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Erin F. Wolff, M. D. , Naoya Uchida, M. D. , Ph. D. , Robert E

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Presentation on theme: "Erin F. Wolff, M. D. , Naoya Uchida, M. D. , Ph. D. , Robert E"— Presentation transcript:

1 Peripheral blood stem cell transplants do not result in endometrial stromal engraftment 
Erin F. Wolff, M.D., Naoya Uchida, M.D., Ph.D., Robert E. Donahue, V.M.D., Mark E. Metzger, Matthew M. Hsieh, M.D., Lauren L. Libfraind, B.A., Micah J. Hill, D.O., John F. Tisdale, M.D.  Fertility and Sterility  Volume 99, Issue 2, Pages e2 (February 2013) DOI: /j.fertnstert Copyright © Terms and Conditions

2 Figure 1 Summary of the Rhesus macaques who underwent bone marrow transplantation with autologous green fluorescent protein (GFP)-labeled CD34+ cells after total body irradiation preconditioning resulting in long-term stable mixed bone marrow chimerism of granulocyte, lymphocyte, red blood cell, and platelet lineages (7, 9). (A) Hematopoietic stem cells were mobilized into the peripheral circulation and mononuclear cells were collected by leukapheresis. (B) Peripheral CD34+ cells were isolated from the leukapheresis product. (C) The CD34+ cells were transduced with an integrating lentiviral vector expressing GFP. (D) The macaque underwent pretransplant conditioning total body irradiation (2 × 500 cGy). (E) The CD34+ cells with GFP marking were then autotransplanted back into the macaque. (F) Fluorescent microscopy was performed on endometrial and bone marrow stromal cells cultures to detect the presence of GFP+ cells (indicating donor engraftment). Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © Terms and Conditions

3 Figure 2 (A) Optical imaging of endometrial and bone marrow stromal cell cultures from the macaque. Fluorescent imaging of the endometrial and bone marrow stromal cell cultures showed rare positive green fluorescent protein (GFP+) cells. (B) However, none of these endometrial (top) and bone marrow (bottom) mesenchymal stem cells (MSC) were double positive for the endometrial stem cell marker CD146 and GFP+ (transplant derived) in this macaque model of peripheral blood stem cell transplant. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © Terms and Conditions

4 Figure 3 Uteri from Rhesus macaque transplanted with positive green fluorescent protein (GFP+) hematopoietic stem cells (HSC) were collected for immunofluorescent. The HSC-derived cells residing in the GFP+ cells (green) do not colocalize with staining for the endometrial stem cell marker PDGFrβ (red) shown in low (A) and high power (B). The HSC-derived cells (green) residing within the endometrium are not CD45+ (red) (C). Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © Terms and Conditions

5 Supplemental Figure 1 (A) Sequential culturing of endometrial cells to purify the stromal compartment and decrease the white blood cell (WBC) contamination. The WBC (CD45) and mesenchymal stem cell (MSC) (CD146) surface positivity of endometrial stromal cultures were assessed in sequential passages. Purple peaks represent isotype control (negative control) surface marker positivity, whereas green peaks represent surface marker of interest. Percentage of cell surface marker positivity was determined by dividing the marker (M1; i.e., nonoverlapping with the emission from isotype control) number of cells incubated with the antibody of interest by total number of cells analyzed in test samples. Culturing endometrial stromal cells is effective as removing WBC contamination (known donor) that would result in a false-positive result for donor short-tandem-repeat microchimerism and purifies the MSC component. (B) Fluorescence-activated cell sorter analysis of endometrial and bone marrow stromal cultures for WBC and mesenchymal stem cell markers. Representative endometrial (left) and bone marrow (right) samples were incubated with antibodies to surface markers CD45 (top), CD146 (middle), and PDGFrβ (bottom), which are depicted here in histogram analysis after passage 2. Purple peaks represent isotype control (negative control) surface marker positivity, whereas green peaks represent surface marker of interest. Percentage of cell surface marker positivity was determined by dividing the marker (M1; i.e., nonoverlapping with the emission from isotype control) number of cells incubated with the antibody of interest by total number of cells analyzed in test samples. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © Terms and Conditions

6 Supplemental Figure 2 Cultured endometrial (blue bars) and bone marrow stromal cell (red bars) cultures demonstrated low levels of white blood cell (WBC) markers (false-positive contamination) and high levels of stem cell surface markers. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © Terms and Conditions


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