By
¶
**
From the * Center for Blood Research, Inc., and the Department of Genetics, § Department of
Pathology, and
Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115; ¶ Blood Component Laboratory, Dana-Farber Cancer Institute, Boston, Massachusetts 02115; and ** Millennium Pharmaceuticals, Inc., Cambridge, Massachusetts 02139
Hematopoietic progenitor cells migrate in vitro and in vivo towards a gradient of the chemotactic factor stromal cell-derived factor-1 (SDF-1) produced by stromal cells. This is the first chemoattractant reported for human CD34+ progenitor cells. Concentrations of SDF-1 that elicit
chemotaxis also induce a transient elevation of cytoplasmic calcium in CD34+ cells. SDF-1-induced
chemotaxis is inhibited by pertussis toxin, suggesting that its signaling in CD34+ cells is mediated by seven transmembrane receptors coupled to Gi proteins. CD34+ cells migrating to SDF-1
include cells with a more primitive (CD34+/CD38 or CD34+/DR
) phenotype as well as
CD34+ cells phenotypically committed to the erythroid, lymphoid and myeloid lineages, including functional BFU-E, CFU-GM, and CFU-MIX progenitors. Chemotaxis of CD34+
cells in response to SDF-1 is increased by IL-3 in vitro and is lower in CD34+ progenitors
from peripheral blood than in CD34+ progenitors from bone marrow, suggesting that an altered response to SDF-1 may be associated with CD34 progenitor mobilization.
Entrance and exit of hematopoietic progenitor cells
(HPC)1 to or from the bone marrow (BM) takes place
during transplantation or mobilization of CD34+ progenitor cells, two procedures routinely used in the clinic today.
For successful transplantation, donor HPC are given intravenously and must subsequently home to the BM. Conversely, during chemotherapy and/or growth factor-induced
mobilization of BM progenitors, HPC increase 10-200-fold
in the blood (1). The mechanisms and specific molecules
involved in the experimental mobilization of HPC from the BM into peripheral blood (PB) or in the homing of
HPC and in their trafficking through the BM are still unclear, but they might be similar to those utilized by HPC to
recirculate and migrate during their maturation.
HPC in the BM are thought to be located within specific stroma niches (5). These specific environments provide soluble factors and cellular interactions required for
HPC proliferation and differentiation. As HPC differentiate, they may move from one type of niche to another (6).
In addition to their movement within the BM, HPC presumably move out from this organ as indicated by the detection of HPC in the PB of normal untreated adults (~1% of the number present in the BM) (9, 10). Whether HPC
circulate across, exit, or remain sessile within a BM niche
may ultimately depend on the type and function of cell adhesion receptors on their surface.
It is well established that the function of adhesion molecules on the surface of leukocytes is critically regulated by
activating events triggered by chemoattractants binding to
specific receptors on the leukocytes. These activation events
allow them to stick firmly to and, eventually, to emigrate
through the vessel wall into the extravascular spaces (11).
Leukocytes are ultimately attracted to extravascular sites via
the generation of chemotactic gradients. Chemoattractants
for HPC have not been described so far. Cells of the hematopoietic microenvironment (stromal cells) are ideal candidates for producing chemoattractants that could be involved
in the homing, retention, and exit of HPC in hematopoietic organs.
In this report, we provide evidence that human CD34+
HPC are attracted by stromal cell-derived factor-1 (SDF-1),
a chemoattractant produced by BM stromal cells. The
chemotactic response to SDF-1 is lower in CD34+ HPC
from PB collections than in CD34+ HPC from BM collections, suggesting that an altered response to SDF-1 may be
associated with HPC mobilization.
PBPC Collections.
Mobilized PBPCs were collected by leukapheresis from seven patients being treated on protocols at the
Dana-Farber Cancer Institute (14). Donor patients were being
treated for advanced breast cancer (n = 6) or non-Hodgkin's
lymphoma (n = 1) (stage III to stage IV). Mobilization regimens
consisted of single-agent doxorubicin 90 mg/m2 (n = 3) or cyclophosphamide 6 g/m2 (n = 3) followed in either case by subcutaneous injection of 5 µg/kg of granulocyte-colony-stimulating factor (G-CSF) daily for 5 d (Neupogen, Amgen, Thousand
Oaks, CA). PBPCs were collected on consecutive days at the
time of hematological recovery after the chemotherapy-induced
leukopenia. One patient had PBPC, collected at the beginning
the fifth day of G-CSF treatment (5 µg/kg), which was given
daily by subcutaneous injection without chemotherapy (labeled as
a diamond in Fig. 4). PBPCs used in this study were all obtained
from different subjects and from products collected either on the
first (n = 1), second (n = 4), or third (n = 3) day of leukapheresis.
