lecture 22: Hematopoietic Stem Cells Flashcards

1
Q

How many publications in this field over the last 40 years?

A
  • Haematopoietic/Hematopoietic Stem Cells = 82970
  • Bone Marrow Transplantation = 76542
  • HSC Transplantation = 43112
  • i.e. quite a lot of information
  • very had to discern where to start when you are dealing with such a big topic
  • 2012 breakdown of publications by stem cell type → about 1/4 are HSCs, burgeoning MST, also iPS and hESC
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2
Q

How well understood are HSCs?

A
  • most extensively studied and characterised stem cell population
  • robust strategies for elucidating the HSC compartment has paved the way for the characterisation of other stem cell populations
  • HSC are only stem cell population routinely utilised in the clinic
  • hierarchical organisation
  • isolation
  • enrichment
  • differentiation
  • niche
  • in vitro functional assays
  • in vivo assays
  • transplantation
  • therapeutics
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3
Q

What is the classical view of renewal and regeneration in adult tissues?

A
  • continuously renewing
    • bone marrow
    • gastrointestinal tract
    • skin
  • conditionally renewing
    • lung
    • kidney
  • non-renewing
    • brain
    • skeletal muscle
  • coinciding with a decreasing rate of regeneration
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4
Q

Why do we have continuously regenerating tissues such as in the bone marrow?

A
  • cellular requirement for turnover
  • cells that have a short half-life / life-span
  • need variants in the cells that are being produced, constantly, in order for body to effectively be able to search for evading pathogens/respond to particular stresses etc
  • bone marrow
    • granulocytes: 120 x109cells/day, 5400 kg per 70 years, 1 days turnover
    • erythrocytes: 200, 460, 120
    • lymphocytes: 20, 275
    • platelets: 150, 40, 7-14
  • gut mucosa: 56, 6850
  • skin: 0.7, 86, 7
  • this level of turnover requires a very organised system
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5
Q

What is the classical stem cell hierarchy?

A
  • intrinsic properties of stem cells:
    • renewal
    • high proliferative potential
    • clonal repopulation
    • multilineage differentiation
  • decreasing probability of quiescence
  • diminishing regenerative capacity
  • dimishing proliferative potential
  • progressive lineage restriction
  • stem cell 1
    • progenitor 1
      • mature cell 1 (M1)
      • M2
    • P2
      • M3
      • M4
  • SC2
    • P3
      • M5
      • M6
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6
Q

What is transdifferentiation?

A
  • M1 → M2
  • M1 →→ M3
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7
Q

What is transdetermination?

A
  • SC1 → P3 → M5/M6
  • P2 → M2
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8
Q

What is dedifferentiation?

A
  • M1 → P2
  • M3 → SC1
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9
Q

What is the haematopoietic stem cell hierarchy?

A
  • stem cells
  • committed progenitors
  • maturing cells
  • matured cells
  • two major arms: lymphoid arm, myeloid arm
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10
Q

What is developmental haematopoiesis?

A
  • mouse
    • E6.5: mesoderm formation
    • 7.5: yolk sac blood islands
    • circulation beginnging ~ 9
    • 10.5: Aorta Gonad Mesonephros
    • 14.5: foetal liver stage
    • 18.5 – adulthood: bone marrow
  • human:
    • 17: yolk sac
    • 23: 1st hepatic colonization
    • 27: arterial clusters
    • 30: 2nd hepatic colonization
    • 10.5 weeks: bone marrow colonization
  • important to understand because regeneration recapitulates ontogeny
  • multiple sites of haematopoiesis during development
  • occurs through two distinct waves
    • primitive
      • dedicated primarily to production of erythroid progenitors
      • allow circulation to start occuring
    • definitive
      • controlled haematopoiesis
      • point at which it is maintained for life
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11
Q

What is key transcriptional regulation of haematopoiesis?

A
  • ETV2:
    • ETS family member regulating early haematopoietic development
    • ETV2-/- mouse embryos fail to develop yolk sac blood islands, primitive haematopoiesis is absent and vasculogenesis abrogated
  • SCL:
    • basic helix-loop-helix transcription factor crucial to haematopoeitic development
    • SCL -/- mouse embryos lack yolk sac haemat. and die at E9.5
  • RUNX1:
    • transcription factor expressed in haemat. cells and endothelial tissues in contact with nascent blood cells
    • RUNX1-/- mouse embryos fail to undergo definitive haemat. and die from severe haemhorrage at E12.5
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12
Q

How can we deconstruct the adult haematopoietic stem cell hierarchy?

