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Prepublished online as a Blood First Edition Paper on April 17, 2003; DOI 10.1182/blood-2002-10-3053.

Submitted October 15, 2002
Accepted March 20, 2003
Ex vivo targeting of p21Cip1/Waf1 permits relative expansion of human hematopoietic stem cells
Sebastian Stier, Tao Cheng, Randolf Forkert, Christoph Lutz, David M Dombkowski, Jie Lin Zhang, and David T Scadden*
Center for Regenerative Medicine and Technology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
* Corresponding author; email: scadden.david{at}mgh.harvard.edu.
Relative quiescence is a defining characteristic of hematopoietic stem cells. Reasoning that inhibitory tone dominates control of stem cell cycling, we previously showed that mice engineered to be deficient in the cyclin dependent kinase inhibitor, p21Cip1/Waf1 (p21), have an increased stem cell pool under homeostatic conditions. The effect of p21 appears to be independent of that of another stem cell inhibitor, TGF- . Since p21 was necessary to maintain stem cell quiescence and its absence sufficient to permit increased stem cell cycling, we tested whether reduction of p21 alone in adult derived stem cells could affect stem cell proliferation. We demonstrate here that interrupting p21 expression ex vivo resulted in expanded stem cell number and in vivo stem cell function compared with control, manipulated cells. Therefore, lifting the brake on cell proliferation by altering cell cycle checkpoints provides an alternative paradigm for increasing hematopoietic stem cell numbers that may be exploited for relative ex vivo human stem cell expansion.

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