All samples were obtained from the Dana Farber Cancer Institute
blood component laboratory with the exception of one set of BM
or PB from the same patient which was obtained from the hematology/oncology staff of The Hospital Universitario de Alcala and The
Centro Ramon y Cajal (Madrid, Spain).
Fig. 4.
Mobilized PB CD34+ cells are less responsive to SDF-1 induced chemotaxis than their BM counterparts. PB samples were obtained from solid tumor patients treated in the hematological recovery phase of
chemotherapy + G-CSF treatment (n = 6, squares), or on day 5 of G-CSF
treatment alone (n = 1, diamond), as described in Materials and Methods.
BM samples were obtained from normal donors (n = 6; circles) or from
solid tumor patient in remission (n = 1; square). Closed circles represent
one set of CD34+ cells purified from BM or PB samples obtained the
same day of treatment from the same tumor patient treated in the hematological recovery phase of chemotherapy + G-CSF treatment. Symbols
indicate the percentage of CD34+ cells migrating to SDF-1 (300 ng/ml)
in a transendothelial assay. Each symbol represents one different preparation from a different donor. The horizontal bars indicate the average percentage of migration for the bone marrow and the mobilized peripheral
blood CD34+cell samples, respectively. Data for PB CD34+ cells are the
following: average 5.1% of input, SEM 0.58. Data for BM CD34+ cells
are the following: average 20% of input, SEM 3.4; P <0.01. The proportion of cells migrating to control media in these transendothelial assays
ranged from 0.05 to 0.5% percent of input, resulting in a low accuracy in
detecting few cells (<1,000) by flow cytometry and a large variability of
chemotactic indexes (CI). Therefore, no statistically significant differences
were found between the CI of BM and PB CD34+ cells to SDF-1, although a tendency was observed for lower CI in PB CD34+ cells (median
CI for BM CD34+, 48 [SEM 8]; for PB CD34+, 24 [SEM 16]).
[View Larger Version of this Image (16K GIF file)]
BM and Umbilical Cord Blood Samples. Umbilical cord blood (CB) was collected following normal deliveries at the Brigham and Women's Hospital according to institutional guidelines for discarded material (protocol no. 92-5142-02). BM was collected from normal donors (n = 6) and from one patient with breast cancer at the time of harvest for allogeneic or autologous transplantation at the Dana-Farber Cancer Institute (labeled as a square in Fig. 4).
Purification of CD34+ Cells. CD34+ cell selection was performed by immunoadsorption using the CellPro (Bothell, WA) Ceprate LC system as follows. CB, BM, or PB samples were diluted 1:2 with PBS containing sodium citrate 0.6%, 1% FCS (JRH Biosciences, Lenexa, KS), then layered onto Histopaque1077 (Sigma Chemical Co., St. Louis, MO) and centrifuged at 400 g for 30 min. After collecting the mononuclear interface, the cells were incubated with a biotinylated mAb to CD34 (8G12), washed three times with PBS, 0.2% BSA, and purified using the immunoaffinity column (Ceprate-LC34; CellPro), according to manufacturer's instructions. After elution, cells were washed twice in IMDM (Biowhittaker, Walkersville, MD). Purity of the CD34+ cell-enriched fraction ranged between 85-95% for CB samples, and between 90-95% for BM and PB preparations. The cloning efficiency for CD34+ cells in a CFC was, on average, 8% for BM cells, 9.5% for mobilized PB cells, and 14% for CB cells.
Stromal Cell-conditioned Media and Purification of SDF-1. Conditioned media from BM-derived mouse stromal cell lines MS-5 (gift from Professor K.J. Mori, Kyoto, Japan) (15), CBRBM,D#1, CBR-BM,L#21, CBR-BM,D#10, CBR-BM,L#19 (16), or NIH-3T3 embryonic BM fibroblasts, were grown in IMDM 10% FCS until confluent. The medium was replaced with serum-free medium (Ultraculture, Biowhittaker), collected after 4-5 d of culture, and passed though a 0.45-µm filter.
