From www.bloodjournal.org by guest on October 15, 2014. For personal use only. 1995 85: 997-1005 Functionally distinct human marrow stromal cell lines immortalized by transduction with the human papilloma virus E6/E7 genes BA Roecklein and B Torok-Storb Updated information and services can be found at: http://www.bloodjournal.org/content/85/4/997.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. Copyright 2011 by The American Society of Hematology; all rights reserved. From www.bloodjournal.org by guest on October 15, 2014. For personal use only. Functionally Distinct Human Marrow Stromal Cell Lines Immortalized by Transduction With the Human Papilloma Virus E6/E7 Genes By Bryan A. Roecklein and Beverly Torok-Storb A replication-defective recombinant retrovirus containing the human papilloma virus E6/E7 genes (LXSN-16 E6E7) was used t o immortalize stromal cells from human marrow. The E6/E7 gene products interfere with the function of tumorsuppressor proteins p53 and Rb, respectively, thereby preventing cell cycle arrestwithout causing significant transformation. Twenty-seven immortalized clones designated HS1t o HS-27 were isolated, four of which are characterizedin this report. Two cell lines,HS-5 and HS-21,appear t o be fibroblastoid and secrete significant levels of granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophageKit ligand (KL), CSF(GM-CSF),macrophage-CSF(M-CSF), macrophage-inhibitory protein-la, interleukin-6 (IL-6). 11-8. and IL-11. However, only HS-5 supports proliferation of hematopoietic progenitor cells when cocultured in serum-deprived media with noexogenous factors.Conditioned media (CM) from HS-5 promotes growth of myeloid colonies t o significantly greater extent than a cocktail of recombinant factors containing 10 ng/mL of IL-l, IL-3, IL-6, G-CSF, GMCSF, and KL and 3U of erythropoietin (Epo). Two additional clones, HS-23 and HS-27, resemble "blanket" cells, with an epithelioid morphology, and are much larger, broader, and flatter when compared with HS-5 and HS-21.These lines secrete low levels of growth factors and do not support proliferation of isolated progenitor cells in cocultures. CM from HS-23 and HS-27 also fail t o support growth of myeloid colonies. Both HS-23 and HS-27 expressrelatively high levels of VCAM-1, yet HS-27 is theonly line that supports the formation of "cobblestone" areas by isolated CD34+38'" cells. We hypothesize that HS-5, HS-21, HS-23, and HS-27 represent functionally distinct components ofthe marrowmicroenvironment. 0 1995 by The American Societyof Hematology. D In this report, a different procedure was used to establish cell lines representative of the heterogeneous ME. Primary LTC were exposed to an amphotropic retrovirus which carries the E6 and E7 open reading frames of the human papilloma virus type 16 (HPV16). The E6 and E7 gene products have been shown in other systems to immortalize differentiated cells without significant This report provides the initial characterization of WV16 E6/E7 immortalized human marrow stromal cell clones which support the proliferation of hematopoietic progenitors and maintain colony-forming cells (CFC) for up to 8 weeks in culture. EFINING THE functional components of the marrow microenvironment (ME) is a prerequisite to understanding how the proliferation and differentiation of progenitor cells is coordinately regulated. The cellular complexity of the ME has been shown both in situ and in vitro using a variety of histochemical techniques.'*2It has been established that both hematopoietic and stromal or mesenchymal-derived cells comprise the ME. The stromal cells include endothelial cells that form the sinuses and adventitial reticular cells that have characteristics consistent with adipocytes, fibroblasts, and smooth muscle cell^.^.^ Numerous advances in recent years have provided considerable information on the ontogeny and development of hematopoietic cells5'"; however, ontogeny of the stromal components and their precise role in controlling hematopoiesis has proven e l ~ s i v e . ' ~ " ~ Long-term cultures (LTCs) are an in vitro approximation of the in vivo ME and have been informative with respect to the identification of growth factors, adhesion proteins, and extracellular matrix proteins that mediate the interaction between the hematopoietic cells and the stromal element~.'