From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Transplantation of Hematopoietic Stem Cells Obtained by a Combined Dye Method Fractionation of Murine Bone Marrow By Ian McAlister, Norman S. Wolf, Maria E. Pietrzyk, Peter S. Rabinovitch, Gregory Priestley, and Brian Jaeger Hematopoietic stem cells were purified from murine bone marrow cells (BMC). Their characteristic density, size, internal complexity, Hoechst 33342 dye uptake, and wheat germ agglutinin (WGA) affinity were used to distinguish them from other cells in the bone marrow. BMC suspensions were centrifuged over Ficoll Lymphocyte Separation Media (Organon Teknika, Durham, NC; density 1.077 t o 1.08). The lower-density cells were drawn off, stained with Hoechst and labeled with biotinylated WGA bound t o streptavidin conjugated t o phycoerythrin (WGA-B*A-PE) or with WGA conjugated t o Texas Red. These cells were then analyzed and sorted by an Ortho Cytofluorograph 50-H cell sorter. The cells exhibiting medium t o high forward light scatter, low t o medium right angle light scatter, low Hoechst intensity, and high WGA affinity were selected. Sorted BMC (SBMC) were stained with Romanowsky-type stains for morphologic assay, and were assayed in lethally irradiated (LI) mice for their ability to produce colony-forming units in the spleen (CFU-SI and for their ability to produce survival. The spleen seeding factor for day 8 CFU-S upon retransplantation of the isolated cells was 0.1. The isolated cells were found to have consistent morphology, were enriched up to 135-fold as indicated by day 8 CFU-S assay, 195-fold as indicated by day 14 CFU-S assay, and 150 sorter-selected BMC were able t o produce long-term survival in LI mice with retention of donor karyotype. When recipients of this first transplantation were themselves used as BMC donors, their number of day 8 and day 12 CFU-S were found t o be reduced. However, 3 x 10’ of their BMC provided 100% survival among secondary recipients. When the previously SBMC were competed after one transplantation against fresh nonsorted BMC in a mixed donor transplant, they showed the decline in hematopoietic potency normally seen in previously transplanted BMC. We conclude that the use of combinations of vital dyes for fluorescence-activated cell sorting (FACS) selection of survival-promoting murine hematopoietic stem cells provides results comparable with those produced by antibody-selected FACS and has the advantage of a method directly transferable to human BMC. 0 1990 by The American Society of Hematology. H cures for selected diseases and in bone marrow replacement therapy. Gradient sedimentation and cell sorting can purify stem cells from whole bone marrow suspensions. Visser et all’ used density gradient sedimentation, light scatter properties, and wheat germ agglutinin (WGA)-affinity of the stem cells to achieve high enrichment of CFU-S. Pallavicini et all2 used light scatter properties and the low Hoechst 33342 dye uptake characteristics of the stem cell to achieve 100-fold enrichment of day 8 and day 12 CFU-S [CFU-S(8) and CFU-S( 12)]. By combining these different methods of distinguishing different stem cell properties, we have demonstrated a reliable and effective means of isolating hematopoietic stem cells with a single passage through the fluorescence-activated cell sorter (FACS). These cells were morphologically consistent, produced spleen colonies with a spleen seeding factor (f-factor) of 0.1, and as few as 150 to 300 sorted cells provided long-term hematopoiesis and survival for LI primary and secondary recipient mice. EMATOPOIETIC STEM cells are the source of all hematopoiesis. Through the process of differentiation they produce the many different cell types found in the bone marrow and peripheral blood. Several subpopulations of hematopoietic stem cells exist, beginning with a pluripotent stem cell capable of producing all hematopoietic lineages and ending with lineage-restricted stem cells.’-6 Subpopulations of early hematopoietic stem cells have been identified by their ability to produce colony-forming units in the spleen (CFU-S) or in vitro clonal growth and by reconstitution of the hematopoietic system of lethally irradiated (LI) recipient mice receiving fractionated donor bone marrow cells (BMC) and providing for their ~ u r v i v a l . ~ ~ ’ ~ Purification of hematopoietic stem cells is an important step toward being better able to characterize the functional, morphologic, and membrane surface properties of stem cells, as well as their gene activity. Purified preparations of donor cells capable of reconstituting the hematopoietic system of LI mice are sought for purposes of basic research into the processes of differentiation and stem cell self-renewal. Purified stem cells may also play a role in molecular engineering From the Department of Pathology, University of Washington, Seattle, WA. Submitted July 19. 