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*Stem Cells
The Journal of Immunology, 1999, 163: 4869-4877.
Copyright © 1999 by The American Association of Immunologists

CD34+ Cell-Derived CD14+ Precursor Cells Develop into Langerhans Cells in a TGF-ß1-Dependent Manner1

Silvia Jaksits*, Ernst Kriehuber*, Anne Sophie Charbonnier*, Klemens Rappersberger{dagger}, Georg Stingl* and Dieter Maurer2,*

Divisions of * Immunology, Allergy, and Infectious Diseases and {dagger} General Dermatology, Department of Dermatology, University of Vienna Medical School, Vienna, Austria


    Abstract
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Langerhans cells (LC) are CD1a+E-cadherin (E-cad)+Birbeck granule+ but CD11b-CD36-factor XIIIa (FXIIIa)- members of the dendritic cell (DC) family. Evidence holds that LC originate from CD1a+CD14- rather than CD14+CD1a- progenitors, both of which arise from GM-CSF/TNF-{alpha}-stimulated CD34+ stem cells. The CD14+CD1a- progenitors, on the other hand, can give rise to a separate DC type characterized by its CD1a+CD11b+CD36+FXIIIa+E-cad-BG- phenotype (non-LC DC). Although GM-CSF/TNF-{alpha} are important for both LC and non-LC DC differentiation, TGF-ß1 is thought to preferentially promote LC development in vitro and in vivo. However, the hemopoietic biology of this process and the nature of TGF-ß1-responsive LC precursors (LCp) are not well understood. Here we show that CD14+ precursors in the presence, but not in the absence, of TGF-ß1 give rise to a progeny that fulfills all major criteria of LC. In contrast, LC development from CD1a+ progenitors was TGF-ß1 independent. Further studies revealed that CD14+ precursors contain a CD11b+ and a CD11b- subpopulation. When either subset was stimulated with GM-CSF/TNF-{alpha} and TGF-ß1, only CD14+CD11b- cells differentiated into LC. The CD11b+ cells, on the other hand, acquired non-LC DC features only. The higher doubling rates of cells entering the CD14+ LCp rather than the CD1a+ LCp pathway add to the importance of TGF-ß1 for LC development. Because CD14+CD11b- precursors are multipotent cells that can enter LC or macrophage differentiation, it is suggested that these cells, if present at the tissue level, endow a given organ with the property to generate diverse cell types in response to the local cytokine milieu.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Langerhans cells (LC)3 originate from hemopoietic precursor cells (HPC), which, upon circulation in the peripheral blood, populate the skin (1, 2). A major breakthrough in the understanding of LC development came from the observation that the exposure of CD34+ HPC to GM-CSF and TNF-{alpha} gives rise to a progeny of CD1a+, E-cadherin+ (E-cad+), Birbeck granule (BG)-containing cells with immunostimulatory properties strikingly similar to those of LC isolated from human skin (3, 4). Subsequent studies have tried to delineate the phenotype of LC progenitors at their various states of maturation/differentiation. Around day 6 of in vitro culture of CD34+ HPC in GM-CSF/TNF-{alpha}-supplemented medium, CD1a+ cells appear that, upon prolongation of the culture until days 12–14, develop into typical DC displaying all the features found in and on epidermal LC (5, 6). Besides this CD1a+ LC precursor, CD14+CD1a- cells emerge early during the culture. Apparently, their lineage commitment differs from that of the CD1a+ cells, as they give rise to a monocyte/macrophage phenotype when exposed to M-CSF while differentiating into non-LC DC in the continued presence of GM-CSF and TNF-{alpha} (5). Phenotypically, these non-LC DC are characterized by the abundant expression of factor XIIIa (FXIIIa), CD1a, CD11b, and CD36 and the virtual absence of E-cad and BG and, thus, display striking similarities to dermal DC (1, 5, 6, 7, 8).

Although certain stimuli, i.e., stem cell factor and Flt3 ligand (Flt3-L), amplify the DC differentiation pathways initiated by GM-CSF and TNF-{alpha} without any apparent selectivity for LC or non-LC DC development (9, 10), TGF-ß1 seems to be of unique importance in LC ontogeny. This is best evidenced by the lack of LC in TGF-ß1-/- mice (11) and by the preferential development of CD1a+BG+ cells in GM-CSF/TNF-{alpha}-containing, TGF-ß1-supplemented serum-free stem cell cultures (12).

Although recent studies showed that TGF-ß1 prevents apoptosis of and, together with GM-CSF/TNF-{alpha}, acts as a growth factor for myeloid precursor cells (13), the exact role of TGF-ß1 for the selective development of LC from cytokine-stimulated CD34+ HPC remains unknown. In this study we isolated various well-defined DC precursor populations that emerge during the culture of GM-CSF/TNF-{alpha}-stimulated CD34+ stem cells and sought to determine which cellular phenotype requires the presence of TGF-ß1 for entering the LC differentiation pathway.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abs and reagents

