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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3415-3423.
Prepublished online as a Blood First Edition Paper on January 17, 2008; DOI 10.1182/blood-2007-11-122119.
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Submitted November 5, 2007
Accepted January 16, 2008
Angiopoietin-like 5 and IGFBP2 stimulate ex vivo expansion of human cord blood hematopoietic stem cells as assayed by NOD/SCID transplantation
Cheng Cheng Zhang*, Megan Kaba, Satoru Iizuka, HoangDinh Huynh, and Harvey F Lodish
Whitehead Institute for Biomedical Research, Cambridge, MA
Departments of Physiology and Developmental Biology, University of Texas Southwestern Medical Center, Dallas, TX
Department of Biology, Massachusetts Institute of Technology, Cambridge, MA
* Corresponding author; email: alec.zhang{at}utsouthwestern.edu.
Pluripotent hematopoietic stem cells (HSCs) are the basis of bone marrow transplantation and are attractive target cells for hematopoietic gene therapy, but these important clinical applications have been severely hampered by difficulties in ex vivo expansion of HSCs. In particular, the use of cord blood for adult transplantation is greatly limited by the number of HSCs. Previously we identified Angiopoietin-like proteins and IGF binding protein 2 (IGFBP2) as new hormones that, together with other factors, can expand mouse bone marrow HSCs in culture. Here we measure the activity of multipotent human SCID-repopulating cells (SRCs) by transplantation into the nonobese diabetic severe combined immunodeficiency (NOD/SCID) mice; secondary transplantation was performed to evaluate the self-renewal potential of SRCs. A serum- free medium containing SCF, TPO, and FGF-1 or Flt3-L cannot significantly support expansion of the SRCs present in human cord blood CD133+ cells. Addition of either Angiopoietin-like 5, or IGF binding protein 2 to the cultures led to a sizable expansion of HSC numbers, as assayed by NOD/SCID transplantation. A serum-free culture containing SCF, TPO, FGF-1, Angiopoietin-like 5, and IGFBP2 supports a ~20 fold net expansion of repopulating human cord blood HSCs, a number potentially applicable to several clinical processes including HSC transplantation.

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