1989; accepted November 22.1989. Supported by Grant No. AGO1 751from the National Institute on Aging. Address reprint requests to Norman S. Wolf. DVM, PhD. Department of Pathology SM-30, University of Washington, Seattle, WA 981 95. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C.section 1734 solely to indicate this fact. o 1990 by The American Society of Hematology. 0006-4971/90/7506-0010$3.OO/0 1240 MATERIALS AND METHODS Animals. Three- to six-month-old (C57BL/6 x DBA)FI, henceforth referred to as BDFl, mice were used. In most experiments, male donor cells were injected into female recipients. The parental pure lines, derived from the NIA reference strains and the hybrids were bred and raised in our facilities under strict specific-pathogenfree barrier conditions. They were free of all testable viral, mycoplasmal, and bacterial mouse pathogens. We tested for the following viruses at 3-month intervals: Sendai, mouse hepatitis virus, pneumonia virus of mice, Reovirus-3, murine encephalomyelitus virus, and minute virus of mice. In addition, a recent outside test (February 1989) by Charles River Professional Services for the above viruses plus lymphocytic choriomeningitis, ectromelia, papova K virus, polyoma, mouse adenovirus, epizootic diarrhea of infant mice, murine cytomegalovirus, mouse thymic virus, and Hantaan virus found all to be negative. Routine tests for Salmonella species, Staphylococcus aureus. Klebsiella pneumoniae. Corynebacterium Blood, Vol 75, No 6 (March 15). 1990: pp 1240-1246 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. TWO-DYE SORTING AND TRANSPLANTATION OF HSC kutsceri, Pseudomonas aerughosa, Yersinia pseudo TB, Y enterocolitica. Pasturella multocida. P pneumotropica, Bordetalla bronchisepta, Epierythrozoon cunijormis and endo- and ectoparasites were also negative. Sacrifices were by cervical dislocation. Cell suspension and density gradient fractionation. BMC were flushed from femurs and tibias of male donor BDFl with Hank’s Balanced Salt Solution (HBSS). The suspension was drawn through decreasing bore needles and passed through a 100 mesh per inch stainless steel Swinney filter (Millipore, Bedford, MA ) to produce a single cell suspension. The cells were then layered on Lymphocyte Separation Media (LSM, density 1.077 to 1.080 at 2OOC; Organon Teknika, Durham, NC) and fractionated by density gradient centrifugation (500g for 15 minutes at 2OOC). The low-density lymphocytic band was aspirated by pipette, washed three times with HBSS, and subjected to the following procedure. Hoechst staining and WGA labeling. The density fractionated cells were resuspended in HBSS containing 10 pmol/L Hoechst, 20 mmol/L HEPES, 1 g/L d-glucose, and 10% fetal bovine serum (FBS) at a final pH of 7.2. This suspension was incubated for 1 hour at 37OC and then placed on ice. From this point on, the cells were maintained at 4OC to preserve the intracellular Hoechst content. The cells were washed once before being resuspended in 1 pg/mL biotinylated WGA (WGA-B) in phosphate-buffered saline (PBS) and incubated for 20 minutes on ice. The cells were then spun down again and quickly resuspended in 5 pg/mL streptavidin conjugated with phycoerythrin (PE) in PBS. In some experiments, Texas Red (TR)-labeled WGA was substituted for the biotinylated form, and the remainder of the format remained the same. Cell sorting. Dual laser multivariate analysis and cell sorting was performed at 4OC under sterile conditions by an Ortho Cytofluorograph 50HH (Ortho Diagnostic Systems, Westwood, MA). Monochromatic 35 1- to 364-nm light was used for Hoechst dye excitation and forward light scatter measurements. Monochromatic 488-nm light was used for PE excitation and right angle light scatter. For TR excitation, 568-nm light from a dye laser was used. Filters used to collect fluorescence emission were 420 nm (long pass) for Hoechst, 575 nm (band width 30 nm) for PE, and 600 nm (long pass) for TR. The blast region of the scattergram