The FITC-conjugated mouse mAbs (clones) used were anti-CD1a (OKT6; Ortho Diagnostic Systems, Raritan, NJ), anti-CD11b (BEARI; Immunotech, Marseilles, France), anti-CD14 (Leu M3; Becton Dickinson, Mountain View, CA), anti-CD36 (OKM5; Ortho Diagnostic Systems), and anti-CD86 (FUN-1; PharMingen, San Diego, CA). PE-conjugated mAbs included anti-CD1a (HI149; PharMingen), anti-CD11b (D12), anti-CD11c (S-HCL-3), anti-CD14 (Leu M3; all from Becton Dickinson), and anti-CD86 (FUN-1; PharMingen). Peridinin chlorophyll protein (PerCP)-labeled anti-HLA-DR (clone L243) was purchased from Becton Dickinson. Purified anti-E-cadherin mAbs were obtained from Transduction Laboratories (mAb clone 36; Lexington, KY) and Immunotech (clone 67A4). Biotinylation of mAbs was performed according to standard protocols. The anti-CD45 mAb (clone MEM-28) and the mAb Lag were provided by Dr. Horejsi (Praha, Czech Republic) and Dr. Imamura (Kyoto, Japan), respectively. Rabbit anti-FXIIIa was obtained from Behring Diagnostics (Marburg, Germany). Appropriate fluorochrome- and biotin-labeled mouse control mAbs were purchased from Becton Dickinson. Nonlabeled IgG1 control mAbs (MOPC-21) were obtained from Sigma (St. Louis, MO). FITC-labeled goat F(ab')2 anti-mouse IgG + IgM was purchased from An der Grub (Kaumberg, Austria). Streptavidin-conjugated to PE (SA-PE) and PE-Cy5 (SA-Cy5) were obtained from Becton Dickinson and Dako (Glostrup, Denmark), respectively. mAbs used in immunodepletion experiments included anti-CD3, anti-CD16, anti-CD19, anti-CD34, anti-CD41, and anti-CD56 (all from Immunotech); anti-CD8 and anti-HLA-DR (both from Becton Dickinson); and anti-CD45RO (from Dako).

Growth factors

Recombinant human growth factors used in this study were GM-CSF (6 x 106 U/mg; provided by Novartis, Basel, Switzerland), TNF-{alpha} (1 x 107 U/mg) and IL-4 (1 x 107 U/mg; both from Genzyme, Cambridge, U.K.), Flt3-L (Serotec, Oxford, U.K.), IL-6 (1 x 107 U/mg; Life Technologies, Gaithersburg, MD), and M-CSF (1.5 x 108 IU/mg; R&D Systems, Minneapolis, MN). Purified human platelet-derived TGF-ß1 (3.2 x 107 U/mg) and neutralizing anti-TGF-ß mAbs were obtained from R&D Systems.

Isolation of CD34+ hemopoietic stem cells

Cord blood (CB) was obtained according to institutional guidelines. MNC were prepared by discontinuous density gradient centrifugation (Ficoll-Hypaque; Pharmacia, Uppsala, Sweden) of heparinized CB. CD34+ cells were separated from CB-MNC by a positive immunoselection procedure (CD34 multisort kit; Miltenyi Biotec, Bergisch Gladbach, Germany). Briefly, CB-MNC (2–3 x 108) were incubated with anti-CD34 mAb-coated paramagnetic microbeads for 30 min at 4°C. After several washings, bead-bound CD34+ HPC were isolated on MiniMACS separation columns using a magnet (MiniMACS, Miltenyi Biotec). CD34+ cells (0.5–1 x 106) were recovered at a purity of >95% as determined by immunostaining with a PE-labeled anti-CD34 mAb (HPCA-2; Becton Dickinson) recognizing a CD34 epitope distinct from that bound by the mAb used for immunoselection.

In vitro culture of CD34+ CB-MNC

Purified CD34+ CB-MNC were seeded at a density of 1–3 x 104 cells/ml in RPMI 1640 containing 2 mM L-glutamine, 125 U/ml penicillin, 125 µg/ml streptomycin, 50 mM ME, and 10% heat-inactivated FCS (all from Life Technologies). This culture medium was further supplemented with 200 U/ml GM-CSF, 50 U/ml TNF-{alpha}, and 50 ng/ml Flt3-L. Cells were cultured in 25-cm2 tissue culture flasks (Costar, Acton, MA) at 37°C in a humidified atmosphere in the presence of 5% CO2. On day 6, cells were collected and labeled either with anti-CD1a FITC/anti-CD14 PE or with anti-CD14 FITC/anti-CD11b PE, and stained cells were resuspended in PBS/5 mM EDTA to prevent aggregation. CD1a+CD14-, CD1a-CD14+, CD11b+CD14+, and CD11b-CD14+ cell populations were sorted using a FACStarPlus flow cytometer (Becton Dickinson). The purity of the sorted fractions was always >98%. Sorted cells were resuspended in serum-free X-VIVO 15 medium (BioWhittaker, Walkersville, MD) containing GM-CSF (200 U/ml)/TNF-{alpha} (50 U/ml) or M-CSF (2500 IU/ml)/IL-6 (200 U/ml). Where indicated, GM-CSF/TNF-{alpha}-containing cultures were additionally supplemented with TGF-ß1 (1 ng/ml) or neutralizing anti-TGF-ß mAbs (20 µg/ml). On day 10, half the culture supernatant was removed and replaced by fresh medium supplemented with the same cytokines/mAbs and cytokine/mAb concentrations that had been added to the cultures on day 6. On day 12 or 14, cells were subjected to further analyses.