The SDF-1 was purified from conditioned medium of the MS-5 cell line as described in detail elsewhere (17). In brief, the conditioned media was passed through a 0.22 µm filter and applied to a 5 ml HiTrap heparin column (Pharmacia) on the Pharmacia FPLC system. Active material was eluted from the column with a linear gradient of NaCl (0.4-2.0 M) and then applied to a 1 ml SP Sepharose HP cation exchange column (Pharmacia). Active fractions were then eluted with a linear gradient of NaCl (0.15-1.0 M) and applied to a Vydac C4 reverse-phase HPLC column (Vydac, Hesperia, CA). Active material eluted as a single peak with an acetonitrile gradient (0-80%) in trifluoroacetic acid, was lyophilized and resuspended in 10 mM sodium phosphate, pH 7.3, 150 mM NaCl. The purified protein migrated as a single band in SDS-PAGE of 8 kD. The protein was identified as SDF-1 by NH2-terminal amino acid sequencing, amino acid composition, and mass spectrometry (17). SDF-1 protein concentration was determined using a BCA protein assay (Pierce).Chemokines and Cytokines.
For chemotactic assays, the following chemokines obtained from Peprotec were used at the indicated optimal concentration: human macrophage inflammatory
protein-1 (MIP-1) and
(50 ng/ml), human and mouse macrophage chemotactic protein-1 (MCP-1) (25 ng/ml), eotaxin
(100 ng/ml), RANTES (50 ng/ml), IL-8 (25 ng/ml). Human stem cell factor (gift from Immunex) was used at 100 ng/ml.
Chemotactic Assays. All assays were performed in duplicate using 5-µm pore filters (Transwell, 24-well cell clusters; Costar, Boston, MA). For transendothelial migration assays, 2 × 104 cells of the mouse endothelial cell line b-End-3 (18) were layered on the filters and grown in 10% FCS IMDM for 2 d before the performance of each assay. Immediately before each assay, bare filters or endothelial cell-covered filters were rinsed in serum-free media and the supernatant was aspirated. 1.5 × 105 CD34+ cells in 100 µl were loaded into each Transwell filter. Filters were then carefully transferred to another well containing 600 µl dilutions of supernatant (1:2) or purified chemokines in serum-free media, previously incubated for 15 min at 37°C in 7.5% CO2. After 3.5 h, the upper chamber was carefully removed and the cells in the bottom chamber resuspended and divided in aliquots for FACS® analysis (cell counting and immunophenotyping) and CFC assays. 10% of the input cell population (1.5 × 104) was also seeded in duplicate wells in 600 µl of serum-free media for the same period of time (but not subjected to any chemotaxis assay) to be used as control for FACS® counting.
Results obtained with transendothelial chemotaxis assays using the b-End-3 cell line were similar to those obtained in a limited series of experiments using HUVECS to coat the transwell inserts (data not shown).Cell Counting and Immunophenotyping of CD34+ Populations. For determination of the proportion of CD34+ cells that showed a chemotactic response, migrating cells (recovered from the lower chamber) were labeled with anti-CD34 PE (Becton Dickinson, Mountain View, CA) and anti-CD45 FITC (Dako, Carpinteria, CA) mAbs and analyzed in parallel from duplicate wells. CD34+ cells were defined as positive events in the low SSC region, CD34+/CD45dull windows. To obtain absolute values of migratory cells, flow cytometric counts for each sample were obtained during a constant, predetermined period of time and were compared with duplicate flow cytometric counts obtained from the control wells that were set up with 10% of the input population and were not subjected to chemotaxis assays. Data were expressed as a percentage of the input population or as chemotactic index (the ratio between the cells that migrated to the chemotactic stimuli and the cells that migrated to the control media). For immunophenotyping, cells from chemotaxis assays were labeled with anti-CD34 PE and either anti-CD38 FITC, anti-CD45RA FITC, anti-CD33 FITC (from Dako), anti-HLA-DR FITC, antiCD10 FITC (Becton Dickinson), and analyzed by flow cytometry. All stainings were performed on ice, for 25 min, in PBS containing 3% FCS, 1% BSA (Sigma), 0.1% sodium azide in 96-well V-bottomed plates. Propidium iodide (PI) (Sigma) to 1 µg/ml was added to each sample before the analysis. Samples were collected on a FACScan® flow cytometer (Becton Dickinson) and data was acquired in listmode with Cell Quest software (Becton Dickinson).