containing 10% of the total population was selected and analyzed for Hoechst intensity. Three percent of these cells were selected for their low Hoechst intensity. The TR or PE intensity of the low Hoechst cells from the blast cell region was then analyzed, and 60% of these cells were selected as WGA positive, the combined selection was accomplished in a single passage of the cells through the sorter. These cells were collected in test tubes coated with 10% FBS, 0.2 mol/L N-acetyl-d-glucosamine, and HBSS, then diluted to the appropriate cellularity in 0.2 mol/L N-acetyl-d-glucosamine in HBSS for removal of the WGA complex before injection. CFU-S assay and survival study. Young adult BDFl mice were lethally irradiated with 11.0 Gy by a dual 13’Cssource (Gammacell40) delivering 1.36 Gy/min. This radiation dose is uniformly lethal within 15 days in radiation control mice under our conditions, and no endogenous spleen colonies are formed. Normal control BMC or fractionared BMC were injected via lateral tail vein into separate groups of irradiated mice. The number of fractionated cells injected per mouse ranged from 150 to 400 sorted BMC (SBMC). Some animals were killed by cervical dislocation 8 or 14 days postirradiation to examine their spleens for colony formation, while others were allowed long-term survival. Spleens were immersed briefly ( 5 to 10 minutes) in Bouin’s solution, then placed in 10%buffered formalin, and later observed under a dissecting scope. The f-factor was determined for the sorted cells using the modified procedure of Till and McC~lloch’~ as described by Wolf14 with a 3-hour primary seeding period. Animals set aside for survival study were followed for 2 to 15 months. 1241 Morphology, staining, and analysis. Slides were washed with absolute methanol, dried, and coated with 1% albumin. Two hundred cells were sorted directly onto each slide. The cells were fixed with 1.5% gluteraldehyde in Cacodylate buffer by adding one drop of 2x fixative solution directly to the drop of PBS containing SBMC. These preparations were stained with Wright-Giemsa. Karyotyping. Examination of BMC content for male versus female sex chromosomes followed velban injection by 90 minutes and was carried out by a standard method previously reported.15 Statistics. All numerical values shown in the tables are mean f SEM where appropriate. Comparisons were made by standard Students two-tailed t test. RESULTS Higher levels of purification of both CFU-S(8) and CFUS(14) were achieved with each selective step (Table 1). The LSM procedure that selected the uppermost low-density layer of cells increased the proportion of CFU-S(8) present in the cell suspension fourfold, primarily removing erythrocytes and granulocytes before sorting. However, this step routinely reduced the total number of cells by 10- to 20-fold, so it is apparent that the majority of CFU-S(8) were lost in this procedure. Examination of the CFU-S(8) present in the collected meniscus versus those present in the pellet after centrifugation indicated that only 40% of these cells were in the fraction collected for use. Whether this reduction affected the quality of the final product is unknown. The Hoechst exclusion step increased the proportion of CFUS(8) up to 100-fold in some experiments, and CFU-S(14) up to 132-fold. The WGA-affinity method, when added, increased the proportion of CFU-S(8) up to 135-fold, and CFU-S(14) up to 195-fold. The methods were additive, providing reliable levels of high purification, as seen in the individual experiments in Table 1. Multivariate analysis of the light scatter, Hoechst intensity, and fluorescently labeled WGA intensity by the cell sorter produced the following graphs. Ten percent of the right angle versus forward light scattergram constituting the blast region was selected (Fig 1). The cells in this region of the scattergram were then analyzed for Hoechst fluorescent intensity (Fig 2). Three percent of the low-intensity Hoechst cells were selected from the Hoechst intensity histogram to be analyzed for TR or PE fluorescence (Fig 3). The cells positive for red fluorescence (constituting 60% of the histogram) due to their WGA affinity were then selected to be sorted into a media-coated test tube. The cells finally selected for CFU-S assays were of low density, blast cell light scatter characteristics, Hoechst uptake resistant, and strongly WGA positive. Recovery in the final collected fraction