1. Bone Marrow Transplantation Center, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310012, China 2. Liangzhu Laboratory, Zhejiang University Medical Center, Hangzhou 311121, China 3. Institute of Hematology, Zhejiang University, Hangzhou 310012, China 4. Zhejiang Province Engineering Laboratory for Stem Cell and Immunity Therapy, Hangzhou 310012, China 5. Core Facilities, Zhejiang University School of Medicine, Hangzhou 310012, China 6. Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University, Hangzhou 310012, China
Although widely applied in treating hematopoietic malignancies, transplantation of hematopoietic stem/progenitor cells (HSPCs) is impeded by HSPC shortage. Whether circulating HSPCs (cHSPCs) in steady-state blood could be used as an alternative source remains largely elusive. Here we develop a three-dimensional culture system (3DCS) including arginine, glycine, aspartate, and a series of factors. Fourteen-day culture of peripheral blood mononuclear cells (PBMNCs) in 3DCS led to 125- and 70-fold increase of the frequency and number of CD34+ cells. Further, 3DCS-expanded cHSPCs exhibited the similar reconstitution rate compared to CD34+ HSPCs in bone marrow. Mechanistically, 3DCS fabricated an immunomodulatory niche, secreting cytokines as TNF to support cHSPC survival and proliferation. Finally, 3DCS could also promote the expansion of cHSPCs in patients who failed in HSPC mobilization. Our 3DCS successfully expands rare cHSPCs, providing an alternative source for the HSPC therapy, particularly for the patients/donors who have failed in HSPC mobilization.
D Aran, AP Looney, L Liu, E Wu, V Fong, A Hsu, S Chak, RP Naikawadi, PJ Wolters, AR Abate et al (2019) Reference-based analysis of lung single-cell sequencing reveals a transitional profibrotic macrophage. Nat Immunol 20: 163- 172 https://doi.org/10.1038/s41590-018-0276-y
2
T Bai, J Li, A Sinclair, S Imren, F Merriam, F Sun, MB O’Kelly, C Nourigat, P Jain, JJ Delrow et al (2019) Expansion of primitive human hematopoietic stem cells by culture in a zwitterionic hydrogel. Nat Med 25: 1566- 1575 https://doi.org/10.1038/s41591-019-0601-5
3
W Bensinger, JF DiPersio, JM McCarty (2009) Improving stem cell mobilization strategies: future directions. Bone Marrow Transplant 43: 181- 195 https://doi.org/10.1038/bmt.2008.410
4
DM Bodine, S Karlsson, AWJPotNAoS. Nienhuis (1989) Combination of interleukins 3 and 6 preserves stem cell function in culture and enhances retrovirus-mediated gene transfer into hematopoietic stem cells. PNAS 86: 8897- 8901 https://doi.org/10.1073/pnas.86.22.8897
5
AE Boitano, J Wang, R Romeo, LC Bouchez, AE Parker, SE Sutton, JR Walker, CA Flaveny, GH Perdew, MS Denison et al (2010) Aryl hydrocarbon receptor antagonists promote the expansion of human hematopoietic stem cells. Science 329: 1345- 1348 https://doi.org/10.1126/science.1191536
LM Calvi, DC Link (2015) The hematopoietic stem cell niche in homeostasis and disease. Blood 126: 2443- 2451
8
S De Angeli, R Di Liddo, S Buoro, L Toniolo, MT Conconi, AS Belloni, PP Parnigotto, Nussdorfer , G.G.J.I.j.o.m.m. (2004) New immortalized human stromal cell lines enhancing in vitro expansion of cord blood hematopoietic stem cells. Int J Mol Med 13: 363- 371