Generation of monocyte-derived DC

Monocyte-derived DC were prepared according to protocols described previously (14, 15). Briefly, heparinized peripheral blood of adult donors was subjected to Ficoll-Hypaque density gradient centrifugation, and the resulting PBMC fraction was incubated with mAbs recognizing CD3, CD16, CD19, CD34, CD41, and CD56. After two washings, mAb-bound PBMC were allowed to bind to rat anti-mouse IgG1-coated immunomagnetic beads (MACS, Miltenyi Biotec) and were depleted using a magnetic separator (MiniMACS) according to the manufacturer’s instructions. This procedure routinely resulted in the recovery of CD14+ PBMC at a purity of >90%. Cells thus isolated were cultured in X-VIVO 15 medium containing GM-CSF (800 U/ml) and IL-4 (1000 U/ml) for 7 days. Where indicated, TGF-ß1 was added to the culture medium at a final concentration of 1 ng/ml.

Flow cytometry analyses

Cells (2 x 105) were incubated with the appropriate concentrations of the indicated biotin- and/or fluorochrome-conjugated mAbs for 30 min at 4°C. The binding of biotinylated mAbs was revealed by a consecutive incubation step with SA-PE or SA-Cy5. For the detection of intracellular Ags, cells were fixed and permeabilized before immunostaining using the Fix&Perm reagent (An der Grub). Briefly, 5 x 105 cells were exposed to the formaldehyde-based fixative for 15 min at room temperature and then incubated with mAb Lag- or IgG1 control mAb-supplemented (each 1 µg/ml) permeabilization solution for 15 min at room temperature. The binding of the first step mAbs was revealed by exposing the cells to 3 µg/ml of FITC-labeled goat anti-mouse IgG+IgM F(ab')2. After two rounds of washings, free cell-bound anti-mouse binding sites were blocked by saturating concentrations of an irrelevant IgG1 control mAb, and cells were exposed to anti-CD1a PE or PE-labeled mouse IgG1 control mAbs. Cellular fluorescence and light scatter parameters of individual cells were recorded on a FACScan flow cytometer (Becton Dickinson).

Immunohistochemistry

Cells (3–5 x 104) were placed onto individual fields of adhesion slides (Bio-Rad, Richmond, CA) and fixed in acetone for 10 min at 4°C. After rinsing the slides in PBS/1% H2O2, cells were exposed to mAb Lag or mouse IgG1 (each 2 µg/ml) in PBS/1% normal horse serum (Vector, Burlingame, CA). Cell-bound mAbs were conjugated with biotinylated horse anti-mouse IgG (Vector) and visualized using avidin/biotinylated peroxidase complexes (ABC Elite Vectastain Kit, Vector) and 3-amino-9-ethylcarbazole (Sigma). Cells were counterstained with Harris’ hematoxylin (Merck, Darmstadt, Germany) and, finally, were embedded in Glycergel (Dakopatts, Glostrup, Denmark).

Western blotting

Cells were solubilized in Tris lysis buffer (20 mM, pH 8.2) containing 1% Nonidet P-40 (Sigma), 140 mM NaCl, 2 mM EDTA, 1 mM iodoacetamide, 1 mM PMSF, and aprotinin and leupeptin (both at 10 µg/ml; all from Sigma). Lysates were kept on ice for 30 min, reacted with SDS sample buffer and analyzed by immunoblotting as described previously (16). Briefly, aliquots of lysates were submitted to 8% SDS-PAGE and blotted onto Immobilon-P nitrocellulose membranes (Amersham, Aylesbury, U.K.). Membranes were blocked with 5% nonfat dry milk/0.1% Tween-20 (Sigma)/PBS for at least 6 h. Thereafter, they were exposed to mouse mAbs against CD45 (clone MEM-28; 2.4 µg/ml) and E-cad (clone 36; 0.25 µg/ml), or to rabbit anti-FXIIIa (1:200). Primary Ab binding was revealed by an incubation step with peroxidase-conjugated sheep anti-mouse IgG (1/10,000) or sheep anti-rabbit IgG (1/10,000; both from Bio-Rad) and were visualized by chemiluminescence (ECL Western blotting detection kit, Amersham).

Transmission electron microscopy

Sample preparation for transmission electron microscopy and examination was performed as described previously (4).

Allogeneic MLR

Graded numbers of differentially stimulated CD34+ HPC-derived cells were dispensed in individual wells of 96-well round-bottom microtiter plates (Costar, Cambridge, MA) and were cocultured with 1 x 105 allogeneic naive CD4+ T cells for 6 days in RPMI 1640/10% AB serum (PAA Laboratories, Linz, Austria). Naive CD4+ T cells were purified by anti-CD8/CD16/CD19/CD45RO/CD56/HLA-DR-based immunomagnetic depletion of PBMC as described previously (17). During the last 16 h of the APC-T cell coculture, cells were pulsed with 0.5 µCi [3H]thymidine (Amersham), and the incorporated radioactivity was measured by ß-scintillation spectroscopy (1205 Betaplate, Wallac Instruments, Meriden, CT). Results are expressed as mean counts per minute of duplicate cultures. Background counts of controls (responder T cells or stimulator cells alone) were always <100 cpm.

Analysis of precursor frequencies and cumulative cell divisions

Due to its amphophilic properties, 5- (and 6)-carboxyfluorescein diacetate succinimidyl ester (CFDA; Molecular Probes, Eugene, OR) permeates into the cytosol of cells, where its acetate groups are removed by cellular esterases (18, 19). This process yields a brightly fluorescent, amine-reactive fluorophore that binds to proteins in a covalent fashion. Freshly isolated CD34+ HPC (1 x 106) were incubated in 1 µM CFDA/PBS for 20 min at 37°C. After several washings to remove noninternalized/metabolized CFDA, the CD34+ HPC-containing cell population was divided into two equally sized aliquots, one of which was irradiated with 3000 rad. CFDA-labeled nonirradiated and irradiated CD34+ HPC were cultured in RPMI 1640/10% FCS supplemented with GM-CSF, TNF-{alpha}, and Flt3-L. On day 6 of the culture, cells were recovered, stained with anti-CD1a PE, anti-CD14 PE, or both mAbs (to define the double negative population) or were simultaneously exposed to anti-CD14 PE and biotinylated anti-CD11b followed by SA-Cy5 and were subjected to multicolor FACS analysis.