was 0.01% to 0.02% of the initially collected BMC in the typical experiment. In a typical case (Table 1, Experiment 2), Hoechst sorting alone enriched the CFU-S(8) content 51-fold, and the WGA method provided 5 1-fold enrichment of CFU-S(8) independently. In the same experiment, combining the methods produced 81-fold enrichment and 24.5% purity of CFUS(8), as determined by using an f-factor of 0.1. In another experiment (Table 1, Experiment 3), the Hoechst method provided 53-fold enrichment of CFU-S(8) alone, and in combination with WGA, produced 133-fold enrichment of CFU-S(8) and 40% purity. Enrichment of CFU-S(14) was From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 1242 McALlSTER ET AL Table 1. Comparison of Hoechst and WGA Methods Independently and in Combination ~~ Group and Day of Count Recipient MiceIGroup Cells/ Recipient Mean CFU-SIRecipient 8 13 50,000 14.9 f 0.72 (L) 8.0 + 0.39 (TI 29.8 f 1.88 1 1 1 8 11 300 12.1 f 1.23 (L) 6.3 f 0.62 (TI 30.0 f 2.63 135.3 130.2 167.8 NBMC$ Day 8 Day 14 8 9 50,000 Hoechst only Day 8 Day 14 7 9 200 WGA-TR only Day 8 Day 14 6 11 402 8 9 192 10 250 4.0 f 2.5 53 16.0 9 220 8.8 f 3.0 133 40.0 Experiment 4 Hoechst only (pH 7.2) Day 8 Day 14 8 6 300 Hoechst only (PH 7.5) Day 8 Day 14 9 5 300 Enrichment. Purity (% CFU-S)t Experiment 1 NBMCS Day 8 Day 14 + Hoechst WGA-TR Day 8 Day 14 0.3 0.2 0.6 40.0 20.8 100.0 Experiment 2 Experiment 3 Hoechst only Day 8 Hoechst Day 8 1 1 1 0.3 0.2 0.3 3.1 k 0.59 (L) 5.8 k 0.64 (T) 17.1 f 1.98 51.3 154.9 131.9 15.5 28.9 85.5 6.2 f 0.60 51.1 76.4 86.4 15.4 14.3 56.0 81.1 158.3 195.3 24.5 29.5 126.6 (L) 5.7 f 0.52 (TI 22.5 f 2.06 + Hoechst WGA-TR Day 8 Day 14 15.1 f 1.23 (L) 9.3 f 0.44 (TI 17.1 k 3.43 4.7 f 0.75 (L) 5.7 f 3.43 (TI 24.3 f 1.29 + WGA (WGA-E*A-PE) 5.1 f 1.3 (L) 5.3 f 0.61 (TI 31.3 f 6.58 56.9 59.2 159.5 17.0 17.7 104.3 3.1 f 0.55 34.7 73.3 229.3 10.3 22.0 150.0 (L) 6.6 i 0.92 (T) 45.0 f 5.10 Abbreviations: L, large colppies at day 14: T, total colonies at day 14. *Enrichment = [donor NBMC/SBMC] x [CFU-~lSBMC)/CFU-S(NBMC)]. N8MC controls from Experiments 1 and 2 were used to calculate enrichment and purification in Experiments 3 and 4. tpurification (% CFU-S) was calculated using an experimentally derived 3 hour f-factor of 0.10 for sorted cells for CFU-S(8) (see Table 2). Thus, multiplicationof the number of colonies formed by 10 and comparison with the number of cells injected provided the % CFU-S In the preparation. $Sorted NBMC were not density gradient separated or sorted. All sorted cell populations were obtained from NBMC run on LSM density gradient before sorting. several times greater than that for CFU-S(8) (Table 1, Experiments 1, 2, and 4), bringing the calculated degree of purification above 100% in some cases. However, since the small (less than 2 mm) colonies present on day 14 probably represent descendants of secondary, ie, daughter CFU-S,’ these figures should be viewed with caution, although obviously indicating that highly self-replicative stem cells have been selected. The larger day 14 colonies almost surely represent continuation of day 12 colonies. Enrichment was calculated on the basis of the number of injected cells that were required to provide one day 8, day 12, or day 14 spleen colony, comparing sorted preparations with untreated donor BMC. Spleen f-factor. The f-factors for purified CFU-S and unfractionated BMC were similar. Sorted CFU-S-enriched 80-fold were found to have an f-factor of 0.1, while unfractionated control BMC were found to have an f-factor of 0.13 (Table 2). The difference in results is not statistically significant. Continued donor cell productivity. SBMC preparations were also assayed for their ability to provide radioprotection and survival in LI mice. BDFl mice received lethal irradia- From www.bloodjournal.org by guest on June 17, 2017. For personal use only. TWO-DYE SORTING AND TRANSPLANTATON OF HSC Figl. 1243 Sdoctionofbbstr~ gion of L S M - w m t o d BMC. Tho a W s w roproaona right anglo acattor; the ordinate. forward acattor. Tho box IRogion 1) thus s e l m s cells of low atructural compkxiy and Iargor sizo, io, tho bbst rogim. which in thia oxporimont containod 10.9% of the cella roproaontod in tho acattrgrem. Unita aro arbitrary but linoor in all figures. tion ( 1 1 .O Gy) before transplantation of 150 or 300 SBMC. Seventy-seven percent of the mice receiving 150 SBMC and 100% of the mice receiving 300 SBMC survived beyond 60 days (Table 3). At 9 months posttransplantation, their white blood cell counts, hematocrits. and differential blood smears were normal, and femoral bone marrow from the lower dose recipients contained reduced numbers of CFU-S(8) and CFU-S( 12) (Table 4). similar to those found in primary recipients of 1.5 x IO' to 3 x 106 normal donor BMC, as previously r~ported.'