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Blood, 1 August 2008, Vol. 112, No. 3, pp. 568-575.
Prepublished online as a Blood First Edition Paper on June 3, 2008; DOI 10.1182/blood-2007-10-118331.
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Submitted October 22, 2007
Accepted May 6, 2008
Anti-CD38 antibody mediated clearance of human repopulating cells masks the heterogeneity of leukemia initiating cells
David C Taussig, Farideh Miraki-Moud, Fernando Anjos-Afonso, Daniel J Pearce, Kirsty Allen, Christopher Ridler, Debra Lillington, Heather Oakervee, Jamie Cavenagh, Samir G Agrawal, T Andrew Lister, John G Gribben, and Dominique Bonnet*
Department of Medical Oncology, St. Bartholomew's Hospital, London, United Kingdom
Haematopoietic Stem Cell Laboratory, London Research Institute Cancer Research UK, London, United Kingdom
FACS laboratory, London Research Institute Cancer Research UK, London, United Kingdom
* Corresponding author; email: dominique.bonnet{at}cancer.org.uk.
Immunodeficient mice are increasingly used to assay human hematopoietic repopulating cells as well as leukemia initiating cells. One commonly used method to isolate these rare cells is to sort cells stained with fluorochrome-conjugated antibodies into fractions. The different fractions are then transplanted into immunodeficient mice to test their repopulating ability. The antibodies are generally treated as being neutral in terms of their effects on the experiment. Human repopulating cells are thought to express CD34 and lack CD38. Here we present evidence that anti-CD38 antibodies have a profound inhibitory effect on engraftment of cord blood and leukemia cells. We show that this effect is Fc-mediated and can be overcome by treating mice with immunosuppressive antibodies. When this inhibitory effect is prevented, we demonstrate that the CD34+CD38+ fraction, of certain acute myeloid leukemia samples, contains all or at least most leukemia initiating cells capacity. This study highlights the potential pitfall of antibody-mediated clearance of repopulating cells and is important for any groups working with this model. More importantly the work suggests that there is a greater variation in the phenotypes of leukemia initiating cells than previously suggested.

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