Efficient Transfer of Selectable and Membrane Reporter Genes in Hematopoietic Progenitor and Stem...

8
[CANCER RESEARCH 54, 4398-4404, August 15. 1994] Efficient Transfer of Selectable and Membrane Reporter Genes in Hematopoietic Progenitor and Stem Cells Purified from Human Peripheral Blood1 M. Valtieri, R. Schirò, C. Chelucci, B. Masella, U. Testa, I. Casella, E. Montesoro, G. Mariani, H. J. Hassan, and C. Peschle2 Thomas Jefferson Cancer Institute, Thomas Jefferson University, Philadelphia, Pennsylvania 19107; Department of Hematology and Oncology, Istituto Superiore di Sanità , Rome, Italy; Pediatrie Clinic, University of Milan, S. Gerardo Hospital, Monza, Italy ABSTRACT We have utilized highly purified hematopoietic progenitor and stem cells (HPCs, HSCs) from normal peripheral blood to develop methodology for: (a) efficient transfer into HPCs of a non-hematopoietic membrane reporter, i.e., the nerve growth factor receptor complementary DNA; and i in effective gene transduction of putative HSCs, i.e., cells initiating Dex ter-type long-term culture (LTC-ICs). Purified HPCs induced into cycling by growth factors (interleukin 3, interleukin 6, c-kit ligand) were transduced with the N2 retroviral vector containing the neomycin resistance dico' \ gene. More than 80% of trans duced HPCs were resistant to the toxic G418 level. Thereafter, the HPCs were effectively transduced with the LNSN retroviral vector containing a nerve growth factor receptor complementary DNA; the nerve growth factor receptor was detected on £18% of the transduced HPCs. These experiments provide a new tool from which (a) to monitor expression of a transduced membrane reporter on hematopoietic cells, particularly at the level of HPCs/HSCs, and (b) to characterize the transduced cells by double- and triple-labeling membrane antigen analysis. Purified HPCs/HSCs grown in Dexter-type LTC were transduced at 1 week by exposure to supernatant N2 retroviral particles in the absence of exogenous hematopoietic growth factors. The procedure, devoid of toxic effects, allowed an efficient neo' transduction into LTC-ICs. Thus, we consistently detected neomycin-resistant mRNA in the clonal progeny of HPCs produced in LTC at 5-8 weeks in both the nonadherent and adherent fractions; this timing of expression coincides with that of HPC production by LTC-ICs, thereby indicating the effective transduction of the LTC-ICs. These experiments represent a first step toward develop ment of preclinical models for gene transfer into human peripheral blood HSCs by complex retroviral vectors. INTRODUCTION Human hematopoiesis is sustained by pluripotent HSCs,3 which can extensively self-renew and feed into lineage(s)-committed HPCs (1). HPCs, in turn, differentiate into morphologically recognizable precur sors, which mature to terminal elements circulating in PB (1). Gene transfer into human HSCs represents a potentially fundamen tal tool at both basic and clinical levels (2-5). Transfer of physiolog ically significant genes into HSCs may allow analysis of the cellular/ molecular basis of hematopoiesis, particularly in the early crucial proliferation and differentiation steps. Furthermore, gene therapy with Received 3/11/94; accepted 6/13/94. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 This study was supported in part by Thomas Jefferson University, Philadelphia, PA; Fondazione Tettamanti, CNR (P.P. ACRO), Rome; Progetto Terapia dei Tumori, Istituto Superiore di Sanità , Rome. 2 To whom requests for reprints should be addressed, at Thomas Jefferson Cancer Institute, Thomas Jefferson University, Bluemle Life Sciences Building, Room 528, 233 S. 10th St., Philadelphia, PA 19107. 3 The abbreviations used are: HSC, hematopoietic stem cell; HPC, hematopoietic progenitor cell; BM, bone marrow; HGF, human growth factor; LTC, long-term culture; LTC-IC, long-term culture-initiating cell; PB. peripheral blood; cDNA, complementary DNA; NGFR, nerve growth factor receptor; mAb, monoclonal antibody; KL, c-kit ligand; CPU, colony-forming units; Ep, erythropoietin; IMDM, Iscove's modified Dulbecco's medium; MoMuLV, Moloney murine leukemia virus; IL, interleukin; FCS, fetal calf serum; RT-PCR, reverse transcription-polymerase chain reaction; GM-CSF, granulocyte- macrophage colony-stimulating factor. appropriately transduced HSCs may bypass the present requirement for allogeneic HSC transplantation in a variety of genetic disorders (3). Gene transfer into murine repopulating HSCs by retroviral vectors has been reported (4-7). Conversely, attempts to effectively transduce human HPCs/HSCs by retroviral vectors have been only partially successful. Retroviral gene transfer has been described for HPCs from BM, normal or "mobilized" PB, and cord blood (8-13). However, target HPCs were usually cocultivated with vector-producing cell lines (10-13), thus hindering clinical application of these procedures. LTC on an irradiated allogeneic stroma has been introduced re cently to assay human primitive HPCs with repopulating capacity; these cells, termed LTC-ICs, produce clonogenetic precursors for at least 5-8 weeks. It is generally conceded that LTC-ICs represent a subset of primitive HPCs closely related to the pluripotent repopulat ing HSC (14); in the mouse, primitive HPCs from Dexter-type LTC induce long-term in vivo repopulation of the myeloid-lymphoid sys tem (7). BM LTCs cocultivated with exogenous HGFs and vector- producing cell lines have shown integration and expression of the transduced gene in clonogenic precursors until 6 weeks (15). Analysis and characterization of transduced hematopoietic cells will be facilitated greatly by transfer of a non-hematopoietic mem brane reporter gene. Recently, a NGFR cDNA has been inserted in PB lymphocytes (16). In the present study we report efficient retroviral gene transfer of both the neor and NGFR genes into HPCs purified from normal PB. Furthermore, we have developed an efficient procedure for neor gene transfer into LTC-ICs, purified from normal PB and coincubated with retroviral particles in the absence of exogenous HGFs. MATERIALS AND METHODS Recombinant Human HGFs IL-3 (1.7 X IO7 units/mg), IL-6 (5.1 X Iff units/mg), and GM-CSF (2.5 x IO7 units/mg) were supplied by the Genetics Institute (Cambridge, MA), and Ep and KL were supplied by Amgen (Thousand Oaks, CA) and Immunex (Seattle, WA), respectively. Cells Adult PB was obtained from twenty 40-year-old male donors after informed consent. Blood (450 ml ±10%) was collected in a preservative-free antico agulant (citrate-phosphate-dextrose-adenine). A buffy coat was obtained by centrifugatiun (Beckman J6 M/E; 1400 rpm/20 min at room temperature). Bone marrow was obtained from healthy young male or female donors after informed consent. HPC/HSC Purification PB HPCs were purified according to a modification of the method reported in Ref. 17. In Step I, PB-buffy coat samples were separated over a Ficoll- Hypaque density gradient (density, 1.077 g/ml) (Pharmacia Fine Chemicals, Piscataway, NJ); PB mononuclear cells, resuspended in IMDM containing 20% heat-inactivated FCS (GIBCO, Grand Island, NY), were treated with three cycles of plastic adherence. In Step II, cells were separated by 4398 on March 13, 2015. © 1994 American Association for Cancer Research. cancerres.aacrjournals.org Downloaded from

