Many practical issues regarding processing blood samples for cord bloo
d banking remain. After cryopreservation, a reduction in clonogenicity
has been reported, although it is unknown whether this is associated
with lower potential for long-term engraftment. CD34(+) cell purificat
ion of cryopreserved cord blood (CB) may be important for the clinical
application of in vitro expansion. We compared purity, yield, clonoge
nicity, and growth in long-term stromal-based culture of fresh and cry
opreserved CD34(+) purified cells (n = 12) using the miniMACS(R) separ
ation system. Mean purity of CD34(+) cells was 93% when processed befo
re and 73% when processed after cryopreservation. Fresh CD34(+) cells
had higher clonogenic potential than cryopreserved cells (45 vs 20%, p
< 0.05) in CFU-Mix assays, indicating that progenitor cell loss durin
g cryopreservation is due in part to reduced cloning efficiency of via
ble CD34(+) cells. In long-term culture (LTC) on irradiated normal hum
an bone marrow stroma (n = 7), CFU-GM production in the two groups was
the same over 12 weeks, suggesting identical long-term culture-initia
ting cell (LTC-IC) numbers. We conclude that apparent clonogenic cell
loss during cryopreservation is associated with relative sparing of th
e more primitive LTC-ICs. CFU-Mix assays may therefore underestimate t
he transplant potential of cryopreserved CB. Purification of CD34(+) c
ells following cryopreservation gives sufficient purity for detailed e
valuation of CD34(+) cells and for stem cell expansion.