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Blood, Vol. 92 No. 3 (August 1), 1998:
pp. 894-900
By
From the CNRS URA 1461, Université Paris V, Hôpital
Necker, Paris; INSERM U 362, Institut Gustave Roussy, Villejuif; and
INSERM U 444, Faculté de Médecine Saint Antoine, Paris,
France.
Bone marrow (BM) transplantation still must overcome multiple
difficulties and should benefit from better understanding of stem-cell
homing and mobilization. Here, we analyzed the involvement of several
adhesion molecules in the two processes by treating mice with
monoclonal antibodies against these molecules. Treatment of lethally
irradiated mice grafted with isogeneic BM cells showed that at least
two migration pathways are important for stem-cell homing to the BM,
whereas only one of them is involved in lodging of colony-forming
unit-spleen (CFU-S) in the spleen. We confirm that the VLA-4/VCAM-1
adhesion pathway is important for stem-cell homing to the BM only and
show that CD44 is involved in CFU-S lodging in both BM and spleen.
These results show that entry of CFU-S into the spleen is regulated.
The observation that when one migration pathway is altered, CFU-S do
not enter the BM via the other pathway may indicate that the two
mechanisms involved in CFU-S homing into the BM are linked. The
adhesion molecules VLA-4 and CD44 are also implied in the mobilization
of stem cells into the blood stream of mice injected once with
anti-VLA-4 or anti-CD44. Anti-VLA-4 administration led to a
significant increase in circulating stem cells as early as 8 hours
after treatment. Stem cells mobilized by anti-VLA-4 comprise cells
with high self-renewal potential and thus may be used for long-term
reconstitution of the hematopoietic tissue.
© 1998 by The American Society of Hematology.
CELLULAR ADHESION and its involvement in
hematopoiesis have been analyzed using a number of different
approaches. From these studies, the notion has emerged that
interactions between the bone marrow (BM) microenvironment and
hematopoietic stem and progenitor cells (HSPC) are essential for the
regulation of commitment, proliferation, and differentiation of HSPC
that is for the regulation of blood cell formation. Most
stromal-hematopoietic cell interactions are mediated by mutual
recognition of adhesive receptors/ligands located at the surface of
both HSPC and stromal cells as well as in the surrounding extracellular
matrix (ECM). The adhesion molecules involved in such processes not
only have a prominent role in the regulation of hematopoiesis, but also
in the regulation of stem- and progenitor-cell trafficking between
hemolymphopoietic tissues and the blood stream. In mice, during
development stem cells migrate from yolk sac to fetal liver and spleen
to BM. After birth, although stem and progenitor cells are almost
exclusively located in the BM, and to a lesser extent in the spleen,
they still exhibit migratory properties. Under physiological
conditions, stem cells migrate within the BM cavity and intravasate
into the peripheral circulation. This process can be amplified by
various treatments, in particular injection of cytokines such as
granulocyte colony-stimulating factor (G-CSF), and is in this case
referred to as stem-cell mobilization. The reverse process, namely the
homing of stem cells to the extravascular compartment of the BM, occurs
in irradiated recipients after transplantation of hematopoietic cells.
The mechanisms underlying the movement of cells from and toward the
marrow are not well understood. One possibility is the modification of
the expression and/or affinity of adhesion molecules by stem
and progenitor cells.1-6
HSPC in both the human and the mouse express a number of cell adhesion
molecules. These include in particular the integrins The present study was aimed at determining the involvement of various
adhesion molecules shown to be expressed by hematopoietic and stromal
cells in the homing and mobilization of mouse stem cells.
Animals.
BALB/c female mice aged 6 to 8 weeks were purchased from CERJ (Le
Genest-Saint-Isle, France) and maintained under specific pathogen-free
conditions. Primary and secondary recipients were lethally irradiated
with 7.75 Gy (60Co source). The radiation was delivered 24 hours before reconstitution to allow clearance of the majority of the
killed cells.
Preparation of cell suspensions.
Single-cell suspensions of spleen were prepared in minimum essential
medium (MEM) using a homogenizer. BM cells were flushed from the tibia
and femur with medium. Mice were bled retroorbitally. Citrated blood
was pooled from 15 mice. In some experiments, erythrocytes were lysed
during a 5-minute incubation in ammonium chloride (0.85%), and
leukocytes were centrifuged through a 1-cm fetal calf serum (FCS)
cushion to remove cell debris. In other experiments blood leukocytes
were collected after centrifugation on a Ficoll discontinuous density
gradient.
Antibodies.
The following antibodies were used: anti- Flow cytometry.
Cells from spleen and blood of donors from mobilization experiments
were incubated in microtiter plates (106 cells/well) with
saturating concentrations of biotinylated antibodies, followed by
incubation with PE-streptavidin. Cells were also incubated with
PE-MARK-1 to reveal the injected antibody bound to the cell surface.
Progenitor cell assays.
Colony-forming unit-granulocyte-macrophage (CFU-GM) and burst-forming
unit-erythroid (BFU-E) were assayed in quadruplicate according to the
technique of Worton26 and Iscove and Sieber,27 respectively, and slightly modified. CFU-GM cultures were stimulated with 20% standard colony-stimulating factor (CSF) prepared according to Horiuchi et al.28 For cultivation of BFU-E, 2 U/mL
recombinant human erythropoietin (a gift from Cilag, Levallois-Perret,
France) and 10% WEHI-3B-conditioned medium were used.