~"'One improvement of this system was the use of stromal precursors, positive for the STRO-1 antigen, to establish LTCs that are devoid of myeloid components and less heterogeneous than primary cultures, but still capable of supporting hematopoiesis.20However, both the STRO-1initiated cultures and the primary LTCs are too complex to delineate contributions from individual cell types. Moreover, primary cultures can be highly variable and change with time, further complicating the issue. Immortalized stromal cell lines have been used to circumvent some of these problems. Numerous spontaneous murine cell lines have been however, unlike mouse lines, human cell lines undergo senescence unless first immortalized with a r e t r o v i r ~ sThe . ~ ~ few human bone marrow stromal cell lines that are available were established using the SV40 virus large T an tiger^.'^.^' Some of these lines are promising with respect to the maintenance of hematopoietic cells; unfortunately, some also display transformed phenotypes, which limits their usefulness for extrapolation to the normal ME." Blood, Vol 85, No 4 (February 15). 1995: pp 997-1005 MATERIALS AND METHODS Long-term bone marrow cultures (LTBMCs). Adult BM was obtained from normal donors after informed consent as defined by the Internal Review Board (I-) at the Fred Hutchinson Cancer Research Center (FHCRC; Seattle, WA) and LTBMCs were established as described by Gartner and K a ~ l a nBriefly, . ~ ~ buffy coat cells from marrow aspirates were plated in plastic tissue culture dishes at 1 to 2 X lo6cellslmL. Adherent cells were grown in LTC medium containing Iscove's, 12.5% horse serum, 12.5% fetal calf serum (FCS), L-glutamine (0.4 mg/mL), sodium pyruvate (1 mmoVL), penicillin (100 U/mL), streptomycin sulfate (100 pg/mL), hydrocortisone sodium succinate mom), and P-mercaptoethanol mom). From the Program in Transplantation Biology, Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA. Submitted August 8, 1994; accepted October 19, 1994. Supported in part by Grants No. DK34431, HL.36444, CA18029, and CA18221 from the National Institutes of Health, Department of Health and Human Services. Address reprint requests to Bryan A. Roecklein, PhD, Clinical Research Division, Fred Hutchinson Cancer Research Center, 1124 Columbia St, M318, Seattle, WA 98104. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. section 1734 solely to indicate this fact. 0 1995 by The American Society of Hematology. 0006~4971/95/8.504-0017$3.00/0 997 From www.bloodjournal.org by guest on October 15, 2014. For personal use only. 998 Transduction of LTBMC. The amphotrophic retrovirus LXSN16 E6E7 was packaged in the PA317 murine cell line in the laboratory of Denise Galloway (FHCRC) as previously de~cribed.’~ Primary LTCs were exposed to virus in the presence of 4 pg/mL polybrene (Aldrich Chemical CO Inc, Milwaukee, WI) for 2 hours at 37°C. The virus-containing media was removed and the cells were incubated for an additional 5 hours with media-containing polybrene. Cells were then washed and fed with LTC media and incubated for an additional 48 hours. Cell cultures were then trypsinized and replated at limiting dilution. Transduced clones were selected with 50 pg/mL G418, and resistant colonies were picked and grown in LTC using standard tissue culture techniques. After expansion, most clones were switched to RPMI containing 10% serum andHS-5 was switched to serum-deprived medium containing 1% Nutridoma (Boehringer Mannheim, Indianapolis, IN), 100 mmoK glutamine, 100 mmoVL sodium pyruvate, and 100 U/mL penicillin-streptomycin in Iscove’s media. Indirect-immunojuorescencestaining. The antigenic phenotype of the stromal cell lines was determined by standard immunochemistry using IA4-IgG2a (Sigma, St Louis, MO) for smooth muscle actin; CD14 (leuM3-IgG2b; Becton Dickinson, San Jose, CA) for macrophages; anti-FVLII antigen (human type I; Calbiochem, La Jolla, CA) for endothelial cells; 6.19-IgG2a for fibroblasts, endothelial cells, and adipocytes (C. Frantz, University of Rochester School of Medicine and Dentistry, Rochester, NY); CD34 (12.8, IgM; courtesyof I. Bernstein, FHCRC); PIHI1 (fibronectin) and PlHl-C9 (vimentin) from Bill Carter (FHCRC); 60.5 (class I major histocompatibility complex [MHC]; from Dr P. Martin, FHCRC); anti-VLA4 and anti-VCAM-1 (4B9 ascites) from John Harlan (University of Washington, Seattle, WA); anti-collagen type I (MAB1340, IgG), type I11 (MAB1343, IgGl), and type IV (MAB 1910, IgG1) were obtained from Chemicon (Temecula, CA). For immunofluorescence staining, semiconfluent cells were rinsed withwarm Hanks’ Balanced Salt Solution (HBSS) and fixed for IO minutes with l% formaldehyde in phosphate-buffered saline (PBS) at 25°C.The cells were washed with PBS and treated with 0.2 m o m glycine in PBS for 5 minutes at 25°C. One additional washwas performed with PBS before incubation with a specific antibody or irrelevant nonspecific isotype control antibody for 1 hour at 25°C. After incubation with the primary antibody, the cells were washed three