Transcript of Efficient Transfer of Selectable and Membrane Reporter Genes in Hematopoietic Progenitor and Stem...

[CANCER RESEARCH 54, 4398-4404, August 15. 1994]

Efficient Transfer of Selectable and Membrane Reporter Genes in HematopoieticProgenitor and Stem Cells Purified from Human Peripheral Blood1

M. Valtieri, R. Schirò, C. Chelucci, B. Masella, U. Testa, I. Casella, E. Montesoro, G. Mariani, H. J. Hassan,and C. Peschle2

Thomas Jefferson Cancer Institute, Thomas Jefferson University, Philadelphia, Pennsylvania 19107; Department of Hematology and Oncology, Istituto Superiore di Sanità, Rome,Italy; Pediatrie Clinic, University of Milan, S. Gerardo Hospital, Monza, Italy

ABSTRACT

We have utilized highly purified hematopoietic progenitor and stemcells (HPCs, HSCs) from normal peripheral blood to develop methodologyfor: (a) efficient transfer into HPCs of a non-hematopoietic membrane

reporter, i.e., the nerve growth factor receptor complementary DNA; andi in effective gene transduction of putative HSCs, i.e., cells initiating Dexter-type long-term culture (LTC-ICs).

Purified HPCs induced into cycling by growth factors (interleukin 3,interleukin 6, c-kit ligand) were transduced with the N2 retroviral vectorcontaining the neomycin resistance dico' \ gene. More than 80% of trans

duced HPCs were resistant to the toxic G418 level. Thereafter, the HPCswere effectively transduced with the LNSN retroviral vector containing anerve growth factor receptor complementary DNA; the nerve growthfactor receptor was detected on £18% of the transduced HPCs. Theseexperiments provide a new tool from which (a) to monitor expression ofa transduced membrane reporter on hematopoietic cells, particularly atthe level of HPCs/HSCs, and (b) to characterize the transduced cells bydouble- and triple-labeling membrane antigen analysis.