Assay for CFC. Appropriate amounts of cells from the chemotaxis assays were plated in duplicate in 1 ml methylcellulose assay-based media (19) containing 2.5 U/ml rHu erythropoietin (R.W. Johnson Pharma Research Institute, Springhouser, PA), 150 ng/ml rHu stem cell factor, 200 U/ml rHu IL-3, 40 ng/ml of PIXY321, (all gift of Immunex, Seattle, WA). Colonies were scored for CFU-GM, CFU-MIX, and BFU-E after incubation at 37°C, 5% CO2. The total number of CFC present in the sample was calculated by multiplying for the fraction of the migrated cells analyzed in the CFC assay.
In Vivo Migration of Transplanted FDCP-MIX Progenitor Cells to
SDF-1-injected Mouse Spleen.
The mouse progenitor cell line
FDCP-MIX (20) was cultured in Fischer's medium supplemented with 20% horse serum and 5% X-63-IL-3 conditioned
medium (21). To distinguish FDCP-MIX progenitor cells in
transplantation experiments from host progenitor cells, 15-20 × 106 FDCP-MIX cells were labeled with the fluorescent membrane/dye PKH-26 (Sigma) following the instructions of the
manufacturer. In preliminary experiments, we determined that 72 h
after labeling, PKH-26-labeled FDCP-MIX cells could still be
detected by their fluorescent signal and distinguished from nonlabeled host progenitor cells. For these series of experiments PKH26-labeled FDCP-MIX cells were plated in a modified colony assay containing 0.9% methylcellulose, IMDM, 20% horse serum,
2% X-63-IL-3-conditioned medium and 2 mM L-Glutamine. At
72 h from initiation of the culture, clusters of approximately 32 cells were observed; all of them were also detected by fluorescence microscopy. After 72 h, the sensitivity in detecting fluorescent clusters was consistently reduced, owing to dilution of the
PKH-26 membrane dye into daughter cells (>5 cell divisions).
After 5 d of culture, all clusters had reached the size of colonies
(>50 cells) but had lost most of the initial detectable fluorescent
signal (data not shown). Female C57BL/6 mice were used as recipients for transplantation. To deliver SDF-1 into their spleen,
the mice were anesthetized and the spleen carefully exposed
through a postero-lateral left incision. SDF-1 in PBS, MIP-1 in
PBS, or PBS alone (75-100 µl vol) were injected intrasplenically using an insulin needle. After the body wall was sutured, the mice
were injected intravenously with 2-3 × 106 FDCP-MIX cells labeled with PKH-26 as described above. 3 h after the injection,
the mice were sacrificed by CO2 inhalation and the spleens collected. 5 × 105 splenocytes were plated in duplicate in the clonogenic assay for FDCP-MIX described above. After 72 h, the
plates were scored by counting fluorescent colonies (~32 cells)
on an inverted fluorescent microscope and the number of FDCPMIX clonogenic progenitors per spleen calculated by correcting the
counts obtained in the assay for the total number of splenocytes.
Calcium Efflux Assay. Purified BM or PB CD34+ cells (purity ~95%) were loaded with Fluo-3 (Molecular Probes) (7 µm in HBSS), for 20 min at 37°C, then diluted 1:5 with RPMI and further incubated for 20 min. After two washes, the cells (1 × 106/ml) were resuspended in Hepes-buffered saline (HS) containing 137 mM NaCl, 5 mM KCl, 1 mM Na2HPO4, 5 mM glucose, 1 mM CaCl2, 0.5 mM MgCl2, 1 g/l BSA, and 10 mM Hepes pH 7.4. The cells were then incubated for 10 min at 37°C, vortexed, and analyzed on a FACScan® for basal levels of fluorescence. After stimulation with a chemokine, fluorescence changes were monitored over time for up to 150 s. Data were analyzed by gating on low/SSC, medium/high FSC cells and calculating the mean fluorescence intensity and the percentage of responding cells (fluorescence above threshold) every 4 s.
Ex Vivo Culture of CD34+ Cells.
CD34+ cells (0.4 × 106/
well) were plated in a 24-well plate in IMDM containing 10% FCS
containing 105 M 2-ME, 2 mM L-Glutamin, 50 U/ml penicillin,
50 µg/ml Streptomycin in the presence of either rHu IL-3 (30 ng/
ml), rHu G-CSF (50 ng/ml), rHu SCF (100 ng/ml), or mouse
SDF-1 (100 ng/ml). After 18 h, cells were collected, washed once,
and subjected to a chemotaxis assay as described before. The percentage of migratory CD34+ cells after culture in the presence of
the different cytokines was performed as described above.