times and incubated with a secondary antibody (goat antimouse IgG/IgM fluorescein isothiocyanate [FITCI-conjugated antibody; Tago, Burlingame, CA) for 1 hour at 25°C and washed with PBS before viewing with a Nikon Diaphot fluorescent microscope (Chiyoda-Ku, Tokyo, Japan). Primary LTCs and foreskin fibroblasts (FSFs) were used as controls for antibody staining. Cytochemical analysis. Alkaline phosphatase activity was determined using cells fixed with 2% formaldehyde in absolute methanol for 30 seconds at 4OC” and then washed with distilled water and air dried. After drying, the cells were incubated at 37°C for 30 minutes in filtered reaction buffer containing 0.2 mol/L Tris HCI (pH 9.1) and 1.0 mg/mL Fastblue BB with or without 0.2 m o m napthal AS phosphate in N,N-dimethylformamide. After incubation, the cells were washed with distilled water, overlaid with Aqua Mount (Lerner Laboratories, Pittsburgh, PA), and photographed with a Nikon Diaphot microscope. For analysis of acid phosphatase activity, the cells were fixed with 60% acetone in 0.04 m o m citrate buffer (pH 5.4) for 30 seconds at 25°C,26 rinsed with distilled water, air dried, and incubated with the reaction buffer. The reaction buffer was made up in 24 mL of 0.1 moVL acetate buffer with or without 12.5 mg Napthal AS-B1 phosphate as substrate; 7.5 mg of Fast Garnet GBC dye was added as counterstain. This solution was filtered through a Whatman #4 filter (Whatman Inc, Clifton, NJ) and then incubated with cells for 1 hour at 25°C protected from light. After staining, the cells were ROECKLEIN AND TOROK-STORB washed with distilled water, overlaid with Aqua-mount, photographed (Nikon Diaphot microscope), and scored for the presence of acid phosphatase. Adipogenesis. Confluent stromal lines were incubated with corticoid steroids for 4 weeks and stained with oil red 0 to determine if these lines contain adipogenic cells.37Cultures were fed weekly with either dexamethasone (lo” mom), hydrocortisone (IO-‘ mom), insulin ( I O mg/mL), or dexamethasone combined with insulin in RPMI containing 10% FCS. After the incubation period, the cells were washed extensively with PBS and then fixed with 10%formalin in PBS for 30 minutes. The excess formalin was washed off with PBS and the cells were stained for 15 minutes with filtered oil red 0 (0.3% wt/vol in isopropanol). The stain was then differentiated with 60% isopropanol and washed and the cells were counterstained with Mayers haematoxylin for 30 seconds. Southern analysis. Genomic DNA was isolated from I X 10’ stromal cells using a modification of the technique described in Ausebel et al.38Before Southern hybridization, IO yg of genomic DNA was digested with excess EcoRI overnight at 37°C. The DNA was extracted with pheno1:chloroform and precipitated. Ten micrograms of the digested genomic DNA was separated on a 0.5% agarose gel in TBE and then transferred to a nylon membrane according to manufacturer’s specifications (Hybond; Amersham, Arlington Heights, IL). The membrane was hybridized withrandom primed probes generated against the E6E7 insert. A total of 50,000 cpm was hybridized overnight at 42°C and washed twice with 2 x SSPE at 25°C and then washed two more times with 0.2X SSPE containing 0.1% sodium dodecyl sulfate (SDS) at 60°C before autoradiography. Isolation of CD34+/38’, 38‘”cells. Adult marrow from cadaveric donors was obtained from the Northwest Tissue Center (Seattle, WA). The mononuclear cells were isolated by Ficoll density centrifugation and red blood cells (RBCs) were removed by hemolysis with 150 mmom NH4CL, at 37°C.Marrow mononuclear cells were stored frozen in RPMI, 36% FCS, 10% dimethylsulfoxide (DMSO), 90 U penicillin, 90 mg/mL streptomycin sulfate, and 0.36 mg/mL glutamine. The stored cells were thawed at 37°C and slowly diluted on ice to a final DMSO concentration less than 1 %. After washing, the CD34’ cells were labeled with anti-CD34 conjugated to fluorescein isothiocyanate (FITC; HPCA-2 [IgG,]; Becton Dickinson, San Jose, CA) for 20 minutes on ice, washed with PBS containing I % bovine serum albumin (BSA), and then labeled withrat antimouse IgGl conjugated to superparamagnetic microbeads (Miltenyi Biotec GmbH, Bergisch-Gladbach, Germany).” The CD34’ cells were positively selected using High-Gradient Magnetic Cell Sorting (Miltenyi Biotec GmbH). The CD34’-enriched population was then incubated with anti-CD38 conjugated to phycoerythrin (PE; leu-17; Becton Dickinson) for 20 minutes on ice, washed, and sorted using a FACStar plus (Becton Dickinson). Cells with medium to high forward light scatter and low side scatter were selected and both the 38’ and the 38’” populations of CD34’ cells were collected. Stromal cell functional analysis. Screening was initiated by plating stromal cells at a density of 600 to 1,000 per well in terasaki 96-well plates (Nunc, Naperville, IL) 2 days before the addition of approximately 200 hematopoietic cells. 