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Blood, 15 September 2004, Vol. 104, No. 6, pp. 1662-1670.
Prepublished online as a Blood First Edition Paper on May 25, 2004; DOI 10.1182/blood-2004-03-0834.
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Submitted March 4, 2004
Accepted May 10, 2004
Extracellular nucleotides are potent stimulators of human hematopoietic stem cells in vitro and in vivo
Roberto M Lemoli*, Davide Ferrari, Miriam Fogli, Lara Rossi, Cinzia Pizzirani, Sylvia Forchap, Paola Chiozzi, Diletta Vaselli, Francesco Bertolini, Thomas Foutz, Michela Aluigi, Michele Baccarani, and Francesco Di Virgilio
Institute of Hematology and Medical Oncology, 'L. & A. Seragnoli', University of Bologna, Bologna, Italy
Department of Experimental and Diagnostic Medicine, Section of General Pathology, University of Ferrara, Ferrara, Italy
Department of Hematology, European Institute of Oncology, Milan, Italy
* Corresponding author; email: rmlemoli{at}med.unibo.it.
Although extracellular nucleotides support a wide range of biological responses of mature blood cells, little is known on their effect on blood cell progenitor cells. In this study, we assessed whether receptors for extracellular nucleotides (P2 receptors, P2R) are expressed on human hematopoietic stem cells (HSC), and whether activation by their natural ligands, ATP and UTP, induces HSC proliferation in vitro and in vivo. Our results demonstrated that CD34+ HSC express functional P2XR and P2YR of several subtypes. Furthermore, stimulation of CD34+ cells with extracellular nucleotides caused a fast release of Ca2+ from intracellular stores and an increase in ion fluxes across the plasma membrane. Functionally, ATP and, to a higher extent, UTP acted as potent early-acting growth factors for HSC, in vitro, as they strongly enhanced the stimulatory activity of several cytokines on clonogenic CD34+ and lineage negative CD34- progenitors and expanded more primitive CD34+-derived long-term culture-initiating cells. Furthermore, xenogenic transplant studies showed that short-term pre-incubation with UTP significantly expanded the number of marrow repopulating HSC in nonobese diabetic/severe combined immunedeficiency mice. Our data suggest that extracellular nucleotides may provide a novel and powerful tool to modulate HSC functions.

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