We have used an in vitro chemotactic assay to study the migratory response of human
CD34+ progenitor cells to different stimuli. Since cells of
the microenvironment of the BM may be involved in the
trafficking of HPC, we first assayed the chemotactic response of CD34+ cells to conditioned media from different
BM stromal cell lines. Conditioned media from MS-5 stromal cells (22) and, to a lesser extent, from other BM stromal cell lines (16), were able to induce the chemotaxis in
vitro of human CD34+ progenitor cells (Fig. 1). Migratory
cells were evaluated both phenotypically by the expression
of CD34 and functionally by their ability to form hematopoietic colonies in methylcellulose assays (CFC).
In these initial experiments, it was determined that the
conditioned media of MS-5 cells also contained a chemotactic activity for lymphocytes (17). Because lymphocytes
are more easily obtained and isolated than CD34+ progenitor cells, they were used as indicator cells during the purification of chemoattractant activity(s) present in the conditioned media of MS-5 stromal cells. The purification of this
activity was performed by sequential heparin, cation exchange, and reverse-phase HPLC chromatography. The
chemoattractant activity coeluted with a single protein
peak in reverse-phase HPLC and migrated as a single band
in SDS-PAGE of 8 kD (17). The protein was identified by
NH2-terminal sequencing (17) as SDF-1 (23). Electrospray and matrix-assisted laser desorption mass spectrometry gave a mass that was consistent with that predicted for
SDF-1 (17). MS-5-derived SDF-1 purified to homogeneity-attracted human CD34+ cells in vitro with similar efficacy to the original MS-5-conditioned medium (Fig. 2 A).
At present, we do not know whether additional factors are
present in the MS-5-conditioned media that could also induce chemotaxis of CD34+ progenitor cells.
Purified human CB CD34+ progenitor cells responded
in chemotactic assays to concentrations of SDF-1 as low
as 30 ng/ml. On average, 20% of the CD34+ population
migrated to SDF-1 at the optimal concentration of 300 ng/ml
(Fig. 2 A). In contrast, no chemotactic response of CD34+
cells was observed with other chemokines, including MIP-1
(26), that can be produced by stromal cells and are well
documented to exert other effects than chemotaxis on
CD34+ progenitor cells (27, 28; data not shown). The
presence of clonogenic progenitors among the CD34+ cells
that migrated to SDF-1 was confirmed by CFC assays (Fig. 2 B). Both BFU-E erythroid and CFU-GM myeloid progenitors present in the CD34+ population exhibited a
marked chemotactic activity towards SDF-1. Their relative
proportions within the total CFC population did not
change after migration (compared with their relative proportions in the input population), indicating that the effect
of SDF-1 is similar on both myeloid and erythroid progenitors. Multipotent clonogenic progenitors (CFU-MIX) were
also capable of chemotaxis in vitro to SDF-1, but their proportion within the total CFC population was reduced by
50% after migration (data not shown; Fig. 2 B).
Migration across the sinusoidal endothelial barrier is an
important event in the trafficking of HPC inside or outside
the BM. We determined CD34+ cells were capable of migrating in a transendothelial assay. For these assays, we used
the mouse endothelial cell line b-End-3 (18). These cells
allowed simple and reproducible establishment of an homogeneous cells layer (90-95% confluence at the time of the assay). Mouse endothelial cells have been used extensively in the past to study adhesion and transmigration of
human leukocytes based on the high functional equivalence
of the majority of human adhesion molecules and their
mouse homologs (29). We found that both BM and
mobilized PB CD34+ cells responded in a transendothelial
assay to SDF-1 at the optimal concentration of 100-300
ng/m (Fig. 2 C). Chemically synthesized SDF-1 elicited
optimal chemotactic response on these CD34 populations at the same concentration range (data not shown). MCP-1,
MIP-1, MIP-1
, IL-8, Rantes, eotaxin, and c-kit ligand
(SCF) were all ineffective in a similar assay (Fig. 2 D).
Moreover, SDF-1 elicited chemotaxis on the mouse primitive progenitor cell line FDCP-MIX (20). 20% of the input cells migrated to 100 ng/ml of SDF-1 (Fig. 2 E ). In contrast, the mouse myeloid progenitor cell line M1 (32) showed no chemotactic response to the same concentration of SDF-1.