3gh’and 38’”cells were added to the cultures in serum-deprived medium (Nutridoma-HU; Boehringer Mannheim, Indianapolis, IN) and incubated at 37°C in a 5% CO, humidified incubator for 5 days. The viability and proliferation of progenitors was scored after the addition of 5 pL of a staining mixture that contained 2.5% India ink, 250 yg/mL ethdium bromide, and 75 yg/mL acridine orange in HBSS. The number of viable cells was determined for each well by inverted fluorescence microscopy (Nikon Diaphot microscope). Long-term support of CFCs. Two- to four-week-old primary LTCs. established and maintained according to previously published and stromal cell lines were irradiated at 2,000 cGy From www.bloodjournal.org by guest on October 15, 2014. For personal use only. 999 IMMORTALIZED HUMAN STROMAL CELLLINES and plated into 24-well plates at least 24 hours before the addition of hematopoietic cells. Irradiated stromal cells were plated at sufficient cell densities to insure formation of monolayers. The stromal cultures were seeded with1 , 0 0 0 to 3,000 38’”cells and were demidepletedweekly for 5 or 8 weeks. The nonadherentandadherent cellswereharvestedandanalyzed for CFCs using colony assays (described below). Conditioned media (CM). Media were conditioned by exposure to semiconfluent cultures for 1 week.BothRPM1 containing 10% FCS and serum-deprived ( 1 % Nutridoma-HU) media were used.The culture debris was pelleted by centrifugation at 2 , 0 0 0 ~for 10 minutes and the supernatant was then aliquoted and frozen at -20°C. CM were thawed only once before use. Concentrated CM was obtained usingAmicon centriprep I O concentrator (Amicon, Beverly,MA) according to the manufacturer’s specifications, and protein content assay (BioRad LaborawasdeterminedusingtheBioRadprotein tories, Richmond,CA). The same batchofCMwas assayed for colony-stimulating activity in standard colony assays and for cytokine content with enzyme-linked immunosorbent assays (ELISAs; see below). In addition to these assays, 38‘ cells wereincubated withCM or GF mix for 5 days andthenstained for viability as described above. Colony assavs. Colony assays were performed using a stock of 1.2%methylcellulose, 2.5%BSA,25%FCS (Hyclone796). 100 U penicillin, 1 0 0 pglmL streptomycin sulfate, and 0.1 mol/L pmercaptoethanol. Colony-stimulating activity was provided either by a growth factor mix containing I O ng/mL interleukin-l (IL-l), IL3, IL-6. granulocytecolony-stimulatingfactor (G-CSF), granulocyteand 3 U/mL erythromacrophage-CSF (GM-CSF), Kit ligand (U), poietin (Epo) or by 10% CM. Hematopoietic cells (38’ or 38“’) plus 1 0 0 pL growth factor mix or CMwasaddedto0.9mLofthe methylcellulose stock. Colony formation was scored at day 14 and designations were periodically confirmedby Wright-Giemsa staining of colony cytospins. ELISAs. Cytokine content of the CM was determined with Quantikinekits(R & D Systems, Minneapolis, MN) according to the manufacturer’sspecifications.Supernatantswereanalyzedneat at 1:2 and at 1 5 dilutions. RESULTS Immortalization of BM cell lines. LTBMCs were infected with the LXSN-16 E6E7 retrovirus that was packaged in thePA317 cell line, and infected cells were plated at limiting dilutions. Twenty-seven foci were identified and isolated using cloning rings to establish stromal cell lines (HS-I to HS-27). of which 24 were retained and proved to be resistant to G418 at 50 pg/mL. All lines were initially characterized morphologically and histochemically, screened for maintenance andor proliferation of hematopoietic progenitors (HPs; see below), and then frozen. Several clones, designated HS-5, HS-21, HS-23, and HS-27, were selected for more detailed analysis and have been maintained in continuous culture for up to 20 months with periodic analysis of their phenotypes. Based on morphology, two distinct cell types were observed, small fibroblastic (HS-5 and HS-21) and large flattened epithelioid-like (HS-23 andHS-27). The two fibroblastic lines, although similar in morphology, differed in regards to growth patterns. HS-5 forms a reticulum of overlapping cells, reminiscent of astrocytes, whereas HS-21 cells are well separated and line up in parallel arrays. At higher densities, HS-5 forms a dense “net” of cells, whereas HS- - 9.4 ”6.6 -4.4 -2.3 2.0 LXSN16 E6E7 ->.,m Fig 1. Southern hybridization of genomic DNA from stromal cell lines using a radiolabeled probe directed against the E6E7genes. Bands represent products from EcoRl digestion at a site within the retroviral insert and a site provided by the flanking genomic DNA. The lane labeled E6E7 is an EcoRl digest of the pLXSN16E6E7 construct that generates a 6.8-kb band and FSF is genomic DNA from a nontransformed foreskin fibroblast line. The molecular weight markers (M) are ethidium bromide-stained A Hindlll DNA fragments. 