Irradiated cells that served as an internal standard for nondividing cells produced a single-peaked histogram in the high CFDA fluorescence intensity range confirming dye stability over the culture period. CFDA segregates equally between daughter cells upon cell division, resulting in the sequential halving of cellular fluorescence intensity with each successive generation. When analyzed by flow cytometry, this sequential halving of fluorescence is visualized as distinct peaks or populations of cells. Thus, the simultaneous multicolor analysis of CFDA content and Ag expression profile allows tracking cell divisions in mAb-defined (sub)populations of proliferating cells. To estimate the "size" of the proliferative burst, we relied on the fact that the size of the (mAb-defined) daughter cell populations on day 6 and the size of their CD34+ precursor pools on day 0 are related by a function of 2n, where n is the number of division cycles achieved during clonal expansion. Because the number of events under individual CFDA fluorescence peaks (E) equals the number of (mAb-defined) day 6 cells that have undergone n division cycles, the number of CD34+ precursor cells that must have divided n times to generate them can be extrapolated by dividing En by 2n. As previously described (20, 21), the sum of the extrapolated precursor numbers for each division cycle gives the size of the precursor sample pool (P) sufficient to have generated the cell sample (E) with the given division pattern (Equation 1Go):

(1)
The relative precursor pool sizes (Pr) giving rise to (mAb-defined) cell populations on day 6 were calculated by expressing the size of the precursor sample pools (P) as a percentage of the total input CD34+ HPC on day 0 (T) (Equation 2Go):

(2)
The average division numbers (Da) the bulk progeny and each mAb-defined cell population had undergone until day 6 were calculated as follows. First, the number of (mAb-defined) cells within each CFDA fluorescence peak (En) was divided by the total number of (mAb-defined) cells on day 6 ({Sigma}En), and this quotient was multiplied by n; second, the sum of all these values directly reveals Da (Equation 3Go):

(3)


    Results
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Essential role of TGF-ß1 for the acquisition of LC-associated surface Ags by CD14+, but not CD1a+, HPC-derived cells

Suggestive evidence exists that TGF-ß1, both in vitro (12) and in vivo (11), is of essential importance for the development of LC from bone marrow-derived HPC. In an attempt to characterize the to date unknown TGF-ß-responsive LC precursor(s), we identified and isolated the well-defined CD14+CD1a- and the CD1a+CD14- DC precursor populations arising around day 6 from GM-CSF/TNF-{alpha}/Flt3-L-stimulated CD34+ HPC (Fig. 1Go) (5, 6). In initial experiments, the conventional serum-containing and, thus, latent TGF-ß-containing culture model and an entirely TGF-ß-free culture system (i.e., serum-free X-VIVO 15 medium) were used in parallel for this primary culture period. Although CD14+CD1a- and CD1a+CD14- cells appeared on day 6 under both conditions, the frequency of their occurrence (21 vs 35% CD14+ and 12 vs 22% CD1a+ cells in X-VIVO and in FCS/RPMI, respectively; mean values; n = 5) as well as the overall cell expansion (i.e., 5- to 10-fold less in serum-free compared with FCS-conditioned medium) were drastically lower under serum-free conditions (data not shown). This poor cell recovery/expansion under serum-free conditions hampered a solid search for TGF-ß1-responsive DC precursors before day 6. Importantly, however, cells that had been expanded for 6 days in FCS-conditioned medium and then were further propagated in the X-VIVO- and FCS-based culture system yielded comparably sized progenies on day 12. This allowed us to study in detail the effect of exogenous TGF-ß1 on the differentiation of CD1a+ and CD14+ DC precursors. Consequently, CD1a+CD14- and CD14+CD1a- cells were isolated on day 6 and propagated in TGF-ß1-conditioned or nonconditioned X-VIVO medium until day 12, and cellular progenies were subjected to immunostaining with mAbs recognizing differentiation Ags that are either DC subtype restricted (e.g., E-cad, CD1a, CD11b, and CD36) or occur in virtually all members of the DC family (e.g., HLA-DR and B7-2) (1, 2). As shown in Fig. 1Go, CD14+ cells, when cultured in the presence of TGF-ß1, gave rise to a cellular progeny that expressed high levels of CD1a, E-cad, and HLA-DR. In striking contrast, when the same precur- sors were cultured in the absence of this cytokine, cells emerged that hardly displayed these LC-associated features, but expressed HLA-DR in quantities comparable to those on the TGF-ß1-stimulated cells (Fig. 1Go). Interestingly enough, when cells were cultured in the presence of TGF-ß1, but not in its absence, a small subpopulation appeared that displayed CD11b, an Ag expressed by monocyte-related non-LC DC such as dermal DC and monocyte-derived DC (Fig. 1Go). Although the emergence of a CD1a+E-cad+ progeny from CD14+ cells strictly depended on the presence of TGF-ß1, CD1a+ progenitors gave rise to CD1a+E-cad+HLA-DR+CD11b- cells in both the presence and the absence of this cytokine (Fig. 1Go).



