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HEMATOPOIESIS
From the Departments of Medicine and Pediatrics,
Medical University of South Carolina and Department of Veterans Affairs
Medical Center, Charleston, SC.
The effects of activation of adult murine stem cells on their
expression of CD38 were studied using a murine transplantation model.
First, the published finding that the majority of long-term engrafting
cells from normal adult steady-state marrow are CD38+ was
confirmed. Next, it was determined that the majority of stem cells
activated in vivo by injection of 5-fluorouracil (5-FU) or mobilized by
granulocyte colony-stimulating factor are CD38 Identification of the surface phenotypes of
hematopoietic stem cells and development of strategies for their
purification have significant basic and clinical implications in
hematology. Transplantation of purified human hematopoietic stem cells
that are free of T lymphocytes could minimize graft-versus-host disease in allogeneic transplantation. Transplantation of cells that are free
of tumor cells may reduce the risk of recurrence in autologous transplantation. For many years, it was generally accepted that human hematopoietic stem cells and primitive progenitors are
CD34+CD38 Monoclonal antibodies and hybridomas
Cell preparation
Suspension culture Five thousand Lin c-kit+Sca-1+CD38+
cells were incubated in a 25-cm2 culture flask (Corning,
Corning, NY). The culture medium contained -modification of Eagle's
Minimal Essential Medium (ICN Biomedicals, Aurora, OH), 20% fetal calf
serum, 1% deionized fraction-V BSA, 1 × 10 4 M
2-mercaptoethanol, recombinant rat steel factor (SF; c-kit ligand), and
interleukin (IL)-11. Recombinant SF (Amgen) was used at a concentration
of 100 ng/mL. Human IL-11 was a gift from P. Schendel (Genetics
Institute, Cambridge, MA) and was used at a concentration of 100 ng/mL. After a week of incubation, the cells were washed twice,
stained with FITC-conjugated anti-CD38, and sorted for
CD38 and CD38+ fractions.
Hematopoietic reconstitution Ly-5.2 mice were administered a single 850-cGy dose of total-body irradiation using a 4 × 106 V linear accelerator. The test Ly-5.1 cells were injected into the tail vein of irradiated Ly-5.2 mice along with 2 × 105 autologous bone marrow cells. For analysis of engraftment, PB was obtained from the retro-orbital plexus using heparin-coated micropipettes (Drummond Scientific, Broomall, PA) 6 months after transplantation. Red cells were lysed by 0.15 M NH4Cl. The samples were stained with FITC-conjugated anti-Ly-5.1 and analyzed for donor-derived cells on a FACS Calibur (Becton Dickinson). Donor cells in T-cell, B-cell, granulocyte, and monocyte/macrophage lineages at 6 months after transplantation were analyzed by staining with biotin-conjugated anti-Thy-1.2, biotin-conjugated anti-B220, biotin-conjugated anti-Gr-1, and biotin-conjugated anti-Mac-1, followed by staining with streptavidin-conjugated PE.Secondary transplantation Mice that had transplantation with Lin c-kit+Sca-1+CD38+
cells of 5-FU-treated mice were killed 6 months after transplantation. Ly-5.1
Lin c-kit+Sca-1+CD38
cells and Ly-5.1
Lin c-kit+Sca-1+CD38+
cells were prepared from the bone marrows of these mice and injected into secondary Ly-5.2 recipients along with 2 × 105
Ly-5.2 bone marrow cells. PB was analyzed for Ly-5.1 cells 6 months
after the secondary transplantation.
Data presentation and statistical analyses In all experiments, the number of cells transplanted reflects the ratios of cells in the original population determined by flow cytometry. Levels of significance were determined using the Student t test.
Transplantation with
Lin c-kit+Sca-1+ cells were
separated into CD38 and CD38+ cell
populations using the fluorescence-activated cell sorting
(FACS) regions shown in Figure 1.
Because the ratio of the CD38 (R2) cells to
CD38+ (R3) cells was 2:1, we transplanted 200 CD38 cells or 100 CD38+ cells per mouse. The
levels of engraftment were determined by measuring the percentage of
donor (Ly-5.1) PB nucleated cells 6 months after transplantation.
The results are presented in Figure 2. Only the mice having transplantation
with CD38+ cells revealed engraftment at 6 months after
transplantation. The evidence for multilineage engraftment in
individual mice is presented in Table 1.
These results are in agreement with the published
observation2 that stem cells in normal adult mice are
CD38+.
Transplantation with
Lin (R5) to CD38+ (R6) cell
populations in the bone marrow cells of 5-FU-treated mice was
approximately 2:1, we transplanted 400 CD38 or 200 CD38+ cells per mouse. In contrast to the cells from normal
mice, all mice having transplantation with CD38 cells
showed multilineage engraftment at 6 months after transplantation (Figure 3). Only 4 of the 9 mice having
transplantation with CD38+ cells revealed low-level
engraftment. The evidence for multilineage engraftment by the
CD38 post-5-FU cell population is presented in Table 1.
Conversion of CD38+ stem cells to CD38 c-kit+Sca-1+CD38+
cells of normal mice were incubated in suspension culture for 1 week in
the presence of SF and IL-11. The cells expanded from 5000 to
1.5 × 106 cells, and 95% of the cultured cells
became CD38 , as shown in Figure
4. The cultured cells were then separated on the basis of CD38 expression. Analysis of the sorted
CD38 and CD38+ cells revealed greater than
99% purity (Figure 4). Because the ratio of CD38 (R9) to
CD38+ (R10) cells was approximately 20:1 after incubation,
we transplanted in each recipient either 60 000 CD38
cells or 3000 CD38+ cells. The levels of engraftment at 6 months after transplantation are shown in Figure
5. None of the 11 mice having
transplantation with CD38+ cultured cells revealed
engraftment. In contrast, all mice having transplantation with
CD38 cultured cells revealed long-term engraftment. These
results clearly demonstrate that CD38+ stem cells that are
stimulated in culture undergo phenotypic changes and become
CD38 . All mice showed evidence of multilineage
engraftment at 6 months after transplantation (data not
shown).