21 forms a contiguous monolayer with discernible cell boundaries. HS-23 and HS-27 formlarge flattened polygonal shaped cells that exemplify “blanket” cells andmaintain numerous intercellular contacts with neighboring cells. HS23 and HS-27 will also form monolayers; however, because of their flattened morphology, it is difficult to identify distinct cell boundaries. Clonal analysis of stromal cell lines. Southern hybridization on genomic DNA from these four cell lines was used first to confirmthat LXSN-16 E6E7 hadintegratedand second to establish clonality. Figure 1 indicates that all cell lines contained a retroviral insert(s) with only a single band present in HS-5 and HS-23. However, HS-21and HS-27 have two bands, indicating either that they contain two inserts or that two clones contribute to the line. Analysis of foreskin fibroblasts andplasmidDNA indicated that the probe was specific for the LXSN-I6 E6E7 integrant. Indirect immunofluorescence and cytochemistry. All cell lines were negative for major histocompatibility complex (MHC) class I1 (DR) and CD14, a macrophage-specific marker (Table l ) , and positive for antigens normally associated with nonhematopoietic stromal cells. All lines expressed collagen 111 and IV, with low levels of collagen I detected on HS-5 and HS-27. Analysis of VCAM-I showed that HS-5 and HS-21 expressed low levels, HS-23 was heterogeneously positive, and HS-27 was homogeneously strongly positive. All lines were positive for acid phosphatase, with some differences in the degree of staining. In contrast, HS-5 was negative for alkaline phosphatase staining, whereas all others were heterogeneously positive. These cell lines were also tested for their ability to undergo From www.bloodjournal.org by guest on October 15, 2014. For personal use only. 1000 ROECKLEIN AND TOROK-STORB Table 1. Indirect Immunofluorescentand Cytochemical Analysis of the Stromal Cell Lines Stromal Cell Lines MoAb Markers Smooth muscle IA4 actin classMHC I class MHC II Fibroblasts, adipocytes, endothelial cells antigen FVlll Macrophage (CD14) Endopeptidase (CDIO) Fibronectin 12.8 CD34 endothelial Stromal, Mesenchymal (vimentin) PlH1-C9 Collagen I Collagen 111 Collagen IV 489 VCAM-1 phosphatase Alkaline phosphatase Acid HS-5 HS-21 +++ ++t ++t HS-23 HS-27 +++ 60.5 P4.1 +++ ++ ++ - - - - 6.19 ++ ++ ++ ++ - - - - - - - - +++ + leuM3 J5 P l H l++ l STRO-1 MoAb1340 MoAb1343 MoAbl9lO ++ + ++ + ++ ++ - - - - - - - - + + + + - - + +++ ++++ + + ++ +++ +++ + +l- +++ + + +l- + c+ + +l- +++ +l- +++ ++ Abbreviations: +/-, the cell lines were heterogeneously positive; -, lack of detectable antigen; ++, good staining; +++,the cells were strongly positive. lipogenesis in response to corticosteroids. Dexamethasone, hydrocortisone, insulin, and a combination of dexamethasone and insulin were added to confluent cell layers for 4 weeks, at which point the cultures were stained for lipid vacuoles with oil red 0. HS-5 and HS-21 did not accumulate lipids, whereas a few cells (approximately 1% to 2%) from HS-27 formed lipid vacuoles in the presence of all steroids tested. HS-23 formed lipid vacuoles in the presence of dexamethasone only. However, none of the lines acquired the large multilocular vacuoles commonly observed in adipocytes that are present in LTCS.'~.~' Short-term hematopoiesis. A rapid screening assay was developed to assess the viability and expansion of hematopoietic cells when cocultured with the cell lines. Both 38'" and 38+ cells were cocultured on stromal cell lines in serumdeprived medium (Nutridoma-HU) for 5 days with andwithout IL-3 (10 ng/mL) and then stained to differentiate stromal from hematopoietic cells and viable cells from dead cells. All 24 cell lines maintained the viability of both 38' and 38'" subpopulations of CD34' cells for 5 days. When IL-3 was added to the cocultures, the 38' cells increased in number in all cases. However, one cell line, HS-5, was able to induce the 38' cells to proliferate without exogenous IL-3, and the addition of IL-3 to HS-5 coculture did not increase the extent of proliferation beyond that observed with HS-5 alone. Figure 2 shows the difference between the maintenance of 38' cells on HS-21 and the proliferation of these cells on HS-5. No proliferation of 38" cells was observed within the 5-day time span of this experiment. Long-term hematopoiesis. To