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Chapter 9  Hematopoietic Stem Cell Biology  97


                                              ETV2
                                              SCL                    Hemogenic
                                                                     endothelium
                            Mesoderm
                                                                 SCL/TAL1
                                                   LT-HSC           LMO2
                                                                   GATA2
                                  –
                                +
                             c-Kit Lin Sca-1 Thy-1.1 FLK2 CD34 CD150 +  RUNX1
                                               –
                                                   –
                                      +
                                           lo
                                                                     MLL
                   Multipotent  c-Kit Lin Sca-1 Thy-1.1 FLK2 CD34 CD150 +  ETV6
                                                   ST-HSC
                                                                    BMI1
                                +
                                      +
                                  –
                                           lo
                                               –
                                                   +
                                                                    GFI1
                                                     MPP
                                +
                             c-Kit Lin Sca-1 Thy-1.1 FLK2 CD34 CD150 –
                                  –
                                               +
                                                   +
                                      +
                                           –
                                                                                            CLP
                                                                                       –
                                                                                    lo
                                                                                  c-Kit Lin Sca-1 II7r  +
                                                                                           lo
                                                     CMP
                                            –
                                          +
                                       c-Kit Lin Sca-1 Fc R lo  CD34 +
                                                lo
                                                                                       IKAROS  IKAROS
                   Oligopotent  c-Kit Lin Sca-1 – –  c-Kit Lin Sca-1 – +                 PAX5  NOTCH
                                                                                         PU.1
                                                                                                 PU.1
                            MEP
                                                        GMP
                                                                                          E2A
                           –
                        +
                                                    +
                                                       –
                                                                                          EBF
                                                                                                 TCF1
                           –
                       Fc R
                                                      +
                                                   Fc R
                           CD34
                                                       CD34
                                                                                                GATA3
                                GATA1    PU.1     PU.1    PU.1   PU.1    PU.1          BCL11A
                                GATA2   GATA2          C/EBP   C/EBP                    (EVI9)
                                 FOG1                   GATA1
                 Committed  precursors  GATA1  GATA1  GATA1  C/EBP   GFI1                 XBP1
                       FOG1
                       GFI1B
                        EKLF     GFI1B                         C/EBP
                   Mature cells  RBC  Megakaryocyte  Mast  Basophil  Eosinophil Neutrophil Monocyte/  Dendritic   B lymphocyte   NK cell
                                                                                                 T lymphocyte
                                                                                    cell
                                            cell
                                                                         Macrophage
                                 FLI1
                                 NFE2
                                   Platelets
                            Fig. 9.2  HEMATOPOIETIC CELLULAR HIERARCHY. The phenotypes of murine hematopoietic stem
                            cells (HSCs) and oligopotent progenitor cells, as well as transcription and epigenetic factors critical for speci-
                            fication and differentiation of HSCs are shown. CLP, common lymphoid progenitor; CMP, common myeloid
                            progenitor;  GMP,  granulocyte-macrophage  progenitor;  LT-HSC,  long-term  HSC;  MEP,  megakaryocytic-
                            erythroid progenitor; NK, natural killer; RBC, red blood cell; ST-HSC, short-term HSC. (Adapted from Prohaska
                            SS, Weissman I: Biology of hematopoietic stem and progenitor cells. In Appelbaum F, Forman SJ, Negrin RS, Blume K,
                            editors: Thomas’ hematopoietic cell transplantation, UK, 2008, Wiley-Blackwell, p 36-63; Orkin SH, Zon LI: Hema-
                            topoiesis: an evolving paradigm for stem cell biology. Cell 132, 631-644, 2008; Voehringer D: Protective and pathological
                            roles of mast cells and basophils. Nat Rev Immunol 13, 362-375, 2013.)
            Human HSCs                                            selection  for  surface  expression  of  CD38  and  depletion  of  lineage
                                                                  surface markers. 89,96,97  Thy-1 (CD90) surface expression also enriches
            Significant progress has also been made in the phenotypic charac-  for  multilineage  colony-forming  ability  and  in  vivo  reconstituting
            terization  of  human  HSCs  via  flow  cytometric  analysis  combined   capacity of human hematopoietic cells. 17,98  Majeti et al showed that
                                                                             +
                                                                                  −
                                                                       −
                                                                                          −
                                                                                               +
            with  in  vivo  transplantation  assays  in  immune-deficient  mice. 88,89    the Lin CD34 CD38 CD45RA Thy-1  population in human cord
                                                                                                                   98
            Of particular note, although murine HSCs can be characterized by   blood (CB) was enriched at the level of one in 10 cells for LT-HSCs.
            the absence of CD34 expression on the cell surface, human HSCs   The authors also showed that candidate multipotent progenitor cells
                                                                                                              −
                                                                                                                    −
                                                                                            −
                                                                                                 +
                                                                                                       −
            are  primarily  enriched  using  CD34  surface  expression,  and  this   (MPPs) were demarcated by the Lin CD34 CD38 CD45RA Thy-1
            provides the basis for  confirming  sufficient HSC  content  to allow   population, suggesting that the loss of Thy-1 reflects the transition
            for  successful  hematopoietic  cell  transplantation  in  patients. 17,90,91    of LT-HSCs to short-term (ST)-HSCs/MPPs. 17,98
            There is also some controversy in this area because some investiga-
                                                                       +
                                                              −
            tions  have  suggested  that  LT-HSCs  can  be  isolated  from  CD34    CD49f  Human HSCs
            human  hematopoietic  cells. 92–95   Of  note,  only  a  small  percentage   Although  it  is  possible  to  enrich  murine  BM  HSCs  to  the  level
                          +
            (<0.1%) of CD34  human hematopoietic cells possess the capacity   of  nearly  single-cell  purity  using  various  combinations  of  cell
            to  engraft  following  intravenous  injection  into  nonobese  diabetic/  surface  markers,  isolation  of  human  BM  HSCs  to  the  same  level
            severe combined immune deficient (NOD/SCID) mice. 4,89  Further   of purity has not been readily achieved. 74,80,99  However, Notta et al
            enrichment  of  human  HSCs  has  been  demonstrated  via  negative   demonstrated that intrafemoral injection of a fluorescence-activated
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