~ Also. at 9 months. only male (donor) Fig2. Ano)y.band- tkn of low Hoochst-contalnlng d h in th. Mat r o g h IOh o d in Fig 1. Tho abaciroprosmta g m n (HMchst) fluIntonsky: tho ordinat0 roproucm coil numbor. Rogion 1 roproamta and a d m a 3.1% of tho cells in tho histogram. IRogion 2 roprerontr 3.0% of tho coils, but m a found to contoin fm vioM0 colls and waa diacardod). or..~- From www.bloodjournal.org by guest on June 17, 2017. For personal use only. McALISlER ET AL 1244 1 Fig3. A ~ l @ ~ e n d & tion of high WGA-TR offinity mils from Rogion 1 (low Hoochst-comeining cells) in Fig 2. The eb8cis.s repreamit. red (TR) fluorescent intensity: the ordinate represents cell number. Region 1 represents end selects 70.3% of the cells in the histogram. 80 40 karyotypes were found in 25 consecutively examined chromosome spreads from the femoral marrow of each of five of the above female recipients of 150 male SBMC. Radioprotective ability and competitive status. Four of the above mentioned primary recipients reconstituted with 300 male SBMC were killed at 1 year posttransplantation. and LI female secondary recipients were given low doses ( 1 to 5 x IO’) of unsorted pooled femoral bone marrow cells from these mice to test the radioprotective ability (RPA) of progeny of the selected cells. The 30-day survival of these secondary recipients was 100% ( IO of IO) for both cell doses above I x IO5BMC and 78% for I x IO’ BMC (Table 3). BMC from primary recipients reconstituted with 300 male SBMC were combined with and competed against normal (not previously transplanted) female BMC in a CFU-S( 12) ratio of 4060 (as established by CFU-S assay of the BMC preparations). Karyotyping of male and female secondary TeMo 2. f-Fmor Dotomin” in CFU-S(8) recipient marrow was assessed at 45 and at 90 days. The results in Table 5 indicate that only about 5% of the actively dividing recipient BMC were from the sorted, previously transplanted source. It is also clear from the data in Table 5 that the CFU-S(12) content of the BMC from 300 SBMC recipients taken I5 months postransplantation was approximately 20% of the not previously transplanted normal RMC (NBMC) value. Morphology. The morphology of the stem cells stained with Wright-Giemsa was observed under 1.OOOx magnification. The sorted cells were of a consistent morphology, which fit previous descriptions.16 They appeared as small- to medium-sited undifferentiated lymphocytes about 7 to 8 pm in diameter. They contained intensely basophilic nuclei: unTOM.3. 60-Day Sutvhml of Lotholly IrrediotedBDFl Mico ReceMng Low Doses of SBMC Tmolancl Dore Primay 300 SBMC 150 SBMC Enrichmsclt. 103 103 No.Mio DMhr %suvM 13 13 0 3 100 77 9 11 10 2 0 0 78 100 100 -*t i x 10) 3 x 10’ 5 x 10’ ~~ ~~ *The dilution “ c t i o n facta for control recipients is based on the ratio of cdl dow used in tho qoup versus that used in primay r @ i t s of the test goup. The dilution carection facta for the test goup is b d on the use of 1/3 of e primay recipiit spleen content per soconday r@it. tEnrichmentfor this expaiment was 80-foId far CFU-38). $!%conday recipients received 1/3 minced d w n equiMbnt from primw 3-how pwsege recipients. *Enrichment based on day 8 spleen colony counts in fou mcipiits from each cdl dose goup. The 1 5 M l dow mice whoso EM w a s kaVotVpicelly examined for mab Manor) versus h o b h c i p i i t ) chromosome markersdisplayed only donor-type cdls 9 monthsposmasplontation. Three hundred SBMC primay recipiient monow was also tested f a kayotype of CFU-S(l2) at 15 months p o s t t r a ~ l a n t(we footnote ”*“ in Tebb 5). tone f ” a l content from eech of 4 d”was combined. Seconday transplont of 300 SBMC primay mipiits a 13 months eftor primay transplant. From www.bloodjournal.org by guest on June 17, 2017. For personal use only. TWO-DYE SORTING AND TRANSPLANTATION OF HSC 1245 Table 4. Blood and Bone Marrow Values of Recipients of Low Doses of SBMC Measured 9 to 12 Months Posttransplantation Type and Group N WBC (xlO-') Hematccrit Blood 6 44.7 f 0.1 150 SBMC 300 SBMC 2 46.0 i 2.0 Normal controls 10 48.6 f 