To determine the ability of SDF-1 to attract progenitor cells
in vivo, we injected SDF-1 intrasplenically and measured
the lodging in the spleen of intravenously transplanted
FDCP-MIX progenitor cells. To distinguish transplanted
progenitor cells from the endogenous ones, FDCP-MIX
cells were labeled before injection with the membrane dye
PKH-26. The number of FDCP-MIX clonogenic precursors that seeded in SDF-1-injected spleens was significantly
greater (2.5-fold; P <0.005) than that found in PBS or
mMIP-1-injected spleens from control mice (Fig. 2 F ).
To test whether specific subpopulations of CD34+ cells
had markedly different chemotactic responses to SDF-1,
we performed immunophenotyping of CD34+ cells that
migrated towards SDF-1 and compared them with the input CD34+ population (Table 1). No changes were observed in the proportion of more primitive CD34+/DR
or CD34+/CD38
(33) cells after migration. Similarly,
CD34+/CD33+ cells (34), CD34+/CD10+ cells, (35), and
CD34+/CD7+ cells (36; data not shown), enriched for
myeloid, B, and T cell progenitors, respectively, were
equally represented in the input and migratory populations.
CD34+ cells that migrated to SDF-1 were more enriched
in committed CD45RA+ cells (37); this enrichment was
more evident in PB than in BM CD34+ cells.
We studied whether the action of SDF-1 on CD34+ progenitors induced other responses (i.e., proliferation or differentiation) in addition to chemotaxis. SDF-1 did not display colony-stimulating factor activity on BM CD34+ cells either alone, or in association with IL-3 or SCF, at the concentrations of 50 and 200 ng/ml (data not shown).
SDF-1 Induces Calcium Mobilization and Pertussis Toxindependent Chemotaxis in CD34+ Cells.Mobilization of intracellular calcium is an early event in the response to
chemokine signals (38). We tested the ability of SDF-1 to
induce modulation of calcium in human BM CD34+cells
in a flow cytometric assay. SDF-1 (300 ng/ml) induced a rapid, transient flux of intracellular calcium, which returned to basal levels within 60 s (Fig. 3 A). No response
was elicited by human MCP-1 at either 300 ng/ml (Fig.
3 A) or 30 ng/ml (data not shown). The proportion of
CD34+ cells fluxing calcium in response to SDF-1 ranged
between 15-25% (data not shown). Mobilized PB CD34+
cells also showed a transient rise in intracellular calcium
upon SDF-1 stimulation (data not shown). To our knowledge, these results demonstrate that human CD34+ hematopoietic progenitor cells are capable of modulating intracytoplasmatic calcium in response to an external ligand.
Chemokines induce calcium mobilization and chemotaxis upon interaction with specific receptors that are coupled through heterotrimeric G proteins to signal-transducing pathways. To determine whether the response of CD34+
cells to SDF-1 involved interaction(s) with a receptor that
was coupled to G proteins, we preincubated CD34+ cells
with pertussis toxin, a potent inhibitor of Gi-proteins (39). This pretreatment inhibited by 95% the transient flux of intracellular calcium to SDF-1 (data not shown), as well
as abrogated almost completely the in vitro chemotactic response of CD34+ cells to SDF-1 (Fig. 3 B).
In current transplantation protocols, CD34+ progenitor cells resident in the BM are currently mobilized to the PB for harvesting (40- 43) and subsequently used for transplantation (44). We compared the chemotactic responses to SDF-1 of BM resident and mobilized blood circulating CD34+ cells from patients receiving high dose chemotherapy and/or G-CSF treatment. In a transendothelial assay, mobilized PB CD34+ cells showed significantly lower chemotaxis (fourfold) than their BM counterparts (Fig. 4). The lower proportion of PB CD34+ cells migrating in response to SDF-1 was found at all concentrations of SDF-1 tested (data not shown; see Fig. 2 C). The same result was found in one experiment that was performed with BM and PB CD34+ cells collected from the same patient at the same timepoint after mobilization (indicated as solid symbols in Fig. 4). These results indicate that the lower response of PB CD34+ cells to SDF-1 correlates with their extramedullary location rather than with an indirect effect of the mobilization regime (which, in principle, should have had the same effect on BM CD34+ cells).
