There is growing interest in using human umbilical cord blood (CB) for allo
geneic bone marrow transplantation (BMT), particularly in children. Thus, C
B has been identified as a rich source of hematopoietic progenitors of the
erythroid, myeloid, and B-cell lineages. Whether CB blood cells engrafting
in the BM space also comprise T-cell progenitors capable of trafficking to
the thymus and reconstituting a functional thymopoiesis in young recipients
is presently unknown, Here, we show that CB progenitors, engrafted in the
BM of immunodeficient mice, sustain human thymopoiesis by generating circul
ating T-cell progenitors capable of homing to and developing within a human
thymic graft. Surprisingly, development of CB stem cells in this in vivo m
odel extended to elements of the endothelial cell lineage, which contribute
d to the revascularization of transplants and wound healing. These results
demonstrate that human CB stem cell transplantation can reconstitute thymic
-dependent T-cell lymphopoiesis and show a novel role of CB-derived hematop
oietic stem cells in angiogenesis. (C) 1999 by The American Society of Hema
tology.