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HEMATOPOIESIS
From the Terry Fox Laboratory, British Columbia Cancer
Agency, Vancouver, BC, Canada.
In this study, it is shown that short-term exposure of normal human
marrow CD34+CD38 Normal adult human bone marrow contains a
small population of transplantable totipotent hematopoietic stem cells,
each with the capacity to generate a large and diverse population of
mature progeny over prolonged periods of time in vivo1-3.
These stem cells are closely related to cells that can sustain the
production of hematopoietic cells in cultures provided with certain
types of fibroblasts for at least 5 weeks2,4,5 Tumor necrosis factor (TNF) has been shown to elicit a variety of
responses, inhibitory and stimulatory, on primitive human and murine
hematopoietic progenitor cells, depending on the cell population
exposed and the other growth factors present.18-22 Some of
these effects may be indirectly mediated owing to the ability of TNF to
induce the production and release of other
cytokines.20,22-24 However, direct inhibitory and
stimulatory effects on primitive hematopoietic cells have also been
demonstrated.21,25,26 Production of intracellular ceramide
is a well-described consequence of TNF stimulation,27,28
and the apoptosis-inducing effect of TNF on many cells, including
hematopoietic cells, is mimicked by exposure to C2-ceramide, a
diffusible analog of ceramide that enters cells passively.29,30
In previous studies, we showed that TNF in the presence of Flt3 ligand
(FL), Steel factor (SF), interleukin-3 (IL-3), IL-6, and granulocyte
colony-stimulating factor (G-CSF) can, at low concentrations, markedly
decrease the output of cells with LTC-IC activity. This was seen in
short-term cultures of normal human CD34+CD38 Cells
Serum-free liquid cultures of primary cells
CFC assays CFC numbers were determined by plating 1.1-mL aliquots of washed cells suspended in Iscove methylcellulose medium (MethoCult H4330; StemCell) supplemented with 3 U/mL human erythropoietin (StemCell), 50 ng/mL SF, and 20 ng/mL each of IL-6, GM-CSF (Novartis), G-CSF, and IL-3 in 35-mm Petri dishes. Erythroid, granulocyte-macrophage, and mixed-lineage colonies were enumerated in situ after 16 days of incubation at 37°C using standard scoring criteria to identify pure and mixed erythroid and granulocyte-macrophage colonies (from BFU-E, CFU-GM, and CFU-GEMM). Total CFC counts refer to the sum of all of these.LTC-IC assays Cells to be tested were co-cultivated, as described previously,9 with irradiated (8000 cGy) mouse fibroblast feeders (3 × 105 cells/35-mm dish) engineered to produce 10 ng/mL human IL-3, 130 ng/mL human G-CSF, and 10 ng/mL human SF, with subsequent weekly replacement of half the medium (human long-term culture medium, HCC-5100, StemCell; supplemented just before use with 10 6 mol/L freshly dissolved hydrocortisone sodium
hemisuccinate, Sigma). Cultures were then maintained at 37°C, usually
for 6 weeks, at the end of which both the nonadherent and the adherent
cells were harvested, combined, washed, and assayed for their CFC
content. These 6-week CFC output values provided a relative measure of the number of LTC-ICs in the original input suspension and could thus
be used directly to compare the effects of different treatments on
LTC-IC activity. Although limiting-dilution LTC-IC assays were not
performed to allow formal distinction between the effects on LTC-IC
frequency and the effects on their CFC-producing activity, previous
experiments have shown that the latter parameter is not affected when
CD34+CD38 cells are cultured under the
serum-free conditions described here.9,31 In one set of
experiments, some LTCs were harvested at the end of 3 weeks of
incubation, and their CFC contents were similarly determined.
Statistics Differences between progenitor numbers in different treatment groups were assessed using the Student t test.
Dose- and time-dependence of TNF-induced suppression of LTC-ICs in
short-term cultures of human marrow CD34+CD38 /CD34+CD38 cells isolated
from normal adult human marrow were placed in culture at 500 to 1000 cells/mL in serum-free medium supplemented with FL (100 ng/mL), SF (100 ng/mL), IL-3 (20 ng/mL), IL-6 (20 ng/mL), and G-CSF (20 ng/mL) and
varying concentrations of TNF. After 3, 10, and in some cases 20 days,
the LTC-IC, CFC, and total cell numbers were evaluated. Under these
conditions, TNF inhibited the total cell expansion (data not shown) and
the expansion of CFCs and LTC-ICs in a time- and dose-dependent fashion
(Figure 1). However, the loss of LTC-IC
activity was the most TNF-sensitive response. Thus, exposure of
CD34+CD38 cells for 10 days to a
concentration of TNF as low as 0.1 ng/mL caused a rapid and marked
reduction in LTC-IC activity (more than 10-fold below input values;
P < .05) in the absence of any effect on CFC production.
The addition of 0.1 ng/mL TNF also had little effect on the total
number of cells generated in these cultures (less than 2-fold
reduction; P > .05; data not shown). Moreover, the
selective effect of TNF on LTC-IC activity was not abrogated if the
addition of the TNF was delayed for 2 days, as indicated by the similar
results obtained in 2 such experiments, one of which one is shown in
Table 1. On the other hand, a similar but an even more rapid effect (within 24 hours) could be demonstrated when
the input cells were exposed to higher concentrations of TNF (20 to 100 ng/mL, data not shown, but see also Figure 3, discussed below).