Purified HPCs/HSCs grown in Dexter-type LTC were transduced at 1

week by exposure to supernatant N2 retroviral particles in the absence ofexogenous hematopoietic growth factors. The procedure, devoid of toxiceffects, allowed an efficient neo' transduction into LTC-ICs. Thus, we

consistently detected neomycin-resistant mRNA in the clonal progeny ofHPCs produced in LTC at 5-8 weeks in both the nonadherent and

adherent fractions; this timing of expression coincides with that of HPCproduction by LTC-ICs, thereby indicating the effective transduction ofthe LTC-ICs. These experiments represent a first step toward develop

ment of preclinical models for gene transfer into human peripheral bloodHSCs by complex retroviral vectors.

INTRODUCTION

Human hematopoiesis is sustained by pluripotent HSCs,3 which can

extensively self-renew and feed into lineage(s)-committed HPCs (1).

HPCs, in turn, differentiate into morphologically recognizable precursors, which mature to terminal elements circulating in PB (1).

Gene transfer into human HSCs represents a potentially fundamental tool at both basic and clinical levels (2-5). Transfer of physiolog

ically significant genes into HSCs may allow analysis of the cellular/molecular basis of hematopoiesis, particularly in the early crucialproliferation and differentiation steps. Furthermore, gene therapy with

Received 3/11/94; accepted 6/13/94.The costs of publication of this article were defrayed in part by the payment of page

charges. This article must therefore be hereby marked advertisement in accordance with18 U.S.C. Section 1734 solely to indicate this fact.

1This study was supported in part by Thomas Jefferson University, Philadelphia, PA;

Fondazione Tettamanti, CNR (P.P. ACRO), Rome; Progetto Terapia dei Tumori, IstitutoSuperiore di Sanità, Rome.

2 To whom requests for reprints should be addressed, at Thomas Jefferson Cancer

Institute, Thomas Jefferson University, Bluemle Life Sciences Building, Room 528, 233S. 10th St., Philadelphia, PA 19107.

3 The abbreviations used are: HSC, hematopoietic stem cell; HPC, hematopoietic

progenitor cell; BM, bone marrow; HGF, human growth factor; LTC, long-term culture;LTC-IC, long-term culture-initiating cell; PB. peripheral blood; cDNA, complementaryDNA; NGFR, nerve growth factor receptor; mAb, monoclonal antibody; KL, c-kit ligand;CPU, colony-forming units; Ep, erythropoietin; IMDM, Iscove's modified Dulbecco's

medium; MoMuLV, Moloney murine leukemia virus; IL, interleukin; FCS, fetal calfserum; RT-PCR, reverse transcription-polymerase chain reaction; GM-CSF, granulocyte-macrophage colony-stimulating factor.

appropriately transduced HSCs may bypass the present requirementfor allogeneic HSC transplantation in a variety of genetic disorders(3).

Gene transfer into murine repopulating HSCs by retroviral vectorshas been reported (4-7). Conversely, attempts to effectively transduce

human HPCs/HSCs by retroviral vectors have been only partiallysuccessful.

Retroviral gene transfer has been described for HPCs from BM,normal or "mobilized" PB, and cord blood (8-13). However, target

HPCs were usually cocultivated with vector-producing cell lines(10-13), thus hindering clinical application of these procedures.

LTC on an irradiated allogeneic stroma has been introduced recently to assay human primitive HPCs with repopulating capacity;these cells, termed LTC-ICs, produce clonogenetic precursors for atleast 5-8 weeks. It is generally conceded that LTC-ICs represent a

subset of primitive HPCs closely related to the pluripotent repopulating HSC (14); in the mouse, primitive HPCs from Dexter-type LTCinduce long-term in vivo repopulation of the myeloid-lymphoid system (7). BM LTCs cocultivated with exogenous HGFs and vector-

producing cell lines have shown integration and expression of thetransduced gene in clonogenic precursors until 6 weeks (15).

Analysis and characterization of transduced hematopoietic cellswill be facilitated greatly by transfer of a non-hematopoietic mem

brane reporter gene. Recently, a NGFR cDNA has been inserted in PBlymphocytes (16).

In the present study we report efficient retroviral gene transfer ofboth the neor and NGFR genes into HPCs purified from normal PB.Furthermore, we have developed an efficient procedure for neor gene

transfer into LTC-ICs, purified from normal PB and coincubated with

retroviral particles in the absence of exogenous HGFs.

MATERIALS AND METHODS

Recombinant Human HGFs

IL-3 (1.7 X IO7 units/mg), IL-6 (5.1 X Iff units/mg), and GM-CSF(2.5 x IO7 units/mg) were supplied by the Genetics Institute (Cambridge,

MA), and Ep and KL were supplied by Amgen (Thousand Oaks, CA) andImmunex (Seattle, WA), respectively.

