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Prepublished online as a Blood First Edition Paper on August 15, 2002; DOI 10.1182/blood-2002-03-0755.
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Blood, 1 January 2003, Vol. 101, No. 1, pp. 168-172
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
VEGFR-3 and CD133 identify a population of
CD34+ lymphatic/vascular endothelial precursor
cells
Petri Salven,
Satu Mustjoki,
Riitta Alitalo,
Kari Alitalo, and
Shahin Rafii
From the Division of Hematology-Oncology, Weill Medical
College of Cornell University, New York, NY; and Molecular/Cancer
Biology Laboratory and Ludwig Institute for Cancer Research, Haartman
Institute and Helsinki University Hospital, Biomedicum Helsinki,
University of Helsinki, Finland.
Human CD133 (AC133)+CD34+ stem and
progenitor cells derived from fetal liver and from bone marrow and
blood incorporate a functional population of circulating
endothelial precursor cells. Vascular endothelial growth factor
receptor 3 (VEGFR-3) regulates cardiovascular development and
physiological and pathological lymphangiogenesis and angiogenesis.
However, the origin of VEGFR-3+ endothelial cells (ECs) and
the mechanisms by which these cells contribute to postnatal
physiological processes are not known, and the possible existence of
VEGFR-3+ lymphatic or vascular EC progenitors has not been
studied. Using monoclonal antibodies to the extracellular domain of
VEGFR-3, we show that 11% ± 1% of CD34+ cells isolated
from human fetal liver, 1.9% ± 0.8% CD34+ cells from
human cord blood, and 0.2% ± 0.1% of CD34+ cells from
healthy adult blood donors are positive for VEGFR-3. CD34+VEGFR-3+ cells from fetal liver coexpress
the stem/precursor cell marker CD133 (AC133). Because mature ECs do not
express CD133, coexpression of VEGFR-3 and CD133 on CD34+
cells identifies a unique population of stem and progenitor cells. Incubation of isolated CD34+VEGFR-3+ cells in
EC growth medium resulted in a strong proliferation (40-fold in 2 weeks) of nonadherent VEGFR-3+ cells. Plating of these
cells resulted in the formation of adherent VEGFR-3+Ac-LDL+ (Ac-LDL = acetylated
low-density lipoprotein) EC monolayers expressing various vascular and
lymphatic endothelial-specific surface markers, including CD34,
VE-cadherin, CD51/61, CD105, LYVE-1, and podoplanin. These data
demonstrate that human CD34+CD133+ cells
expressing VEGFR-3 constitute a phenotypically and functionally distinct population of endothelial stem and precursor cells that may
play a role in postnatal lymphangiogenesis and/or angiogenesis.

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