To determine whether the effects of TNF pretreatment on LTC-IC activity
might influence CFC production within the first 3 weeks in culture,
additional experiments were performed in which the LTCs were harvested
at this earlier time point. In addition, in these experiments, some
cells were incubated with TNF for only part of the pretreatment phase
in suspension culture with FL, SF, IL-3, IL-6, and G-CSF and were
then cultured for another 2 or 4 days in the same medium but without
TNF (removed by washing). The purpose of this protocol was to determine
whether the effect of exposing LTC-ICs to TNF for a given period could
be reversed by further incubation in the TNF-free medium with high
concentrations of stimulatory cytokines before assessing residual
LTC-IC activity. The results of these experiments (performed in
triplicate, ie, with CD34+CD38
TNF-induced loss of LTC-IC function does not result from a
cytotoxic effect on a subset of CD34+CD38 cells rather than
selective killing of those that initially possessed LTC-IC activity. In
these experiments, CD34+CD38 cells were
cultured in serum-free medium plus FL, SF, IL-3, IL-6, and G-CSF plus
0.1 ng/mL TNF as before but as isolated single cells as well as in bulk
cultures initiated with 500 cells each. Direct visualization of the
single-cell cultures indicated no effect of this TNF dose on the
viability of the input CD34+CD38 cells
(proportion of wells with 1 or more refractile cell/well) or the
ability of the input cells to divide (proportion of wells with 2 or
more refractile cells/well), when the cultures were assessed after 3 or
10 days of incubation (Table 3).
A comparison of the number of LTC-ICs, CFCs, and total cells measured
in the single-cell and parallel-bulk cultures at the end of the 10-day
period of incubation is presented in Figure 2. As can be seen, the
presence of TNF had little effect (P > .05) on either CFC
or total cell expansion, regardless of whether 1 or 500 cells were used
to initiate the cultures. However, the negative effect of TNF on LTC-IC
yields (P < .05) was more pronounced in the single-cell
cultures. These results establish the ability of TNF to act directly on
LTC-ICs to eliminate their function without concomitantly affecting
their ability to survive and divide.
Evidence that the TNF-induced loss of LTC-IC function involves the sphingolipid pathway To investigate whether TNF might affect the cellular attributes required for LTC-IC function as a result of activation of the ceramide pathway, human marrow CD34+CD38 cells were
cultured for 24 hours in serum-free media supplemented with the same
5-growth factor cocktail as before, in the presence (or not) of 20 ng/mL TNF with or without D-erythro-MAPP (an inhibitor of the alkaline
ceramidase that breaks down ceramide to sphingosine), 30 µmol/L
C2-ceramide, C6-ceramide (another active analog of ceramide whose
structure is more closely related to the natural ceramide than
C2-ceramide29), or dihydro-C2-ceramide, an inactive
ceramide analog.32 After 24 hours, the cultures were
assayed for CFCs and LTC-ICs. As shown in Figure 3, there was a
similarly marked and selective decrease in LTC-IC activity in cultures
to which TNF, C2-ceramide, or C6-ceramide had been added
(P < .05), and the effect of TNF was slightly enhanced
when D-erythro-MAPP was present. In contrast, exposure of the cells to
dihydro-C2-ceramide had no significant (P > .05) effect
on LTC-IC (or CFC) numbers by comparison with control cultures
containing the standard 5-growth factor cocktail only.
Of interest, it should be noted that in all the overnight cultures,
including the control cultures, the number of CFCs detectable was twice
the input value, even though CD34+CD38
In this study, we have demonstrated an ability of nontoxic
concentrations of TNF to promote the loss of certain functional properties of primitive (CD34+CD38 The current observations are of particular interest because they suggest the involvement of an intracellular signaling pathway that is activated by TNF and appears able to affect hematopoietic stem cell fate decisions. This is further supported by the observation that a closely related subpopulation of cells, the Thy-1+ subset of CD34+ cells in human cord blood, contains transcripts for both TNF receptor species (p55 and p75) and can be stimulated directly by TNF to enhance their proliferative response in combination with FL, SF, G-CSF, and GM-CSF.21 However, in that study, effects on LTC-IC activity were not analyzed. Previous investigations have identified a number of downstream targets
of ceramide, including a proline-directed serine-threonine protein
kinase (ceramide-activated protein kinase),40 the
proto-oncogene Vav,41 a cytosolic ceramide-activated
protein phosphatase,42 and protein kinase
C-
We thank the members of the Clinical Stem Cell Assay Service of the British Columbia Cancer Agency for assistance in accessing and initial processing of the human marrow samples, the staff of the Flow Cytometry Laboratory for assistance in cell sorting, and T. Palmater for manuscript preparation. We also thank Dr P. Lansdorp (Terry Fox Laboratory) and Amgen, Cangene, Immunex, Novartis, and StemCell for providing reagents.
Submitted July 29, 1999; accepted June 20, 2000.
Supported by grants from Novartis and the National Cancer Institute of Canada (NCIC), with funds from the Terry Fox Run. C.J.E. is a Terry Fox Cancer Research Scientist of the NCIC.
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: Connie J. Eaves, Terry Fox Laboratory, British Columbia Cancer Agency, 601 West 10th Ave, Vancouver, BC V5Z 1L3, Canada; e-mail: connie{at}terryfox.ubc.ca.
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© 2000 by The American Society of Hematology.
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