0.6 5.6 f 1.1 L-80. G-18, M-2 11.6 f 4.6 L-85,612, M-3 5.5 i 0.3 L-73, G24, M-3 CFU-S/5 x BMC ( X Femur Bone marrow 150 SBMC Differential lo4BMC Day 12 Day 8 5 1.64 f 0.1 8.2 f 1.1 (n = 10) ND" 300 SBMC 6 1.79 f 0.13 11.O f 0.7 Normal controls 10 2.10 f 0.2 5.8 f 0.7 (n = 12) ND* 11.5 k 0.6 Values are mean f SE. Abbreviations: L, lymphocytes; G, granulocytes; M, monocytes; ND, no data. "Marrow was used for secondary recipient survival study. evenly stained, often indented, and surrounded by a thin layer of cytoplasm. DISCUSSION Purification of hematopoietic stem cells is an important step in the direction of better characterization of the stem cell and its use in related research. The successful combination of the simple techniques".I2 that we used in combination Table 5. Competition of Once-Transplanted SBMC With NBMC Donor Groups BMC transplantation dosage CFU-S(l2) content of BMCt CFU-S( 12) transplantation ratio 45-day recipient karyotype ratio$ 90-day recipient karyctype ratio$ 1.5 x lo6 92 f 3.9 0.5 x lo6 148 f 8.0 38% 62% 6% f 2.6% 94% f 2.6% * 1.3% 96% f 1.3% 4% BMC of male karyotype taken from four female 300 SBMC primary recipients (15-month survivors) were competed against fresh NBMC (female) by combining the two donor cell suspensions and injecting them into both male and female LI (1 1.O Gy) recipients. Karyotypes of the latter recipients' 8MC were assessed at 45 days and at 9 0 days. Where applicable, values are mean f SE. *The presence of the SBMC (male) karyotype of the female primary recipient donors for the competition experiment was confirmed by reading 3 0 consecutive chromosome spreads in each of 20 day-12 spleen colonies from four female secondary recipients injected with only this cell suspension. tLow-dose separate aliquots of the competing BMC suspensions were assayed in opposite sex recipients, and CFU-S(l2) contents of the competing doses were calculatedfrom these results. $Karyotype ratios for dividing BMC into recipients were determined at 45 days in two males and two females, and at 9 0 days in two males and three females from among the recipients of the combined 8MC. The male karyotype was not seen with any greater frequency in male recipients than in female recipients. provided reliably high levels of enrichment needed for further characterization of the stem cell with a single passage of cells through the FACS. The methods used to isolate the stem cells directly reveal some of the characteristics of the stem cell. Density sedimentation relies largely upon the density of those cells that arrest in a given position in the medium. This low density in a medium-sized cell cohort, which includes largely CFU-S and cells that provide radiation survival, might reflect the status of the cytoplasmic constituents. A lack of cytoplasmic constituents, such as mitochondria and structural and functional cytoplasmic proteins, is consistent with the role of the stem cell as a quiescent The low Hoechst dye uptake is likely to be the result of low cell membrane permeability to the dye." Such low permeability might be expected of a cell in Gostatus whose metabolic needs and receptivity to stimuli should be minimal. Another perhaps less likely hypothesis is that the stem cell DNA is inaccessible for Hoechst dye binding. The WGA affinity of the cell is a function of the presence of N-acetyl-d-glucosamine in glycoproteins of the cell membrane" and is not restricted to stem cells. The characteristics of purified hematopoietic stem cells should match those already attributed to stem cells. Our findings were that the morphology of sorted preparations was uniform and matched that of already published descriptions.16 The f-factor for day 8 colonies was similar for purified and unpurified bone marrow cells, indicating that the sorting procedure did not affect such seeding. The ability to reconstitute the hematopoietic system of an irradiated mouse, allowing its survival, is perhaps the most important functional definition of the pluripotent hematopoietic stem cell. The ability of 150 purified stem cells to produce 77% survival in LI mice, to return their constituent blood cell levels to normal, and to remain the sole source of hematopoiesis 9 months later indicates the presence of primitive pluripotent hematopoieticstem cells, sometimes referred to as "pre-CFUS,"20 at high levels of purification. Still more important is the ability of such transplanted marrow to repopulate the hematopoietic system and produce survival in secondary recipient^.