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a First Department of Pathology,
b First Department of Internal Medicine, Kansai Medical University, Moriguchi-City, Osaka 570, Japan
Key Words. Hemopoietic stem cells • W/BF1 mouse • Bone marrow transplantation
Dr. Susumu Ikehara, 1st Department of Pathology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi City, Osaka 570, Japan.
| Abstract |
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| Introduction |
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We have also demonstrated that the transplantation of an HSC-enriched population from autoimmune-prone mice (W/BF1 or NOD mice) into normal mice induces autoimmune diseases (SLE with idiopathic thrombocytopenic purpura (ITP) or IDDM, respectively) [8, 9]. Based on these findings, we have proposed that autoimmune diseases are stem cell disorders.
In the present study, we show that there are distinct qualitative differences between normal and abnormal HSCs both in vivo and in vitro, using the W/BF1 mouse as an autoimmune-prone mouse showing the early onset of autoimmnue diseases such as SLE and ITP [5]. Since male W/BF1 mice begin to show a high degree of proteinuria (>++) from the age of 2 mo, we compared young (<2 mo) W/BF1 mice (before the development of autoimmune diseases) with old (>4 mo) W/BF1 mice (after the development of autoimmune diseases). As female W/BF1 mice that lack the Yaa chromosome show a late onset (>10 mo) of autoimmune diseases, these mice were used as recipients in the colony-forming unit-spleen (CFU-S) assays.
| Materials and Methods |
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Purification of HSCs
BM cells were pretreated with anti-Thy1.2 monoclonal antibody (F7D5, Olac; Bicester, England) plus rabbit complement to deplete T cells (T cell-depleted bone marrow cells: TCD-BMCs). To obtain HSCs, TCD-BMCs in RPMI 1640 medium containing 10% fetal calf serum (FCS) were passed through a Sephadex G-10 column (Pharmacia Fine Chemicals; Uppsala, Sweden) to remove dead cells, macrophages and adherent cells, including stromal cells. The cells were fractionated by equilibrium density centrifugation on discontinuous Percoll (Pharmacia) gradients to remove the granulocytes and lymphocytes. For density separation, Percoll solutions were prepared in densities of 1.090, 1.073 and 1.060 g/ml. After centrifugation at 1,500 g for 30 min, the cells were collected in the following fractions: Fr. I (
< 1.063 g/ml), Fr. II (1.063
< 1.073 g/ml), Fr. III (1.073
< 1.090 g/ml) and Fr. IV (
1.090 g/ml). HSCs were enriched in Fr. II, as previously described [8]. The Fr. II cells were then stained using fluorescein isothiocyanate-wheat germ agglutinin (FITC-WGA) (Polyscience Inc.; Warrington, PA), and the WGA-bindable (WGA+) cells were sorted using a FACScan (Becton Dickinson; San José, CA). TCD-BMCs and WGA+ cells were used for BMT.
BMT
Recipient mice were lethally irradiated one day before BMT. The irradiation dose was 9.0 Gy for the male W/BF1 mice (2 mo), and 9.5 Gy for the C3H/HeN mice (2 mo), since the latter are less radiosensitive. The cells were intravenously injected in the following quantities: 1 to 2 x 107 TCD-BMCs and 1 to 2 x 105 WGA+ cells. Some groups simultaneously received donor bones (two femurs and two tibias) from which the BMCs had been flushed out with medium (RPMI-1640) using a 5 ml syringe with a 24 to 22.5 gauge needle. The bones were 40 Gy-irradiated, since the stromal cells were replaced by donor-derived stromal cells, if the bones were not irradiated, as previously described [7, 10]. The bones were cut at both ends and engrafted in the subcutis (or under the renal capsules). All mice were given antibiotics (ceftazidime 7 mg/ml, minocycline hydrochloride 0.3 mg/ml, and sodium fosfomycin 10 mg/ml) and an antifungal drug (fluconazole 0.15 mg/ml) in their drinking water for one week (in the case of injection of TCD-BMCs) or four weeks (in the case of injection of WGA+ cells). The mice that received the WGA+ cells were further subcutaneously injected with antibiotics and the antifungal drug every day for three weeks.