Cells

Adult PB was obtained from twenty 40-year-old male donors after informedconsent. Blood (450 ml ±10%) was collected in a preservative-free anticoagulant (citrate-phosphate-dextrose-adenine). A buffy coat was obtained by

centrifugatiun (Beckman J6 M/E; 1400 rpm/20 min at room temperature).Bone marrow was obtained from healthy young male or female donors after

informed consent.

HPC/HSC Purification

PB HPCs were purified according to a modification of the method reportedin Ref. 17. In Step I, PB-buffy coat samples were separated over a Ficoll-

Hypaque density gradient (density, 1.077 g/ml) (Pharmacia Fine Chemicals,Piscataway, NJ); PB mononuclear cells, resuspended in IMDM containing20% heat-inactivated FCS (GIBCO, Grand Island, NY), were treated with

three cycles of plastic adherence. In Step II, cells were separated by

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TRANSFER OF REPORTER GENES IN HPCs AND HSCs FROM HUMAN PB

(a)

LNSN

(bal

LNGFRsv;neor

Xbal

l Kb

Fig. 1. (a) LNSN retroviral construct derivedfrom the LXSN vector. LNGFR, low affinity NGFRfull coding cDNA; SV, SV40 early promoter; neo1,

neomycin resistance gene; •long terminal repeat.(b) Analysis of NGFR expression on mock-treatedor LNSN-transduced Step HIP HPCs grown in liquid FCS~ medium supplemented with Ep (3 units/

ml), IL-3 (100 units), and GM-CSF (10 ng) for 14days. Cells were labeled with either mouse isotypicnegative control (left) or with anti-NGFR specific

mAb by indirect immunofluorescence (righi) andanalyzed by FACScan. A representative experimentis shown. Kb, kilobase.

(b) Mock-treated cells

Control Anti-NGFR

Õ4« Õ4J Õ4» T4*

11

LNSN-transduced cells

Control Anti-NGFR

li»

centrifugation on a discontinuous Percoli (Biochrom KG, Berlin, Germany)gradient. In Step III, low density cells (1.052 and 1.056 fractions) wereincubated with appropriate amounts of an anti-T, -B, -natural killer lymphocyte, -monocyte, and -granulocyte mAb cocktail (17). Cells were then incu

bated with immunomagnetic monodisperse microspheres coated with sheepantibody to mouse IgG (Dynabeads M450; Dynal, Oslo, Norway) and separated with a magnet. In most experiments, the third step of purification waspotentiated (Step HIP)4 (18, 19). Thus, low density cells (1.052 and 1.056

fractions) were collected and incubated with appropriate amounts of an anti-T,-B, -natural killer lymphocyte, -monocyte and -granulocyte monoclonal anti

body cocktail as described. This was supplemented with three monoclonalantibodies (anti-CD45, -CDlla, and -CD71; Becton Dickinson, MountainView, CA)4, which improve HPC recovery and purity, i.e., 70-90% CD34*

cells and 60-80% HPCs. Cells were resuspended in IMDM containing 10mg/ml bovine serum albumin (96-99% purified; Step V/No. A4503; Sigma),incubated (l h at 4°C)with immunomagnetic monodisperse microspheres

coated with sheep antibody to mouse IgG (different subclasses) and IgM(Dynabeads M450) at a 4-beads/celI ratio and then separated with a magnet.Residual cells were then counted and incubated again (l h at 4°C)with the

4 E. Pelosi, M. Gabbianelli, E. Montesoro, P. Samoggia, G. Marìani,M. Valtieri, G.

Isacchi, U. Testa, and C. Peschle. Improved methology for abundant recovery of highlypurified early hematopoietic progenitors from adult peripheral blood, submitted forpublication.

same type of magnetic beads at a 10-beads/cell ratio. Finally, cells werecounted again and incubated (30 min at 4°C)with magnetic beads coated with

affinity-purified anti-mouse IgGl (Fc specific; Dynabeads 110.04, Dynal) at a10-beads/cell ratio. Throughout this procedure the concentration of magneticbeads never exceeded 50 X IO6 beads/ml.

Target Cell Gene Transfer

The retroviral vector N2 derived from the MoMuLV contains the neo' gene(20). The LNSN retroviral vector contains a NGFR cDNA and the neor driven

by the SV40 promoter (Fig. la).High-liter clones (1-5 X Vf CFU/ml) of virus-producing amphotropic

packaging cell lines (PA317-N2 and PA317-LNSN) were selected (16). Thesupernatants were helper-virus free in S+L~ complementation focus assay

(21).Two different approaches were used to transduce HPCs and LTC-ICs in

Step III or HIP purified cells.HPC Gene Transfer. At Day 0 Step HIP cells were induced into cycling

in PCS" IMDM (see below) supplemented with KL (100 ng), IL-6 (10 ng), and

IL-3 (100 units/ml). At Day 1, cells were cultured in 2 ml of viral stocks

supplemented with the above HGFs and polybrene (4 fig/ml) for 3 h. Thistreatment was repeated up to 8 times on Days 2 and 3. Cells were assayed insemisolid or liquid culture supplemented with Ep, IL-3, and GM-CSF (see

below) Day 1, 2, or 3 after viral treatment.