determine whether these lines could support less mature hematopoietic cells, we monitored their ability to maintain or produce CFCs from the 38"' population after 5 and 8 weeks (Fig 3). The two repre- sentative experiments are indicative of the range of CFC production andshowthat the stromal lines canmaintain CFCs at levels comparable to primary LTCs for upto 8 weeks. Interestingly, HS-27, which expresses the highest levels of VCAM-1, was the only cell line to establish cobblestone regions when incubated with 38'" cells (Fig 4). Biologic activiv of CM. Only CM from HS-5 induced proliferation of38' cells in the absence of stromal cells. Figure 5 shows the extent of proliferation induced byCM from HS-5 compared with that induced byCM from HS21 and a recombinant growth factor mix. Additionally, we determined whether CM from HS-5, HS-21, HS-23, and HS27 could support colony formation using colony assays. Consistent with the results of the shorter assay, only CM from HS-5 supported the growth of colonies from the 38' population and the 38" population. Figure 6 is a comparative analysis between the activity of HS-5 CM, HS-21 CM (with and without serum), and growth factor mix (GF mix). HS-5 CM, independent of serum content, generated an equivalent number of G/GM colonies from 38" cells as the GF mix; however, HS-5 CM generated significantly more colonies from 38+ cells (Fig 6A). In contrast, CM from HS-21 supported significantly fewer G E M from both CD34' subpopulations compared with HS-5 or GF mix. The relative numbers of burst-forming units-erythroid (BFU-E) generated by these CMs from 38" cells were also significantly different and paralleled the observations with the G E M colonies (Fig 6B). However, the GF mix generated significantly more BFU-E from 38+ cells than any CM. Cytokine analysis in CM. The CMs from four cell lines were assayed for G-CSF, GM-CSF, KL, leukemia-inhibitory factor (LIF), IL-6, IL-la, L-3, and IL-11. Only HS-5 and HS-21 CM contained significant amounts of these cytokines and were additionally tested for the presence of IL-Ip, ILIRA, IL-2, IL-7, IL-8, epidermal growth factor (EGF), tumor necrosis factor a (TNFa), transforming growth factor a (TGFa), and macrophage-inhibitory protein-la (MIP- la). Figure 7 shows that the majority of the cytokines are present in HS-5 and HS-21 supernatants at similar levels. However, HS-5 additionally secretes IL-la, IL-lp, IL-lRA, and LIF. IL-3 was not found in any supernatant and wasnot detectable using reverse-transcriptase polymerase chain reaction for IL3 message in mRNA from the HS-5 or HS-21 cell lines (data not shown). Although it has been reported that IL-3 mRNA can be detected in primary LTCs, it is not clear what the cellular source is.'6 Given that the low amounts detected may be produced by lymphocytes present in LTCs, it is not surprising that HS-5 does not produce IL-3. DISCUSSION The hematopoietic ME is essential for controlling differentiation and proliferation of progenitor cells. The ME is approximated in vitro by the LTC system, which generates complex stromal cell layers that are composed of multiple cell types reflecting the in vivo heterogeneity.',' Unfortunately this complexity complicates efforts to define specific cellular components that are required for regulation of hematopoiesis. However, investigators have used this system to define cytokines, adhesion molecules, andmatrix compo- From www.bloodjournal.org by guest on October 15, 2014. For personal use only. IMMORTALIZED HUMAN STROMALCELLLINES 1001 HS-5 Fig 2. Coculture of 38+ cells with the HS-5 and HS-21 stromal cell lines for5 days in the absence of serum or additional cytokines. Small round cells are viable hematopoietic cells that have accumulated acridine orange and fluoresce green, whereas the large flat cells are stromal cells. Nonviable cells have incorporated ethidium bromide and fluoresce orange. The same number of 38+ cells were plated into each culture at the initiation of the experiment. The microof a terasakiwell by inverted graph shows a portion fluorescencemicroscopy(originalmagnification x 401. HS - 21 nents that contribute to hematopoietic reg~lation.’”’~ A furthe metallothionein-regulated promoter system23 that allows ther dissection of this system into functional components, cells to return to their “normal” phenotype; however, the such as the cell lines described here,is needed to determine residual effects of transformed growth cannot be assessed. what each component contributes to the overall ME and how Previous reports indicated that epithelial cells immortalized by the HPV 16 E6and E7 genes can retain their differenthese activities are regulated. Human BM stromal cell lines have been generated with tiated although aneuploidy is observed late in passage cells.