PMID- 34927242 OWN - NLM STAT- MEDLINE DCOM- 20220214 LR - 20220731 IS - 1365-2141 (Electronic) IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 196 IP - 3 DP - 2022 Feb TI - Identification of the minimum requirements for successful haematopoietic stem cell transplantation. PG - 711-723 LID - 10.1111/bjh.17867 [doi] AB - Historically, defining haematopoietic subsets, including self-renewal, differentiation and lineage restriction, has been elucidated by transplanting a small number of candidate cells with many supporting bone marrow (BM) cells. While this approach has been invaluable in characterising numerous distinct subsets in haematopoiesis, this approach is arguably flawed. The haematopoietic stem cell (HSC) has been proposed as the critical haematopoietic subset necessary for transplantation. However, due to the presence of supporting cells, the HSC has never demonstrated sufficiency. Utilising the homeobox B5 (Hoxb5)-reporter system, we found that neither long-term (LT) HSCs nor short-term (ST) HSCs alone were sufficient for long-term haematopoietic reconstitution. Critically, reconstitution can be rescued by transplanting combined LT- and ST-HSCs, without supporting cells; a fraction we term the 'Minimum Subset for Transplantation' (MST). The MST accounts for only 0.005% of nucleated cells within mouse BM, and this MST can be cultured, expanded and genetically modified while preserving its rapid haematopoietic engraftment potential. These results support the consideration of an MST approach for clinical translation, especially for gene therapy approaches that require HSC compartment modification. CI - (c) 2021 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd. FAU - Nishi, Katsuyuki AU - Nishi K AD - RIKEN Centre for Biosystems Dynamics Research, Kobe, Hyogo, Japan. AD - Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan. FAU - Sakamaki, Taro AU - Sakamaki T AD - RIKEN Centre for Biosystems Dynamics Research, Kobe, Hyogo, Japan. FAU - Sadaoka, Kay AU - Sadaoka K AD - RIKEN Centre for Biosystems Dynamics Research, Kobe, Hyogo, Japan. FAU - Fujii, Momo AU - Fujii M AD - RIKEN Centre for Biosystems Dynamics Research, Kobe, Hyogo, Japan. FAU - Takaori-Kondo, Akifumi AU - Takaori-Kondo A AD - Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan. FAU - Chen, James Y AU - Chen JY AD - Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA. AD - Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. FAU - Miyanishi, Masanori AU - Miyanishi M AUID- ORCID: 0000-0002-0527-3652 AD - RIKEN Centre for Biosystems Dynamics Research, Kobe, Hyogo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211220 PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (Biomarkers) SB - IM MH - Animals MH - Biomarkers MH - Cell Count MH - Cell Differentiation MH - Cell Lineage MH - Cell Tracking MH - Gene Expression MH - Genes, Reporter MH - Graft Survival MH - Hematopoiesis MH - *Hematopoietic Stem Cell Transplantation/methods/standards MH - Hematopoietic Stem Cells/cytology/metabolism MH - Humans MH - Mice MH - Models, Animal MH - Outcome Assessment, Health Care/*standards MH - Phenotype MH - *Quality Indicators, Health Care MH - Transplantation Conditioning PMC - PMC9300074 OTO - NOTNLM OT - gene therapy OT - homeobox B5 (Hoxb5) OT - long-term haematopoietic stem cell OT - purified haematopoietic stem cell transplantation OT - short-term haematopoietic stem cell COIS- The authors declare no conflicts of interest in association with the present study. EDAT- 2021/12/21 06:00 MHDA- 2022/02/15 06:00 PMCR- 2022/07/20 CRDT- 2021/12/20 06:32 PHST- 2021/09/15 00:00 [revised] PHST- 2021/07/18 00:00 [received] PHST- 2021/09/17 00:00 [accepted] PHST- 2021/12/21 06:00 [pubmed] PHST- 2022/02/15 06:00 [medline] PHST- 2021/12/20 06:32 [entrez] PHST- 2022/07/20 00:00 [pmc-release] AID - BJH17867 [pii] AID - 10.1111/bjh.17867 [doi] PST - ppublish SO - Br J Haematol. 2022 Feb;196(3):711-723. doi: 10.1111/bjh.17867. Epub 2021 Dec 20.