PMID- 19752394 OWN - NLM STAT- MEDLINE DCOM- 20091222 LR - 20210206 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 114 IP - 20 DP - 2009 Nov 12 TI - The therapeutic effect of bone marrow-derived liver cells in the phenotypic correction of murine hemophilia A. PG - 4552-61 LID - 10.1182/blood-2009-02-202788 [doi] AB - The transdifferentiation of bone marrow cells (BMCs) into hepatocytes has created enormous interest in applying this process to the development of cellular medicine for degenerative and genetic diseases. Because the liver is the primary site of factor VIII (FVIII) synthesis, we hypothesized that the partial replacement of mutated liver cells by healthy cells in hemophilia A mice could manage the severity of the bleeding disorder. We perturbed the host liver with acetaminophen to facilitate the engraftment and hepatic differentiation of lineage-depleted enhanced green fluorescent protein-expressing BMCs. Immunohistochemistry experiments with the liver tissue showed that the donor-derived cells expressed the markers of both hepatocytes (albumin and cytokeratin-18) and endothelial cells (von Willebrand factor). The results of fluorescent in situ hybridization and immunocytochemistry experiments suggested that differentiation was direct in this model. The BMC-recipient mice expressed FVIII protein and survived in a tail clip challenge experiment. Furthermore, a coagulation assay confirmed that the plasma FVIII activity was maintained at 20.4% (+/- 3.6%) of normal pooled plasma activity for more than a year without forming its inhibitor. Overall, this report demonstrated that BMCs rescued the bleeding phenotype in hemophilia A mice, suggesting a potential therapy for this and other related disorders. FAU - Yadav, Neelam AU - Yadav N AD - Stem Cell Biology Laboratory, National Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, India. FAU - Kanjirakkuzhiyil, Sumod AU - Kanjirakkuzhiyil S FAU - Kumar, Suresh AU - Kumar S FAU - Jain, Manish AU - Jain M FAU - Halder, Ashutosh AU - Halder A FAU - Saxena, Renu AU - Saxena R FAU - Mukhopadhyay, Asok AU - Mukhopadhyay A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090914 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 9001-27-8 (Factor VIII) SB - IM MH - Animals MH - Bone Marrow Cells/*cytology/metabolism MH - Bone Marrow Transplantation MH - Cell Transdifferentiation MH - Factor VIII/biosynthesis MH - Female MH - Flow Cytometry MH - Hemophilia A/*therapy MH - Hepatocytes/*cytology/metabolism MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Mice MH - Phenotype MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2009/09/16 06:00 MHDA- 2009/12/23 06:00 CRDT- 2009/09/16 06:00 PHST- 2009/09/16 06:00 [entrez] PHST- 2009/09/16 06:00 [pubmed] PHST- 2009/12/23 06:00 [medline] AID - S0006-4971(20)38939-4 [pii] AID - 10.1182/blood-2009-02-202788 [doi] PST - ppublish SO - Blood. 2009 Nov 12;114(20):4552-61. doi: 10.1182/blood-2009-02-202788. Epub 2009 Sep 14.