Ex vivo culture of CD34⁺/Lin^-/DR^- cells in stroma-derived soluble factors, interleukin-3, and macrophage inflammatory protein-1α maintains not only myeloid but also lymphoid progenitors in a novel switch culture assay

We have demonstrated that long-term culture initiating cells (LTC-IC) are maintained in a stroma noncontact (SNC) culture where progenitors are separated from stroma by a microporous membrane and LTC-IC can proliferate if the culture is supplemented with interleukin-3 (IL-3) and macrophage inflammatory protein-1α (MIP-1α). We hypothesize that the same conditions, which result in LTC-IC proliferation, may also maintain lymphoid progenitors. Natural killer (NK) calls are of lymphoid lineage and a stromal-based culture can induce CD34⁺/Lin^-/DR^- cells to differentiate along the NK call lineage. We developed a three-step switch culture assay that was required to demonstrate the persistence of NK progenitors in CD34⁺/Lin^-/DR^- cells assayed in SNC cultures supplemented with IL-3 and MIP-1α. When CD34⁺/Lin^- /DR^- progeny from the SNC culture were plated sequentially into 'NK cell progenitor switch' conditions (contact with stromal ligands, hydrocortisone- containing long-term culture medium, IL-2, IL-7, and stem cell factor [SCF]) followed by 'NK cell differentiation' conditions (contact with stromal ligands, human serum, no hydrocortisone, and IL-2), significant numbers of CD56⁺/CD3^- NK resulted, which exhibited cytotoxic activity against K562 targets. All steps are required because a switch from SNC cultures with IL-3 and MIP-1α directly to 'NK cell differentiation' conditions failed to yield NK cells suggesting that critical step(s) in lymphoid commitment were missing. Additional experiments showed that CD34⁺/CD33^- cells present after SNC cultures with IL-3 and MIP-1α, which contained up to 30% LTC-IC, are capable of NK outgrowth using the three-step switch culture. Limiting dilution analysis from these experiments showed a cloning frequency within the cultured CD34⁺/CD33^- population similar to fresh sorted CD34⁺/Lin^- /DR^- cells. However, after addition of FLT-3 ligand, the frequency of primitive progenitors able to develop along the NK lineage increased 10- fold. In conclusion, culture of primitive adult marrow progenitors ex vivo in stroma-derived soluble factors, MIP-1α, and IL-3 maintains both very primitive myeloid (LTC-IC) and lymphoid (NK) progenitors and suggests that these conditions may support expansion of human hamatopoietic stem cells. Addition of FLT-3 ligand to IL-2, IL-7 SCF, and stromal factors are important in early stages of NK development.