TECHNICAL REPORT Quantitative imaging of haematopoietic stem and progenitor cell localization and hypoxic status in the bone marrow microenvironment César Nombela-Arrieta1,5 , Gregory Pivarnik1 , Beatrice Winkel1 , Kimberly J. Canty1 , Brendan Harley2 , John E. Mahoney3 , Shin-Young Park1 , Jiayun Lu1 , Alexei Protopopov3,4 and Leslie E. Silberstein1,5 The existence of a haematopoietic stem cell niche as a spatially confined regulatory entity relies on the notion that haematopoietic stem and progenitor cells (HSPCs) are strategically positioned in unique bone marrow microenvironments with defined anatomical and functional features. Here, we employ a powerful imaging cytometry platform to perform a comprehensive quantitative analysis of HSPC distribution in bone marrow cavities of femoral bones. We find that HSPCs preferentially localize in endosteal zones, where most closely interact with sinusoidal and non-sinusoidal bone marrow microvessels, which form a distinctive circulatory system. In situ tissue analysis reveals that HSPCs exhibit a hypoxic profile, defined by strong retention of pimonidazole and expression of HIF-1α, regardless of localization throughout the bone marrow, adjacency to vascular structures or cell-cycle status. These studies argue that the characteristic hypoxic state of HSPCs is not solely the result of a minimally oxygenated niche but may be partially regulated by cell-specific mechanisms. The bone marrow cavities of long bones are the principal sites of postnatal haematopoiesis, which is sustained by a rare population of HSPCs (ref. 1). As for other well-defined adult stem cell types, HSPCs have been proposed to reside in defined anatomical locations, where they receive and integrate regulatory cues from neighbouring cells, extracellular matrix components and/or soluble factors2–4 . The precise definition of the physical localization and physiological features of HSPC niches has been greatly hampered by the technical difficulties associated with imaging long bones, the need for complex cell-surface marker combinations to track rare and dispersed HSPC populations, and the lack of tools required for the automated quantitative microscopic analysis of large-scale specimens at a single-cell level. Previous attempts to visualize HSPCs in their native context provided relevant information but were limited to the observation of relatively low numbers of events and often led to controversial views on the compartmentalization of HSPC niches in the bone marrow (ref. 5). Analysis of the distribution patterns of ex vivo purified, transplanted HSPCs or long-term DNA-label-retaining cells suggested that HSPCs preferentially interact with bone-lining osteoblasts4,6,7 . An alternative view of HSPC localization was offered by studies visualizing endogenous HSPC-enriched populations in immunostained bone marrow tissue sections, which revealed that most HSPCs reside in bone-distal regions, in direct contact with bone marrow sinusoids and stromal perisinusoidal populations with mesenchymal stem cell and osteoprogenitor potential8–12 . Nonetheless, a comprehensive analysis of the global distribution of phenotypically defined endogenous HSPC populations in the context of entire bone marrow cavities has not been attempted so far. A key niche-related feature of HSPCs is their recently reported hypoxic profile2,13–15 , which has been described on the basis of two lines of experimental evidence. First, HSPCs exhibit enhanced incorporation of pimonidazole (Pimo), the most widely studied hypoxic marker, which selectively forms adducts with proteins in cells under low-oxygen conditions16 . Second, HSPCs stably express the α subunit of hypoxia-inducible transcription factor 1 (HIF-1α; ref. 15), which normally undergoes degradation by the proteasome when oxygen levels exceed 5% (refs 17,18). These experimental observations, together with bone marrow perfusion assays19 , have inspired a model by 1 Division of Transfusion Medicine, Department of Laboratory Medicine, Children’s Hospital Boston, 300 Longwood Avenue, Boston, Massachusetts 02115, USA. Department for Chemical and Biomolecular Engineering, University of Illinois, Urbana Champaign, Illinois 61801, USA. 3 Division of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. 4 Present address: Institute for Applied Cancer Science, The University of Texas MD Anderson Cancer Center, Texas 77030, USA. 5 Correspondence should be addressed to C.N-A. or L.E.S. (e-mail: [email protected] or [email protected]) 2 Received 4 April 2012; accepted 12 March 2013; published online 28 April 2013; DOI: 10.1038/ncb2730 NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 533 TECHNICAL REPORT which HSPCs localize in areas of the bone marrow with minimal oxygen content, at a certain distance from vascular structures; a condition previously attributed to endosteal regions18,20 . Adaptation to hypoxia is thought to determine the remodelling of the metabolic profile and induction of quiescence in HPSCs (refs 15,21). Despite the fundamental physiological implications of this model, evidence demonstrating that defined poorly oxygenated bone marrow domains are enriched in hypoxic HSPCs remains indirect and inconclusive so far. Here we apply two complementary imaging approaches to perform a comprehensive mapping of the spatial distribution of HSPCs in the bone marrow and analyse their relationship to bone surfaces, as well as to a variety of distinct bone marrow vascular structures, of which we deliver a detailed three-dimensional (3D) characterization. Finally, we exploit these technologies to demonstrate that the hypoxic profile of HSPCs, based on Pimo incorporation and HIF-1α expression, is unrelated to anatomical positioning in defined bone marrow microenvironments as well as to proximity to vascular structures and cell-cycle progression. RESULTS Global distribution of c-kit+ progenitors in longitudinal bone marrow tissue sections We adapted the use of laser scanning cytometry (LSC), a technological platform, which enables quantitative imaging cytometry of fluorescently labelled discrete cell subsets within tissue sections22 , for the analysis of HSPC distribution in the context of whole longitudinal murine bone marrow femoral sections. Cryopreserved, non-decalcified, 5-µm-thick sections were systematically scanned using monochromatic laser light excitation, to generate a sequence of high-magnification fluorescent digital images that were assembled into a composite high-resolution image of the entire bone marrow section (Supplementary Fig. S1a). Individual cells were defined and quantified through software-based automatic segmentation of DAPI+ nuclei (Supplementary Fig. S1a, lower right panels). Positional information and emitted fluorescent signals in different channels were recorded on a per cell basis, allowing data representation and analysis in the form of tissue maps and scattergrams or histograms (Supplementary Fig. S1b). We initially employed LSC to determine the spatial distribution of a cellular subset enriched in haematopoietic progenitor cell content and defined by the expression of c-kit, the receptor for stem cell factor (SCF). As explained in the Methods section, autofluorescent cells were excluded from this analysis and isotype control stained sections were systematically scanned to determine base-line levels of fluorescence and define specific gates (Fig. 1a,b). c-kit+ cells were detected, labelled in high-resolution images throughout the bone marrow cavity (Fig. 1c) and plotted in tissue maps (Fig. 1d,e). To avoid marked differences in cellular content derived from the dissection plane, we restricted our analysis to bone marrow femoral sections in which both proximal and distal metaphysis were exposed and the diameter of the diaphysis was >800 µm. Quantitative analysis revealed no significant differences in the frequencies of c-kit+ progenitor cells in areas of trabecular (metaphysis) and cortical (diaphysis) bone marrow of femurs (Fig. 1d). The presence of c-kit+ cells along the width of the diaphyseal compartment was investigated by dividing the cavity into eight longitudinal regions (100–150 µm wide each) spanning the diameter of the diaphysis. This analysis uncovered a gradient in the 534 relative content of haematopoietic progenitors in different regions of the diaphysis; highest percentages of c kit+ progenitors were found in bone-proximal endosteal regions (5.59 ± 0.79%), progressively decreasing towards most central areas (2.68±0.47%; Fig. 1e). Given the crucial role of bone marrow microvasculature in the regulation of early haematopoietic events23,24 , we investigated the spatial relationship of c-kit+ progenitors and laminin+ microvessels. Initial observations revealed a strong tendency of c-kit+ progenitors to closely associate with bone marrow vascular structures (Fig. 1f), which was verified in 3D reconstructions obtained by confocal imaging of immunostained thick slices of femoral bone marrow (Supplementary Fig. S2 and Video S1). We next employed software-based segmentation of laminin+ vascular structures to create peripheral contours in which the perimeter of vessel walls was expanded by up to 10 µm (Fig. 1g). This enabled us to automatically discriminate perivascular (<10 µm from vessel) from non-perivascular populations (Fig. 1h) and determine that perivascular spaces are significantly enriched for c-kit+ progenitors (Fig. 1i). Therefore, we uncover a previously unknown tendency of haematopoietic precursors to spatially arrange according to a gradient throughout the diaphyseal cavity, and concentrate in perivascular areas of bone marrow parenchyma. HSPCs associate with blood vessels and preferentially localize in endosteal zones Next we determined the global distribution of three phenotypically defined populations increasingly enriched in HSPC content. First, c-kit+ cells lacking lineage marker expression, which encompass a heterogeneous subset of lineage committed progenitor cells with limited self-renewal capacity. Second, Sca-1+ c-kit+ (here on referred to as SK), which are mostly negative for lineage markers, and consist of multipotent progenitors, short-term and long-term repopulating stem cells25 . Finally, we tracked very rare Lineage− CD48− CD41lo/− c-kit+ cells, highly enriched for Lin− Sca-1+ c-kit+ CD48− CD150+ , which are mainly considered as long-term repopulating haematopoietic stem cells (HSCs) and are highly enriched in early HSPC progenitor activity (Supplementary Figs. S3a,b). LSC analysis of immunostained sections permitted rapid screening and confirmation of individual cells falling under the gates of interest by automatic relocation and visualization of high-resolution images in every fluorescent channel (Fig. 2a–f), which was necessary to exclude possible false positive cells. A total of 1,915 Lin− c-kit+ , 1,589 SK cells, and 312 Lin− CD48− CD41lo/− c-kit+ cells, were visualized and their distance to vascular structures and endosteal surfaces (detected by bone autofluorescence) was determined. HSPC populations were equally distributed in metaphysis and diaphysis of femoral cavities (Supplementary Fig. S3c). Within these regions, more primitive subsets were increasingly enriched in endosteal zones, defined as 100 µm from the closest bone surface (42.72 ± 2.6 of Lin− c-kit+ , 61.0 ± 3.3% of SK and 72.64 ± 4.8% of Lin− CD48− CD41lo/− c-kit+ cells; Fig. 2h). However, only a minority was found in direct contact or close proximity to endosteal surfaces (Fig. 2h). As expected, the average distance to endosteum of HSPCs residing in metaphysis was significantly lower than those in the diaphysis, where a detectable fraction of these cells resided in central regions, >200 µm away from the closest bone surface (Supplementary Fig. S3d,e). Notably, in all subsets (64.46 ± 3.2 of Lin− c-kit+ , 81.99 ± 2.1% SK and 70.70 ± 5.3% Lin− CD48− CD41lo/− c-kit+ ), most NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. TECHNICAL REPORT PM c-kit PM c-kit DAPI f Laminin b Isotype ctrl a 200 μm DAPI DAPI c-kit c-kit c 20 μm Gated c-kit+ gated Diaphysis Percentage of c-kit+ cells e DM 500 μm c-kit+ gated 7 6 5 4 3 2 1 0 50 μm NS g DAPI c-kit Laminin 20 μm MET DIA ∗∗∗ ∗ ER CMR h ER Non-perivascular DAPI Perivascular i Percentage of c-kit Percentage of c-kit+ cells d 7 6 5 4 3 2 1 0 c-kit DIA 6 5 4 3 2 1 0 ∗∗ Non- Perivasc. perivasc. Figure 1 Quantitative image analysis of the spatial distribution of c-kit+ cells in whole longitudinal femoral sections. (a) Low-magnification image of a longitudinal femoral bone marrow cryosection immunostained for DAPI (blue) and c-kit (green) (PM, proximal metaphysis; DIA, diaphysis; DM, distal metaphysis). (b) Representative LSC scattergrams of isotype control and c-kit-stained bone marrow sections used to quantify percentages of c-kit+ cells in different regions of the bone marrow in d,e. Intensity in the DAPI channel is shown in the x axis. Bone marrow cells contained in the c-kit+ gate in b can be automatically identified and visualized in high-resolution field images (c). (c) Representative image of a bone marrow stained for DAPI (blue) and c-kit (green) (top panel). Cells gated as positive based on fluorescence intensity in the c-kit channel are automatically marked by the LSC analysis software (green rectangles, bottom panel). (d) Representative tissue maps and frequencies of c-kit+ haematopoietic progenitors in the metaphysis (MET) and diaphysis (DIA) of femoral bone marrow (data are represented as mean ± s.e.m. calculated from n = 9 mice, a total of 17 sections were analysed). (e) Frequencies of c-kit+ progenitors in longitudinal gates, spanning the width of the diaphysis of femoral sections (representative gates in left panel). ER, endosteal regions; CMR, central medullary region (∗ P < 0.05 mean ± s.e.m. calculated from n = 7 mice, a total of 11 sections). (f) Image of the diaphysis of a bone marrow section co-stained for c-kit and laminin. White arrows label perivascular c-kit+ cells. See also Supplementary Video S1. (g) LSC analysis of perivascular cells in bone marrow sections. Laminin fluorescence signal is thresholded and an integration contour in which the original vascular structure is expanded by 20 pixels (10 µm in the original ×40 magnification) is defined to generate spatial gates containing only perivascular spaces (green outline, right panel). (h) Representative LSC dot plots of total bone marrow, perivascular and non-perivascular cell populations used to quantify cells in i. (i) Frequency of c-kit+ cells in perivascular and non-perivascular fractions (dashed line, frequency of total bone marrow; ∗∗ P < 0.01 mean ± s.e.m. calculated from n = 7 mice, a total of 10 sections analysed). cells localized in close adjacency to endothelium (<10 µm) throughout the entire bone marrow cavity, including densely vascularized periendosteal regions (Fig. 2g). These results offer a comprehensive view of the distribution of primitive HSPCs in bone marrow cavities, highlighting perivascular areas of bone-proximal regions as their preferred microenvironment. To rule out the possibility that a fraction of HSPCs reside inside blood vessels (as reported for immature B cells) we employed a previously described protocol for the in vivo quantification of intravascular populations26 . Injection of phycoerythrin-coupled anti-CD45 for very short periods of time before euthanasia results in the specific labelling of intravascular haematopoietic bone marrow populations, which can then be quantified by flow cytometry26 . Under steady-state conditions, the fraction of intravascular Lin− c-kit+ Sca-1+ (LSK) HSPCs and Lin− c-kit+ Sca-1− (LK+ S− ) is very low or undetectable (Supplementary Fig. S4–c and Supplementary Video S2). 3D study of bone marrow microvascular compartment While studying the relationship of HSPCs with blood vessels, we noticed the previously reported, heterogeneous nature of bone marrow microvasculature24,27–29 . The presence of diverse types of vascular structure in thin tissue sections was highly irregular and mostly dependent on the dissection plane. To gain global insight into the 3D structural relationship of diverse types of microvessel, we devised a unique methodology to study whole-mount stained femoral longitudinal slices (300–600 µm thick) using confocal or multiphoton microscopy. 