Abstract
The aim of the present study was to evaluate the capacity to expand of hematopoietic stem cell (HSC) samples from eight patients with NHL, and to follow in parallel the fate of tumor cells in four of eight samples still containing bcl2/JH+ tumor cells after CD34+ or CD19−/20−/34+ cell selection. The presence of bcl2/JH+ cells was also investigated after expansion in four of eight samples, two of which were bcl2/JH− at harvesting and two which were initially bcl2/JH+ but became bcl2/JH− (below the level of PCR detection) after cell selection, to assess a possible reappearance of occult tumor cells after expansion culture. We used culture conditions that we previously had established to allow high level expansion of normal precursors, progenitors and LTC-ICs. In this study, particular attention was given to the role of Flt3-ligand, known to favor the growth of B cells. The expansion conditions were: 1.5 × 103 cells/ml in serum-free medium containing stem cell factor (SCF), interleukin-3 (IL-3), IL-6, granulocyte-stimulating factor (G-CSF), erythropoietin (Epo) ± Flt3-ligand (Flt3-L) for 10 days. After culture, total cells, CFU-GMs, BFU-Es and LTC-ICs were expanded to a mean of 833-, 6.6-, 4.6-, and 1.8-fold, respectively with the cocktail of cytokines not including Flt3-L. When Flt3-L was added, the mean expansion values were 1095-, 31-, 15- and three-fold, respectively. Residual bcl2/JH+ cells present in four of eight samples before expansion were not detected after expansion. Similarly, no tumor cells reappeared after expansion of the two samples which had become negative after selection, as well as in the two samples which were bcl2/JH− at harvesting. These results suggest first that ex vivo expansion of hematopoietic stem cells in patients with non-Hodgkin's lymphoma is feasible without incurring the parallel risk of amplifying tumor cells; second, that Flt3-L did not stimulate the growth of tumor cells while it clearly favored the growth of normal progenitors. Bone Marrow Transplantation (2000) 26, 497–503.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Chang J, Coutinho L, Morgenstern G et al. Reconstitution of haemopoietic system with autologous marrow taken during relapse and grown in long-term culture Lancet 1986 i: 294–295
Brugger W, Heimfeld S, Berenson RJ et al. Reconstitution of hematopoiesis after high-dose chemotherapy by autologous progenitor cells generated ex vivo New Engl J Med 1995 333: 283–287
Williams SF, Lee WJ, Bender JG et al. Selection and expansion of peripheral blood CD34+ cells in autologous stem cell transplantation for breast cancer Blood 1996 87: 1687–1691
Poloni A, Giarratana MC, Hussein F et al. The ex vivo expansion capacity of normal human bone marrow cells is dependent on experimental conditions: role of the cell concentration, serum and CD34+ cell selection in stroma-free cultures Hematol Cell Ther 1997 39: 49–58
Reiffers J, Caillot C, Dazey B et al. Abrogation of post-myeloablative chemotherapy neutropenia by ex vivo expanded autologous CD34 positive cells Lancet 1999 354: 1092–1093
Bachier CR, Gokmen E, Teale J et al. Ex vivo expansion of bone marrow progenitor cells for hematopoietic reconstitution following high dose chemotherapy for breast cancer Exp Hematol 1999 27: 615–623
Tisdale JF, Hanazono Y, Sellers SE et al. Ex vivo expansion of genetically marked Rhesus peripheral blood progenitor cells results in diminished long-term repopulating ability Blood 1998 92: 1131–1141
Lopez M, Lemoine FM, Firat H et al. Bone marrow vs peripheral blood progenitor cells CD34 selection in patients with non-Hodgkin's lymphoma: different levels of tumour cell reduction. Implications for autografting Blood 1997 90: 2830–2838
Di Nicola M, Siena S, Corradini P et al. Elimination of bcl-2-IgH-positive follicular lymphoma cells from blood transplants with high recovery of hematopoietic progenitors by the Miltenyi CD34+ cell sorting system Bone Marrow Transplant 1996 18: 1117–1121
Gorin NC, Lopez M, Laporte JP et al. Preparation and successful engraftment of purified CD34+ bone marrow progenitor cells in patients with non-Hodgkin's lymphoma Blood 1995 85: 1647–1654
Paulus U, Schmitz N, Viehmann K et al. Combined positive/negative selection for highly effective purging of PBPC grafts: towards clinical application in patients with B-CLL Bone Marrow Transplant 1997 20: 415–420
Cleary ML, Smith SD, Sklar J . Cloning and structural analysis of cDNAs for bcl-2 and a hybrid bcl-2/immunoglobulin transcript resulting from the t(14;18) translocation Cell 1986 47: 19–28
Philip T, Armitage JO, Spitzer G et al. High-dose therapy and autologous bone marrow transplantation after failure of conventional chemotherapy in adults with intermediate grade or high-grade non-Hodgkin's lymphoma New Engl J Med 1987 3: 1493–1498
Fouillard L, Laporte JP, Labopin M et al. Autologous stem-cell transplantation for non-Hodgkin's lymphomas: the role of graft purging and radiotherapy post-transplantation: results of a retrospective analysis on 120 patients autografted in a single institution J Clin Oncol 1998 16: 2803–2816
Brenner MK, Rill DR, Moen RC et al. Gene-marking to trace origin of relapse after autologous bone-marrow transplantation Lancet 1993 341: 85–86