Histological Studies
Proteinuria was checked, and WBC and platelet counts were made of the peripheral blood. The major organs were fixed in 10% formalin, embedded in paraffin, sectioned, and stained with hematoxylin and eosin. The kidneys were frozen using the OCT compound (Tissue-Tek, Miles, Inc.; Elkhart, IN) and used for immunofluorescence studies.
H-2 Typing of Peripheral Mononuclear Cells in Chimeric Mice
Chimerism was determined using a FACScan by staining mononuclear cells in the peripheral blood with anti-H-2 antibodies (Abs). FITC-anti-H-2Kd (030-21F), FITC-anti-H-2Kb (030-11F) and FITC-anti-H-2Kk (030-39F) Abs were purchased from the Meiji Institute of Health Science (Odawara, Japan). The peripheral blood (Ca. 200 µl volume) was obtained from the vein of the tail or orbita using a heparin-coated microtube (RED TIP, Monoject; St. Louis, MO) and immediately diluted with 400 µl 2 mM-EDTA-phosphate-buffered saline (PBS). The diluted blood was fractionated using a density fractionating medium (M-SMF, JIMRO; Takasaki, Japan) to collect the mononuclear cells. These were suspended in 2% FCS-PBS and stained with FITC-anti-H-2K Abs for 30 min on ice, then fixed in 1.0% paraformaldehyde (PFA)-2% FCS-PBS, and analyzed using a FACScan (Becton Dickinson).
Platelet-Associated Abs (PAAs) and Platelet-Bindable Abs (PBAs)
Peripheral blood was collected in a 15 ml tube with up to 5 ml 2 mM-EDTA-PBS. Platelet-rich-diluted plasma was obtained after double centrifugation at 300 g for 5 min at room temperature. The pellets of platelets were obtained by centrifugation at 1,500 g for 15 min at room temperature. The platelets were suspended in 1 mM-EDTA-PBS, washed twice at 7,000 g for 2 min, fixed with 5% PFA-2 mM-EDTA-2% FCS-PBS and used for staining. FITC-goat-antimouse IgG F(ab)2 (Cappel TM Research Products; Durham, NC) or phycoerythrin (PE)-antimouse-
-chain (Becton Dickinson) was added to 1 x 106/50 ml platelets, which were incubated for 30 min at room temperature. After washing twice, the platelets were analyzed using a FACScan. The PBAs were measured using the sera of the chimeric mice. If the platelet count was too low, only the PBAs in their sera were examined. Approximately 50 µl serum containing 2mM EDTA were obtained from the peripheral blood, to which the platelets (1 x 106) from the BALB/c mice were added, incubated for 30 min at room temperature, washed twice and suspended in 50 µl 1 mM-EDTA-2% FCS-PBS. FITC-antimouse Ig or PE-antimouse-
-chain was then added, and the mixture incubated for 30 min at room temperature. The platelets were then washed twice and analyzed using a FACScan.
Purification of Pluripotent HSCs (P-HSCs)
P-HSCs were purified from mice injected with 5-fluorouracil (5-FU) according to a new method recently established in our laboratory [11]. Briefly, BMCs were collected from mice given 5-FU (150 mg/kg) three days beforehand. Low-density cells were obtained using a Percoll density gradient technique, and mature hemopoietic cells (CD4+, CD8+, B220+, Mac-1+, Gr-1+ and TER 119+ cells) were then removed using magnetic beads (Dynabeads M-450 SH/RT IgG; Oslo, Norway). These cells were labeled with PE-conjugated anti-CD71 Ab (Pharmingen; San Diego, CA) and appropriate FITC-conjugated anti-H-2 Ab (Meiji). CD71 and H-2high cells were sorted using a FACStar.