3D reconstructions of optical sections of the diaphysis revealed a highly organized microvascular network in which central longitudinal Sca-1+ large arteries gave rise to smaller radial arteries, which in turn branched into arterioles as they migrated towards endosteal regions (Fig. 3a,b and Supplementary Video S3). Transition from arterial to venous circulation occurred right along, or in close proximity to, the endosteum, where the network of arterial vessels NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 535 TECHNICAL REPORT a b Lin c-kit * Lin Istp ctrl * Istp ctrl * c-kit c * 10 µm 100 µm * c-kit Istp ctrl d Isotype ctrl Istp ctrl Laminin DAPI c-kit Sca-1 * * Sca-1 LinCD41CD48 Istp ctrl e Istp ctrl * 10 µm 100 µm c-kit f Percentage of cells adjacent to vasculature ** g h 100 Laminin DAPI c-kit LinCD48CD41 ** * 80 60 * 40 * 20 0 Lin-c-kit+ SK 10 µm Lin-CD48– CD41lo/-c-kit+ 100 µm Laminin DAPI 40 Freq. of population (%) Lin–c-kit+ SK 30 Lin–CD48-CD41lo/–c-kit+ 20 10 0 0–10 11–20 21–30 31–40 0–100 41–50 51–100 100–200 200–300 300–400 400–500 >500 Distance to bone (µm) Figure 2 Most HSPCs lie in direct contact with bone marrow microvessels. Mapping of three subsets of committed progenitors and HSPCs in bone marrow cavities using LSC. Isotype control (Istp ctrl) stained sections were used to determine specific gates. Individual HSPCs falling in the target gates were systematically visualized and confirmed. (a–f) Representative dot plots of bone marrow femoral sections stained for different combinations of HSPC markers, and images of examples (marked by asterisks) of Lin− c-kit+ (a,b), SK (c,d) and Lin− CD48− CD41lo/− c-kit+ (e,f) cells. (g) Frequency of perivascular (<10 µm from nearest blood vessel) Lin− c-kit+ , SK and Lin− CD48− CD41lo/− c-kit+ cells. (h) Histogram showing the distribution of the distances of Lin− c-kit+ (mean ± s.e.m. calculated from n = 3 mice, a total of 3 sections and 1,915 individually validated cells), SK (n = 8 mice, 8 sections and 1,589 individually validated cells) and Lin− CD48− CD41lo/− c-kit+ HSPC (n = 4 mice, 8 sections and 312 individually validated cells) populations to nearest bone surface. progressively transformed into wider, irregularly shaped Sca-1lo/− sinusoids (Fig. 3b,c, and Supplementary Video S4). Sinusoidal vessels extended back into the cavity, forming frequent anastomosis and eventually coalescing into a big collecting central sinus into which the venous circulation drains (Fig. 3c and Supplementary Video S5). The vascular compartment of the metaphysis was less structured. We 536 NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. TECHNICAL REPORT a c Diaphysis Laminin Bone a s cs s ev b d Laminin ev Bone ev Laminin 25 µm 100 µm 200 µm Sca-1 Laminin Metaphysis Sca-1 Bone 100 µm Sca-1 200 µm e s a Laminin a s Sca-1 a 50 µm 50 µm Figure 3 3D study of bone marrow microvasculature heterogeneity. (a) Representative 3D reconstruction of the femoral diaphysis stained with laminin (green) and Sca-1 (red). Sca-1+ arteries run centrally along the diaphysis, emitting branches of smaller arterial vessels, which gradually narrow as they run laterally towards endosteal surfaces. (b,c) Within endosteal regions, lamininhi Sca-1+ endosteal vessels give rise to Sca-1− sinusoids, which return towards the central area of the diaphysis and coalesce in the draining central sinus (shown in c). ev, endosteal vessels; a,arteries; s,sinusoid; cs,central sinus. Bone surfaces are shown in blue as revealed by second-harmonic generation signals. (d) 3D overview of arterial and sinusoidal networks in the femoral metaphysis. (e) Transition from arterial to sinusoidal vessels (white arrow) in the endosteal surface of trabecular bone areas. See also Supplementary Videos S3–S7. observed Sca-1+ arteries entering the bone marrow through the bone cortex, migrating longitudinally towards the diaphysis (Fig. 3d and Supplementary Video S6) and giving rise to smaller arterioles that frequently ran along the surface of the trabecular bone and drained into sinusoids (white arrow Fig. 3e and Supplementary Video S7). These experiments revealed that densely vascularized endosteal zones contain a unique circulatory system. On the basis of morphological criteria and differential expression of Sca-1 and laminin, we were able to discriminate between sinusoidal and non-sinusoidal endothelium in thin tissue sections and quantify the interactions of HSPCs with different types of bone marrow microvessel (Fig. 4a,b). Most perivascular Lin− CD48− CD41lo/− ckit+ cells directly associated with sinusoidal endothelium (Fig. 4c). However, 12.0 ± 2.6% of this population and 36.72 ± 5.0% of SK cells were found to lie adjacent to non-sinusoidal endosteal vessels, or central and radial arteries expressing high levels of Sca-1 and laminin (Fig. 4b.c). Thus, HSPCs, in particular SK multipotent progenitors, directly interact with structurally diverse bone marrow microvessels. hypoxic probe Pimo (refs 13,14). Interestingly, not only long-term HSCs (LSKCD34− ), but Lin− Sca-1+ c-kit+ (LSK) and LK+ S− cells, containing mostly committed progenitors, avidly incorporated Pimo as measured by flow cytometry (Fig. 5a,b). The hypoxic nature of HSPCs has been proposed to derive from their residency in endosteal regions and relatively distant from blood vessels13,18,20 , in apparent contradiction with our demonstration of their perivascular localization. We sought to clarify this discrepancy by employing 5-colour imaging cytometry to simultaneously analyse the spatial distribution of different bone marrow cell subsets and levels of Pimo incorporation in situ. Pimohi cells were scattered throughout the bone marrow exhibiting no apparent spatial patterning (Fig. 5c,d). In accordance with our fluorescence-activated cell sorting (FACS) results, the Pimo-specific signal was significantly increased in c-kit+ progenitors when compared with total bone marrow or B220+ cells (Fig. 5e,f). Strikingly, throughout the bone marrow we frequently observed Pimohi perivascular c-kit+ progenitors, directly adjacent to Pimolo/neg B220+ cells sharing the same extracellular environment (Fig. 5d). A detailed analysis revealed that Pimo incorporation of c-kit+ , B220+ or total bone marrow cells was not defined by their residency in the metaphysis or defined regions of the diaphysis, nor by their distance to blood vessels (Fig. 5f–h and data not shown). Thus, the hypoxic phenotype of haematopoietic progenitor populations is cell specific rather than location dependent. Haematopoietic progenitors exhibit a hypoxic state irrespective of their localization in the bone marrow HSPCs are considered relatively hypoxic when compared with other bone marrow populations, as measured by incorporation of the NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 537 TECHNICAL REPORT Laminin a c 2 2 1 DAPI 1 b DAPI c-kit ∗ Artery 1 3 3 Sca-1 ∗ ∗ ∗ Laminin ∗ Merge ∗ ∗ ∗ ∗ Endosteal vessel Sinusoid 2 Percentage of perivascular cells c-kit Sca-1 500 μm 100 20 μm 90 Lin – CD48 – CD41lo/–c-kit + 80 SK 70 60 50 40 30 20 10 0 Sinusoidal Non-sinusoidal 2 *∗ ∗ *∗ 20 μm 3 ∗ ∗ ∗ 20 μm Figure 4 HSPCs directly interact with structurally and phenotypically diverse types of bone marrow microvessel. (a) Low-magnification immunofluorescence micrograph of a whole femoral section stained for laminin (red), DAPI (blue), c-kit (green) and Sca-1 (magenta). Lower panel shows the enlarged image of a section of the diaphysis in which central arteries (Sca-1+ laminin+ ), sinusoids (laminin+/lo Sca-1−/lo ) and endosteal vessels (Sca-1+ laminin+ ) can be visualized. (b) High-resolution images enlarged from the outlined areas in a depicting examples of SK progenitors (marked by white asterisks), interacting with arteries, sinusoids and endosteal vessels. (c) Quantification of the percentages of perivascular SK progenitors and Lin− CD48− CD41lo/− c-kit+ cells in contact with sinusoidal and non-sinusoidal endothelium (mean ± s.e.m. calculated from n = 8 mice, a total of 8 sections and 1,589 cells and n = 4 mice, a total of 8 sections and 312 individually validated cells, respectively). Pimo incorporation of primitive HSPC populations is unrelated to localization in bone marrow endosteal zones or to cycling status To further confirm the independence of the hypoxic status of HSPCs from their positioning near endosteal surfaces, we performed an in-depth study of SK cell distribution and levels of Pimo incorporation. Again, perivascular SK cells exhibited an enhanced Pimo signal when compared with that of bone marrow cells (Fig. 6a,b). Of note, the mean fluorescence intensity (MFI) in the Pimo channel was consistently increased in SK cells found at distant sites from bone, mainly in the diaphysis, compared with those in the proximity of endosteal surfaces (Fig. 6c). Therefore, contrary to what has been proposed18,20 , endosteal areas of bone marrow do not harbour the most hypoxic HSPCs. Notably, AMD3100-mobilized circulating, as well as splenic HSPCs, incorporated high levels of Pimo, comparable to those of bone marrow HPSCs (Fig. 6d), further reinforcing the notion that the hypoxic status of HSPCs is preserved throughout different environments of the entire organism. Of note, despite the proposed link between hypoxia and quiescence, we found that non-dividing HSPCs in G0 incorporate similar levels of Pimo to those in the G1 phase of the cell cycle (Fig. 6e,f). cells exhibited homogeneous expression of HIF-1α, as measured by flow cytometry (Fig. 7a). In accordance, robust HIF-1α expression of c-kit+ progenitors was detected in immunostained bone marrow sections using LSC (Fig. 7b). c-kit+ cells localized throughout the different regions of the bone marrow expressed HIF-1α at comparable levels (Fig. 7c,d), regardless of their perivascular localization (Fig. 7e). Similarly, we visualized perivascular SK HSPCs expressing high levels of HIF-1α, irrespective of their distance to the nearest endosteal surface (Fig. 7f). Moreover, splenic HSPCs conserved similar