells in S + G2/M phase, whereas there were no such differences in the expressions of VLA-5 and LFA-1.
Inhibition of Adherence of BM CD34+ Cells to Stromal Cells by Anti-VLA-4 Ab To clarify the importance of VLA-4 in the cell-cell contact between CD34+ cells and stromal cells, we examined the effects of anti-VLA-4 MoAb on the adhesion of CD34+ cells and stromal cells. BM CD34+ cells were incubated on a monolayer of MS-5 cells in the presence or absence of control or anti-VLA-4 antibody. After 1 hour of incubation nonadherent cells were recovered, counted, and then subjected to cell-cycle analysis. As shown in Table 3, the adherence of BM CD34+ cells to the stromal cell monolayer was completely inhibited by the addition of anti-VLA-4 antibody. Furthermore, this inhibition was more marked with CD34+ cells in S + G2/M phase than with CD34+ cells in G0/G1 phase of the cell cycle.
In this study we identified the cell-cycle status of CD34+ cells in steady-state BM, PB, and mobilized PB samples. The majority of the PB CD34+ cells, from both steady-state donors and those treated with G-CSF, were in G0/G1 phase of the cell cycle, whereas more than 10% of the BM CD34+ cells were in S+G2/M phase. Our results are in good agreement with recent studies from several groups. Donahue et al19 reported the cell-cycle status of CD34+Thy-1+ progenitors in primates treated with a combination of G-CSF and SCF; 9.6% of the CD34+Thy-1+ progenitors in the PB were in S + G2/M phase, as were 36.3% of the progenitors in the BM. Roberts and Metcalf20 performed a tritiated thymidine suicide test using G-CSF-treated mice and found that 47% of the BM hematopoietic progenitors, while only 7% of the PB progenitors, were in S phase. Siegert and Serke21 did not observe any cycling CD34+ cells in PB from patients treated with GM-CSF. More recently, Grzegorzewski et al22 found that the majority of murine PB progenitors mobilized by G-CSF were quiescent. Uchida et al23 reported similar results using more primitive hematopoietic progenitors both in mice and human systems.
Submitted June 9, 1997;
accepted March 16, 1998.
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© 1998 by the American Society of Hematology.
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