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Blood, 1 August 2005, Vol. 106, No. 3, pp. 860-870.
Prepublished online as a Blood First Edition Paper on April 14, 2005; DOI 10.1182/blood-2004-11-4522.
Previous Article | Next Article 
Submitted November 30, 2004
Accepted April 3, 2005
Hematopoietic differentiation of human embryonic stem cells progresses through sequential hemato-endothelial, primitive, and definitive stages resembling human yolk sac development
Elias T Zambidis*, Bruno Peault, Tea Soon Park, Fred Bunz, and Curt I Civin
Divisions of Immunology and Hematopoiesis, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, Baltimore, MD, USA; Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, Baltimore, MD, USA
Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Department of Radiation Biology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, Baltimore, MD, USA
Divisions of Immunology and Hematopoiesis, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, Baltimore, MD, USA
* Corresponding author; email: ezambid1{at}jhmi.edu.
We elucidate the cellular and molecular kinetics of the step-wise differentiation of human embryonic stem cells (hESC) to primitive and definitive erythro-myelopoiesis from human embryoid bodies (hEB) in serum-free clonogenic assays. Hematopoiesis initiates from CD45- hEB cells with emergence of semi-adherent mesodermal-hemato-endothelial (MHE) colonies that can generate endothelium, and form organized, yolk-sac-like structures that secondarily generate multipotent primitive hematopoietic stem-progenitor cells (HSPC), erythroblasts, and CD13+CD45+ macrophages. A first wave of hematopoiesis follows MHE colony emergence, and is predominated by primitive erythropoiesis characterized by a brilliant red hemoglobinization, CD71/CD325a (glycophorin A) expression, and exclusively embryonic/fetal hemoglobin expression. A second wave of definitive-type BFU-e, CFU-e, GM-CFC, and multi-lineage colony-forming cells (CFC) follows next from hEB progenitors. These stages of hematopoiesis proceed spontaneously from hEB-derived cells without requirement for supplemental growth factors during hEB differentiation. Gene-expression analysis of differentiating hEB revealed that initiation of hematopoiesis correlated with increased levels of SCL/TAL1, GATA1, GATA2, CD34, CD31, and the homeobox gene-regulating factor CDX4. These data indicate that hematopoietic differentiation of hESC models the earliest events of embryonic and definitive hematopoiesis in a manner resembling human yolk sac development, thus providing a valuable tool for dissecting the earliest events in human HSPC genesis.

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