HIF-1α expression levels to bone marrow-residing HSPCs (Fig. 8a). Altogether, our results demonstrate that HIF-1α stabilization in HSPCs occurs independently of the possible differences in oxygenation registered at different anatomical sites. Finally, we examined HIF-1α expression levels in cycling and non-cycling cells. Entry into cell cycle did not result in significant changes in HIF-1α expression of HSPCs (Fig. 8b). Remarkably, highly proliferating HSPCs found in murine bone marrow during the recovery phase post-treatment with the cytotoxic agent 5-fluorouracil (5-FU; 7–9 days), exhibited increased levels of Pimo incorporation and HIF-1α expression (Fig. 8c,e). As observed during homeostasis, Pimohi and HIF-1αhi cells were found in direct contact with disrupted vascular structures throughout the entire bone marrow cavity after 5-FU treatment (Fig. 8d,f). In conjunction with the Pimo incorporation data, these findings clearly demonstrate that the characteristic hypoxic profile of HSPCs is not exclusive of quiescent HPSCs but retained during cycling and on proliferative stress. HSPCs exhibit stable expression of HIF1-α independently of proximity to blood vessels, localization in bone marrow and cell-cycle status As for Pimo incorporation, stable expression of HIF-1α in HSPCs is thought to result from residency in specific hypoxic regions of the bone marrow. Notably, not only LSKCD34− and LSKCD34+ , but LK+ S− 538 NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. TECHNICAL REPORT a ∗∗ b LSKCD34+ LSKCD34– Laminin/Pimo e Endosteal region Central marrow Laminin/Pimo 200 200 μm Pimo injected e PBS injected 200 μm Pimo injected f c-kit+ Pimo Laminin/Pimo/c-kit/B220 Laminin/Pimo/c-kit/DAPI 50 μm s s 50 μm ∗ B220+ ∗∗ 1,000 MFI Pimo (a.u.) B220+ s BMC BMC Laminin/Pimo/c-kit BMC B220+ LK+S- CD34+ CD34LSK s c-kit+ ∗ 800 600 400 h 1,600 Non-perivasc 1,200 800 400 0 200 0 g MFI Pimo (a.u.) PBS njected d e Cell number 400 0 e e 600 PM DIA ER CMR ER Perivasc Pimo MFI Pimo (a.u.) c LK+S– 800 Cell number B220+ Total born marrow ΔMFI Pimo (AU) PBS Pimo 1,200 1,000 800 600 400 200 0 NS Non- Perivasc. perivasc. DM Figure 5 c-kit+ progenitors exhibit a hypoxic status regardless of their perivascular localization and distribution in the bone marrow cavity. (a) Representative flow cytometry histograms of Pimo incorporation (green) of total bone marrow cells, B220+ cells, LS− K (Lin− c-kit+ Sca1− ) progenitors, short-term HSCs (LSKCD34+ ) and long-term HSCs (LSKCD34− ). Grey histograms depict background levels of Pimo staining in PBS-injected control mice. (b) Quantification of the shift in the mean fluorescence intensity of the different bone marrow populations in the Pimo channel (1MFI, in fluorescence arbitrary units) from mice injected with Pimo compared with non-injected Pimo controls (n = 7 mice; ∗∗ P < 0.01). (c) Images of femoral sections of control PBS-injected mice and Pimo-injected mice stained with anti-Pimo (e, endosteum). (d) Representative images showing multiple examples of perivascular c-kit+ cells brightly stained for Pimo (white arrows) in both endosteal and central marrow regions. Pimohi c-kit+ cells are found in many cases adjacent to B220+ Pimo− cells (orange arrows). s, sinusoids. (e) LSC analysis of sections stained for Pimo. Representative histograms used to quantify the MFI in the Pimo-specific channel of total bone marrow cells, B220+ cells and c-kit+ cells in total bone marrow sections. (f) MFI of the Pimo fluorescence signal of total bone marrow cells, B220+ cells and c-kit+ cells localized in the diaphysis (DIA) and the proximal and distal metaphysis (PM and DM, respectively; mean ± s.e.m. calculated from n = 5 mice and a total of 9 sections; ∗ P < 0.05, ∗∗ P < 0.01). (g) Quantification of Pimo signal (MFI) of c-kit+ cells present in consecutive longitudinal regions of the diaphysis as shown in Fig. 1e. ER, endosteal regions; CMR,central medullary region (mean ± s.e.m. calculated from n = 6 mice and a total of 9 sections). (h) Representative histograms of the fluorescence intensity (left) and quantification of the MFI (right) in the Pimo channel of non-perivascular and perivascular c-kit+ cells (mean ± s.e.m. calculated from n = 7 mice and a total of 14 sections; NS, not significant). DISCUSSION In this study, we employ a quantitative imaging approach to systematically map phenotypically defined HSPC subsets in the context of entire bone marrow femoral sections. Haematopoietic progenitors exhibit a tendency to accumulate in endosteal zones, which becomes increasingly pronounced in primitive HSPC subsets and therefore seems to be hierarchically regulated. Of note, only a minority of HSPCs is observed in direct contact with endosteal surfaces. Contrary to findings of previous studies, which investigated the localization of transplanted HSPCs or long-term DNA-label-retaining cells4,6,7 , our results indicate that direct adjacency to bone-lining osteoblasts is not required. Regardless of their spatial relationship to bone surfaces, most HSPCs, as well as haematopoietic progenitors with restricted self-renewal capacity, lie adjacent (<10 µm) to bone marrow microvessels. Our findings further extend previous observations8–10 , by demonstrating that vascular adjacency is not a feature only of primitive HSCs but also of their immediate progeny, including SK cells, as well as Lin− c-kit+ multipotent progenitors. In conjunction with previous work30 , these results may indicate a functional role of the interaction of c-kit with its ligand SCF, expressed mostly by perivascular stromal cells12 , in the functional positioning of progenitors in the vicinity of bone marrow microvessels. The widespread distribution of HSPCs throughout substantially large areas of the bone marrow raises the possibility that, unlike what happens in other model systems such as intestinal crypt stem cells, no rigorous spatial constraints apply for HSPC localization within bone marrow. In this scenario, HSPC maintenance capacity would not be restricted to a limited number of spatially confined physical entities, but rather correspond to an extended property of bone marrow parenchyma, which is pervasively infiltrated by dense vascular and stromal cell networks with HSPC supportive capacity9,12 . Alternatively, HSPCs could be strictly required to physically interact NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 539 TECHNICAL REPORT a c-kit Sca-1 ∗ Pimo ∗ Laminin DAPI Merge ∗ ∗ 10 μm ∗ ∗ ∗ ∗ 10 μm 2,000 d ∗ LSK ∗ 1,500 1,600 MFI Pimo (AU) 1,250 1,000 750 500 1,200 800 Pimo Born marrow Blood 400 250 0 BMC c-kit+ Spleen 100–200 200–300 300–400 400–500 Distance to endosteum (μm) f LSKCD34– 800 G1 S/G2/M Ki67 104 105 103 0 Pimo 103 104 105 DAPI (DNA) NS S/G2/M G0 G1 600 103 G0 0 G1 104 NS 700 ΔMFI (AU) 105 Ki67 0–100 LSKCD34+ e Percentage of max 0 SK G0 0 0 Percentage of max MFI Pimo (AU) ∗ c ∗∗ Percentage of max b 103 104 105 DAPI (DNA) 500 400 300 200 G0 G1 100 0 LSKCD34+ LSKCD34– Figure 6 The hypoxic status of HSPCs is independent of their localization in bone marrow regions and their cycling status. (a) Representative images of perivascular SK cells that strongly stained for Pimo (marked by white asterisks). (b) LSC-quantified Pimo-specific signal for total bone marrow cells, c-kit+ progenitors and SK cells (mean ± s.e.m. calculated from n = 3 mice and a total of 3 sections; ∗ P < 0.05, ∗∗ P < 0.01). (c) Quantification of Pimo fluorescence signal of SK cells located at various distances from nearest bone surface (mean ± s.e.m. calculated from n = 3 mice, a total of 3 sections and 742 individually validated SK cells, ∗ P < 0.05). (d) Pimo incorporation of LSK HSPCs present in bone marrow, circulating blood and spleen after mobilization with AMD3100. (e,f) Flow cytometric analysis of Pimo incorporation of LSKCD34+ and LSKCD34− at different stages of the cell cycle. (e) Bottom panels show representative histograms of Pimo-specific fluorescence signal for fractions of each population at G0 and G1 . (f) Quantification of Pimo intensity for LSKCD34+ and LSKCD34− HSPCs in G0 and G1 (n = 6 mice). NS, not significant. For source data for graphs presented in b,c, see Supplementary Table S3. with rare niche cell subsets, not investigated in this report, which would provide specific cues to instruct maintenance of HSPCs. Supporting this hypothesis is the recent description of bone marrow GFAP+ non-myelinating Schwann cells, which lie adjacent to a fraction of HSPCs and promote TGF-ß-dependent HSPC quiescence31 . New imaging methods enabling in situ multidimensional analysis will be instrumental to elucidate whether HSPC-specific properties vary as a result of anatomical localization. Of particular relevance is our finding that hypoxic features seem to be physiologically inherent to