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TRANSFER OF REPORTER GENES IN HPCs AND HSCs FROM HUMAN PB

LTC-IC Gene Transfer. At Day 0, Steps III or HIP cells were seeded ontoDexter-type LTC (see below). On Day 7, one-half of the medium was replacedto induce LTC-IC cycling (22). On Day 8, LTC cells were incubated with viral

stocks (3 h incubation 3 times/day) by replacing directly in the culture flask,LTC medium with producer packaging line medium (10% PCS in Dulbecco'smodified Eagle's medium). Polybrene, protamine sulfate, and HGFs were not

added. Uninfected mock LTC were processed in parallel.

Clonogenic Assay

Step HIP HPCs transduced with the N2 vector were seeded at 1 X IO2 and1 x IO4 cells/ml/dish, respectively, in 0.9% methylcellulose, 40% PCS inIMDM (GIBCO) supplemented with a-thioglycerol (10~4 M) (Sigma) in the

presence of Ep (3 units/ml), KL (100 ng), IL-3 (100 units), and GM-CSF (10ng) to stimulate colony formation by erythroid burst-forming units, CFU-granulocyte-macrophage and multilineage CPU (granulocyte, erythrocyte,macrophage, megakaryocytic, CFU-granulocyte-erythrocyte-macrophage-monocyte) at 37°Cin a 5% CO2, 5% O2, and 90% N2 humidified atmosphere.

G418 (Sigma) was added at 1.6 mg/ml.

Liquid Phase Culture (23)

Purified Step HIP HPCs transduced with the LNSN vector or mock treatedwere incubated for 14 days in FCS~ liquid culture in the presence of Ep (3

units/ml), IL-3 (100 units), and GM-CSF (10 ng). PCS was replaced by (24)bovine serum albumin (10 mg/liier; Fraction V, Sigma), pure human trans-

ferrin (1 mg/ml), human low density lipoproteins (40 fig/ml), insulin (10/xg/ml), sodium pyruvate (10~4 mg/liter), L-glutamine (2 X 10~3 mg/liter),rare inorganic elements (25) supplemented with iron sulfate (4 x 10"" mg/

liter), and nucleosides (10 fig/ml of each). G418 selection was not performed.This methodology allows in 14-17 days, a a2 log expansion of the initial

HPC population to generate a progeny composed of 77% erythroblasts and23% granulocytic cells. At day 14, cells were collected, washed twice, andincubated for 30 min at 4°Cwith a human anti-NGFR mAb (clone 8211;

Boehringer Mannheim, Mannheim, Germany) specific for the ligand bindingepitope of NGFR or an irrelevant IgGl isotypic control. Cells were washedtwice and treated with a goat anti-mouse F(ab')2 fluoresceinated antibody

(Becton Dickinson, Oxnard, CA) as described, washed twice, and analyzed byFACScan (Becton Dickinson).

Dexter-type LTC

The LTC conditions have been described previously (26). Briefly, the BMaspirate Ficoll-Hypaque cut was inoculated (1.5-2 X IO6 cells/ml) in 25-cm2

tissue culture flasks (Falcon; Becton Dickinson, Plymouth, United Kingdom)in 10 ml total volume comprising 10% preselected PCS (GIBCO), 10%preselected horse serum (GIBCO), and 5 X 10~7 M hydrocortisone hemisuc-

cinate (Sigma) in IMDM. Flasks were incubated in a 5% CO, atmosphere at33°C.After formation of a confluent stromal layer in 2-4 weeks, flasks were

exposed to 15 Gy to ablate endogenous BM hematopoiesis and then used asstromal layers. A total of 10 experiments were performed with purified PBHPCs (6 Step III and 4 Step HIP) seeded at different cell concentrations.One-half of the medium was replaced weekly. Cultures were terminated byenzymatic treatment with a trypsin-EDTA solution (GIBCO) at 5 or 8 weeks.

HPCs in the nonadherent and adherent fractions were assayed in clonogeneticculture as above in the absence of G418.