9
M Efremova, M Vento-Tormo, SA Teichmann, R Vento-Tormo (2020) Cell PhoneDB: inferring cell-cell communication from combined expression of multi-subunit ligand-receptor complexes. Nat Protoc 15: 1484- 1506 https://doi.org/10.1038/s41596-020-0292-x
10
R Espin-Palazon, DL Stachura, CA Campbell, D Garcia-Moreno, N Del Cid, AD Kim, S Candel, J Meseguer, V Mulero, D Traver (2014) Proinflammatory signaling regulates hematopoietic stem cell emergence. Cell 159: 1070- 1085 https://doi.org/10.1016/j.cell.2014.10.031
11
MS Ferreira, W Jahnen-Dechent, N Labude, M Bovi, T Hieronymus, M Zenke, RK Schneider, S Neuss (2012) Cord blood-hematopoietic stem cell expansion in 3D fibrin scaffolds with stromal support. Biomaterials 33: 6987- 6997 https://doi.org/10.1016/j.biomaterials.2012.06.029
12
CE Forristal, B Nowlan, RN Jacobsen, V Barbier, G Walkinshaw, CR Walkley, IG Winkler, JP Levesque (2015) HIF-1alpha is required for hematopoietic stem cell mobilization and 4-prolyl hydroxylase inhibitors enhance mobilization by stabilizing HIF-1alpha. Leukemia 29: 1366- 1378 https://doi.org/10.1038/leu.2015.8
13
Y Hao, S Hao, E Andersen-Nissen, WM Mauck 3rd, S Zheng, A Butler, MJ Lee, AJ Wilk, C Darby, M Zager et al (2021) Integrated analysis of multimodal single-cell data. Cell 184: 3573- 3587 https://doi.org/10.1016/j.cell.2021.04.048
14
DN Haylock, B Williams, HM Johnston, MC Liu, KE Rutherford, GA Whitty, PJ Simmons, I Bertoncello, SK Nilsson (2007) Hemopoietic stem cells with higher hemopoietic potential reside at the bone marrow endosteum. Stem Cells 25: 1062- 1069 https://doi.org/10.1634/stemcells.2006-0528
15
O Hequet (2015) Hematopoietic stem and progenitor cell harvesting:technical advances and clinical utility. J Blood Med 6: 55- 67
16
Y Hu, GK Smyth (2009) ELDA: extreme limiting dilution analysis for comparing depleted and enriched populations in stem cell and other assays. J Immunol Methods 347: 70- 78 https://doi.org/10.1016/j.jim.2009.06.008
17
T Ishida, S Suzuki, CY Lai, S Yamazaki, S Kakuta, Y Iwakura, M Nojima, Y Takeuchi, M Higashihara, H Nakauchi et al (2017) PreTransplantation Blockade of TNF-alpha-Mediated Oxygen Species Accumulation Protects Hematopoietic Stem Cells. Stem Cells 35: 989- 1002 https://doi.org/10.1002/stem.2524
18
H Ku, Y Yonemura, K Kaushansky, M Ogawa (1996) Thrombopoietin, the ligand for the Mpl receptor, synergizes with steel factor and other early acting cytokines in supporting proliferation of primitive hematopoietic progenitors of mice. Blood 87: 4544- 4551 https://doi.org/10.1182/blood.V87.11.4544.bloodjournal87114544
19
Y Luo, H Xiao, X Lai, J Shi, Y Tan, J He, W Xie, W Zheng, Y Zhu, X Ye et al (2014) T-cell-replete haploidentical HSCT with low-dose antiT-lymphocyte globulin compared with matched sibling HSCT and unrelated HSCT. Blood 124: 2735- 2743
20
R Majeti, CY Park, IL Weissman (2007) Identification of a hierarchy of multipotent hematopoietic progenitors in human cord blood. Cell Stem Cell 1: 635- 645 https://doi.org/10.1016/j.stem.2007.10.001
21
