D. Strunk et al., GENERATION OF HUMAN DENDRITIC CELLS LANGERHANS CELLS FROM CIRCULATINGCD34(+) HEMATOPOIETIC PROGENITOR CELLS, Blood, 87(4), 1996, pp. 1292-1302
Human Langerhans cells (LC) are CD1a(+) dendritic cells (DC) that func
tion as potent antigen-presenting cells for primary and secondary immu
ne responses. Limitations in DC/LC numbers, imposed by difficult and t
edious isolation procedures, have so far precluded their use as immuno
gens in the generation and/or augmentation of host responses against v
arious pathogens. Therefore, we have developed a procedure for the gen
eration of human DC/LC from CD34(+) hematopoietic progenitor cells (HP
C) isolated (mean: 0.7 x 10(6)/buffy coat and 2.6 x 10(6)/leukapheresi
s product) and purified (>95%) from the peripheral blood of healthy ad
ults. In vitro stimulation of these cells with granulocyte-macrophage
colony-stimulating factor (GM-CSF) and tumor necrosis factor (TNF)-alp
ha led to their vigorous proliferation and differentiation resulting i
n the emergence of CD45(+)/CD68(+)/CD3(-)/CD19(-)/CD56(-) leukocytes s
ome of which (mean: 12%) express CD1a and exhibit anti-CD4 and anti-ma
jor histocompatibility complex (MHC) class II reactivity. These CD1a() leukocytes include (1) LC as evidenced by the presence of Birbeck gr
anules (BG), (2) CD14(+) monocytes, and (3) Birbeck granule-negative c
ells with a dendritic morphology, Addition of interleukin (IL)-4 to th
e cytokine cocktail interfered with the development of monocytes and l
ed to a reduction in the overall cell yield but, on the other hand, re
sulted in an increased percentage of CD1a(+) cells (mean: 24%) among a
ll cells generated. In vitro generated CD1a(+), but not CD1a(-) HPC-de
rived cells are potent stimulators of the primary mixed leukocyte reac
tion and, as such, promising candidates for vaccination purposes. (C)
1996 by The American Society of Hematology.