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FIGURE 1. TGF-ß1 induces the expression of LC-associated surface molecules on CD14+ progenitor-derived cells. CD34+ HPC were cultured in GM-CSF/TNF-{alpha}/Flt3-L-supplemented, serum-containing medium for 6 days, and recovered cells were subjected to anti-CD1a FITC/anti-CD14 PE double immunolabeling. Dot plots show CD14+ and CD1a+ cells in the bulk population, the sort gate settings, and the CD14+CD1a- (upper panel) and CD1a+CD14- (lower panel) cells recovered after the flow sorting procedure. Sorted CD14+ and CD1a+ cell populations were further propagated in the presence or the absence of TGF-ß1 in GM-CSF/TNF-{alpha}-supplemented, serum-free medium until day 12 and then analyzed by FACS. The anti-CD1a, anti-E-cad, anti-HLA-DR, and anti-CD11b immunoreactivities of the respective cell populations are depicted by closed histograms. Open histograms represent the reactivities of appropriate isotype control mAbs. One experiment representative of six is shown.

 
In another series of experiments, we isolated the few CD14+ precursor cells that develop from CD34+ cells in serum-free X-VIVO medium until day 6 and assessed whether these cells can acquire a LC phenotype upon subsequent exposure to TGF-ß1. Moreover, we asked whether CD14+ precursors isolated on day 6 acquire LC features when further propagated in TGF-ß1-supplemented FCS-containing medium. These experiments revealed 1) that CD14+ precursors, generated from CD34+ HPC under serum-free conditions, can develop into CD1a+ and E-cad+ cells in the presence of TGF-ß1; and 2) that, not only in serum-free but also in FCS-supplemented secondary cultures, TGF-ß1 is essential and sufficient to induce LC-like differentiation from CD14+ precursors (data not shown). Thus, it appears that the LC development-promoting effect of TGF-ß1 on CD14+ precursors occurs independently of the culture system chosen.

The TGF-ß1 dependency of E-cad synthesis by CD14+ progenitor-derived cells was further investigated by protein immunochemistry. In accordance with the surface immunostaining results, we observed, by Western blotting, that the expression of 120-kDa anti-E-cad immunoreactive moieties in CD14+ precursor-derived cells occurs in a TGF-ß1-dependent fashion (Fig. 2GoA). In contrast, CD1a+ intermediates acquire E-cad expression regardless of whether the cultures were supplemented with TGF-ß1 (Fig. 2GoA). As previously reported, we found that GM-CSF/IL-4-elicited monocyte-derived DC are induced to express E-cad when generated in the presence of TGF-ß1 (22, 23) (Fig. 2Go, A and B). Fig. 2GoB also shows that TGF-ß1 mediates enhanced CD1a and decreased HLA-DR expression. Note, however, that regardless of exposure to TGF-ß1, monocyte-derived DC maintain expression of factor XIIIa (FXIIIa; Fig. 2GoA) and the myeloid marker CD11b (Fig. 2GoB), two Ags reportedly expressed by dermal type, non-LC DC. This is in contrast to most CD14+ HPC-derived LC-type DC that do not express these two epitopes after TGF-ß1-dependent culture and differentiation (1, 5, 6). Thus, it appears that the majority of CD14+ HPC-derived cells can acquire the exact immunophenotype of LC in a TGF-ß1-dependent manner, while CD14+ peripheral blood monocyte-derived DC do not undergo complete LC differentiation. We further investigated whether quantitative differences in TGF-ß production by CD14+ and CD1a+ progenitor-derived cells could explain their mutually exclusive E-cad expression pattern. Although we found that CD1a+ progenitor-derived cells secreted somewhat higher amounts of this cytokine than did the progeny of the CD14+ cells (90 vs 32 pg/105 cells, mean values obtained in six independent experiments), the neutralization of TGF-ß could neither prevent nor reduce E-cad production and surface expression by these cells (Fig. 2GoA and data not shown). Thus, it appears unlikely that the occurrence of a cell type-restricted autocrine TGF-ß circuit is responsible for the mutually exclusive expression of LC-associated molecules by the progeny of the two precursor subsets.



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FIGURE 2. Although both CD14+ cord blood-derived cells and CD14+ monocyte-derived DC can be induced to express E-cad in a TGF-ß1-dependent manner, only monocyte-derived DC stably display the non-LC DC-related Ags FXIIIa and CD11b. A, CD14+ and CD1a+ subsets generated from CB CD34+ HPC were isolated on day 6 and further propagated in the presence or the absence of TGF-ß1 or neutralizing anti-TGF-ß mAbs in GM-CSF/TNF-{alpha}-supplemented, serum-free medium until day 12. Monocyte-derived DC (mdDC) were generated by culturing highly enriched peripheral blood monocytes for 7 days in the presence or the absence of TGF-ß1 in GM-CSF/IL-4-conditioned X-VIVO 15 medium. For control purposes, E--peripheral blood mononuclear cells (E--MNC) were analyzed in parallel. Protein extracts prepared from equal cell numbers were separated on 8% SDS-PAGE and blotted onto nitrocellulose, and membranes were subjected to anti-CD45, anti-E-cad, and anti-FXIIIa Western blotting. B, Monocyte-derived DC generated in the presence or the absence of TGF-ß1 were subjected to anti-CD1a, anti-E-cad, anti-HLA-DR, and anti-CD11b immunostaining and flow cytometric analysis. Closed histograms depict the immunoreactivities produced by the indicated mAbs. Open histograms represent the reactivities of appropriate isotype control mAbs. One experiment representative of seven is shown.