^*^^^^^ We have shown this ability in the 30-day survival of secondary recipient mice receiving as few as 1 x lo5 unsorted BMC from primary recipients of 300 SBMC. However, the once transplanted marrow from these same primary recipients had lower than normal CFU-S content and did not compete well against fresh unsorted BMC, showing the same decline in potency with transplantation as does unsorted BMC." Recent reports indicate that the stem cell necessary for long-term bone marrow repopulation is not necessarily selected with the CFU-S(8) or CFU-S(12) compartment in multiparameter cell ~ o r t i n g . ~ In , ~ 'our , ~ ~preparations, stem cells capable of producing long-term survival upon transplantation were selected in the same fraction, at least 20% to 40% pure for CFU-S(8) and CFU-S(14). It is possible that the two methods of cell sorting selected the subpopulations (CFU-S and pre-CFU-S) by different criteria, which resulted in separation of subpopulations with these respective attributes in one case and nonseparation in the other. It is also possible that there is an overlap of characteristics in a From www.bloodjournal.org by guest on June 17, 2017. For personal use only. McALlSTER ET AL 1246 continuum of differentiating stem cells. These may range from those originating short-lived day 8 spleen colonies23to those individually responsible for long-term clones of both myeloid and lymphoid cells.24In any event, it would appear that long-term survival by primary recipients and their maintenance of the ability to produce cells capable of further transmitting survival is the capacity to be sought after in a sorted hematopoietic stem cell preparation. Enrichment results for day 14 colonies are subject to cautious interpretation, since there is evidence that many such late-appearing colonies may come from daughter CFU-S and, as such, cannot be correlated one-to-one with injected stem cell^.^.'^ When the CFU-S( 14):CFU-S(8) ratio for sorted populations is compared with that for NBMC, the ratios are generally 2 to 3 times greater in the sorted populations (Table 1). However, if the large colonies (greater than 2 mm diameter) present at day 14 are seen as representing continuing day-12 CFU-S and only those are counted, the enrichment of large-colony CFU-S( 14) is more similar to that for CFU-S(8), and the ratio is more similar to that for unsorted donor BMC (Table 1). This indicates that the stem cells from which the late-appearing small colony formers are derived are either more numerous in the SBMC or more active in producing daughter colonies. If the latter case is true, the number of small day-14 colonies may provide an approach to estimating the number of “pre-CFU-S” in addition to recipient survival. Weissman et a1 have recently published a method for obtaining highly purified populations of murine CFU-S and life-preserving cells using subsets of antibodies to cell surface antigens in multiparameter Their method should be compared and combined with the studies using dyes for provision of a rapid, inexpensive and highly enriched means to purify hematopoietic stem cell populations. The possibility of extending the dye absorption results to work with human BMC should be explored for transplantation purposes and as a means for providing information about the physiologic nature of these cells. REFERENCES 1. Burgess AW, Metcalf D, Watt SM: Regulation of hemopoietic cell differentiation and proliferation. J Supramol Struct 8:489, 1978 2. Humphries RK, Eaves AC, Eaves CJ: Self-renewal of hemopoietic stem cells during mixed colony formation in vivo. Proc Natl Acad Sci USA 78:3629,1981 3. 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Muller-Sieburg CE, Townsend K, Weissman IL, Rennick D: Proliferation and differentiation of highly enriched mouse hematopoietic stem cells and progenitor cells in response to defined growth factors. J Exp Med 167:1825, 1988 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 1990 75: 1240-1246 Transplantation of hematopoietic stem cells obtained by a combined dye method fractionation of murine bone marrow I McAlister, NS Wolf, ME Pietrzyk, PS Rabinovitch, G Priestley and B Jaeger Updated information and services can be found at: http://www.bloodjournal.org/content/75/6/1240.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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