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CD34+ Positive Cells

What are hematopoietic CD34+ stem cells?

Hematopoietic Stem Cells (HSCs) are generally found in the bone marrow and play a crucial role in hematopoiesis. Hematopoietic progenitors express high levels of the cell surface glycoprotein CD34 that was thought to function as an adhesion factor between cells. As HSCs mature and differentiate, the levels of surface CD34 decrease. HSCs are constantly self-renewing and differentiating into all the different types of blood cells. During this process, HSCs leave the bone marrow and enter the peripheral blood and tissues. Here, they progress through two different progenitor stages (lymphoid and myeloid progenitors) before becoming mature blood cell types:

  1. Myeloid progenitor cells can give rise to the myeloid lineage including platelets, eosinophils, basophils, neutrophils, monocytes, and erythrocytes.
  2. Lymphoid progenitor cells can differentiate into T-cells, B-cells and natural killer cells, which are key players in adaptive immunity.

CD34+ cells are used in the treatment of many malignant (e.g., leukemia, lymphoma) and non-malignant (e.g., sickle cell disease) diseases to replace or rebuild a patient's hematopoietic system. This type of treatment is called a bone marrow or stem cell transplant. People who might benefit from stem cell therapies include those with spinal cord injuries, type 1 diabetes, Parkinson's disease, amyotrophic lateral sclerosis, Alzheimer's disease, heart disease, stroke, burns, cancer and osteoarthritis.

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CD34 is found in bone marrow, blood and umbilical cord. It is used as a marker to identify and isolate stem cells. CD34 expression has been detected in various types of cells, including hematopoietic stem/progenitor cells, multipotent stromal cells (MSCs), muscle stem cells, interstitial cells, fibrocytes, and endothelial stem cells. The main tissue sources of CD34+ cells are bone marrow, mobilized blood and umbilical cord blood. In vitro cultures of hematopoietic stem cells still represent a challenge in research because their fragility prevents them from replicating and also because, in order to differentiate, samples of HSC must be cultured with a highly specific combination of cytokines. Purifying HSC is a challenge, as only 1:10000 bone marrow cells or 1:100000 blood cells is known to be a stem cell. 

Bone marrow


Bone marrow is the natural source of CD34+ cells but their isolation is complex and invasive. CD34+ cells are capable of initiating long-term hematopoiesis both in vitro and in vivo. Bone marrow-derived CD34+ cells are a well-characterized population of stem cells and are therefore utilized in the therapeutic re-constitution of bone marrow after radiation or chemotherapy. Recently, CD34+ cells have also been shown to induce therapeutic angiogenesis in animal models of myocardial, peripheral, and cerebral ischemia. The mechanism by which CD34(+) cells promote therapeutic angiogenesis is not completely understood. Expansion of HSCs is a need due to the scarcity of matched donors and difficulties in ex vivo expansion. Expansion of HSCs in vitro through a porous alginate hydrogel-based 3D culture system utilizing bone marrow CD34+ cells has been used.
Bone marrow is obtained from normal donors by bilateral aspirates of the posterior iliac crest. Donors are screened for general health, normal blood counts and infectious diseases prior to collection. Learn more in our Bone Marrow Tech Sheet.

Blood

The population of CD34 in blood is very small and is estimated to be less than 0.5% of all blood cell types. On the other hand peripheral blood is the easiest source of CD34+ cells also because the process is straight forward and non-invasive. Unfortunately, there aren’t large numbers of CD34+ cells in peripheral blood. The obtained number of cells can be increased using cytokine mobilization, which stimulates migration of HSC from bone marrow to the peripheral blood of the donor. Mobilized blood is therefore used as a source for CD34+ cells. Research-grade CD34+ cells isolated from mobilized blood can be used for cell and gene therapy process development. Learn more about CD34+ cells for cell and gene therapy development in an interview with Dr. Manon Destalminil.

Cord blood

Cord blood is a very accessible source of CD34+ cells. CD34+ HSC isolated from umbilical cord blood present the advantage to efficiently proliferate without losing their ability to differentiate into the several blood cell types. Bone marrow and peripheral blood-derived HSCs allow for large numbers of CD34+ cells to be harvested and transplanted, but they are of limited utility if an HLA-matched donor is unavailable. Cord blood-derived hematopoietic stem cells offer a potential solution, as the cells tend to be more naïve, which may lead to fewer occurrences of host-versus-graft-disease (GVHD) in instances of HLA-mismatch. Cord blood-derived HSCs also pose a major challenge due to the limited number of cells available from any particular donor. Thus, many research labs and clinical trials are currently focused on developing methods for ex-vivo expansion of cord blood-derived HSCs. Learn more about cord blood-derived HSCs and limited cell numbers.
 

Bone Marrow CD34+ depleted Cells (cryopreserved)   ≥ 100,00 viable cells
Bone Marrow CD34+ Cells (cryopreserved)   ≥ 100,000 viable cells
 ≥ 300,000 viable cells
 ≥ 500,000 viable cells
 ≥ 1 million viable cells
 ≥ 2 million viable cells
Cord Blood CD34+ Cells (cryopreserved)   ≥ 500,000 viable cells
 ≥ 1 million viable cells
 ≥ 2 million viable cells
 Cord Blood CD34+ Cells w/HLA characterization  (cryopreserved)  ≥ 1 million viable cells
 ≥ 2 million viable cells
Peripheral Blood CD34+ Cells (cryopreserved, mobilized)   ≥ 1 million  viable cells
 ≥ 5 million viable cells
 ≥ 10 million viable cells
 ≥ 25 million viable cells

CD34+ cells from mobilized blood for cell and gene therapy process development.


CD34+ cells isolated from mobilized blood and ready to use allow researchers to perform assays whenever they want as they are not dependent on volunteer availability. It also allows researchers to save precious patient samples. Since these cells are already purified, it enables gain in precious time in development of manufacturing protocols.


Furthermore, it allows robust assays and data generation as multiple different batches of CD34+ cells, can be tested, thus taking into account the variability between different people. Alternatively, in the case of process development, one can also access the same batch of CD34+ cells, which facilitates the assessment of reproducibility between different assays.


Learn more about CD34+ cells for cell and gene therapy development in an interview with Dr. Manon Destalminil.


In addition, CD34+ cells can be used in potency assays wherein iPSC cells can be derived from CD34+ mobilized human peripheral blood cells using retroviral transduction of OCT4/SOX2/KLF4/MYC as shown in an article by Aries et. al. on the development of a potency assay for CD34+ cell-based therapy

CD34+ cells from cord blood for humanized mouse development


Immunotherapies are at forefront of cancer and autoimmune research. These therapies involve leveraging and harnessing the patient’s own immune system. Many drug candidates, targeting the immune system, have therefore been developed. This has created a need for better preclinical models that can model a complete and functional human immune system. CD34+ cells from cord blood are at the forefront of immune-oncology research because of their use in the development of humanized mice. CD34+ humanized mice support the development not only of T cells but also B cells, NK cells, dendritic cells, monocytes and macrophages, allowing testing of many different drug mechanisms of action.
 

Learn more about humanized mice