 
TGF-ß1 induces DC morphology, BG, and Lag expression in CD14+ progenitor-derived cells

To determine whether TGF-ß1 stimulation of CD14+ progenitors gives rise to cells that fulfill the cardinal phenotypic features of LC, we first analyzed CD1a+ cells arising from TGF-ß1-stimulated CD14+ HPC-derived precursors for the expression of the cytoplasmic, BG-associated protein Lag. Using either cytoplasmic immunolabeling and FACS analysis or immunohistochemical staining, we observed that the majority of the TGF-ß1-stimulated cells were Lag+ (Fig. 3Go, A and C), whereas cells that had been cultured in the absence of this cytokine were entirely devoid of this immunoreactivity (Fig. 3Go, A and B). In the former cells, the Lag Ag was distributed in a granular pattern, indistinguishable from that seen in LC generated from CD1a+ precursors (Fig. 3GoE). In keeping with our previous results, CD1a+ progenitors gave rise to Lag+ LC regardless of whether TGF-ß1 was added to the cultures (Fig. 3Go, D and E). By EM, we found that the cells that emerged from TGF-ß1-stimulated CD14+ progenitors displayed pronounced DC morphology (Fig. 4GoB) and, thus, resembled LC generated from CD1a+ precursors (Fig. 4GoC). Both cell populations exhibited abundant dendritic membrane protrusions and contained many multilamellar organelles and indented or lobulated nuclei in a slightly off-center position. As the most revealing feature, both DC populations contained BG, cytoplasmic organelles characterized by their typical double-membrane junctions and their rod-shaped structure (Fig. 4Go, E and F). Numeric evaluations revealed that BG are encountered in comparable frequencies in ultrathin-sectioned cell profiles (i.e., 10–20%) of TGF-ß1-stimulated CD14+ precursor-derived and CD1a+ precursor-derived DC. In the absence of TGF-ß1, CD14+ precursors gave rise to cells with a roundish, monocyte-like morphology (Fig. 4GoA). Although these cells displayed a nuclear architecture similar to that of CD14+ and CD1a+ precursor-derived LC, their cytoplasm contained many multivesicular, rather than multilamellar, organelles and was entirely devoid of BG.



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FIGURE 3. TGF-ß1 induces the expression of the BG-associated protein Lag in CD14+ precursor-derived cells. A, Sorted CD14+ cells were propagated in the presence (right panel) or the absence (left panel) of TGF-ß1 in GM-CSF/TNF-{alpha}-supplemented, serum-free medium until day 12. Thereafter, cells were subjected to anti-CD1a/anti-Lag and anti-CD1a/anti-E-cad double immunostaining. In the top panel the anti-CD1a immunoreactivity of CD14+ progenitor-derived cells (closed histograms) and gate settings are depicted. Gated CD1a+ cells were analyzed for E-cad (closed histograms, middle panel) and cytoplasmic Lag expression (closed histograms, bottom panel). Open histograms denote the reactivity obtained with isotype-matched control mAbs. B–E, Sorted CD14+ (B and C) and CD1a+ cells (D and E) were propagated in the presence (C and E) or the absence (B and D) of TGF-ß1 until day 14 and then subjected to immunohistochemistry using mAb Lag (B–E). Control stainings with isotype-matched mAbs did not reveal any immunoreactivity (not shown). Cells were counterstained with hematoxylin. One experiment representative of four is shown.

 


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FIGURE 4. Upon stimulation with TGF-ß1, CD14+ progenitors give rise to a BG-containing LC progeny. Unlike the progeny of CD14+ precursors cultured in the absence of TGF-ß1 (A), TGF-ß1-stimulated CD14+ (B), and CD1a+ precursor-derived cells (C) exhibit abundant dendritic membrane protrusions. Both TGF-ß1-stimulated CD14+ (E) and CD1a+ precursor-derived DC (F) display BG (indicated by arrows) and numerous multilamellar organelles (ML). In the absence of TGF-ß1, CD14+ progenitors develop into roundish, monocyte-like cells (A) that display multivesicular (MV) rather than multilamellar compartments (D). M, mitochondria; PM, plasma membrane. Bars denote 2 µm (A–C) and 200 nm (D–F).

 
Identification of TGF-ß1-responsive LC and non-LC DC precursors with macrophage differentiation potential

Data obtained to date demonstrated that CD34+ stem cell-derived CD14+ precursors can develop into LC in a TGF-ß-dependent fashion. This is best evidenced by the observations that TGF-ß1 up-regulates CD1a, E-cad, and Lag expression and induces BG and DC morphology in the progeny of those cells. It was interesting to note, however, that this LC-promoting potency did not uniformly occur with all CD14+ hemopoietic precursors identified and isolated. In fact, small populations of CD11b+ and weakly E-cad+, or even E-cad-, cells could be recovered from TGF-ß1-stimulated CD14+ precursor cell cultures (Fig. 1Go). To further characterize these cells, we performed anti-E-cad and anti-CD11b double-immunolabeling experiments, which revealed that in the presence of TGF-ß1, two mutually exclusive cell populations emerged from CD14+ progenitors. The major population (>75%) expresses E-cad but not CD11b and, thus, corresponds to the CD14+ cell-derived LC (Fig. 5Go). Most of the remaining cells are E-cad-/low but CD11b+ (Fig. 5Go). It is noteworthy that in the absence of TGF-ß1, the appearance of the CD11b+ subset is only incomplete.