Chemotaxis of CD34+ Cells to SDF-1 Is Enhanced by IL-3 ex vivo Treatment.Several cytokines, including IL-3, SCF,
G-CSF, and GM-CSF are known to mobilize hematopoietic progenitors to the peripheral blood (45). In view of the
finding described above that G-CSF-mobilized CD34+
progenitors showed a reduced chemotactic response to
SDF-1, we studied whether this and other cytokines were
able to modify the response of CD34+ cells to SDF-1 in
vitro. These experiments also possibly concern procedures
such as the stimulation of CD34+ cells with cytokines in
vitro, which is essential for ex vivo survival and/or expansion of HPC before transplantation (46), or the current
use of cytokines for facilitating retroviral-mediated gene
transfer into HPC (49). We tested whether an incubation for 18 h with either IL-3, SCF, or G-CSF affected the
chemotaxis of human BM CD34+ cells to SDF-1 (Fig. 5).
IL-3 induced a significant increase (2.2 fold) in the percentage of cells responding to SDF-1. Incubation of CD34+
cells with SCF or G-CSF resulted in increased chemotaxis
of these cells to SDF-1 (1.4- to 1.9-fold), but which did
not reach statistical significance. A similar increase in chemotactic activity after exposure to IL-3 was observed using
PB CD34+ cells (data not shown).
Here, we present evidence that hematopoietic progenitor cells migrate in vitro and in vivo towards a gradient of a
chemotactic factor produced by stromal cells. This stromal
cell-derived chemotactic factor was identified as SDF-1 (23-
25) and is the first chemoattractant reported for human
CD34+ progenitor cells. SDF-1, at the concentrations effective in chemotaxis assays, elicited a transient elevation in
the concentration of cytoplasmic calcium in CD34+ cells.
Pertussis toxin inhibited SDF-1-induced chemotaxis, suggesting that its signaling in CD34+ cells is mediated by G
protein of the Gi class. SDF-1 was able to attract BFU-E,
CFU-GM, and CFU-MIX progenitor cells from human BM, CB and mobilized PB. CD34+ cells migrating to SDF-1
included cells with a more primitive (CD34+/CD38 or
CD34+/DR
) phenotype as well as CD34+ cells committed to the lymphoid and myeloid lineages. The chemotactic response of CD34+ cells to SDF-1 is increased by exposure to IL-3. Finally, the chemotactic response elicited by
SDF-1 on PB CD34+ cells was lower than that found on
their BM counterparts.
Our experiments revealed that mouse SDF-1 elicits transendothelial chemotaxis on human and mouse HPC (Fig. 2). That mouse SDF-1 has activity on human CD34+ progenitor cells is not surprising, because the amino acid sequences of this molecule are highly conserved, with only one amino acid difference between these two species (50). Although SDF-1 is not specific for hematopoietic progenitor cells, as it is also a chemoattractant for human lymphocytes and monocytes (17), it elicits rapid and direct chemotaxis of CD34+ HPC. Other molecules have been shown to elicit some chemotaxis and chemokinesis on mouse progenitor cells, such as SCF (51). However, the input population used for these experiments were total BM mononuclear cells, the percentage of migratory cells was very low (~1%), and the maximum migration after exposure to SCF occurred much later (8-24 h) than in conventional chemotaxis assays (2-4 h). These considerations make it difficult to evaluate whether these effects were direct or indirect and thus their significance. In contrast, our results indicate that, (a) SDF-1 elicits maximal transendothelial migration of ~25% of the CD34+ population 3 h after exposure (Fig. 2); (b) the same percentage of CD34+ cells flux Ca2+ rapidly (20 s) and transiently after exposure to SDF-1 (Fig. 3; data not shown); and (c) migration is completely blocked by pertussis toxin (Fig. 3).
Our data indicate that it is possible to increase significantly (2.5×) the number of mouse HPC lodged in the spleen after in vivo administration of SDF-1 in this organ (Fig. 2). There is increasing evidence that the homing of HPC into hematopoietic organs requires the specific interactions of selectins, integrins, and sugar receptors with their ligands, but the mechanisms underlying these events remain largely unclear. Regardless of the specific adhesion receptors involved in this process, we presume that activating chemotactic signals will be required, as they have been demonstrated to be necessary for the migration of mature leukocytes (11). In this context, it is conceivable that SDF-1 may facilitate and direct the migration of hematopoietic progenitor cells from BM blood sinusoid to the hematopoietic extravascular space. Although SDF-1 mRNA has been found in all tissues examined in humans and in mice, it was not found to be produced by hematopoietic cells (23, 25, 50).