Molecular Analysis

Total RNA was extracted from single colonies by the guanidine isothiocya-nate/CsCl method (27). Control RT-PCR of ß,-microglobulin mRNA in singlecolonies indicated a consistently reproducible RNA extraction (28). First-

strand cDNA was synthesized by MoMuLV reverse transcriptase (GIBCOBRL, Gaithersburg, MD) using the neo'-antisense oligomer 5'-ATTCGCCG-GCAAGCTCTC'l lCA-3' (20) as primer. Amplification was achieved by 30

PCR cycles in a total volume of 50 ¡il.Denaturation was performed at 95°Cfor1 min, annealing at 55°Cfor 90 s, and extension at 72°Cfor 90 s. The primersneo'-sense 5'-GCTCGCGCCAGC CGAACTGT-3' and neo'-antisense encom

pass a 215-base pair fragment. Thirty fil of each reaction were electrophoresed

in a 1.8% agarose gel, transferred onto a nylon filter, and hybridized withan internal probe (5'-TCTCGTCGTGACCCATGGCGAT GCCTGCTT-3').

Table 1 Effect of N2 viral particle treatment on Step /IIP HPCs, as indicated bypercentage of G418-resistant colonies

Experiment12345Dayofinfection11,21,21,2,31,2,31,2,31,2,3No.of infectioncycles1223(1

+ 1+1)6(1+2+3)6(1+2+3)8(1+3+4)G418-resistant

clones14%323645676080

RNA from the PA317-N2 packaging and Hep3B cell lines were used as

positive and negative controls, respectively.

RESULTS

neor Gene Transfer into Step HIP HPCs. Optimal conditions forneor gene transfer in Step HIP HPCs were evaluated in the first series

of experiments. Actively cycling cells are transduced preferentially byMoMuLV-derived retroviral vectors (29, 30). Thus, HPCs weretreated with a combination of HGFs (KL, IL-6, and IL-3), whichinduced a rapid rise of their cycling as evaluated by [3H]deoxythy-midine-thymidine suicide assay (31, 32).5 An increase in the number

of treatments, especially on days 2 and 3, significantly augmented thenumber of G418-resistant clones (from 14 to 60-80% of total colo

nies scored at day 14) (Table 1).NGFR Gene Transfer into Step HIP HPCs. LNSN is a more

complex retroviral vector containing both the NGFR reporter and neor

gene (Fig. la). Step HIP HPCs were treated with the LNSN vectorunder optimal conditions, as established above. At least 18% or moreof transduced cells, grown in PCS" liquid culture in the presence of

Ep (3 units), IL-3 (100 units,) and GM-CSF (10 ng) for 14 days,

expressed the NGFR as shown by indirect immunofluorescence analysis (Fig. Ib).

LTC-IC Assay. The production of clonogenic cells in LTC by StepHI HPCs/HSCs seeded onto a preestablished irradiated BM adherentlayer was evaluated for 8 weeks. Results from six individual experiments are shown in Fig. 2 (left). The purification index of the HPCwas 26.4 ±3.8% (SEM). Purified cells attached to the adherent layer.Observation by phase contrast under an inverted microscope showedsmall round cells closely associated with the stroma by 3 weeks ofLTC (not shown). Indirect evidence of attachment was provided bythe decrease in the total number of nonadherent cells during the first2 weeks of culture (Fig. 2, left). Clonogenic cells were detected in allcultures in both the nonadherent and adherent fractions up to 8 weeks(Fig. 2 and results not shown).

In four additional experiments with Step ¡UPHPCs/HSCs (purification index, 73.3 ±8.3%; CD34+ cells, 70-90%) clonogenic cell

number was assayed in both the adherent and nonadherent fractions(Fig. 2, right, bottom). The adherent/nonadherent progenitor ratioranged from 1.7 to 3.0, in line with recent LTC-limiting dilution

analysis (13).The consistent presence of a clonogenic progeny in all LTC through

5-8 weeks in both the adherent and nonadherent fractions indicatesthe presence of LTC-ICs in the initial inoculum (13, 33).

Gene Transfer into LTC-ICs. We attempted to insert the neo geneinto LTC-ICs present in primitive HPCs/HSCs purified from PB.Thus, we monitored the frequency and stability of neor gene insertion

in the clonal progeny of HPCs generated in 5-8-week LTCs.

In seven independent experiments, LTCs were treated at 1 weekwith freshly filtered supernatant from the PA317-N2 cell line (Figs. 3,4fl). Clonogenic cell production of these LTCs through 5-8 weeks is

5 Unpublished data.

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TRANSFER OF REPORTER GENES IN HPCs AND HSCs FROM HUMAN PB

10

ii•aaO

105-

10

.i 10'H

g.!¡ «l

lI

345

Weeks3 4

Weeks

5ADH

Fig. 2. ¿f/r,analysis of six LTCs seeded with Step III PB HPCs; righi, four LTCs seeded with Step HIP HPCs. Top, nonadherent LTCs cells counted weekly; bottom, nonadherentLTCs cloned in semisolid medium to assess progenitor number. Right, the number of cells and progenitors in 5-week adherent layer (ADH). Points, means; bars, SEM.

shown in Figs. 3 and 4a; the pattern of HPC output was similar to thatin the uninfected cultures, as described above (Fig. 2).