Antibody coating of BM cells.
10 × 106 BM cells from normal mice were incubated
with saturating concentrations of monoclonal antibody (MoAb; 20 µg in
200 µL medium) for 30 minutes on ice. After one washing cells were counted and tested in colony-forming unit-spleen (CFU-S) and
progenitor-cell assays.
Homing of CFU-S into bone marrow and spleen.
To prevent interference with proliferation as well as recirculation
effects, short-term experiments are required for homing studies; hence,
CFU-S seeding was analyzed 3 hours after BM cell grafting.
Mobilization of CFU-S and progenitors.
To test the effect of various antibodies on the mobilization of stem
and progenitor cells in the circulation, normal mice received
intraperitoneally 300 µg/mouse MoAb, control rat Ig, or
phosphate-buffered saline (PBS; 15 mice/experimental group). Peripheral
blood was collected 8, 24, and 48 hours after anti-VLA-4 injection and
48 hours after administration of anti-CD44 and anti-CD11a antibodies.
After elimination of erythrocytes 5 × 105 nucleated
blood cells from anti-VLA-4 treated mice and 106 nucleated
blood cells from all other groups were injected to irradiated recipient
mice. One million nucleated blood cells were plated in CFU-GM and BFU-E
assays. The concentration of leukocytes, determined before erythrocyte
removal, was used to calculate the number of CFU-S and progenitor cells
per milliliter of blood.
Proliferative potential of mobilized CFU-S.
To examine the ability of mobilized stem cells to reconstitute the
hematopoietic tissue, the pre-CFU-S assay described by Spangrude et al
was performed. This assay detects very early stage cells in
hematopoiesis that have a much higher self-renewal potential than
CFU-S.31 Mice injected with 300 µg of anti-VLA-4
antibody, with irrelevant rat IgG2b (RA6-8C5) or PBS were
bled 48 hours later, and 106 nucleated blood cells were
grafted to primary irradiated recipient mice. Thirteen days later, the
recipients were killed, and BM cells from tibias and femurs were
collected. Secondary irradiated recipients were injected with an
appropriate number of cells (cells present in 1/4 to 2 legs, according
to the group) to assess day-12 CFU-S.
Statistical analysis.
For CFU-S assay logarithmic transformation of colony number was used to
approximate a gaussian distribution. For each replicate experiment, the
antibody-treated group was compared with its control by estimating
within-experiment mean and standard error of their ratio
(treated/control), taking into account the number of cells injected
into recipients and the cellularity of each organ. From replicate
experiments, between-experiment mean and standard error of treated to
control ratio were estimated. Student's t-test was applied to
assess the effect of antibody treatment by using the between-experiment
mean and the largest standard error (between or within) with its degree
of freedom. Confidence interval of this ratio was calculated by using
the inverse transformation of logarithm.
Homing of day-12 CFU-S to BM and spleen in recipients treated with
anti-adhesion molecule antibodies.
To analyze the receptors involved in the homing of CFU-S, donor BM
cells were allowed to circulate for 3 hours in primary lethally
irradiated recipients in the presence of antibodies directed to these
receptors. The number of CFU-S that entered the BM and spleen of these
animals during this interval was determined in secondary lethally
irradiated recipients. Because of the short turnover of some surface
receptors, donor BM cells were coated with an antibody and injected
into recipients together with 200 µg/mouse of that antibody. Thus,
cells remained optimally labeled during the 3-hour interval.
Mobilization of day-12 CFU-S and progenitor cells by anti-adhesion
molecule antibodies.
To study the role of some adhesive receptors in the maintenance of stem
and progenitor cells within the BM, we tested the capacity of
antibodies to such receptors to induce the mobilization of these cells
in the blood circulation of normal mice.
Anti-VLA-4 treatment mobilizes marrow repopulating activity.
To determine whether long-term repopulating cells were included among
the cells mobilized by anti-VLA-4, blood cells were tested using the
pre-CFU-S assay. The number of pre-CFU-S was significantly increased
in the blood of mice treated with one dose of antibody 48 hours before
killing (98 ± 19 and 24 ±12 CFU-S/leg of primary
recipients/106 blood cells of mice treated with anti-VLA-4
and control rat antibody, respectively; P < .05;
Fig 5).
Antibody coating does not alter colony formation in vivo and in
vitro.
Incubation of BM cells (homing experiments) and injection of donors
(mobilization experiments) with antibodies results in the labeling of
the cells expressing the recognized antigens, including CFU-S and
progenitors. Thus, the number of spleen colonies counted in the
secondary recipients could have been underestimated if coating
interferes for several days in CFU-S migration to the spleen.
Similarly, it was important to test whether coating of progenitors
modifies their growth in vitro.
The aim of this study was to examine the role of various adhesion
molecules in the trafficking of hematopoietic stem and progenitor cells
between the BM, the spleen, and the blood circulation. BM transplantation still must overcome multiple difficulties and should
benefit from a better understanding of stem-cell homing to and egress
from the BM.
Submitted January 21, 1998;
accepted March 31, 1998.
The authors thank Dr E.C. Butcher (Stanford University) for the
generous gift of anti-addressin-secreting hybridoma cells, C. Slama
for secretarial help, D. Broneer for reading the manuscript, and M. Netter for artwork.
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