HSPCs and independent of their confinement in defined tissue regions and organs or their spatial relationship to blood supply. In line with previous reports14,32 , our results challenge the pervasive view that the hypoxic status of HSPCs directly results from their residence at sites of minimal oxygen availability of the bone marrow, traditionally proposed to correspond to endosteal surfaces as opposed to well-perfused and oxygenated perivascular niches18,20 . Pimo is the most widely used and best characterized hypoxic marker in terms of molecular mechanism16 . Pimo competes with intracellular oxygen to bind electrons released from the electron transport chain, converting into a reduced derivative 540 NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. TECHNICAL REPORT 104 3 3 10 10 102 0 102 0 0 LSKCD34+ 100 K 200 K 105 104 104 103 103 2 2 100 K 200 K 10 0 0 100 K c 0 200 K 5 100 K 200 K 5 10 10 104 104 103 103 HIF-1α Isotype ctrl BMCs 0 105 10 0 LSKCD34– b 2 10 0 0 100 K 102 0 0 200 K FSC-H 100 K 200 K FSC-H 3,000 c-kit+ Isotype ctrl ∗∗∗ ∗∗∗ HIF-1α ∗∗∗ d MFI HIF-1α (a.u.) 105 104 Cell number LK+S– 105 MFI HIF-1α (a.u.) a 2,500 2,000 1,500 1,000 500 0 PM e isolectinB4 HIF1-α c-kit DIA 2,800 2,400 2,000 1,600 1,200 800 400 0 DM ER CMR ER DAPI 20 μm c-kit Sca-1 ∗ ∗ ∗ HIF1-α ∗ ∗ isolectinB4 DAPI Merge ∗ ∗ ∗ ∗ ∗ 13 μm f 10 μm ∗ ∗ ∗ ∗ 67 μm ∗ Endosteal 200 μm 20 μm ∗ ∗ ∗ ∗ ∗ ∗ ∗∗ ∗∗ ∗ ∗ ∗ 290 μm 10 μm Central ∗ ∗ 401 μm 10 μm 10 μm Figure 7 Stable HSPC expression of HIF-1α is not dictated by localization in the bone marrow. (a) Flow cytometric analysis of intracellular HIF-1α expression in subsets of haematopoietic progenitors and HSPCs. (b) Representative LSC-obtained histograms depicting HIF-1α expression of total bone marrow cells and c-kit+ progenitors in immunostained bone marrow femoral sections. (c) MFI of the Pimo fluorescence signal of total bone marrow cells, and c-kit+ cells localized in the diaphysis (DIA) and the proximal and distal metaphysis (PM and DM, respectively; mean ± s.e.m. calculated from n = 5 mice, a total of 10 sections ∗∗∗ P < 0.005). (d) Quantification of HIF-1α expression (MFI) of c-kit+ cells present along consecutive longitudinal regions of the diaphysis (mean ± s.e.m. calculated from n = 5 mice and a total of 10 sections). (e) Representative images depicting multiple examples of HIF-1α+ c-kit+ cells (white arrows) in direct contact with isolectin B4+ vessels in the context of a large area of a bone marrow femoral section. (f) Images of perivascular HIF-1α-expressing, Sca-1+ c-kit+ cells in central and endosteal areas of the bone marrow (marked by asterisks). Distances to the closest endosteal surface are indicated. that in turn incorporates into proteins. Thus, Pimo incorporation levels indirectly reflect an intracellular state in which oxygen influx is insufficient to absorb the production of electron release16 . This status is prominently induced in most cells subjected to extremely low oxygen supply, such as those present in avascularized areas of solid tumours. However, we find that within the range of homeostatic oxygen tensions estimated to exist in bone marrow tissues (1–6%; refs 18,20), different cell types exhibit significant disparities in Pimo binding, despite being physically adjacent and sharing similar extracellular oxygen availability. Thus, it is conceivable that the relatively increased Pimo incorporation capacity of HSPCs compared with other cell subsets derives not directly from different oxygenation, but from their NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 541 TECHNICAL REPORT LSKCD34– LSK HIF-1α HIF-1α c 1,400 CTRL 5-FU Pimo 400 0 CTRL 5-FU DAPI 5,000 CTRL Endoglin 4,000 3,000 2,000 50 μm 1,000 0 5-FU 600 f 6,000 HIF-1α 800 CTRL 5-FU HIF-1α 5-FU ∗ 7,000 ΔMFI HIF-1α (a.u.) 50 μm Percentage of max CTRL CTRL Percentage of max DAPI e 1,000 200 Pimo d ∗∗∗ 1,200 ΔMFI Pimo (a.u.) LSKCD34+ LK+S– Laminin G0 G1 Percentage of max b Born marrow Spleen Percentage of max a 5-FU 50 μm 50 μm Figure 8 HIF-1α expression on cycling and actively proliferating HSPCs. (a) Expression of HIF-1α in HSPCs and haematopoietic progenitors from bone marrow and spleen. (b) Flow cytometric analysis of HIF-1α expression in HSPCs in different stages of the cell cycle. (c) Representative histograms and quantification of Pimo incorporation of LSK cells in control and 5-FU-treated mice (7–9 days post-treatment), n = 8 mice ∗∗∗ P < 0.005. (d) Images of bone marrow sections from control and 5FU-treated mice stained for Pimo and vascular markers. (e) Representative histograms and quantification of HIF-1α expression of LSK cells in control and 5-FU-treated mice (7–9 days post-treatment). n = 5 mice ∗ P < 0.05. (f) Images of bone marrow sections from control and 5-FU-treated mice stained for HIF-1α and vascular markers. Pimo+ and HIF-1α+ cells localize in close contact with disrupted vascular structures during the recovery phase post 5-FU treatment. distinctive metabolic dynamics, which result in a relative deficiency of intracellular electron acceptors. In this regard, it is important to note that HIF-1α is a master regulator driving the remodelling of the metabolic machinery of HSPCs towards anaerobic glycolysis15 . Our study shows that HIF1α expression in HSPCs is again not determined by their spatial localization in bone marrow. This finding can be explained by the fact that oxygen-dependent molecular mechanisms targeting HIF-1α for rapid degradation are gradually activated at oxygen concentrations above 5% (refs 18,33), and are therefore probably not the limiting factor regulating HIF-1α expression levels in the context of bone marrow microenvironmental conditions. Furthermore, oxygen-independent mechanisms are known to promote stabilization of HIF-1α in HSPCs even under saturating oxygen conditions34,35 . Our findings are further supported by the fact that human circulating HSPCs conserve HIF-1α expression36 and that HSPCs maintain a typical hypoxic transcriptional program several hours after incubation at ambient oxygen pressures15 . In light of our results, it seems reasonable to conclude that the so-called hypoxic status of HSPCs is related to cell-specific mechanisms derived from their glycolytic metabolic profile, rather than measurable differences in intracellular oxygen levels or environmental oxygen availability. Thus, instead of hypoxic, HSPCs would be best described as low oxidative phosphorylation cells. Notably, although quiescence has been proposed to relate to the hypoxic/metabolic phenotype of HSPCs (refs 37,38), we demonstrate that hypoxic features are not exclusive to quiescent HSPCs. Further studies are required to determine the physiological implications of the referred metabolic profile, as well as how it functionally relates to other HSPC-specific properties such as self-renewal and multipotency. Although not crucial for the metabolic phenotype of HSPCs, it is still reasonable to assume that regional differences in bone marrow environmental oxygen tensions may participate in the control of differentiation pathways, cell cycle and oxidative stress in haematopoietic cells in general21,39 . Nonetheless, the assumption that endosteal areas are less oxygenated relative to central portions of the marrow is not sustained from an anatomical standpoint. As previously reported for bone marrow cavities of mouse calvaria40 , we provide evidence that endosteal surfaces of long bones are as highly vascularized as central bone marrow regions, and contain the transition from arteriolar to sinusoidal/venous circulation, where most of the oxygen exchange from blood to tissues is thought to occur41 . A future challenge lies in determining the thus far poorly understood dynamics of oxygen availability in bone marrow parenchyma and its impact in haematopoietic physiology. Anatomical subdivision in diverse functional microenvironments is thought to underlie the complexity and plasticity of diverse blood cell production in the bone marrow. Here we employ a technology that proves invaluable to quantitatively study cell-specific niche distributions and analyse cellular features of rare populations in highly complex tissues. We offer unequivocal anatomical evidence to support an alternative view to the widely accepted notion of a super hypoxic HSPC niche in the bone marrow. The application of these quantitative and 3D imaging techniques to bone marrow and other organs sustained 542 NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. TECHNICAL REPORT by rare stem cell populations will provide important insights into the sophisticated regulation of tissue homeostasis. METHODS Methods and any associated references are available in the online version of the paper. Note: Supplementary Information is available in the online version of the paper ACKNOWLEDGEMENTS We are grateful to D. Rossi, L. Purton and C. P. Lin for critical reading of the manuscript and thank the Compucyte Corporation team for helpful advice. C.N-A. was a recipient of Human Frontiers in Science Program long-term fellowship 00194/2008-L. This work was financially supported in part by a seed grant from the Harvard Stem Cell Institute. L.E.S. is supported by grants P01 HL095489 and R01 HL093139, and contract HHSN268201000009C from the National Heart Lung and Blood Institute, USA. AUTHOR CONTRIBUTIONS C.N-A. designed and performed experiments, analysed data and wrote the manuscript. G.P., B.W., K.J.C., S-Y.P. and J.L. performed experiments. B.H. participated in the design of the study. J.E.M. and A.P. provided technical help. L.E.S. designed the study and wrote the manuscript. COMPETING FINANCIAL INTERESTS The authors declare no competing financial interests. 