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FIGURE 5. TGF-ß1-stimulated CD14+ precursors give rise to two cellular phenotypes characterized by the mutually exclusive expression of E-cad and the myeloid Ag CD11b. CD14+ cells were isolated on day 6 and cultured in the presence or the absence of TGF-ß1 until day 12. Thereafter, cells were subjected to double immunostaining with anti-CD11b FITC (x-axis) and biotinylated anti-E-cadherin/SA-PE (y-axis) and FACS analysis. Quadrant setting was performed according to the reactivities of isotype-matched control mAbs (far left dot plot).

 
These results raised the possibility that committed precursors for the CD14+CD11b- and the CD14+CD11b+ subpopulations may already exist at the progenitor level. Indeed, flow cytometric analysis of 5- to 6-day-old stem cell cultures showed that on the basis of CD11b expression, two subsets of CD14+ cells can be discriminated (Fig. 6Go). To analyze the LC/DC differentiation potential and lineage commitment of the CD11b+ and CD11b-/lowCD14+ cells, the subsets were sorted and propagated with TGF-ß1 or M-CSF. In the presence of TGF-ß1, the CD11b- cells gave rise to a typical LC progeny with homogeneous, high level expression of CD1a, E-cad, HLA-DR, and B7-2, but no anti-CD14 or anti-CD11b and only negligible anti-CD36 immunoreactivity (Fig. 6Go). Conversely, when the same cell population was exposed to M-CSF, macrophage-like cells with high CD14, CD11b, and CD36; weak B7-2; and no CD1a and E-cad expression developed (Fig. 6Go). Thus, it appears that, unlike the CD1a+ LC precursor, which dies in the presence of M-CSF (5), the CD11b-CD14+ population is at least bipotent, giving rise to LC or macrophages upon appropriate cytokine stimulation. When we subjected the CD11b+CD14+ precursor to the same isolation, cell culture, and immunophenotyping protocol, we found that TGF-ß1 stimulation led to the emergence of DC that express CD1a, HLA-DR, and B7-2, but, unlike LC, display only limited E-cad expression and are homogeneously CD11b+ and CD36+ (Fig. 6Go). Furthermore, these cells did not express CD14 (Fig. 6Go) and, thus, by immunophenotype strikingly resemble dermal DC, a non-LC DC population constitutively present in human skin (5, 7). As also shown in Fig. 6Go, M-CSF stimulation of CD11b+CD14+ cells resulted in the appearance of a typical macrophage progeny.



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FIGURE 6. In the presence of TGF-ß1, CD11b-CD14+ cells differentiate into LC, while their CD11b+ counterparts acquire features of non-LC DC. On day 6, stem cell-derived progenitors were subjected to anti-CD14 FITC and anti-CD11b PE double immunolabeling (center dot plot), and CD11b-CD14+ (upper panel) and CD11b+CD14+ subsets (lower panel) were isolated by flow sorting. Sorted cell populations were further propagated in the presence of TGF-ß1 or M-CSF until day 12 and then were analyzed for CD1a, CD14, CD11b, CD36, HLA-DR, B7-2, and E-cad expression (closed histograms). Open histograms give the reactivities of the same cell populations with the appropriate isotype-matched control mAbs. One experiment representative of three is shown.

 
LC generated from either CD14+ or CD1a+ precursors are equally potent stimulators of naive allogeneic T cells

A comparative assessment of the MLR-stimulating potency of both subpopulations generated in the presence of TGF-ß1 revealed that LC generated via either pathway were effective stimulators of naive T cells and elicited T cell proliferation at low APC:T cell ratios (Fig. 7GoA). When CD11b-CD14+ cells were stimulated with TGF-ß1 or M-CSF and their cellular progeny was tested for its MLR-stimulating capacity, we observed that, at the per cell level the LC emerging in the presence of TGF-ß1 were at least 100-fold more potent than the M-CSF-dependent macrophages (Fig. 7GoB). Macrophages generated from M-CSF-stimulated CD11b+CD14+ cells also displayed only poor accessory cell function (Fig. 7GoB).



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FIGURE 7. LC generated from TGF-ß1-stimulated CD14+ precursors are potent stimulators of naive allogeneic CD4+ T cells. CD14+ and CD1a+ (A) as well as CD11b-CD14+ LC precursors (B) were isolated on day 6 and then propagated until day 12 in TGF-ß1-conditioned, serum-free medium. For control purposes, CD11b-CD14+ and CD11b+CD14+ precursors were cultured in the presence of M-CSF (B). Graded numbers of in vitro generated cells were incubated with 105 allogeneic naive CD4+ T cells for 6 days in RPMI 1640/10% AB serum. During the last 16 h, individual cultures were pulsed with 0.5 µCi of [H3]thymidine, and incorporated radioactivity was measured by ß-scintillation counting. Results are expressed as the mean counts per minute obtained in duplicate cultures. Background counts of T cells alone were <100 cpm. One experiment representative of four is shown.

