Increasing the number of megakaryocyte progenitors in stem cell transplants
by ex vivo expansion culture may be an approach to accelerate platelet rec
overy in patients undergoing high-dose chemotherapy. We evaluated the effec
t of three different cytokine combinations on expansion, with special empha
sis on the type of colony formation and migration of megakaryocytic cells.
The number of clonogenic megakaryocyte progenitors (colony-forming units-me
gakaryocyte; CFU-Mk) with high- (> 20 cells/colony) and low-proliferative c
apacity (5-20 cells/colony) and the number of megakaryocytic (CD61(+)) cell
s were significantly increased by including interleukin 3 (IL-3) or IL-3 IL-6 + IL-11 + Flt3-ligand to cultures containing megakaryocyte growth and
development factor (MGDF) plus stem cell factor (SCF). No difference in the
maturation of megakaryocytes from all three cytokine combinations to plate
lets were observed, as demonstrated by electron microscopy. In chemotaxis e
xperiments, the migration towards stromal cell-derived factor 1 (SDF-1) was
shown to be reduced for CD61(+) cells and megakaryocyte progenitors cultur
ed in other cytokines besides MGDF + SCF. The reduced migration was related
to a lower expression of CXCR4, the receptor for SDF-1, on megakaryocytes
from the proliferating cultures. These in vitro results demonstrate that ex
pansion in IL-3 and other cytokines besides MGDF + SCF significantly impair
the capacity of megakaryocytic cells to migrate.