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Hypoxia-inducible factors, stem cells, and cancer. Cell 129, 465–472 (2007). 40. Lo Celso, C. et al. Live-animal tracking of individual haematopoietic stem/progenitor cells in their niche. Nature 457, 92–96 (2009). 41. Pittman, R. N. Oxygen transport and exchange in the microcirculation. Microcirculation 12, 59–70 (2005). NATURE CELL BIOLOGY VOLUME 15 | NUMBER 5 | MAY 2013 © 2013 Macmillan Publishers Limited. All rights reserved. 543 METHODS DOI: 10.1038/ncb2730 METHODS Mice. Adult C57/B6 mice (6–12 weeks old) were purchased from Jackson Laboratories or Taconic. All animal experiments were approved and monitored by the Children’s Hospital Animal Care and Use Committee. In all experiments mice were euthanized by CO2 asphyxiation. Antibodies. A complete list of antibodies and protocols used for flow cytometry and immunofluorescent staining of HSPCs, vascular structures and hypoxyprobe Pimo in bone marrow cryosections is provided in Supplementary Tables S1 and S2. Immunofluorescence microscopy of bone marrow sections. To achieve rapid in situ fixation of tissues, mice were perfused post-mortem with 10 ml paraformaldehyde–lysine–periodate (PLP) fixative through the vena cava. Bones were isolated, further fixed in PLP for 4–8 h, rehydrated in 30% sucrose solution for 48 h and snap frozen in OCT (TissueTek). Whole longitudinal single-cell-thick (5 µm) femoral cryosections were obtained using a Leica Cryostat and the Cryojane tape transfer system (Leica Microsystems). Detailed experimental procedures employed for immunofluorescent staining of different HSPC populations, hypoxic markers and vascular structures are provided in Supplementary Table S1. LSC analysis. LSC was performed with an iCys Research Imaging Cytometer 4-laser system (Compucyte) equipped with 4 laser lines (405, 488, 561 and 633 nm) and 4 detectors with the following filter sets 450/40, 521/15, 575/50 and 650/LP. Cryosections exhibiting damage or alteration of the microstructure of the bone marrow parenchyma were discarded for scanning or analysis. Sections exhibiting preserved integrity in all regions of the bone marrow (both metaphysis and diaphyseal cavity) were selected, scanned and subsequently analysed entirely. Each section was first scanned with a ×10 objective using the 405 nm laser to generate low-resolution images of the DAPI-stained nuclei and obtain a general view of the bone marrow. Subsequently, sections were divided into small regions that were scanned with a ×40 dry objective lens at a spatial resolution of 0.25 mm stage step size to create high-resolution field images of the whole bone marrow cavity (Supplementary Fig. S1). Lasers were selected according to fluorescent dyes used in each individual staining (Supplementary Table S1) and used to scan bone marrow sections in independent passes to avoid the need for signal compensation. Detector levels were set according to background fluorescence of isotype control stained sections, which were always scanned in parallel to stained samples. Data were analysed from raw, unprocessed images, post-acquisition using iCys Cytometric Analysis Software (Compucyte). Bone marrow autofluorescent cells were typically identified by collection of the red signal (filter set 575/50) after excitation with the 405 nm laser. This strategy allowed exclusion of autofluorescent events (∼3–5%) of total bone marrow from our analysis. Images were saved in iCys and exported into Photoshop (Adobe) for processing. Generation and whole-mount immunostaining of femoral bone marrow slices for microscopy. To generate thick femoral bone slices, femurs were collected and processed as described above. OCT-embedded frozen femurs were iteratively sectioned using a cryostat until the bone marrow cavity was fully exposed along the longitudinal axis. Bone was then reversed and the procedure was repeated on the opposite face of the bone until a thick slice of bone marrow was obtained. OCT freezing medium covering the sample was removed, and slices were washed with PBS and blocked overnight at 4 ◦ C in blocking solution (0.2% Triton/1%BSA/10% donkey serum/PBS). Bone marrow slices were stained with rabbit anti-laminin and rat anti-Sca-1 for 3 days in blocking solution, washed overnight in PBS and stained with DyLight488 donkey anti-rabbit IgG and DyLight549 or DyLight649 donkey anti-rat IgG. Whole-mount stained slices were then washed in PBS and incubated overnight in FocusClear (CelExplorer Lab). For observation under the confocal microscope, bone marrow slices were embedded in FocusClear and mounted on glass sldes. Confocal and multiphoton microscopy. Multiphoton microscopy was performed with an Olympus BX50WI microscope equipped with a Bio-Rad radiance 2,000 MP confocal/multiphoton microscopy system controlled by Laser-Sharp software (Bio-Rad Laboratories). For multiphoton excitation a MaiTai Ti:sapphire laser (Spectra-Physics) was tuned to 800 nm and stacks of x–y optical sections were sequentially acquired along the z axis at variable step sizes. Second-harmonic generation of bone tissue was detected through a 400/40 nm band-pass filter and fluorescent emitted light through 525/50 nm and 620/100 nm band-pass filters with non-descanned detectors to generate multi-colour images. Confocal microscopy was performed with a Zeiss LSM510 system. Image stacks were processed and rendered into 3D volumes using Volocity Software (Improvision) and ImageJ. Flow cytometric assessment of the hypoxic profile of bone marrow, spleen and peripheral blood populations. The hypoxic status of bone marrow cells was assessed using Hypoxyprobe-1 Plus Kit (HPI) as previously described13 . In brief, 6–12-week-old mice were intraperitoneally injected with 60–120 mg kg−1 Pimo 90 min before euthanasia. One femur and one tibia were prepared for cryosectioning and immunofluorescent staining; the contra-lateral limb bones were used for FACS analysis. Bone marrow cell suspensions were stained for cell-surface markers and permeabilized using IntraPrep Kit (Beckman Coulter) or Cytofix/cytoperm Kit (BD Biosciences). Intracellular Pimo adducts were labelled with FITC-conjugated mouse anti-Pimo. PBS-injected mice were used as controls to detect baseline levels of anti-Pimo antibody binding. Intracellular expression of HIF-1α was determined by staining with PE-conjugated mouse anti-HIF-1α (R&D) compared with PE-conjugated mouse IgG. Stained cell suspensions were analysed by FACS. For simultaneous cell-cycle analysis, PE or APC anti-Ki67 (BD Biosciences) were added after permeabilization and cells were incubated in DAPI (2 µM) 20 min before analysis. In some cases, for assessment of blood and spleen LSK populations, mice were treated with AMD3100 (10 mg kg−1 ) 60 min before euthanasia. In some experiments mice were treated with 250 µg g−1 of 5-FU (APP Pharmaceuticals) to determine the effect of chemotherapy on the hypoxic profile of HSPCs. Colony-forming unit assay. For colony-forming unit in culture (CFU-C) assays, freshly collected bone marrow cells were fluorescently stained for HSPC markers and populations of interest were sorted using a BD FACSAria sorter. Lin− CD48− c-kit+ (300 cells per 35 mm Petri dish) and Lin-Sca-1+ c-Kit+ (LSK, 300 cells per 35 mm Petri dish), were cultured for CFU-Cs in methylcellulose IMDM medium (MethoCult GF M3434, StemCell Technologies) containing glutamine, 2-mercaptoethanol, IL-3, SCF, IL-6 and erythropoietin according to the manufacturer’s instructions. Fresh whole bone marrow (WBM, 20,000 cells per 35 mm Petri dish) cells were used as a control. Colonies were counted after 7–12 days of culture at 37 ◦ C, 5% CO2 in a humidified incubator. Labelling of intravascular populations of the bone marrow. Specific labelling of bone marrow intravascular populations in vivo was performed as previously described26 . In brief, mice were