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Published online 29 March 2004 doi:10.1084/jem.20031916
Rockefeller University Press, 0022-1007 $8.00
JEM, Volume 199, Number 7, 895-904
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Embryonic Stem Cells As an Alternate Marrow Donor Source : Engraftment without Graft-Versus-Host Disease



Richard K. Burt1, Larissa Verda1, Duck-An Kim1, Yu Oyama1, Kehuan Luo1, and Charles Link2

1 Division of Immunotherapy, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611
2 NewLink Genetics, Ames, IA 50011

Address correspondence to Richard K. Burt, Division of Immunotherapy, Department of Medicine, Feinberg School of Medicine, Northwestern University, 320 East Superior Street, Searle, Room 3-489, Chicago, IL 60611. Phone: (312) 908-0059; Fax: (312) 908-0064; email: rburt{at}nwu.edu

A single embryonic stem cell (ESC) line can be repetitively cryopreserved, thawed, expanded, and differentiated into various cellular components serving as a potentially renewable and well-characterized stem cell source. Therefore, we determined whether ESCs could be used to reconstitute marrow and blood in major histocompatibility complex (MHC)-mismatched mice. To induce differentiation toward hematopoietic stem cells (HSCs) in vitro, ESCs were cultured in methylcellulose with stem cell factor, interleukin (IL)-3, and IL-6. ESC-derived, cytokine-induced HSCs (c-kit+/CD45+) were isolated by flow cytometry and injected either intra bone marrow or intravenously into lethally irradiated MHC-mismatched recipient mice. From 2 wk to 6 mo after injection, the peripheral blood demonstrated increasing ESC-derived mononuclear cells that included donor-derived T and B lymphocytes, monocytes, and granulocytes without clinical or histologic evidence of graft-versus-host disease (GVHD). Mixed lymphocyte culture assays demonstrated T cell tolerance to both recipient and donor but intact third party proliferative responses and interferon {gamma} production. ESCs might be used as a renewable alternate marrow donor source that reconstitutes hematopoiesis with intact immune responsiveness without GVHD despite crossing MHC barriers.

Key Words: embryonic stem cells • hematopoiesis • in vivo • tolerance • mouse


Abbreviations used in this paper: BFU-E, erythroid burst-forming units; BrdU, bromodeoxyuridine; CFU-GM, granulocyte-macrophage colony-forming units; CFU-Meg, megakaryocyte colony-forming units; CFU-Mix, mixed colony-forming units; EB, embryoid bodies; ESC, embryonic stem cell; ESCT, ESC-derived transplantation; HSC, hematopoietic stem cell; IBM, intra bone marrow; LIF, leukemia inhibitory factor; SCF, stem cell factor; TBI, total body irradiation.


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