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Differential CXCR4 expression on hematopoietic progenitor cells versus stem cells directs homing and engraftment
Sydney Felker, … , Dylan Siniard, Punam Malik
Sydney Felker, … , Dylan Siniard, Punam Malik
Published May 9, 2022
Citation Information: JCI Insight. 2022;7(9):e151847. https://doi.org/10.1172/jci.insight.151847.
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Research Article Stem cells Transplantation

Differential CXCR4 expression on hematopoietic progenitor cells versus stem cells directs homing and engraftment

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Abstract

Gene therapy involves a substantial loss of hematopoietic stem and progenitor cells (HSPC) during processing and homing. Intra-BM (i.b.m.) transplantation can reduce homing losses, but prior studies have not yielded promising results. We studied the mechanisms involved in homing and engraftment of i.b.m. transplanted and i.v. transplanted genetically modified (GM) human HSPC. We found that i.b.m. HSPC transplantation improved engraftment of hematopoietic progenitor cells (HPC) but not of long-term repopulating hematopoietic stem cells (HSC). Mechanistically, HPC expressed higher functional levels of CXCR4 than HSC, conferring them a retention and homing advantage when transplanted i.b.m. Removing HPC and transplanting an HSC-enriched population i.b.m. significantly increased long-term engraftment over i.v. transplantation. Transient upregulation of CXCR4 on GM HSC-enriched cells, using a noncytotoxic portion of viral protein R (VPR) fused to CXCR4 delivered as a protein in lentiviral particles, resulted in higher homing and long-term engraftment of GM HSC transplanted either i.v. or i.b.m. compared with standard i.v. transplants. Overall, we show a mechanism for why i.b.m. transplants do not significantly improve long-term engraftment over i.v. transplants. I.b.m. transplantation becomes relevant when an HSC-enriched population is delivered. Alternatively, CXCR4 expression on HSC, when transiently increased using a protein delivery method, improves homing and engraftment specifically of GM HSC.

Authors

Sydney Felker, Archana Shrestha, Jeff Bailey, Devin M Pillis, Dylan Siniard, Punam Malik

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Figure 2

Homing of i.v. and i.b.m. transplanted HSPC and expression of homing receptors on HSC and HPC.

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Homing of i.v. and i.b.m. transplanted HSPC and expression of homing rec...
(A) MPB CD34+ HSPC were injected i.v., i.b.m. using a standard syringe, or slow i.b.m. using a Hamilton syringe over 1 minute, and homing of CD34+ cells to the BM was analyzed 20–22 hours later. To determine if mechanical pressure in the injected femur alters homing, irradiated CD34– cells were injected i.b.m., and CD34+ cells were injected i.v. into the same animal. Homing was determined in the injected femurs (IF) and non-IF with i.b.m. injections, and in both femurs (BF) combined with i.v. injection. Symbols represent individual animals; n = 3 mice per group; statistical analysis was performed using 2-way ANOVA. (B and C) For i.b.m. injections, BM from the IF and non-IF was analyzed for expression of CXCL12 and VCAM1 on mouse stromal cells (hCD45–PKH-26–, mouse lineage–mCD45–mCD51+ cells). n = 5 mice per group; data were normalized to i.v. injected group; statistical analysis was performed by Mann-Whitney U test. (D and E) CXCR4 and VLA4 homing receptor expression of CD34+ HSPC, CD34+CD38+ HPC, and CD34+CD38–CD90+ HSC-enriched populations. Data were normalized to CXCR4 and VLA4 expression on CD34+ HSPC. Symbols represent unique MPB donors; n = 5 per group; statistical analysis was performed using ANOVA. (F) Adhesion of CD34+ HSPC, CD34+CD38+ HPC, and CD34+CD38–CD90+ HSC to CXCL12. Symbols represent unique MPB donors; n = 5 per group; statistical analysis was performed using ANOVA. (G) Binding of CD34+ HSPC, CD34+CD38+ HPC, and CD34+CD38–CD90+ HSC to the VLA4 affinity detection ligand LDV-FITC. Data were normalized to LDV-FITC expression in CD34+ HSPC. Symbols represent unique MPB donors; n = 3 per group; statistical analysis was performed using 1-way ANOVA. *P < 0.05, **P < 0.01, ***P < 0.001. In B–E and G, data were normalized to the indicated group, to account for variability in MFI between different experiments/donors.

Copyright © 2022 American Society for Clinical Investigation
ISSN 2379-3708

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