A
  • biomarkers/phenotype ↔ in vivo assay/transplantation assays ↔ in vitro surrogate assay/stem cell assay ↔ biomarkers/phenotype
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13
Q

What were pioneering experiments that aiding understanding of HSCs?

A
  • transplantation experiments
    • Lorenz - 1951
    • irradiated mice - transplanted normal bone marrow
  • colony forming assays
    • till and McCulloch - 1961
    • in vivo colony forming assay (CFU-S)
    • irradiated mice
    • IV injection of cells
    • colonies of mature haemat. cells in spleen
  • in vitro surrogate assays
    • bradley and metcalf (1966)
    • bone marrow suspensions
    • cultured cells in bito in semi-solid state
      • media and agar of methylcellulose
    • measured colony number, size, morphology
    • added cytokines (GM-CSF, G-SCF, M-CSF, IL-3 etc) to assess cytokine directed differentiation
    • feeder cells
    • bone marrow cells
    • cytokines
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14
Q

What is limiting dilution stem cell transplantation?

A
  • used two different alleles of CD45 (leucocyte common antigen - Ly5.1 and Ly5.2) in mice to discriminate between host and donor
  • transplanted different number of donor cells
  • look for circulating blood cells from donor in recipient irradiated mice to determine incidence of stem cells
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15
Q

What are surrogate stem cell assays?

A
  • immunophenotyping
    • measured expression of Sca-1 CD34; c-kit; Thy-1, Mac-1; lineage markers
    • takes hours
  • clonogenic assays
    • measures cytokine-stimulated colony growth in semi solid agar or methylcellulose
    • takes 7-14 days
  • liquid culture assay
    • measures long term culture initiating cells (LTCIC)
    • measures cobbestone area forming assay (CAFC)
    • takes weeks
  • transplantation
    • measures long term reconstitution potential
    • takes months
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16
Q

What is the isolation, enrichment, and characterisation of HSCs?

A
  • bone marrow
  • low density cells
  • negative lineage selection
    • put in markers for ones we want to get rid of
    • FACS or magnetic beads
  • flow cytometry analysis and sorting
  • uses Nycoprep 1.077g/cc3
  • further subsetting
    • antibodies/fluorochromes/membrane markers
  • gene expression profiling
  • cell cycle analysis
  • clonal analysis
  • transplantation
  • density gradient centrifugation → know density of mononuclear cells
17
Q

What is immunoprofiling of HSC?

A
  • can classify different progenitor cells through the hierarchy based on expression of cell surface markers
  • has to be confirmed by using in vitro and in vivo essays
  • some surface markers are shared between mice and humans and some are not
  • also some specific markers for certain subpopulations etc
  • similarity but also discrepancies between animal models
18
Q

How did we find out about transcriptional regulation of haematopoeisis?

A
  • animal knock out models
19
Q

How do we know what we know?

A
  • technological advances
  • flow cytometric analysis
  • in vitro clonogenic assays
    • proliferative capacity
    • differentiative capacity
    • cytokine driven for differentiation
  • in vivo assays
    • clonogenic transplantation
    • repopulation transplantation
    • knockout mice
    • lineage tracing
20
Q

What is the controversy about HSC niche?

A
  • one or two niche?
  • Long term in endosteum
  • activated in perivascular niche
  • endosteal cells had:
    • greater proliferative potential
    • greater affinity for endosteum
    • greater transplant potential
21
Q

What is the history of transplantation?

A
  • up to 1968 a bit of a disaster
  • rescue of irradiated mice by spleen protection and transplantation (Jacobson - 1949(
  • resceu of irradiated mice by bone marrow transplantation (Lorenz- 1951)
  • first use of allogenic bone marrow transplant in leukaemic patients (thomas - 1957)
  • histocompatibility determines outcome of transplantation in dogs with matched littermates (Epstein and Storb 1968)
  • HLA matched siblings bone marrow donors (Thomas 0 1971)
  • immune suppression by drugs and T-cell depletion (GVHD), patient-donor compatibility, mobilisation, understanding of haematopoiesis