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a Department of Oncology and Hemato-Oncology, PF Calvi Hospital, Noale (VE), Italy;
b Cytofluorimetric Unit, PF Calvi Hospital, Noale (VE), Italy;
c Department of Biomedical Sciences, University of Padova, Padova, Italy;
d Blood Transfusion Service, Civic Hospital, Mirano (VE), Italy
Key Words. Stem cell • Expansion • CD34 selection • Serum-free media • Cytokine
Giuseppe Azzarello, M.D., Dept. of Oncology and Hemato-Oncology, PF Calvi Hospital, Largo S. Giorgio 3, 30033 Noale (VE), Italy. Telephone: 041 5896221; Fax: 041 5896259; e-mail:
oncnoale{at}inwind.it
The aim of this study was to verify, and possibly improve, culture conditions to expand human mobilized peripheral blood stem cells (PBSCs). We investigated the role of three parameters: A) the culture medium (serum-free versus serum-dependent); B) the initial cell population (Ficoll-separated mononucleated cells versus CD34+-selected cells), and C) the low concentration of recombinant cytokines, flt3 ligand, and thrombopoietin in association with a basic cocktail of stem cell factor, interleukin (IL)-6, IL-3, GM-CSF, and erythropoietin. Eighteen leukapheresis samples were monitored in static culture for 15 days. The expansion potential was assessed at day 10 and 15 by total nuclear cells, colony-forming-units (CFUs) (burst-forming units-erythroid [BFU-E], colony-forming units-granulocyte-macrophage [CFU-GM], and colony-forming units-granulocyte-erythroid-macrophage-megakaryocyte [CFU-GEMM]), and flow cytometry immunophenotyping (CD34+/CD38-, CD38+, CD33+, CD41+, GlyA+ progenitor cells). The results, evaluated by multivariate analysis of variance, emphasize that some variables affected the outcome of stem and progenitor cell expansion. CD34+ enrichment increased expansion of total nuclear cells, number of CD38+ and CD33+ late precursors, and number of the CFU-GM compartment. Interestingly, however, quantitative expansion of GlyA+ and the early progenitor cells (CD34+/CD38-, CFU-GEMM, BFU-E) are favored by the use of unselected mononucleated cells. Regarding the role of serum, no significant difference was observed except for expansion of total nuclear cells, CFU-GM, and BFU-E. Cytokine combinations, in particular the use of flt3 ligand, stimulated expansion of almost all the cellular subsets, reaching a statistical significance for total nuclear cells and CFU-GM. Our study indicates that progenitor and late precursor multilineage cell compartments of mobilized PBSCs may be significantly expanded in short-term cultures by well-defined experimental conditions. Furthermore, these data might be useful when evaluating ex vivo expansion of hematopoietic cells for clinical purposes.
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