The aim of this study was to identify markers specific for granulo-mon
ocytic commitment of progenitor cells. Large panels of antibodies were
screened for selective staining of subsets of CD34(+) cells from feta
l and adult bone marrow. Flow cytometric analysis showed that CD64/Fc
gamma RI was undetectable on noncommitted progenitor cells (CD34(++),
CD38(-/lo), HLA-DR(+)) and expressed on a subset of lineage-committed
progenitors (CD34(+), CD38(+)) with higher mean orthogonal light scatt
er than the remaining CD34(+) cells. The CD34(+), CD64(+) cells were C
D19(-) and the majority were CD45RA(+), CD71(lo), suggesting that CD64
recognized granulomonocytic progenitor cells. Specificity of CD64 for
the granulo-monocytic lineage was shown by demonstrating that colonie
s arising from CD34(+), CD64(+) cells consisted of 98% +/- 2% colony-f
orming unit-granulocyte-macrophage (CFU-GM) in semisolid medium contai
ning stem cell factor (SCF), interleukin-3 (IL-3), IL-6, granulocyte-m
acrophage colony-stimulating factor (GM-CSF), and erythropoietin (EPO)
. In contrast, 63% +/- 15% of the colonies from the CD34(+), CD64(-) c
ells were burst-forming unit-erythroid/colony-forming unit-erythroid (
BFU-E/CFU-E). Furthermore, four-color immunofluourescence and cell sor
ting was used to analyze the progeny of cells cultured in liquid mediu
m containing identical cytokines as used in the semisolid medium. This
analysis showed that CD34(+), CD64(+) cells gave rise to 83% +/- 10%
granulo-monocytic cells whereas progeny of the CD34(+), CD64(-) cells
contained 81% +/- 11% erythroid cells. Neutrophils as well as basophil
s and monocytes/macrophages were present in the cultures from CD34(+),
CD64(+) cells, showing that this population contains progenitors of m
ost types of granulo-monocytic cells. Two widely used myeloid markers,
CD13 and CD33, were not myeloid-specific, because both were clearly p
ositive on noncommitted progenitor cells. Of 40 antigens tested, CD15
was the only other marker fulfilling the criteria of a myeloid-specifi
c marker. However, at concentrations of CD15 that did not induce aggre
gation, CD15(+) cells constituted less than 50% of the CD34(+), CD64() cells. Furthermore, the CD64(+), CD15(-) cells showed more than 50%
higher CD34 mean fluorescence intensity than the CD64(+), CD15(+) cell
s, indicating that CD64 appears earlier than CD15 during differentiati
on. Thus, among a large number of antigens screened, CD64 was the most
useful for the identification and purification of granulo-monocytic p
rogenitor cells. (C) 1995 by The American Society of Hematology.