injected with 1 µg PE- or PECy7-conjugated rat anti–mouse CD45 (BD Biosciences) in a total volume of 100 µl of PBS. Mice were euthanized 2 min after injection and bone marrow from femurs and tibiae was collected. Bones were crushed with a mortar and pestle, single-cell suspensions were obtained in PBS 2% FCS and red blood cells were removed with ACK lysis buffer. Bone marrow cell suspensions were then blocked using anti-mouse CD16/32 (BD Pharmingen) and stained with monoclonal antibodies against HSPC markers. In some cases, bones were processed for analysis under the confocal microscope. Statistical analysis. Statistical significance was determined using a two-tailed unpaired Student t -test (Prism Software, Graphpad). Data are always expressed as mean±s.e.m.. For graphs representing LSC data, single femurs from different mice analysed were considered as independent data points (n = number of mice). In cases in which multiple sections from a single femur were analysed, the results were treated as technical replicates, which were averaged and considered as one single independent sample for statistical purposes. The number of independent samples, and the total number of sections analysed in each experiment are provided in the figure legends. Statistical significance and P values are indicated by asterisks and specified in the figure legends. NATURE CELL BIOLOGY © 2013 Macmillan Publishers Limited. All rights reserved. S U P P L E M E N TA R Y I N F O R M AT I O N DOI: 10.1038/ncb2730 Nombela-Arrieta and Silberstein Supplementary Figure 1 a 10x DAPI field images 200µm Tissue map X contoured cells 50µm Dot plot antigen X Y b 40x DAPI Figure S1 Laser Scanning Cytometry of bone marrow microenvironments. (a) Workflow of global LSC-based analysis of BM populations in femoral cavities. Whole longitudinal, 5 µm-thick cryosections of femoral bones are scanned using the iCys research cytometer. Low-resolution digital images of entire femoral cavities stained with the nuclear marker DAPI, are generated through scanning with a 405 nm laser and a low magnification objective lens (10x, upper panel). Dynamic scanning areas are defined to cover the entire BM cavity, and are subsequently scanned with lasers of choice (405nm, 488nm, 561nm, 633nm) using a 40x objective lens and a step size of 0.25 mm, to acquire high-resolution field images in different fluorescent Histogram antigen X channels. Images are assembled to generate multicolor mosaic images of the entire BM cavity. Lower panel depicts two grayscale field images (right) and a composite image of one BM region generated in the DAPI channel. Automatic image segmentation of DAPI+ nuclei is performed with the iCys analysis software to generate contours around single nuclei, which define cellular events. Positional information in a XY Cartesian coordinate system is recorded for each individual cell enabling the generation of tissue maps (b) The specific signal in every fluorescent channel is quantified on a per cell basis and can be displayed and analyzed in dot-plot scattergrams and histogram charts. WWW.NATURE.COM/NATURECELLBIOLOGY 1 © 2013 Macmillan Publishers Limited. All rights reserved. S U P P LNombela-Arrieta E M E N TA R Y I Nand F O Silberstein R M AT I O N Supplementary Figure 2 c-kit Laminin 3D confocal Figure S2 Perivascular accumulation of c-kit+ progenitors in the BM. Representative 3D projection of optical image stacks of thick femoral slices wholemount stained for c-kit (green) and Laminin (red). Multiple c-kit+ cells are shown in direct contact with Laminin+ vessels (see also Supplementary Video 1). 2 WWW.NATURE.COM/NATURECELLBIOLOGY © 2013 Macmillan Publishers Limited. All rights reserved. Nombela-Arrieta and Silberstein S U P P L E M E N TA R Y I N F O R M AT I O N Supplementary Figure 3 Lin-CD48-c-kit+ 10 5 10 4 10 10 3 10 5 10 Sca-1 10 10.1% 4 3 10 84.1% 4 10 5 10 4 CD48 5 c-kit CD48 a 10 3 10 67.3% 3 10 2 0 0 0 10 3 10 4 10 5 CD3, Ter-119, B220, Gr-1 10 2 10 3 SSC-A 10 4 10 5 150 c 125 100 50 Freq. of population (%) Freq. of population (%) 10 4 SSC-A 10 5 0 10 3 10 4 CD150 10 5 Lin-c-kit+ 0.6 SK Lin-CD48-CD41lo/-c-kit+ WBMC 0 LSK Lin CD48 + c-kit MET Metaphysis 40 DIA Lin-c-kit+ SK Lin-CD48-CD41lo/-c-kit+ 30 20 10 0 e 10 3 0.2 25 d 10 2 0.4 75 0 0 Freq. of BMC (%) CFU-C/500 cells b 0 0 0 0-10 11-20 21-30 31-40 0-100 41-50 51-100 100-200 200-300 300-400 400-500 >500 Distance to bone (µm) Diaphysis 40 Lin-c-kit+ SK Lin-CD48-CD41lo/-c-kit+ 30 20 10 0 0-10 11-20 21-30 31-40 0-100 41-50 51-100 100-200 200-300 300-400 400-500 >500 Distance to bone (µm) Figure S3 Quantification of distribution of HSPCs in the bone marrow. (a) Flow cytometry analysis of the expression of Sca-1 and CD150 of Lineage -CD48-c-kit+ cells. Although expression of CD41 can be detected in HSPCs by FACS, our immunofluorescence analysis of BM sections CD41 labeled exclusively megakaryocytes and platelets, which express much higher levels than HSPCs. Thus, by LSC we gated on the CD41lo/- population to exclude both megakaryoctes and platelets from our HSPC analysis. (b) CFU-C content of Lin-CD48-c-kit+ cells compared to that of Lin -Sca-1+c-kit+ (LSK) cells and whole BM cells (WBMC). (c) Absolute frequencies of HSPC subsets in the metaphysis and diaphysis of femoral BM as measured by LSC. (d and e) Histograms of the distances Lin -c-kit+ of SK and Lin -CD48-CD41lo/-c-kit+ HSPC populations to nearest bone surfaces in the metaphysis (d) and diaphysis (e) of femoral cryosections. WWW.NATURE.COM/NATURECELLBIOLOGY 3 © 2013 Macmillan Publishers Limited. All rights reserved. Nombela-Arrieta and Silberstein S U P P L E M E N TA R Y I N F O R M AT I O N Supplementary Figure 4 a 10 3 10 4 3 10 2 10 2 0 0 0 50K 100K 150K FSC-A 10 5 10 4 10 3 10 3 Lineage 10 4 10 5 0 10 2 4 10 4 10 4 10 3 10 3 10 5 10 4 10 4 10 3 10 3 10 2 10 2 0 0 10 4 10 5 10 4 10 5 10 2 0 0 10 5 10 3 Sca-1 LSK 5 5 10 3 2 10 10 0 10 5 0 10 3 10 10 2 10 10 LKS- 0 3 4 0 0 10 2 0 anti CD45-PE 250K LS-K- i.v injection PBS 200K 10 c-kit 10 4 SSC-A SSC-A 10 10 5 10 5 10 3 10 4 10 5 10 5 10 4 10 3 0 10 3 10 4 10 5 0 10 3 10 4 10 5 SSC-A 10 5 10 2 0 0 10 3 10 4 10 5 CD45-PE c CD45-PECy Laminin 6 **** **** 5 % intravascular b 4 3 2 1 0 Figure S4 HSPCs do not reside in the intravascular compartment of the BM. Labeling of hematopoietic BM intravascular populations by injection of PEconjugated anti-CD45. Representative FACS dot plots (a) and quantification (c) of PE+ LSK, LS-K (Lin-c-kit+Sca-1-) and LS-K- (Lin-c-kit+Sca-1-) cells in the BM of mice after injection of PBS (control) or CD45-PE (upper and lower 4 LSK LKS- LS-K- B220+ panels) n=10 ****p< 0,001. (b) Representative 3D projection of optical image stacks of the BM cavities of CD45-PE injected mice. CD45-PE+ cells (red) are exclusively observed inside vascular structures (green) therefore validating the specificity of the method as previously reported. See also Supplementary Video 2. WWW.NATURE.COM/NATURECELLBIOLOGY © 2013 Macmillan Publishers Limited. All rights reserved. S U P P L E M E N TA R Y I N F O R M AT I O N Supplementary Video legends Supplementary Video 1. Interaction of c-kit cells with BM microvasculature. 3D-reconstruction of confocal optical sections of thick bone marrow slices stained for c-kit (green) and the vascular marker Laminin (red). Multiple examples of vessel-adjacent c-kit + cells can be visualized. Supplementary Video 2. In vivo labeling of intravascular populations. The movie depicts a series of sequential optical sections on the z-axis followed by the 3D-reconstruction of a thick BM femoral slice, 2 mins post-injection of CD45-PE. Intravascular populations (blood vessels in green labeled with Laminin) are specifically stained with CD45 (red). Supplementary Video 3. Vascular compartment of the femoral diaphysis. 3D-reconstruction of confocal optical sections of a thick slice of a murine femur stained with the panvascular marker Laminin (green) and the arterial marker Sca-1 (red). Supplementary Video 4. BM sinusoidal microvasculature. 3D-reconstruction of multiphoton optical sections of a femoral diaphysis stained for Laminin (green). The central sinus, as well as an underlying central artery can be visualized running longitudinally across the diaphysis. Bone is visualized in blue as revealed by second harmonic generation. Supplementary Video 5. Arteriolar to sinusoidal transition in endosteal regions of the diaphysis. High-magnification 3D-reconstruction of the endosteal vessels shown in Supplementary Video 4. Arrow depicts the arteriolar to sinusoidal transition in close proximity to endosteal surfaces (bone shown in blue). Supplementary Video 6. Vascular compartment of the femoral metaphysis. 