Almici C, Carlo-Stella C, Wagner J E, Mangoni L, Garau D, Re A, Giachetti R, Cesana C, Rizzoli V
Department of Hematology, University of Parma, Italy.
Bone Marrow Transplant. 1997 Jun;19(11):1079-84. doi: 10.1038/sj.bmt.1700803.
Umbilical cord blood (UCB) progenitor cells have been demonstrated to possess significant advantages over bone marrow (BM), in terms of proliferative capacity and immunologic reactivity. Therefore, UCB has been recently considered an attractive potential alternative to BM as a source of hematopoietic progenitor cells for clinical applications. Since several programs throughout the world are currently evaluating the feasibility of large-scale UCB banking for unrelated transplants, it was the aim of this study to evaluate whether cryopreservation procedures might heavily impair the clonogenic capacity, the feasibility of CD34+ selection and the ex vivo expansion potential of UCB progenitor cells. UCB samples were collected and cryopreserved as unseparated (n = 21) or mononuclear (MNC) cells (n = 15) within 12 h from delivery, and evaluated for viability, immunophenotype, cell and progenitor numbers after a minimum stay in liquid nitrogen of 6 months (range 6-14 months). Viability was always > 97% and no statistically significant difference was detected by flow cytometric analysis. Clonogenic recovery from unseparated cells was 80-87% for HPP-CFC, CFU-GEMM, BFU-E and CFU-GM, and from MNC cells ranged from 82 to 91% for LTC-IC, CFU-GEMM, BFU-E and CFU-GM. CD34+ selection (n = 8) was performed on fresh and cryopreserved MNC cells using the MiniMACS immunomagnetic separation device, showing no difference in yield (68 +/- 7% vs 57 +/- 4%, P < or = 0.4) or in purity (89 +/- 2% vs 81 +/- 6%, < or = 0.4), for fresh in comparison to cryopreserved MNC cells. After 14 days of liquid culture in the presence of different combinations of SCF, IL-3, IL-6 and G-CSF no statistically significant difference was detected in CFC fold-expansion for fresh or cryopreserved MNC cells and for CD34+ cells, either selected and cultured from fresh or cryopreserved MNC cells. In conclusion we can state that UCB is a potential source of primitive progenitor cells that can be cryopreserved unmanipulated or after physical separation without major losses in clonogenic capacity and immunophenotypic composition. Moreover, CD34+ selection from cryopreserved MNC cells is feasible and ex vivo expansion is not impaired. These results have important implications in the large scale UCB banking, in view of the potential applications of ex vivo expanded hematopoietic progenitor cells for the engraftment of adult patients.
脐血(UCB)祖细胞已被证明在增殖能力和免疫反应性方面比骨髓(BM)具有显著优势。因此,UCB最近被认为是一种有吸引力的潜在替代物,可作为临床应用中造血祖细胞的来源。由于世界各地的几个项目目前正在评估大规模UCB库用于非亲缘移植的可行性,本研究的目的是评估冷冻保存程序是否会严重损害UCB祖细胞的克隆形成能力、CD34+选择的可行性以及体外扩增潜力。在分娩后12小时内收集UCB样本,并将其作为未分离细胞(n = 21)或单核细胞(MNC)(n = 15)进行冷冻保存,在液氮中至少保存6个月(范围6 - 14个月)后,评估其活力、免疫表型、细胞和祖细胞数量。活力始终> 97%,流式细胞术分析未检测到统计学上的显著差异。未分离细胞中HPP - CFC、CFU - GEMM、BFU - E和CFU - GM的克隆形成回收率为80 - 87%,MNC细胞中LTC - IC、CFU - GEMM、BFU - E和CFU - GM的克隆形成回收率为82 - 91%。使用MiniMACS免疫磁珠分离装置对新鲜和冷冻保存的MNC细胞进行CD34+选择(n = 8),结果显示新鲜MNC细胞与冷冻保存的MNC细胞相比,产量(68 +/- 7%对57 +/- 4%,P≤0.4)或纯度(89 +/- 2%对81 +/- 6%,≤0.4)均无差异。在存在SCF、IL - 3、IL - 6和G - CSF不同组合的液体培养基中培养14天后,新鲜或冷冻保存的MNC细胞以及从新鲜或冷冻保存的MNC细胞中选择并培养的CD34+细胞,其CFC扩增倍数未检测到统计学上的显著差异。总之,我们可以说UCB是原始祖细胞的潜在来源,可以在未处理或物理分离后进行冷冻保存,而不会在克隆形成能力和免疫表型组成方面有重大损失。此外,从冷冻保存的MNC细胞中进行CD34+选择是可行的,并且体外扩增不受影响。鉴于体外扩增的造血祖细胞在成年患者移植中的潜在应用,这些结果对大规模UCB库具有重要意义。