S Massberg, P Schaerli, I Knezevic-Maramica, M Kollnberger, N Tubo, EA Moseman, IV Huff, T Junt, AJ Wagers, IB Mazo et al (2007) Immunosurveillance by hematopoietic progenitor cells trafficking through blood, lymph, and peripheral tissues. Cell 131: 994- 1008 https://doi.org/10.1016/j.cell.2007.09.047
H Mayani, JA Alvarado-Moreno, P Flores-Guzman (2003) Biology of human hematopoietic stem and progenitor cells present in circulation. Arch Med Res 34: 476- 488 https://doi.org/10.1016/j.arcmed.2003.08.004
24
S McKinney-Freeman, MA Goodell (2004) Circulating hematopoietic stem cells do not efficiently home to bone marrow during homeostasis. Exp Hematol 32: 868- 876 https://doi.org/10.1016/j.exphem.2004.06.010
25
M Mimeault, R Hauke, SK Batra (2007) Stem cells: a revolution in therapeutics-recent advances in stem cell biology and their therapeutic applications in regenerative medicine and cancer therapies. Clin Pharmacol Ther 82: 252- 264 https://doi.org/10.1038/sj.clpt.6100301
26
M Mohty, K Hubel, N Kroger, M Aljurf, J Apperley, GW Basak, A Bazarbachi, K Douglas, I Gabriel, L Garderet et al (2014) Autologous haematopoietic stem cell mobilisation in multiple myeloma and lymphoma patients: a position statement from the European Group for Blood and Marrow Transplantation. Bone Marrow Transplant 49: 865- 872 https://doi.org/10.1038/bmt.2014.39
27
F Notta, S Doulatov, E Laurenti, A Poeppl, I Jurisica, JEJS Dick (2011) Isolation of single human hematopoietic stem cells capable of long-term multilineage engraftment. Science 333: 218- 221 https://doi.org/10.1126/science.1201219
28
V Papayannopoulos, KD Metzler, A Hakkim, A Zychlinsky (2010) Neutrophil elastase and myeloperoxidase regulate the formation of neutrophil extracellular traps. J Cell Biol 191: 677- 691 https://doi.org/10.1083/jcb.201006052
29
M Pearl-Yafe, K Mizrahi, J Stein, ES Yolcu, O Kaplan, H Shirwan, I Yaniv, N Askenasy (2010) Tumor necrosis factor receptors support murine hematopoietic progenitor function in the early stages of engraftment. Stem Cells 28: 1270- 1280 https://doi.org/10.1002/stem.448
30
P Perseghin, E Terruzzi, M Dassi, V Baldini, M Parma, P Coluccia, P Accorsi, G Confalonieri, L Tavecchia, L Verga et al (2009) Management of poor peripheral blood stem cell mobilization:incidence, predictive factors, alternative strategies and outcome. A retrospective analysis on 2177 patients from three major Italian institutions. Transfus Apher Sci 41: 33- 37
31
I Petit, M Szyper-Kravitz, A Nagler, M Lahav, A Peled, L Habler, T Ponomaryov, RS Taichman, F Arenzana-Seisdedos, N Fujii et al (2002) G-CSF induces stem cell mobilization by decreasing bone marrow SDF-1 and up-regulating CXCR4. Nat Immunol 3: 687- 694 https://doi.org/10.1038/ni813
32
CJ Pronk, OP Veiby, D Bryder, SE Jacobsen (2011) Tumor necrosis factor restricts hematopoietic stem cell activity in mice: involvement of two distinct receptors. J Exp Med 208: 1563- 1570 https://doi.org/10.1084/jem.20110752
33
X Qiu, A Hill, J Packer, D Lin, YA Ma, C Trapnell (2017a) Single-cell mRNA quantification and differential analysis with Census. Nat Methods 14: 309- 315 https://doi.org/10.1038/nmeth.4150
34