3D-reconstruction of the vascular network of a femoral metaphysis. All BM vascular structures are marked by Laminin (green), while the arterial network is positive for Sca-1 (red). Supplementary Video 7. Endosteal microvascular network of femoral metaphysis. 3D reconstruction of the vascular network of endosteal regions of a femoral metaphysis. Arrow depicts the arteriolar to sinusoidal transition in close proximity to endosteal surfaces (bone shown in blue). Supplementary Table Legends Supplementary Table 1. Complete list and technical specifications of antibodies employed in this study for flow cytometry and immunostaining of BM cryosections. Supplementary Table 2. Detailed strategies for immunofluorescent stainings, including antibody and fluorochrome combinations and laser and filter setups, used for LSC detection and analysis of the different hematopoietic populations in BM sections. Supplementary Tables 3 and 4. Statistics source data for Figures 6b and 6c. WWW.NATURE.COM/NATURECELLBIOLOGY 5 © 2013 Macmillan Publishers Limited. All rights reserved. Protocol for immunofluorescent staining of murine femoral BM cryosections 1) Fix tissues and rehydrate as described in Methods section. Freeze embedded in OCT. 2) Section using a Leica Cryostat and the Cryojane tape transfer system (Leica microsystems) 3) Rehydrate in PBS (2 mins) and 0.1% Tween20/ PBS (2 mins) 4) Block in PBS/10% donkey serum 5) Endogenous biotin block using Vector Biotin Blocking Kit according to manufacturerʼs instructions 6) Incubate in primary antibodies in PBS /10% donkey serum for 1 hour at room temp or overnight at 4°C (antibodies in Supplementary Table 1). 7) Wash in PBS/0.1% Tween20 3x5 minutes 8) Secondary Antibodies: Room temperature for 1 hour in PBS /10% donkey serum 9) Wash in PBS/0.1% Tween20 3x5 minutes 10) Tertiary antibody and additional steps: Room temperature for 1 hour in PBS /10% donkey serum 11) Incubation with DAPI 0.5µM – 1.0µM (Invitrogen) 12) Wash in PBS/0.1% Tween20 3x5 minutes 13) Dehydrate in EtOH gradient: 70%, 85%, 95%, 100%, 3 minutes each 14) Rinse in xylene 2x5 minutes 15) Coverslip with mounting media (Vectashield, Vector labs), store at 4°C until scanned © 2013 Macmillan Publishers Limited. All rights reserved. Supplementary Table 1. Technical specifications of the Antibodies (dilutions, clones and sources) employed in our study Antigen/Specificity Conjugation Concentration Host Clone Source Catalogue # CD117/c-kit PECy7 1µg/ml Rat 2B8 BioLegend 105814 Application FC Sca-1/Ly6A/E APCCy7 1µg/ml Rat D7 BioLegend 108122 FC Gr-1 APC 1µg/ml Rat RB6-8C5 BioLegend 108412 FC CD3 APC 1µg/ml Rat 145-2C11 eBioscience 17-0031-83 FC B220 APC 1µg/ml Rat RA3-6B2 BioLegend 103212 FC Ter-119 APC 1µg/ml Rat Ter-119 eBioscience 17-5921-83 FC CD34 FITC 1µg/ml Rat RAM34 eBioscience 11-0341-85 FC CD34 PerCpCy5.5 1µg/ml Rat HM34 BioLegend 128608 FC CD48 FITC 2.5µg/ml Rat HM48-1 eBioscience 11-0481-85 FC CD150 PE 1µg/ml Rat TC15-12F12.2 BioLegend 115904 FC CD45 PE injected i.v 1µg Rat 30-F11 BD biosciences 553-081 FC CD45 PECy7 injected i.v 1µg Rat 30-F11 BioLegend 103113 FC B220 PerCpCy5.5 1µg/ml Rat RA3-6B2 BioLegend 103235 FC Streptavidin PerCpCy5.5 1µg/ml N/A N/A BD biosciences 551419 FC mouse IgG1 isotype ctrl APC 20µl/test Mouse MOPC-21 BD biosciences 557783 FC Ki67 APC 5µl/test Mouse B56 BD biosciences 561126 FC mouse IgG isotype ctrl PE 0.5µg/test Mouse 11711 R&D IC002P FC HIF-1a PE 0.5µg/test Mouse 241812 R&D IC1935P FC Pimonidazole FITC 2.5 µg/ml Mouse 4.3.11.3 Hypoxyprobe HP2-100 FC/IC Gr-1 biotin 1µg/ml Rat RB6-8C5 eBioscience 13-5391-75 FC/IC CD3 biotin 1µg/ml Hamster 145-2C11 eBioscience 13-0031-75 FC/IC B220 biotin 1µg/ml Rat RA-6B2 eBioscience 13-0452-75 FC/IC Ter-119 biotin 1µg/ml Rat Ter-119 eBioscience 13-5921-75 FC/IC CD117/c-kit unconjugated 5µg/ml Goat polyclonal R&D IEO02 IF Sca-1 unconjugated 5µg/ml Rat E13-161.7 BioLegend 122502 IF Laminin unconjugated 10µg/ml Rabbit polyclonal Sigma L9393 IF B220 unconjugated 5µg/ml Rat RA-6B2 eBioscience 14-0452-82 IF Ter-119 unconjugated 5µg/ml Rat Ter-119 eBioscience 14-5921 IF Gr-1 unconjugated 6.25µg/ml Rat RB6-8C5 BD biosciences 550291 IF CD48 Biotin 5µg/ml Hamster HM48-1 BioLegend 103402 IF CD41 Biotin 5µg/ml Rat eBioMWReg30 eBioscience 13-0411-82 IF CD4 unconjugated 5µg/ml Rat H129.19 BioLegend 130302 IF CD8 unconjugated 5µg/ml Rat 53-6.7 BioLegend 100701 IF Pimonidazole DyLight549 1 µg/ml Mouse 4.3.11.3 Hypoxyprobe HP2-100 IF HIF-1a unconjugated 1:500 Rabbit polyclonal Thermoscientific PA1-16601 IF Endoglin unconjugated 0.6µg/ml Goat polyclonal R&D AF1320 IF rat IgG DyLight488 7.5µg/ml Donkey polyclonal Jackson immunoResearch 712-485-153* IF rat IgG DyLight549 7.5µg/ml Donkey polyclonal Jackson immunoResearch 712-505-153* IF rat IgG DyLight649 7.5µg/ml Donkey polyclonal Jackson immunoResearch 712-495-153* IF goat IgG Biotin 7.5µg/ml Donkey polyclonal Jackson immunoResearch 705-065-147 IF goat IgG DyLight488 7.5µg/ml Donkey polyclonal Jackson immunoResearch 705-485-147* IF rabbit IgG Biotin 7.5µg/ml Donkey polyclonal Jackson immunoResearch 711-065-152 IF rabbit IgG DyLight649 7.5µg/ml Donkey polyclonal Jackson immunoResearch 711-495-152* IF hamster IgG Biotin 7.5µg/ml Goat polyclonal Jackson immunoResearch 127-065-160 IF Streptavidin Brilliant Violet 650 5µg/ml N/A N/A BioLegend 405213 IF Streptavidin Qdot705 0.01µM N/A N/A Invitrogen Q10161MP IF Streptavidin AF555 4µg/mL N/A N/A Invitrogen S32355 IF isotype ctrl goat IgG unconjugated 5µg/ml Goat polyclonal Southern Biotech 0109-01 IF isotype ctrl Rabbit IgG unconjugated 10µg/ml rabbit polyclonal Southern Biotech 0111-01 IF isotype ctrl Rat IgG unconjugated 20µg/ml rat eBR2a eBioscience 14-4321-80 IF IF= Imunofluorescence FC= flow cytometry *discontinued by company © 2013 Macmillan Publishers Limited. All rights reserved. Supplementary Table 2: Antibodies and strategies used for immunofluorescent staining of BM cryosections Target populations + c-kit progenitors and BM vasculature + Lin c-kit HSPCs and BM vasculature + + Sca-1 c-kit hematopoietic progenitors and BM vasculature + + Sca-1 c-kit hematopoietic progenitors, pimonidazole and BM vasculature + + B220 cells, c-kit hematopoietic progenitors, pimonidazole and BM vasculature Lin CD48 CD41 c+ kit HSPCs and BM vasculature + c-kit progenitors, B220 cells and HIF-1α + + Sca-1 c-kit HSPCs, HIF-1α and BM vasculature Primary antibodies Secondary/Tertiary antibodies - Goat anti-c-kit - Rabbit anti-Laminin - Donkey anti-goat DyLight488 - Donkey anti-rabbit DyLight549 - Goat anti-c-kit - Rabbit anti-Laminin - Rat anti-CD4 and CD8 - Rat anti-Gr-1 - Rat anti-Ter119 - Rat anti-Sca-1 - Goat anti-c-kit - Rabbit anti-Laminin - Donkey anti-goat biotin - Rat anti-Sca- Goat anti-c-kit - Rabbit anti-Laminin - FITC or DyLight549 mouse anti-PIM - Donkey anti-goat biotin + Streptavidin Qdot 705 - Donkey anti-rat DyLight549 or 488 - Donkey anti-rabbit DyLight649 - Rat anti-B220 - Goat anti-c-kit - Rabbit anti-Laminin - FITC or DyLight549 mouse anti-Pimo - Donkey anti-goat biotin + Streptavidin Qdot 705 - Donkey anti-rat DyLight549 or 488 - Donkey anti-rabbit DyLight649 - Goat anti-c-kit - Biotinylated rat anti-B220 - Biotinylated rat anti-Ter110 - Biotinylated rat anti-Gr-1 - Biotinylated hamster-anti CD3 - Biotinylated hamster anti-CD48 - Biotinylated rat-anti CD41 - Rabbit anti-Laminin - Donkey anti-goat DyLight 488 - Streptavidin DyLight 488 - Donkey anti-rat DyLight549 - Donkey anti-rabbitDyLight649 - Donkey anti-goat DyLight 488 - Donkey-anti-rat biotin + SA Alexa 555 - Donkey anti-rabbit DyLight 649 -Block with excess goat IgG (50100µg/ml) - Goat antihamster biotin - Donkey anti-rabbit DyLight649 - SA-AF555 Laser-Filter set detectorDye - 405-450/40-DAPI - 488-521/15-DyLight488 - 561-575/50-DyLight549 - 405-450/40-DAPI - 488-521/15-DyLight488 - 561-575/50-DyLight549 - 633-650/LP-DyLight649 - 405-450/40-DAPI - 488-521/15-DyLight488 - 561-575/50-DyLight549 - 633-650/LP-DyLight649 - 405-450/40-DAPI - 405-650LP-Qdot705 - 488-521/15-DyLight488 - 561-575/50-DyLight549 - 633-650/LP-DyLight649 - 405-450/40 –DAPI - 405-650LP- Qdot705 - 488-521/15-FITC/DyLight488 - 561-575/50-DyLight549 - 633-650/LP- DyLight649 - 405-450/40-DAPI - 488-521/15-FITC/DyLight488 - 561-575/50-SA-AF555 - 633-650/LP-DyLight649 - Goat anti-c-kit - Rat anti-B220 - Rabbit anti-HIF-1α - Donkey anti-rabbit biotin - Donkey anti-goat DyLight488 - SA-AF555 (Invitrogen) - Donkey anti-rat DyLight649 - 405-450/40-DAPI - 488-521/15- DyLight488 - 561-575/50-SA-AF555 - 633-650/LP-DyLight649 - Goat anti-c-kit - Rat anti-Sca-1 - Rabbit anti-HIF-1α - Donkey anti-goat biotin - Streptavidin Brilliant Violet (BV) 650 - Isolectin B4 AF589 (injected) - Donkey anti-rat DyLight488 - Donkey anti-rabbit DyLight649 - 405-450/40-DAPI - 488-521/15-DyLight488 - 561-575/50-DyLight549 - 633-650/LP-DyLight649 © 2013 Macmillan Publishers Limited. 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