Transplantation with
Lin c-kit+Sca-1+ cells into
CD38 and CD38+ cell populations using the
electronic sorting regions (R12 and R13) shown in Figure
6. Because the ratio of
CD38 (R12) cells to CD38+ (R13) cells was
9:5, we transplanted 3600 CD38 cells or 2000 CD38+ cells per mouse. The engraftment levels of individual
mice at 6 months after transplantation are presented in Figure
7. Only the mice having transplantation
with CD38 cells revealed engraftment.
Transplantation with
Lin stem cells become
CD34+ upon activation.6 In the current study,
we have shown conversion of CD38+ stem cells to
CD38 stem cells by activation. To document the apparent
reciprocal changes in CD38 and CD34 expression, we prepared 4 populations of post-5-FU marrow cells that differed in CD38 and CD34
expression and tested their long-term engrafting capabilities. The
sorting regions are presented in Figure
8. All cells in the 4 regions (R15-R18)
were injected into 7 mice per group. The estimated cell numbers
transplanted per mouse were 60, 200, 30, and 180 cells for the
CD38 CD34 ,
CD38 CD34+,
CD38+CD34 , and
CD38+CD34+ cell populations. The results are
presented in Figure 9. In complete agreement with our previous studies of CD34 expression6 and the results in the preceding sections of this paper, the majority of
stem cells in the 5-FU-treated mice were
CD38 CD34+. A minor population of stem cells
was present in the CD38+CD34 fraction. There
were no stem cells of CD38+CD34+ or
CD38 CD34 phenotype.
Examination of CD38 expression by CD34+ stem cells of normal mice All stem cells in the Lin Sca-1+c-kit+ marrow cells of
normal adult mouse are CD34 4,6 and CD38+, as
shown in this paper. In a separate report,9 we documented that approximately 15% to 20% of the stem cells in the bone marrow mononuclear cells of normal adult mice are CD34+. In the
next experiment, we tested CD38 expression by the CD34+
stem cells of normal adult mice. We sorted the marrow mononuclear cells
into CD34+CD38 and
CD34+CD38+ populations and tested their
long-term engrafting capabilities. The sorting gates are shown in
Figure 10. Because the ratio of CD34+CD38 cells (R19) to
CD34+CD38+ cells (R20) was 27:5, we
transplanted in each mouse 1.0 × 105
CD34+CD38 cells or 1.8 × 104
CD34+CD38+ cells. The results presented in
Figure 11 and Table 2 clearly demonstrate that the minority population of CD34+ stem
cells in the normal mice are CD38 . These findings suggest
reciprocal expression of CD38 and CD34 by stem cells in the
steady-state marrow.
Reversion of CD38+ stem cells to
CD38 c-kit+Sca-1+CD38 CD34+
cells from Ly-5.1 5-FU-treated mice. Similar to the high levels of
engraftment seen in the blood, 83.1% of the Lin marrow
cells of the primary recipients were of donor origin (Ly-5.1) (Figure
12). The Ly-5.1 marrow cells were then
separated on the basis of CD38 expression (Figure 12) and transplanted
into secondary Ly-5.2 hosts for analysis of engraftment capabilities.
Because the ratio of CD38 (R23) to CD38+
(R24) cells was 1:1, individual mice received either 1000 Ly-5.1 CD38 cells or 1000 Ly-5.1 CD38+ cells. The
levels of engraftment at 6 months after transplantation are presented
in Figure 13. Only CD38+
cells engrafted. Reflecting the nature of serial
transplantation,10 the levels of engraftment were
relatively low. However, this result clearly demonstrates that
when the bone marrow of the primary recipients recovered from the
radiation-induced hypoplasia and reached steady state, the stem cells
again expressed CD38.
CD38 is a transmembrane glycoprotein with a molecular weight of 42 to 46 kd. Initially, it was proposed as a T-lymphocyte differentiation
marker11; however, subsequent studies revealed that it is
expressed also by B lymphocytes, natural killer cells, and myeloid
cells at various stages of development.12,13 The physiologic role of CD38 in hematopoiesis is unclear because CD38-null mice did not show defective engraftment capability.14
However, Terstappen et al15 proposed that the most
primitive human hematopoietic progenitors are
CD34+CD38 Studies presented in this paper may provide a solution to the current
controversies about stem cell CD38 and CD34 expression. Here, we
confirmed the earlier report2 that the stem cells in the
Lin
We thank Dr Pamela N. Pharr and Anne G. Livingston for assistance in preparation of this manuscript, and the staff of the Radiation Oncology Department of the Medical University of South Carolina for assistance in irradiation of mice.
Submitted July 20, 2000; accepted January 7, 2001.
Supported by National Institutes of Health grants RO1-DK54197 and PO1-CA78582 and by the Office of Research and Development, Medical Research Service, Department of Veterans Affairs.
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: Makio Ogawa, Ralph H. Johnson VA Medical Center, 109 Bee St, Charleston, SC 29401-5799; e-mail: ogawam{at}musc.edu.
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© 2001 by The American Society of Hematology.
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