In five experiments, single colonies obtained from both the nonadherent fraction collected weekly and the adherent 5-8-week layerwere analyzed by RT-PCR for stable integration/expression of theforeign gene sequence (Table 2). Few neor+ clones were detected in

colonies generated by HPCs in the nonadherent fraction in 3-5-weekLTCs but then largely prevailed at 6-8 weeks. Colonies generated byHPCs in the adherent fraction were almost always neor+ at both 5 and

8 weeks. A representative experiment is shown in Fig. 40.

DISCUSSION

Autologous transplantation of PB mononuclear cells, either normal(34) or "mobilized" (36) by chemotherapy and/or HGF treatment in

cancer patients, is widely used. This treatment allows early hemato-poietic recovery, which is consistently followed by long-term mye-loid/lymphoid reconstitution. It has not been established, however,whether the long-term reconstitution is mediated by the infused PBHSCs [as documented in the mouse (36)] and/or the endogenousHSCs (37).

It is therefore of interest to develop preclinical protocols for efficient gene transfer into human PB primitive HPCs and putative HSCs.

A safe and efficient procedure for gene transduction is required forclinical studies. Significant progress in the area has been hampered bythe following aspects: (a) cocultivation of hematopoietic target cellsand murine packaging cell lines is not applicable to clinical protocols;

(b) efficient gene transfer into HPCs/HSCs is hindered by both thelow titer of amphotropic packaging lines and the rarity of HPCs/HSCs; (c) efficient gene transfer requires cycling induction of targetcells; however, exogenous HGFs induce proliferation of the quiescentHSCs, which is coupled with HSC differentiation and loss of self-

renewal capacity (3, 29); and (d) expression of transduced genes inearly hematopoietic cells has not yet been evaluated.

We describe here safe and efficient gene transfer into PB HPCs/HSCs utilizing an HPC/HSC population stringently purified fromnormal PB. The Step HIP purified cells comprise -70% HPCs (including erythroid-burst-forming unit, CFU-granulocyte-monocyte,and CFU-granulocyte-erythrocyte-macrophage-monocyte), which areintensively CD34+ over the negative background and homogenouslyCD33-/CDlla-/CD45-/CD71Vlow/CD15- (19, 20). This membrane

phenotype is similar to that of primitive BM HPCs (38-42). Step HIPHPCs induced to proliferate and differentiate in liquid suspensionculture by HGF stimulus undergo in 24-72 h a shift of the membranephenotype, which becomes not only CD34"1"but also CD33+/CDlla+/CD45+/CD71high, i.e., the membrane phenotype of interme

diate-late BM HPCs (38-42). In addition, Step HIP cells include: (a)<5-10% CD34~/Thy-l+ cells, which represent highly undifferenti-

ated HPCs (43); and (b) a minority of primitive HPCs and putativeHSCs, as indicated by the assay of CPUs generating blast cell colonyand LTC-ICs.

We first developed a method for efficient gene transfer in purifiedHPCs, based on HPC cycling induction by HGFs and repeated treat-

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TRANSFER OF REPORTER GENES IN HPCs AND HSCs FROM HUMAN PB

10 S

I

l ,0

)0

10'

2345678

Weeks

Adherent

Nonodherent

80

«40- Illll

5WK 5WK 7WK 8 WK 8 WK

ExpNo. 12345

Fig. 3. Top. kinetics of HPCs from six transduced LTCs. The experiments wereterminated at 5, 7, and 8 weeks; points represent separate experiments. Bottom, number ofHPCs evaluated in the adherent and nonadherent fractions.

ment with N2 retroviral particles. This approach was optimized toallow >80% effective neor transduction, as indicated by selection with

toxic G418 dosage.The optimized protocol was then successfully applied to gene

transfer of a complex LNSN retroviral vector containing not only theneor cDNA but also the NGFR reporter cDNA. NCFR insertion into

HPCs/HSCs is a potentially relevant experimental tool. Indeed, it isunknown whether a reporter gene transduced in HPCs/HSCs is expressed in the HPCs/HSCs themselves. This is an important aspect, inthat: (a) retroviral gene insertion in highly undifferentiated cells, e.g.,embryonal carcinoma cells (44), is followed by specific silencing ofthe long terminal repeat; (b) expression of the transduced gene inHPCs/HSCs is often essential in HSC gene transfer protocols, e.g.,multidrug-resistant gene transfer to potentiate anticancer chemother

apy (45). The use of a membrane protein as reporter will allow both

an accurate measurement of the timing of reporter expression and aprecise definition of the differentiation stage of the NFGR ' HPC/