CFU-S Assays
P-HSCs were purified from young (<2 mo) or old (>4 mo) W/BF1, C3H and B6 mice, as described above. Recipients were lethally irradiated (9.5 Gy) and then injected with 1 x 103 P-HSCs one day later. All mice were maintained under specific pathogen-free conditions. The recipient mice were sacrificed 12 days after BMT. Their spleens were removed and fixed in Bouin's solution. The surface colonies were counted as CFU-S.
Long-Term Culture of P-HSCs on Stromal Cells
A BM stromal cell line (MS-5), established from the C3H/HeN (H-2k) mouse BM by Itoh et al. [12], was cultured in 25-cm2 flasks containing MEM
-medium supplemented with 10% horse serum and 1 x 106 M of hydrocortisone. When the cells became confluent, they were irradiated by
-ray (20 Gy), and each flask was cocultured with 103 P-HSCs obtained from old (>4 mo) W/BF1 or C57BL/6 mice. At one-week intervals, the number of cobblestone colonies/flask was counted, and the culture medium containing nonadherent cells was removed from each flask and replaced by fresh medium. The number of collected nonadherent cells was counted. P-HSCs from W/BF1 or C57BL/6 mice were also cultured on 20-Gy-irradiated syngeneic BM adherent cells, and their growth was examined using the same schedule as the culture on MS-5.
Each experimental group consisted of more than five mice or five samples, and each experiment was repeated three or more times. Reproducible results were obtained, and representative data are therefore shown in the figures and the table.
| Results |
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C3H) chimeric mice. When TCD-BMCs were transplanted from W/BF1 mice to C3H mice, the C3H mice began to show proteinuria and thrombocytopenia three months after BMT, as previously described [9]. Antiplatelet Abs such as PAAs and PBAs were also detected in such chimeric mice (data not shown). All the mice died of renal failure by 250 days after BMT.
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Prevention of Autoimmune Diseases in W/BF1 Mice by Transplantation of TCD-BMCs but not by Transplantation of Partially Purified HSCs Plus Bone Grafts from Normal Mice
We have previously shown that the transplantation of TCD-BMCs from normal mice leads to the prevention and treatment of autoimmune diseases in W/BF1 mice, and have here confirmed this. However, when partially purified normal HSCs (WGA+ cells) were used for the transplantation, all mice that received 2 x 105 WGA+ cells died within 25 days due to infection or anemia, even if bones were simultaneously engrafted (Fig. 2
). The hematolymphoid organs in such mice showed severe atrophy because of a failure in hematopoietic reconstitution, probably due to the killing of normal HSCs by radioresistant cytotoxic T-lymphocytes (CTLs), natural killer (NK) cells, macrophages and K cells, etc. [13, 14]. These findings strongly suggest that abnormal HSCs are more resilient than normal HSCs; abnormal HSCs can survive even in allogeneic microenvironments, whereas nomal HSCs cannot survive without the help of other cells in such allogeneic microenvironments.
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As shown in Figure 3
, both (B6
B6) and (C3H
C3H) chimeric mice formed high numbers of colonies in the spleen on day 12 (B6
3.55 ± 0.47/spleen, C3H
5.6 ± 2.14), although (B6
C3H) (0.95 ± 0.24) and (C3H
B6) (3.33 ± 1.25) chimeras showed markedly reduced CFU-S counts. However, (W/BF1 (O: old)
C3H) chimeras showed significantly higher CFU-S counts (8.29 ± 0.87) on day 12 than those in (B6
C3H) or (C3H
B6) chimeras, although the P-HSCs of young (<2 mo) W/BF1 mice (before the development of autoimmune diseases) show major histocompatibility complex (MHC) restriction (the P-HSCs of young W/BF1 mice show very low CFU-S counts in the C3H mouse environment).
