To the editor:

Hematopoietic stem cell (HSC) transplantation and evaluation of long-term repopulation (LTR) is the gold standard for assessing HSC function. Although myeloablative irradiation is typically used in animal models to enhance host engraftment,1  a frequently overlooked concern is that this severely damages bone marrow (BM) architecture and may therefore mask defects in HSC trafficking.2  To illustrate this concept, we evaluated the importance of a commonly used HSC marker, the antiadhesin CD34, in engraftment of irradiated and nonirradiated recipients.

W/Wv mice were used as recipients since a lack of the functional stem cell factor (SCF) receptor, c-kit, renders them highly receptive to donor engraftment in the absence of lethal irradiation.3,4  A 1:1 ratio of wt and cd34−/− embryonic day 15 (E15) fetal liver cells (FTLs) was transplanted into lethally or sublethally irradiated W/Wv recipients, and donor engraftment was assessed, as outlined in Figure 1A. Strikingly, we found that while cd34−/− and wt HSCs exhibited similar abilities to reconstitute W/Wv mice pretreated with high-dose irradiation (Figure 1B), cd34−/− cells performed very poorly (5-fold less engraftment) in sublethally irradiated recipients (Figure 1C).

Figure 1

CD34 is required for engraftment of nonlethally irradiated recipients. (A) Schematic of experimental design. 5 × 106 E15 FTLs of each genotype were injected into irradiated W/Wv recipients. wt cells (bearing the CD45.1 allotypic marker) were injected competitively with cd34−/− or wt (control) cells (CD45.2), and donor-derived (c-kit+) BM cells were analyzed for relative contributions 12 weeks after transplantation. (B) CD34 was not required for reconstitution of W/Wv mice pretreated with high-dose irradiation. Error bars represent SD. (C) cd34−/− cells were at a significant disadvantage in sublethally irradiated W/Wv recipients (combined data from 2 experiments; P = .001). Error bars represent SD. (D) cd34−/− cells did not contribute to long-term engraftment of nonirradiated wt recipients (P = .001). 107 CD45.2 (wt or cd34−/−) cells were injected into nonirradiated wt (CD45.1) recipients, and donor-derived cells in peripheral blood were quantitated 12 weeks after transplantation based on CD45.2 expression. Error bars represent SD. (E) Proposed model demonstrating the effect of irradiation on the BM microenvironment and its effect on reconstitution by wt or cd34−/− cells. Lethal irradiation creates gaps between vascular endothelial cells, which allow extravasation of cells regardless of CD34 expression. In nonirradiated recipients, the vasculature remains intact, and the antiadhesiveness of CD34 enables transmigration. This is blocked in the absence of CD34.

Figure 1

CD34 is required for engraftment of nonlethally irradiated recipients. (A) Schematic of experimental design. 5 × 106 E15 FTLs of each genotype were injected into irradiated W/Wv recipients. wt cells (bearing the CD45.1 allotypic marker) were injected competitively with cd34−/− or wt (control) cells (CD45.2), and donor-derived (c-kit+) BM cells were analyzed for relative contributions 12 weeks after transplantation. (B) CD34 was not required for reconstitution of W/Wv mice pretreated with high-dose irradiation. Error bars represent SD. (C) cd34−/− cells were at a significant disadvantage in sublethally irradiated W/Wv recipients (combined data from 2 experiments; P = .001). Error bars represent SD. (D) cd34−/− cells did not contribute to long-term engraftment of nonirradiated wt recipients (P = .001). 107 CD45.2 (wt or cd34−/−) cells were injected into nonirradiated wt (CD45.1) recipients, and donor-derived cells in peripheral blood were quantitated 12 weeks after transplantation based on CD45.2 expression. Error bars represent SD. (E) Proposed model demonstrating the effect of irradiation on the BM microenvironment and its effect on reconstitution by wt or cd34−/− cells. Lethal irradiation creates gaps between vascular endothelial cells, which allow extravasation of cells regardless of CD34 expression. In nonirradiated recipients, the vasculature remains intact, and the antiadhesiveness of CD34 enables transmigration. This is blocked in the absence of CD34.

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To confirm that these results were not a W/Wv-related artifact, we also injected wt or cd34−/− (CD45.2) cells into nonirradiated wt (CD45.1) recipients and assessed the frequency of donor-derived cells in peripheral blood 12 weeks after transplantation. Since donor cells have no advantage over endogenous cells in this system, reconstitution levels were predictably low but, as with W/Wv experiments, wt cells were considerably more effective at LTR than cd34−/− cells (Figure 1D). Taken together, our results demonstrate that in 2 independent systems, although cd34−/− and wt cells show similar abilities to engraft lethally irradiated mice, cd34−/− cells are profoundly impaired in engraftment of nonirradiated or sublethally irradiated recipients.

What then is the function of CD34 in BM engraftment? Previous studies suggest that sialomucins, like CD34, tend to block cell adhesion through their bulky, negatively charged extracellular domains.5  For example, CD34-null mast cells aggregate in vitro, while ectopic expression decreases cell adhesion.6  Likewise, overexpression of the CD34 relative, podocalyxin, also serves to decrease cell adhesion.7,8  Thus, CD34 expression on migrating hematopoietic cells and most vascular endothelial cells would normally prevent inappropriate adhesion and enhance mobility.

We therefore propose that our results reflect an impaired ability of the more adhesive cd34−/− cells to cross intact endothelial barriers en route to BM stem cell niches (Figure 1E). Conversely, irradiation-induced vascular permeability facilitates migration of cd34−/− HSCs into subvascular spaces, thereby explaining their favorable competition with wt cells for engraftment in preconditioned recipients. These data serve to highlight the importance of evaluating the ability of mutant and wild-type HSCs to engraft both irradiated and nonirradiated recipients, particularly when a mutation may influence the mobility or trafficking of stem cells.

Approval for these studies was obtained from the University of British Columbia Animal Care Committee.

Conflict-of-interest disclosure: The authors declare no competing financial interests.

We wish to thank Dr Tak Mak for cd34−/− mice; Helen Merkens, Shierley Chelliah, and Lori Zbytnuik for expert technical assistance; and Robbi McDonald for help with statistical analysis. This work was supported by Canadian Institutes for Health Research (CIHR) grant no. MOP-64278. K.M.M. is a CIHR and Michael Smith Foundation for Health Research (MSFHR) scholar.

Correspondence: Kelly M. McNagny, The Biomedical Research Centre, 2222 Health Sciences Mall, Vancouver, BC, V6T 1Z3 Canada; e-mail: kelly@brc.ubc.ca.

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