“ At the molecular level, E6 binds to and dewhereas attempts for transforthe SV40 large T a~~tigen;~-~’ S gradesp53,whichfunctionstopreventcellentryinto mation with c-myc, N-rus, and v-ras have not proven suc~ e s s f u l .Several ~ ~ ~ ~ ’labs using different SV40 constructs have phase in the event of DNA dan1age.4~ E7 alone has the ability to immortalize cells; however, when combined with E6 in generated cell lines that differ in their morphology and funcLXSN-16 E6E7, they immortalize epithelial cells at a higher tional activity in ways that appear to be influenced by the SV40 construct?’ Although these lines display proteins that frequency.” E7 functions by inhibiting the hypophosphoryE2F, thuspreventingcell are indicativeof nontransformed cell lines, they also exhibit latedformofRb,whichbinds cycle progression.” Rb, by virtue of binding E2F, is central properties of transformed cells and some are not To eliminate or reduce these effects, investigators have usedto cell cycle regulation and, more specifically, entry into S From www.bloodjournal.org by guest on October 15, 2014. For personal use only. ROECKLEIN AND TOROK-STORB 1002 A 80 - l - T 60 - K U 3 G 40 T 20 - 1 OJ- LTC B 60 - 50 - 40 - g U 3 HS5 HS23 HS27 T theymay alter cellular phenotypes sufficiently to prevent characterization of the specific cell types and an understanding of their normal function. Consistent with the E6E7 immortalization of epithelial cells, the stromal cell lines reportedherehaveincreased growth rates, do not undergo senescence (some have been in continuous culture for 2 years), and retain characteristics of normal differentiated BM stromal cells. Positive staining with antibody 6.19 (specific for fibroblasts, endothelial, and adipocytes), P4.1 (CD10, endopeptidase), and PIHI1 (vimentin) and the absence of a macrophage marker (CD14) indicate that the cells are mesenchymal in origin. The lack of W111 antigen indicates that they are not endothelial; however, all lines express collagen type IV, which is consistent with the endothelial nature of BM ~troma.'~.~'' Only the HS23 cell line responds to dexamethasone, suggesting that it may be preadip~cytic.~~ The cell lines display a normal staining pattern for smooth muscle actin, vimentin, and cell-associated fibronectin and growth is inhibited confluency. at CD34 and STRO-I are absent, which is consistent with the loss of these markers in normal BM cultures after several weeks of growth?"' All 24 lines, except HS-5, were heterogeneously positive for both alkaline phosphatase and acid phosphatase. Similar to HS-5, alkaline phosphatase-negative cell lines were identified by Lanotte et aIZ4in their attempt to generate spontaneous human lines. Overall, the morphologic and phenotypic characteristics of these cell lines are similar to those of murine BM stromal T 30- G 20 10 LTC HS5 HS27 HS21 Fig 3. Two experiments that represent the range of CFC production by primary LTCs and the stromal cell lines HS-5, -23, and -27 in (A) and HS-5, -21, and -27 in (B). N = 3 for experiment no. 1 and N = 4 for experiment no. 2. Data are reported as the mean of the absolute number of CFC produced from adherent and nonadherent layers in replicate cultures that were initiated with 1,500 38" cells. Error bars represent SEM. 1. 5 weeks; (0) 8 weeks. phase by controlling the expression of genes such as crny~.''''.~~ In the LXSN-16 E6E7 retroviral construct, E7 is downstream of E6, resulting in lower expression of E7. This level of expression is still sufficient to facilitate cell cycle progression without significant transformation of the cell. The SV40 large T antigen also binds Rb, thereby facilitating entry into S phase; however, numerous additional activities have been attributed to the large T antigen. Although these activities are not intrinsically involved in transformation, Fig 4. Phase contrast micrograph of a cobblestone region from an 8-week LTC with theHS-27 stromal cell line and 38'" cells cultured in LTC media (original maginification x 100). From www.bloodjournal.org by guest on October 15, 2014. For personal use only. IMMORTALIZED HUMAN STROMAL CELL LINES 1003 lines.