Hematopoietic cell culture, or ex vivo expansion of hematopoietic cells, is
an enabling technology with many potential applications in bone-marrow tra
nsplantation, immunotherapy, gene therapy, and the production of blood prod
ucts. Hematopoietic cultures are complex, with many different cell types at
different stages of development present at any given point in time and nev
er in steady state. Moreover, these cells interact strongly with each other
and the environment through cytokines (growth factors) and adhesion molecu
les, as well as through their metabolism. Despite these significant challen
ges, cell products produced in bioreactors have shown promise in recent pha
se 1 clinical trials.