We present cell cycling and functional evidence that the CD34(+)CD38(-
) immunophenotype can be used to define a rare and primitive subpopula
tion of progenitor cells in umbilical cord blood. CD34(+)CD38(-) cells
comprise 0.05% +/- 0.08% of the mononuclear cells present in cord blo
od. Cell cycle analysis with the fluorescent DNA stain 7-aminoactinomy
cin D showed that the percentage of CD34(+) cells in cycle directly co
rrelated with increasing CD38 expression. CD34(+)CD38(-) cord blood ce
lls were enriched for long-term culture-initiating cells (LTClC; cells
able to generate colony-forming unit-cells [CFU-C] after 35 to 60 day
s of coculture with bone marrow stroma) relative to CD34(+)CD38(+) cel
ls. In an extended LTClC assay, CD34(+)CD38(-) cells were able to gene
rate CFUC between days 60 and 100, clearly distinguishing them from CD
34(+)CD38(+) cells that did not generate CFU-C beyond day 40. When pla
ted as single cells, onset of clonal proliferation was markedly delaye
d in a subpopulatidn of CD34(+)CD38(-) cells; clones (defined as > 100
cells) appeared after 60 days of culture in 2.9% of CD34(+)CD38(-) ce
lls. In contrast, 100% of CD34(+)CD38(+) cells formed clones by day 21
. Although the CD34(+)CD38(-) immunophenotype defines highly primitive
populations in both bone marrow and cord blood, important functional
differences exist between the two sources. CD34(+)CD38(-) cord blood c
ells have a higher cloning efficiency, proliferate more rapidly in res
ponse to cytokine stimulation, and generate approximately sevenfold mo
re progeny than do their counterparts in bone marrow. (C) 1995 by The
American Society of Hematology.