*'-" However, onlyHS-5can support CFU growth, whereas HS-2 1 CM did not support CFU even when concentrated eightfold. There are several ways to interpret this observation: (1) unidentified growth-promoting activity may be present in HS-5 CM; or (2) the cytokines present in both HS-5 andHS-21may have more favorable concentrations in HS-5, or HS-21 may contain an inhibitor. The last possibility was ruledout by mixing experiments (data not shown), making it reasonable to suggest that HS-5 either has additional unique activities or more favorable combination of known activities. Either interpretation would support the hypothesis that HS-5 CM would be useful for expanding committed cells ex vivo to facilitate peripheral recovery after myeloablative therapy. To this end, we have initiated expansion of CD34' cells with HS-5 CM in the absence of serum. Preliminary data indicates that a 12- to 15-fold expansion can be achieved within 10 days with a fourfold to sixfold 30 1 CD34+38 lo f CD34+38+ T Fig 5. Small-scale expansion of 38' cells with GF mix (A), HS-5 CM (B), and HS-21 CM (C). The same number of cellswere added per well at time0, expanded with different media for 5 days, and stained with ethidium bromide and acridine orange. cell SV40-transformed human cell line^,*^-^' and transient nontransformed human lines.'" However, no spindle shaped cells were observed, as others have previously rep~rted,?~ and the HPV-immortalized lines remain MHC class 11 (DR) negative, as observed with normal marrow.27 Consistent with the results of Novotny et al,27we did not obtain cell lines with small round hematopoietic cells that have been observed after SV40 virus transformation of marrow stroma." HS-5 andHS-21 secrete significant levels of numerous cytokines, which is consistent with other BM stromal cell Fig 6. Number of hematopoietic colonies grown from 38' or 38'" cells in thepresence of GFmix, HS-5 CM, and HS-21 CM with serum (5) or serum deprived (sd). (A) Granulocyticlmonocyticcolony numbers (GIGM); (B) erythroid bursts (BFU-E). RPMls represents RPM1 media supplemented with 10% FCS. Results significantly different from HS-5 are designated 1. Results significantly different from GF mix are designated 2. Error bars represent SEM. * P < .Ol; **P < .05. From www.bloodjournal.org by guest on October 15, 2014. For personal use only. ROECKLEIN AND TOROK-STORB 1004 IL-8 > std IL-7 > std IL-6 1L-4 <std IL-3 estd IL-2 <std IGlRA ILlg IL-la 4 500 0 IO00 1500 m (P%mL) IL-I1 GM-CSF tenance factors at levels that are sufficient to support immature pluripotent progenitors. Previous investigations have also indicated a lack of correlation between cytokine secretion and support of hematopoiesis by stromal cell^.'^.^^ Also consistent with these observations is the ability of a murine cell line (MS-5) to maintain immature human hematopoietic cells:* which accounts for the ability of fixed 3T3 cells to support murine hematopoietic ~ e l l s . The 4 ~ support of cobblestone regions by the HS-27 cell line indicates that it provides additional signals for the burrowing of precursors and their subsequent proliferation beneath the cell layer. This line should be useful for the identification and isolation of the in vivo equivalent of the blanket cells0and the signals required for cobblestone formation. Together, these observations suggest that the factors responsible for differentiation and proliferation of committed progenitors are distinct from those required for maintenance of the immature pre-CFC pool. Moreover, it suggests that these maintenance factors are ECM or membrane associated. Continued analysis of the differences between these diverse cell lines will be useful in determining the role of different stromal elements in the regulation of hematopoiesis. ACKNOWLEDGMENT -I G-CSF M-CSF The authors thank Gretchen Johnson, Laurie Pfister, and Ludmila Golubev for excellent technical assistance and Bonnie Larson for preparing the manuscript. KL REFERENCES “la LIF TGFa <std TNFa estd %F estd 0 i 1 o O 0 m 3 o O 0 4 o O 0 5 o o o (*L) Fig 7. ELISA results showing the similarity in cytokines secreted by HS-5 and HS-21. (M) HS-5; ( 0 )HS-21. <std indicates that the cytokine level was less than thedetectable limits of the ELISA. >std indicates that the level was greater than the standard curve. The supernatantswere analyzed neat at 1:2 and 1:5 dilutions. Data represent the concentrationfrom one or more dilutions that were within the standard curve. increase in clonogenic cells (data not shown). Additional experiments are necessary to evaluate the retention or expansion of LTCIC with this CM. In contrast to HS-5 and HS21, the “blanket” cell lines HS-23 and HS-27 only secrete small quantities of cytokines and, as expected, CM from these lines do not support colony growth (data not shown). Both the fibroblastic and “blanket” cell lines supported CFC for 5 to 8 weeks at levels comparable to those of primary LTC. These results indicate that, independent of phenotypic differences and detectable cytokine secretion, these diverse stromal cell lines produce hematopoietic main- 1. 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