Abstract
Unlike granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral blood, which show a single homogeneous population of CD34+ cells, umbilical cord blood (CB) CD34+ cells are present as multiple populations, CD34regular and CD34bright (the latter comprising 7.0-58.2% of the total CD34+ cells), using the ProCOUNT™ procedure or with anti-CD34 labeling of immunoselected cells. The CD34regular population contains cells with high forward scatter (CD34regularFSChigh) and with low forward scatter (CD34regular FSClow). Immunomagnetically selected CD34+ cells, sorted into CD34regular, CD34regular FSChigh, CD34regularFSClow, and CD34bright cell populations, were used in in vitro assays: only the CD34regularFSChigh population transmigrated and showed growth of colony-forming unit (CFU) and long-term culture initiating cells (LTC-IC) colonies. The absolute number of CD34+ cells in CB samples was determined by ProCOUNT™ and Stem Kit™ enumeration protocols. In liquid stored CB units, ProCOUNT™ and Stem Kit™ count differences are accounted for by the enumeration of CD34bright cells. Differences between ProCOUNT™ and Stem Kit™ counts using cryopreserved/thawed samples are accounted for by increased CD34regular FSClow cell numbers (2.0 ± 1.4% in liquid stored and 27.8 ± 14.6% in cryopreserved/thawed samples). The ProCOUNT™ assay includes the nonfunctional CD34bright and CD34regularFSClow cells as part of the CD34+ cell count, thereby elevating the absolute number of CD34+ cells. Using the Stem Kit™ assay method of gating, CD34bright and CD34regularFSClow cells are not counted. Our data indicate that the CD34regularFSChigh cell population has functional characteristics based on the in vitro assays and a more accurate count of these cells can be achieved using the Stem Kit™ assay.
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