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Blood, Vol. 93 No. 7 (April 1), 1999:
pp. 2244-2252
Long-Term Culture of Human CD34+ Progenitors With
FLT3-Ligand, Thrombopoietin, and Stem Cell Factor Induces Extensive
Amplification of a CD34 CD14 and a
CD34 CD14+ Dendritic Cell Precursor
Jean-François Arrighi,
Conrad Hauser,
Bernard Chapuis,
Rudolf H. Zubler, and
Vincent Kindler
From the Department of Dermatology and Allergy Unit, the Division of
Immunology and Allergy, and the Division of Hematology, Geneva
University Hospital, Geneva, Switzerland.
Current in vitro culture systems allow the generation of human
dendritic cells (DCs), but the output of mature cells remains modest.
This contrasts with the extensive amplification of hematopoietic progenitors achieved when culturing CD34+ cells with
FLT3-ligand and thrombopoietin. To test whether such cultures contained
DC precursors, CD34+ cord blood cells were incubated with
the above cytokines, inducing on the mean a 250-fold and a 16,600-fold
increase in total cell number after 4 and 8 weeks, respectively. The
addition of stem cell factor induced a further fivefold increase in
proliferation. The majority of the cells produced were
CD34 CD1a CD14+
(p14+) and
CD34 CD1a CD14
(p14 ) and did not display the morphology, surface
markers, or allostimulatory capacity of DC. When cultured with
granulocyte-macrophage colony-stimulating factor (GM-CSF) and
interleukin-4 (IL-4), both subsets differentiated without further
proliferation into immature (CD1a+, CD14 ,
CD83 ) macropinocytic DC. Mature (CD1a+,
CD14 , CD83+) DCs with high allostimulatory
activity were generated if such cultures were supplemented with tumor
necrosis factor- (TNF). In addition, p14 cells
generated CD14+ cells with GM-CSF and TNF, which in turn,
differentiated into DC when exposed to GM-CSF and IL-4. Similar results
were obtained with frozen DC precursors and also when using pooled
human serum AB+ instead of bovine serum, emphasizing that
this system using CD34+ cells may improve future
prospects for immunotherapy.

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