X Qiu, Q Mao, Y Tang, L Wang, R Chawla, HA Pliner, C Trapnell (2017b) Reversed graph embedding resolves complex single-cell trajectories. Nat Methods 14: 979- 982 https://doi.org/10.1038/nmeth.4402
35
T Reya, AW Duncan, L Ailles, J Domen, DC Scherer, K Willert, L Hintz, R Nusse, IL Weissman (2003) A role for Wnt signalling in selfrenewal of haematopoietic stem cells. Nature 423: 409- 414 https://doi.org/10.1038/nature01593
36
S Schreier, W Triampo (2020) The blood circulating rare cell population. What is it and what is it good for?. Cells 9 (4): 790
37
W Shan, B Wang, Y Xu, X Li, X Li, H Wang, Y Lin, R Tie, Q Zhao, J Wang et al (2020) Generation of hematopoietic cells from mouse pluripotent stem cells in a 3D culture system of selfassembling peptide hydrogel. J Cell Physiol 235: 2080- 2090 https://doi.org/10.1002/jcp.29110
38
W Shan, Q Yu, Y Long, Q Luo, H Li, Y Han, Y Xu, S Fu, X Zeng, C Wei et al (2021) Enhanced HSC-like cell generation from mouse pluripotent stem cells in a 3D induction system cocultured with stromal cells. Stem Cell Res Ther 12: 353 https://doi.org/10.1186/s13287-021-02434-2
39
KP Singh, FL Casado, LA Opanashuk, TA Gasiewicz (2009) The aryl hydrocarbon receptor has a normal function in the regulation of hematopoietic and other stem/progenitor cell populations. Biochem Pharmacol 77: 577- 587 https://doi.org/10.1016/j.bcp.2008.10.001
40
Y Sonoda (2008) Immunophenotype and functional characteristics of human primitive CD34-negative hematopoietic stem cells: the significance of the intra-bone marrow injection. J Autoimmun 30: 136- 144 https://doi.org/10.1016/j.jaut.2007.12.004
41
C Trapnell, D Cacchiarelli, J Grimsby, P Pokharel, S Li, M Morse, NJ Lennon, KJ Livak, TS Mikkelsen, JL Rinn (2014) The dynamics and regulators of cell fate decisions are revealed by pseudotemporal ordering of single cells. Nat Biotechnol 32: 381- 386 https://doi.org/10.1038/nbt.2859
AC Wilkinson, R Ishida, M Kikuchi, K Sudo, M Morita, RV Crisostomo, R Yamamoto, KM Loh, Y Nakamura, M Watanabe et al (2019a) Long-term ex vivo haematopoietic-stem-cell expansion allows nonconditioned transplantation. Nature 571: 117- 121 https://doi.org/10.1038/s41586-019-1244-x
44
D Wisniewski, M Affer, J Willshire, B Clarkson (2011) Further phenotypic characterization of the primitive lineage- CD34+CD38-CD90+CD45RA- hematopoietic stem cell/progenitor cell sub-population isolated from cord blood, mobilized peripheral blood and patients with chronic myelogenous leukemia. Blood Cancer J 1: e36 https://doi.org/10.1038/bcj.2011.35
45
Y Xu, W Shan, X Li, B Wang, S Liu, Y Wang, Y Long, R Tie, L Wang, S Cai et al (2016) A synthetic three-dimensional niche system facilitates generation of functional hematopoietic cells from human-induced pluripotent stem cells. J Hematol Oncol 9: 102 https://doi.org/10.1186/s13045-016-0326-6
46
M Yamashita, E Passegue (2019) TNF-alpha coordinates hematopoietic stem cell survival and myeloid regeneration. Cell Stem Cell 25: 357- 372 https://doi.org/10.1016/j.stem.2019.05.019
47
Y Zeng, J He, Z Bai, Z Li, Y Gong, C Liu, Y Ni, J Du, C Ma, L Bian et al (2019) Tracing the first hematopoietic stem cell generation in human embryo by single-cell RNA sequencing. Cell Res 29: 881- 894 https://doi.org/10.1038/s41422-019-0228-6