HSC target cell, as evaluated by double- or triple-labeling flow

cytometry analysis.In Dexter-type LTC the allogeneic irradiated stroma provides the

microenvironment for primitive HPC proliferation and differentiation,via an interplay of HGF(s), inhibitor(s), and cell-to-cell interactions

not yet decoded.Weekly replacement of one-half of the supernatant provides fresh

nutrients, while removing excess metabolites and negative regulatorsin the old medium (22, 46), which in turn leads to cycling of primitiveHPCs in the stroma (22, 46). Therefore, we applied the gene transferprocedure 24 h after medium replacement by three incubations withviral supernatants, which were directly flushed into the flasks togetherwith the previously removed LTC suspension cells. The purified StepIII LTC-ICs are hence transduced by a simple methodology, which

differs from already reported techniques (15): (a) establishment of theLTC; (h) induction of cell cycling by medium replacement; (c)treatment of the target cells with viral stocks directly in the LTC; and(d) no treatment with exogenous HGFS, polybrene, or protaminesulfate.

This approach consistently allowed an effective neo transductioninto LTC-ICs, as evaluated in terms of neo mRNA sequences incolonies generated by the HPCs produced in LTC in 6-8- weeknonadherent and 5- or 8-week adherent fractions. Previous studies on

LTC gene transfer into BM HPCs entailed preincubation of BM HPCswith exogenous HGFs and either vector-producing murine cells (14)

or retroviral particles (15, 47) on an allogeneic adherent layer. Thepresent observations suggest that the stromal LTC microenvironmentallows, per se, effective gene transfer into LTC-ICs, even if only

supernatant retroviral particles are incubated with target cells. Thelack of exogenous HGFs requirement is noteworthy; as mentionedabove, a strong proliferative HGF stimulus may induce not only earlyHPC/HSC proliferation but also HPC/HSC differentiation (3, 29).

An interesting feature of our results is that colonies generated bynonadherent HPCs are largely neor mRNA" at 3-5 weeks, whereas

7-8-week nonadherent HPCs and 5- and 8-week adherent HPCsgenerate essentially neo mRNA+ colonies. In this regard, LTC-ICs

selectively adhere to the stromal layer (22) and require more than 4weeks to generate clonogenic cells, as determined by culture ofHSCs-enriched populations at limiting dilutions (13, 33). In our LTCexperiments the timing of neo mRNA expression in the HPC-derivedcolonies strikingly coincides with that of HPC production by LTC-ICs

in the LTC system. This further supports the contention that ourprocedure selectively and effectively allowed transduction of theLTC-ICs population which represent, at least in part, HSCs.

Virtually all HPCs at 5-8 weeks in both the adherent and nonadherent fractions were neo mRNA+ suggesting that the present proce

dure allows a more efficient gene transfer into LTC-ICs as compared

with previously reported methodology (15, 47). Thus, these studiesmay represent a significant step towards development of preclinical

Table 2 RT-PCR analysis of neor mRNAin colonies generated by HPCs in nonadhereni and adherent layers in 2-8-week LTCsResults are expressed as number of n«/mRNA+ colonies/total number of analyzed colonies. Colony analysis in mock cultures is also presented.

Experiment1

234

5Purification

stepIIIHIPHI

HIPHI23/7

N.D.1/6(IS2/631/5

0/40/60/40/441/5

0/73/6040/451/2

0/40/60/40/4Weeks5-ADH7/9

7/964/6

0/40/476/63/42/386/6 4/43/48-ADH6/63/4N.D."Mock

colonies0/4

0/80/10/40/6

' N.D., not determined.

4402

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TRANSFER OF REPORTER GENES IN HPCs AND HSCs FROM HUMAN PB

(a)«'-

10'J

10'

10 J-

S£•a

10'-i

STEP IIISTEP III/N2

23456

Weeks

(b)i i i:

2 WK

3-4 WK

5 WK

•Ei-

f El1^ a

o. z

6 WK

7 WK

8 WK

Fig. 4. A representative LTC gene transfer experiment: (a) kinetics of nonadherent Step III HPCs following neo' gene transduction or mock treatment; (b) RT-PCR analysis of neo'

mRNA in colonies generated by nonadherent HPCs at the indicated times.

models for gene transfer into human PB HSC by complex retroviralvectors.

ACKNOWLEDGMENTS

We thank M. Fontana and C. Mastropietro for secretarial assistance, M.Teragnoli for graphics, and D. Mannelli for editorial help. The LNGFR viralsupernatants were a kind gift of F. Mavilio and C. Bordignon.

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1994;54:4398-4404. Cancer Res   M. Valtieri, R. Schirò, C. Chelucci, et al.   Human Peripheral Bloodin Hematopoietic Progenitor and Stem Cells Purified from Efficient Transfer of Selectable and Membrane Reporter Genes

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