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Recent publications<br />

Ishikawa F, Yoshida S, Saito Y,<br />

Hijikata A, Kitamura H, Tanaka<br />

S, Nakamura R, Tanaka T,<br />

Tomiyama H, Saito N, Fukata M,<br />

Miyamoto T, Lyons B, Ohshima<br />

K, Uchida N, Taniguchi S, Ohara<br />

O, Akashi K, Harada M, Shultz<br />

L D. Chemotherapy-resistant<br />

human AML stem cells home<br />

to and engraft with<strong>in</strong> the bone<br />

marrow endsteal region. Nature<br />

Biotechnology, 25(11):1315-21,<br />

2007.<br />

Figure<br />

Femoral bone from untreated and Ara-C-treated AML-engrafted mice. In the untreated<br />

femur, the BM space is packed with AML blasts (upper left; HE). At day 3 after<br />

chemotherapy, there is a significant decrease <strong>in</strong> cellularity <strong>in</strong> the BM space except<br />

at the endosteal surface of the bone (upper right and lower left; HE). TUNEL sta<strong>in</strong><strong>in</strong>g<br />

confirms the massive apoptosis of cells <strong>in</strong> the central BM cavity while the cells at the<br />

endosteal surface are relatively spared (lower right).<br />

consistently give rise to high levels of human<br />

hematopoietic chimerism for over six months.<br />

In this model, human HSCs produced<br />

mature differentiated progeny <strong>in</strong>clud<strong>in</strong>g<br />

myelomonocytes, T and B lymphocytes,<br />

dendritic cells, erythroid cells, and platelets.<br />

Functionally, human B cells underwent<br />

normal class switch<strong>in</strong>g, and engrafted human<br />

T cells exhibited HLA-dependent cytotoxic<br />

activity. Us<strong>in</strong>g this system, we have recently<br />

been <strong>in</strong>vestigat<strong>in</strong>g the differentiation capacity<br />

of myeloid and lymphoid progenitors. When<br />

purified human myeloid progenitors and<br />

lymphoid progenitors were <strong>in</strong>travenously<br />

transplanted <strong>in</strong>to NOD/scid/IL2rγ null newborn<br />

mice, both progenitors displayed significant<br />

expansion <strong>in</strong> the xenogeneic host. Human<br />

conventional and plasmacytoid DC progeny<br />

were found <strong>in</strong> recipients transplanted with<br />

myeloid progenitors and those transplanted<br />

with lymphoid progenitors, respectively. Thus,<br />

successful short-term engraftment by lymphoid<br />

and myeloid progenitors <strong>in</strong> the newborn NOD/<br />

SCID/IL2rγ null mouse model enabled us to<br />

identify the orig<strong>in</strong>s of human conventional DCs<br />

and plasmacytoid DCs. The NOD/SCID/IL2rγ null<br />

newborn transplant model is thus an excellent<br />

system to study the properties of hematopoietic<br />

stem and progenitor cells as well as to study the<br />

human immune system <strong>in</strong> <strong>vivo</strong>.<br />

Exam<strong>in</strong>ation of human primary leukemia<br />

stem cell biology by the development of<br />

primary human acute myelogenous<br />

leukemia model<br />

While advances <strong>in</strong> chemotherapeutic<br />

agents and stem cell transplantation have<br />

improved survival of patients with acute<br />

myelogenous leukemia (AML) over the last<br />

30 years, chemoresistant disease, recurrence<br />

after transplantation, and <strong>in</strong>ability to undergo<br />

transplantation due to lack of suitable HLAmatched<br />

donors cont<strong>in</strong>ue to adversely affect<br />

cl<strong>in</strong>ical outcomes. Development of more<br />

effective therapeutic agents is needed, but<br />

the test<strong>in</strong>g of such agents has so far relied on<br />

data obta<strong>in</strong>ed from mouse models or <strong>in</strong> vitro<br />

cell culture us<strong>in</strong>g human primary cells or cell<br />

l<strong>in</strong>es. The ability to test therapeutic agents on<br />

human leukemic cells <strong>in</strong> <strong>vivo</strong> would be important<br />

s<strong>in</strong>ce it would allow for the evaluation of novel<br />

therapeutics <strong>in</strong> a more physiologically relevant<br />

sett<strong>in</strong>g, as well as the assessment of therapeutic<br />

efficacy for <strong>in</strong>dividual patients.<br />

As a proof-of-pr<strong>in</strong>ciple, we have treated<br />

primary human AML-engrafted NOD/SCID/<br />

IL2rγ null mice with the chemotherapeutic agent<br />

cytarab<strong>in</strong>e (AraC). By us<strong>in</strong>g this approach, we<br />

were able to show that the number of human<br />

AML cells <strong>in</strong> the peripheral blood decreased<br />

after a s<strong>in</strong>gle pulse treatment with AraC,<br />

however this was followed by eventual relapse<br />

orig<strong>in</strong>at<strong>in</strong>g from surviv<strong>in</strong>g leukemia stem cells<br />

(LSCs). Importantly, the LSCs are resistant to<br />

conventional chemotherapy, while the majority<br />

non-stem leukemic cells are <strong>in</strong>duced to undergo<br />

apoptotic cell death. The surviv<strong>in</strong>g LSCs<br />

efficiently develop AML <strong>in</strong> secondary and tertiary<br />

recipients, suggest<strong>in</strong>g that the chemoresistance<br />

of LSCs is a major cause of AML relapse. Thus<br />

we need to consider novel ways to eradicate<br />

LSCs to m<strong>in</strong>imize AML relapse. We are currently<br />

<strong>in</strong>vestigat<strong>in</strong>g the mechanism underly<strong>in</strong>g the<br />

chemoresistance of LSCs.<br />

Ishikawa F, Niiro H, I<strong>in</strong>o T,<br />

Yoshida S, Saito N, Onohara S,<br />

Miyamoto T, M<strong>in</strong>agawa H, Fujii<br />

SI, Shultz LD, Harada M, Akashi<br />

K.The developmental program of<br />

human dendritic cells is operated<br />

<strong>in</strong>dependently of conventional<br />

myeloid and lymphoid pathways.<br />

Blood, 2007 <strong>in</strong> press.<br />

Shultz LD, Ishikawa F, Gre<strong>in</strong>er DL.<br />

Humanized mice <strong>in</strong> translational<br />

biomedical research Nature<br />

Reviews Immunol, 7:118-130,2007.<br />

Ishikawa F, Shimazu H, Shultz LD,<br />

Fukata M, Nakamura R, Lyons B,<br />

Shimoda K, Shimoda S, Kanemaru<br />

T, Nakamura K, Ito H, Kaji Y,<br />

Perry AC, Harada M. Purified<br />

human hematopoietic stem cells<br />

contribute to the generation of<br />

cardiomyocytes through cell<br />

fusion. FASEB J 20:950-952,<br />

2006.<br />

Ishikawa F, Yasukawa M, Lyons B,<br />

Yoshida S, Miyamoto T, Yoshimoto<br />

G, Watanabe T, Akashi K, Shultz<br />

LD, Harada M. Development of<br />

functional human blood and<br />

immune systems <strong>in</strong> NOD/SCID/IL2<br />

receptor {gamma} cha<strong>in</strong> null mice.<br />

Blood 106:1565-1573, 2005.<br />

75

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