During their maturation, hematopoietic progenitor cells have been postulated to occupy physically separated niches bordered with particular stromal cell types performing discrete functions (8). It is intriguing to speculate that the migration of progenitor cells from one niche to another within the BM microenvironment involves gradients of chemotactic factors, and that SDF-1 could be one of those factors involved in the local trafficking of human CD34+ cells. SDF-1 gradients could be generated by stromal cells producing different amounts of the chemokine and/or of chemokine-binding proteins, such as heparan sulfate. In fact, we have previously observed different levels of SDF-1 mRNA in different stromal cell clones (16), and different degrees of CD34 chemotaxis were also found in the conditioned media of different stromal lines (Fig. 1; data not shown).
Circulating PB HPC increase after chemotherapy and/or after exogenous cytokines are administrated. The use of PB CD34+ HPC for autologous and allogeneic transplantation has greatly increased in the past years (44). Mobilized PB CD34+ progenitor cells contain primitive progenitor cells and display similar capacities to survive, proliferate, and differentiate in vitro with respect to steady-state BM CD34+ cells (52). In addition, their proliferative and differentiation potential is demonstrated by the increasing number of successful transplantations using PB CD34+ HPC (3, 4, 41, 42). Therefore, the mobilization treatment does not impair the viability, response to exogenous cytokines, proliferation, and differentiation measured by the ability of CD34+ cells to form colonies in vitro or their ability to generate blood cells in vivo. Therefore, there is no indication that mobilized CD34+ cells are functionally compromised as a consequence of the mobilization treatment. Accordingly, the PB CD34+ cells used for our studies form colonies in methylcellulose assays in vitro at ratio comparable to their BM counterparts (see Materials and Methods; data not shown). Also, rapid neutrophil and platelet engraftment of PB CD34+ so far has been documented in three out of three patients receiving PB HPC infusions for hematopoietic reconstitution (see Materials and Methods; data not shown). Yet, these functionally competent CD34+ progenitors isolated from PB collections showed a fourfold reduction in their chemotactic activity to SDF-1 when compared with BM resident CD34+ cells. This finding was further confirmed in one experiment in which BM and PB CD34+ cells were collected from the same patient at the same timepoint after mobilization. Downregulation of responsiveness to SDF-1 may represent one mechanism by which CD34+ HPC are aided in their movement from BM extravascular space to the sinusoids and to the peripheral circulation.
G-CSF is the mobilizing agent most commonly used in the clinic (44). In fact, the PB CD34+ preparations used in this study were obtained from patients that were treated with G-CSF alone or in combination with chemotherapy. However, after 18 h of incubation in vitro with G-CSF, CD34+ cells did not reduce or increase significantly their chemotactic response to SDF-1 (Fig. 5). It is possible that the effect of G-CSF in vivo may require a longer exposure or it may involve the stromal microenvironment or other BM cells, such as macrophages, lymphocytes, or precursor cells (myelocytes, erythroblasts), which constituted only a minor contaminant (<5%) of our CD34+ cell preparations. However, preexposure of CD34+ cells to IL-3 induced a twofold increase in the chemotactic response of CD34+ cells to SDF-1. In the light of these results, it is of special interest that (1) a short (16-h) ex vivo incubation with IL-3 enhances the engraftment of mouse (55), sheep, and baboon HPC (56) into the BM of transplanted animals; (2) IL-3 has been shown to enhance mobilization when used in conjunction with G-CSF (45).
Although at present we do not know what the relevance is in vivo of SDF-1 in the homing of CD34+ to the marrow after transplantation or its involvement in the experimental mobilization of CD34+ cells, it is now clear that SDF-1 is a chemokine with unique properties on CD34+ hematopoietic progenitors, which may be of importance in the homing of BM CD34+ progenitor/stem cells to different organs during development and to different niches within the BM during differentiation and maturation of HPC. Recent experiments showing that mice that have been made genetically deficient in SDF-1 have normal (FL) myelopoiesis but drastically impaired BM myelopoiesis (57) suggest that, in fact, SDF-1 plays a critical role in the migration of HPC between the FL and the BM in vivo. Furthermore, manipulation of SDF-1 may offer promising ways to improve both transplantation and mobilization of hematopoietic cells.
Address correspondence to J.C. Gutierrez-Ramos, Millenium Pharmaceuticals, Inc., 640 Memorial Drive, Cambridge, MA 02139-4815.
Received for publication 12 August 1996
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