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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4478-4486.
Prepublished online as a Blood First Edition Paper on February 26, 2004; DOI 10.1182/blood-2003-03-0875.

Submitted March 21, 2003
Accepted February 15, 2004
The sphingosine 1-phosphate (S1P) receptor agonist FTY720 supports CXCR4-dependent migration and bone marrow homing of human CD34+ progenitor cells
Takafumi Kimura, Andreas M Boehmler, Gabriele Seitz, Selim Kuci, Tina Wiesner, Volker Brinkmann, Lothar Kanz, and Robert Mohle*
Dept. of Medicine II, Univ. of Tubingen, Tubingen, Germany
Children's Hospital, Univ. of Tubingen, Tubingen, Germany
Novartis Institutes for Biomedical Research, Basel, Switzerland
* Corresponding author; email: robert.moehle{at}med.uni-tuebingen.de.
The novel immunosuppressant FTY720 activates sphingosine 1-phosphate receptors (S1PRs) that affect responsiveness of lymphocytes to chemokines such as SDF-1, resulting in increased lymphocyte homing to secondary lymphoid organs. Since SDF-1 and its receptor CXCR4 are also involved in bone marrow (BM) homing of hematopoietic stem and progenitor cells (HPC), we analyzed expression of S1PRs and the influence of FTY720 on SDF-1/CXCR4-mediated effects in human HPC. By RT-PCR, S1PRs were expressed in mobilized CD34+ HPC, particularly in primitive CD34+/CD38- cells. Incubation of HPC with FTY720 resulted in prolonged SDF-1-induced calcium mobilization and actin polymerisation, and substantially increased SDF-1-dependent in vitro transendothelial migration, without affecting VLA-4, VLA-5 and CXCR4 expression. In NOD/SCID mice, the number of CD34+/CD38- cells that homed to the BM after 18 h was significantly raised by pretreatment of animals and cells with FTY720, tending to result in improved engraftment. In addition, in vitro growth of HPC (week 5 CAFC) was 2.4-fold increased. We conclude that activation of S1PRs by FTY720 increases CXCR4 function in HPC both in vitro and in vivo, supporting homing and proliferation of HPC. In the hematopoietic microenvironment, S1PRs are involved in migration and maintenance of HPC by modulating the effects of SDF-1.

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