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| Discussion |
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In the present study, we confirmed this hypothesis using further purified HSCs, and found a distinct qualitative difference between normal and abnormal HSCs. The transplantation of partially purified HSCs (WGA+ cells) plus bone from W/BF1 mice leads to the development of autoimmune diseases (lupus nephritis, ITP, etc.) in normal mice. As it is difficult to obtain > 1 x 106 WGA+ cells using a FACStar, we transplanted 1-2 x 105 WGA+ cells/mouse with 40 Gy-irradiated bones; the stromal cells in the bones protect HSCs (WGA+ cells) from attack by host cells but do not proliferate. Therefore, we believe that stromal cells from autoimmune-prone mice are not involved in the development of autoimmune diseases, since TCD-BMCs (without bone grafts) from autoimmune-prone mice induce autoimmune diseases in normal mice. The survival rate of the mice that received WGA+ cells plus bone grafts was similar to that of the mice that received TCD-BMCs (Fig. 1
). In contrast, when partially purified HSCs plus bones from normal C3H/HeN mice were transplanted into young W/BF1 mice (<2 mo), the W/BF1 mice died of infection or anemia within three weeks (Fig. 2
). Thus, it seems likely that abnormal HSCs are more "resilient" than normal HSCs.
We have recently found that stromal cells present in the BM produce an HSC-chemotactic factor [23], and that an MHC restriction exists between HSCs and stromal cells [7, 24]. Therefore, when HSCs are intravenously injected, the HSCs home in on the engrafted MHC-compatible bones. In vitro analyses of the interaction between the HSCs and stromal cells using a videotape revealed that stromal cells embrace the HSCs (pseudoemperipolesis) (Ogata et al., manuscript in preparation) as if to protect them from exogenous stimuli, including attack by CTLs, NK cells, macrophages, K cells, etc. Thus, bone grafts to recruit donor-derived stromal cells are essential for successful allogeneic BMT. Based on these findings, we transplanted WGA+ cells with bones. However, as shown in Figure 2
, the simultaneous transplantation of WGA+ cells and engraftment of bones did not improve the survival rate. Since it is well known that HSCs express considerable quantities of MHC class I, it is conceivable that HSCs are easily killed by radioresistant CTLs, NK cells, macrophages, K cells, etc., before reaching the engrafted bone.
To provide further evidence that abnormal HSCs are more "resilient" than normal HSCs, we performed mixed chimeric experiments. Autoimmune diseases developed in [(autoimmune-prone mice + normal mice)
autoimmune-prone mice] chimeric mice, even if normal TCD-BMCs (1 x 107) mixed with abnormal TCD-BMCs (1 x 106) were transferred into the lethally irradiated autoimmune-prone mice [25].
In the present study, we carried out CFU-S assays to confirm that abnormal P-HSCs can survive even in allogeneic microenvironments. As shown in Figure 3
, (W/BF1
C3H) chimeric mice showed higher CFU-S counts on day 12 than those in normal allogeneic combinations such as (B6
C3H) and (C3H
B6) chimeric mice. In addition, we have found in vitro that further P-HSCs from autoimmune-prone W/BF1 mice proliferate far more rapidly than those from normal mice (Fig. 4
and Table 1
). This was the case when P-HSCs of other autoimmune-prone mice such as BXSB and MRL/lpr mice were used (data not shown). Thus, we conclude that abnormal HSCs are indeed more "resilient" than normal HSCs.
We are in the process of clarifying the qualitative differences between normal and abnormal HSCs at the molecular level.
| Acknowledgments |
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The authors thank Ms. Y. Shinno and Ms. Y. Matsui for expert technical assistance and Ms. K. Ando for manuscript preparation. We also thank Ms. M. Kataoka and Mr. F. Ishida for conducting FACS sorting.
| References |
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NOD] mixed allogeneic bone marrow chimeras. Immunobiol 1995;194:376-389.[Medline]
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