Deisseroth AB, Zu Z, Claxton D et al. Genetic marking shows that Ph+ cells present in autologous transplants of chronic myelogenous leukemia (CML) contribute to relapse after autologous bone marrow in CML Blood 1994 83: 3068–3076
Rill DR, Santana VM, Roberts WM et al. Direct demonstration that autologous bone marrow transplantation for solid tumors can return a multiplicity of tumorigenic cells Blood 1994 84: 380–383
Gribben JG, Freedman AS, Neuberg D et al. Immunologic purging of marrow assessed by PCR before autologous bone marrow transplantation for B cell lymphoma New Engl J Med 1991 325: 1525–1533
Ross AA, Cooper BW, Lazarus HM et al. Detection and viability of tumour cells in peripheral blood stem cell collections from breast cancer patients using immunocytochemical and clonogenic assay techniques Blood 1993 82: 2605–2610
Lemoli R, Fortuna A, Motta MR et al. Concomitant mobilization of plasma cells and hematopoietic progenitors into peripheral blood of multiple myeloma patients: positive selection and transplantation of enriched CD34+ cells to remove circulating tumour cells Blood 1996 87: 1625–1634
Brugger W, Bross KJ, Glatt M et al. Mobilization of tumour cells and hematopoietic progenitor cells into peripheral blood of patients with solid tumors Blood 1994 83: 636–640
Kobari L, Giarratana MC, Poloni A et al. Flt3 ligand, MGDF, Epo and G-CSF enhance ex vivo expansion of hematopoietic cell compartments in the presence of SCF, IL-3 and IL-6 Bone Marrow Transplant 1998 21: 759–767
Hirayama F, Lyman SD, Clark SC, Ogawa M . The flt3 ligand supports proliferation of lymphohematopoietic progenitors and early B lymphoid progenitors Blood 1995 85: 1762–1768
Hunte BE, Hudak S, Campbell D et al. Flk2/flt3 ligand is a potent cofactor for the growth of primitive B cell progenitors J Immunol 1996 156: 489–496
Eaves CJ, Eaves AC . Erythropoiesis. In: Greder DW, Takaku F (eds) Hemopoietic Stem Cells Marcel Dekker: New York 1985 p19
Douay L, Giarratana MC, Labopin M et al. Characterisation of late and early hematopoietic progenitor/stem cell sensitivity to mafosfamide Bone Marrow Transplant 1995 15: 769–775
Sutherland HJ, Lansdorp PM, Henkelman DH et al. Functional characterization of individual human hematopoietic stem cells cultured at limiting dilution on supportive marrow stromal layers Proc Natl Acad Sci USA 1990 87: 3584–3588
Straetmans N, Herman PH, Van Bockstaele D et al. Haematopoietic defect and decreased expansion potential of bone marow autografts from patients with acute myeloid leukemia in first remission Br J Haematol 1998 101: 571–581
Douay L, Kobari L, Pflumio F et al. Conservation of the potential of primitive hematopoietic cells obtained by amplification of CD34+ cells from cord blood Blood 1999 94: 606a
Gribben JG, Freedman AS, Woo SD et al. All advanced stage non-Hodgkin's lymphomas with a polymerase chain reaction amplifiable breakpoint of bcl-2 have residual cells containing the bcl-2 rearrangement at evaluation and after treatment Blood 1991 78: 3275–3280
Léonard BM, Hétu F, Busque L et al. Lymphoma cell burden in progenitor cell grafts measured by competitive polymerase chain reaction: less than one log difference between bone marrow and peripheral blood sources Blood 1998 91: 331–339
Berenson R, Andrew R, Bensinger W et al. Selection of CD34+ marrow cells for autologous marrow transplantation Hematol Oncol Ann 1994 2: 78
Macintyre EA, Belanger C, Debert C et al. Detection of clonal CD34+ 19+ progenitors in bone marrow of bcl2-IgH-positive follicular lymphoma patients Blood 1995 86: 4691–4698
Voso MT, Hohaus S, Moos M, Haas R . Lack of t(14;18) polymerase chain reaction-positive cells in highly purified CD34+ cells and their CD19 subsets in patients with follicular lymphoma Blood 1997 89: 3763–3768
Widmer L, Pichert G, Jost LM, Stahel RF . Fate of contaminating t(14;18)+ lymphoma cells during ex vivo expansion of CD34-selected hematopoietic progenitor cells Blood 1996 88: 3166–3175
Vogel W, Behringer D, Scheding S et al. Ex vivo expansion of CD34+ peripheral blood progenitor cells: implications for expansion of contaminating epithelial tumour cells Blood 1996 88: 2707–2713
Lundell BI, Vredenburgh JJ, DeSombre K, Smith AK . Ex vivo expansion of bone marrow from breast cancer patients: reduction in tumor content through passive purging Bone Marrow Transplant 1998 22: 153–159
Van Riet I, Juge-Morineau N, Schots R et al. Persistence of residual tumour cells after cytokine-mediated ex vivo expansion of mobilized CD34+ blood cells in multiple myeloma Br J Haematol 1997 96: 403–411
Acknowledgements
This work was supported by a grant from the Ligue Nationale Contre le Cancer.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yao, M., Fouillard, L., Lemoine, F. et al. Ex vivo expansion of CD34-positive peripheral blood progenitor cells from patients with non-Hodgkin's lymphoma: no evidence of concomitant expansion of contaminating bcl2/JH-positive lymphoma cells. Bone Marrow Transplant 26, 497–503 (2000). https://doi.org/10.1038/sj.bmt.1702539
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.bmt.1702539
Keywords
This article is cited by
-
A novel triple purge strategy for eliminating chronic myelogenous leukemia (CML) cells from autografts
Bone Marrow Transplantation (2006)
-
Ex vivo expansion of megakaryocyte precursor cells in autologous stem cell transplantation for relapsed malignant lymphoma
Bone Marrow Transplantation (2004)