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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-03-0767.

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Submitted March 11, 2002
Accepted September 17, 2002

High level ectopic HOXB4 expression confers a profound in vivo competitive growth advantage to human cord blood CD34+ cells, but impairs lymphomyeloid differentiation

Bernhard Schiedlmeier, Hannes Klump, Elke Will, Goekhan Arman-Kalcek, Zhixiong Li, Zheng Wang, Andreas Rimek, Jutta Friel, Christopher Baum, and Wolfram Ostertag*

Department of Cell and Virus Genetics, Heinrich-Pette-Institute, Hamburg, Germany
Department of Hematology and Oncology, Hannover Medical School, Hannover, Germany

* Corresponding author; email: wolfram.ostertag{at}hpi.uni-hamburg.de.

Ectopic retroviral expression of HOXB4 causes an accelerated and enhanced regeneration of murine hematopoietic stem cells (HSCs) and is not known to compromise any program of lineage differentiation. To test the proposed hypothesis that HOXB4 could become a prime tool for in vivo expansion of genetically modified human HSCs, we retrovirally overexpressed HOXB4 together with GFP as a reporter protein in purified cord blood (CB) CD34+ cells, and evaluated the impact of ectopic HOXB4 expression on proliferation and differentiation in vitro and in vivo. When injected into NOD/SCID mice alone or in competition with control vector-transduced cells, HOXB4 overexpressing cord blood CD34+ cells had a selective growth advantage in vivo, which resulted in a marked enhancement of the primitive CD34+ population (p=0.01). However, high HOXB4 expression substantially impaired the myeloerythroid differentiation program which was reflected in a severe reduction of erythroid and myeloid progenitors in vitro (p<0.03) and in vivo (p=0.01). Furthermore, HOXB4 overexpression also significantly reduced B-cell output (p< 0.01). These results show for the first time unwanted side-effects of ectopic HOXB4 expression and therefore underscore the need to carefully determine the therapeutic window of HOXB4 expression levels before initiating clinical trials.


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