 
A CD34+ HPC pool with high proliferative potential gives rise to CD14+ LC precursors

To investigate whether TGF-ß1-responsive CD14+ LC precursors originate from a CD34+ HPC pool differing in size and proliferation potential from that giving rise to conventional CD1a+ LC-committed progenitors, we performed fluorescence-based precursor frequency analyses. Purified CD34+ HPC were labeled with CFDA, a brightly green fluorescent and stable cell tracker that is equally distributed to daughter cells during mitoses and thus allows the quantification of cells that have undergone a defined number of divisions (18, 19). Labeled CD34+ HPC and, as a control, irradiated, and thus proliferation incompetent, CFDA-labeled CD34+ HPC were stimulated with GM-CSF/TNF-{alpha}/Flt3-L and subjected to multicolor flow cytometric analyses on day 6 of the culture. Irradiated cells produced a single-peak histogram in the high CFDA fluorescence intensity range that serves as the internal standard for nondividing cells (Fig. 8Go and data not shown). The CFDA labeling procedure did not adversely affect HPC proliferation and LC differentiation, because it neither altered the yields and percentages of CD1a+ and CD14+ cells on day 6 nor negatively influenced the TGF-ß1-dependent and -independent development of E-cad+CD1a+ DC from CD14+ and CD1a+ precursors, respectively (data not shown). The comparative analysis of the fluorescence profiles of the CD14+ and CD1a+ progenitors as well as of the remaining double-negative cells directly shows that CD14+ cells have undergone the most and CD14-CD1a- cells the fewest numbers of divisions (Fig. 8Go). When we calculated, on the basis of cell counts per given cell division number, LC precursor frequencies at the CD34+ HPC stage, it appeared that the CD11b-CD14+ and the CD1a+ LC progenitors originate from a similarly sized CD34+ stem cell pool (Table IGo). Interestingly, the CD11b-CD14+ progenitors had undergone one cell division more than the CD1a+ LC precursors until day 6 (Table IGo). Thus, the more frequent occurrence of CD14+ than of CD1a+ LC precursors on day 6 (Table IGo) is due to a higher proliferative potential and not due to a larger CD34+ stem cell pool of the CD14 pathway of LC development. These calculations also revealed that the CD11b+CD14+ subpopulation emerges from a CD34+ HPC pool that is only half the size of that giving rise to their CD11b- counterparts (Table IGo). When CD14+ and CD1a+ LC progenitors were sorted, subjected to CFDA labeling, and cultured in the presence or the absence of TGF-ß1, we observed that LC generated from either pathway underwent an average of only 0.5 cell divisions between days 6 and 12 (data not shown).



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FIGURE 8. Tracking of the division cycle history of CD34+ stem cell-derived CD1a+ and CD14+ DC precursors. CD34+ HPC were labeled with CFDA and cultured for 6 days in GM-CSF/TNF-{alpha}/Flt3-L-supplemented, serum-containing medium. Recovered cells were stained with PE-conjugated anti-CD1a, anti-CD14, or anti-CD1a plus anti-CD14 mAbs. Cells were gated for the criteria CD1a+ (A), CD14+ (B), or CD14-CD1a- (C), and the fluorescence emission of cell-bound CFDA was recorded (x-axis). As a standard for nondividing cells, CFDA-labeled {gamma}-irradiated CD34+ stem cells were cultured under identical conditions. On day 6, these cells produced a single-peak histogram, the range of which is denoted by the bar 0' in A. The progeny of nonirradiated, dividing CD34+ HPC show multipeaked CFDA fluorescence histograms. On a logarithmic scale, the distance between the neighboring peaks is always the same, because CFDA fluorescence intensity is diluted 2-fold with each consecutive cell division. Bars indicate the fluorescence intensity range of cells that have undergone zero to nine cell divisions. Data from one representative of three independent experiments are shown (see also Table IGo).

 

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Table I. A CD34+ HPC pool with high proliferation potential gives rise to CD14+ LC precursors

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This study demonstrates 1) that typical LC generated in HPC cultures stimulated with GM-CSF/TNF-{alpha} and TGF-ß1 originate not only from CD1a+ progenitors but also from a pool of CD14+CD1a- precursors; and 2) that these two progenitor cells differ in their TGF-ß1 requirements. It was shown previously that TGF-ß1 can amplify LC development in vitro (12) and, based on experimental data in gene-targeted TGF-ß1-/- mice, in vivo (11). However, the biology of TGF-ß1-mediated amplification of LC development is poorly understood to date. The data available suggest that TGF-ß1 inhibits the apoptotic death of LC precursors (13). We now have evidence that another main function of this cytokine is to redirect a large population of monocytic precursors into the differentiation pathway(s) of cutaneous DC.

Upon TGF-ß1 signaling, CD11b-CD14+ cells homogeneously develop into LC (Fig. 6Go). However, not all CD14+ cells enter the same route of differentiation. CD11b+CD14+ cells give rise to cells with the immunophenotypic characteristics of dermal DC (DDC) rather than of LC. We have evidence that TGF-ß1 is also needed for the development of these E-cad-CD11b+ DDC-like cells from CD14+ precursors (Figs. 5Go and 6Go).

At first glance, the latter results contradict the previous observations showing that CD14+ precursors, even in the absence of exogenous TGF-ß, can give rise to non-LC DC (5, 6). Because bovine serum-containing and, thus, latent TGF-ß-containing culture media were used in these studies, we also analyzed the role of TGF-ß1 for LC and non-LC DC differentiation of CD14+ precursors during culture in FCS-conditioned medium. In the absence of exogenous bioactive TGF-ß1 and in accordance to previous observations (5, 6), no E-cad+CD11b- LC could be recovered from CD14+ precursors, and the cells rather homogeneously acquired a DDC-like phenotype (data not shown). In striking contrast, TGF-ß1 supplementation of these cultures resulted in preferential LC development, as assessed by immunophenotypic and ultrastructural criteria (data not shown). Thus, it appears that 1) CD14+ precursors cannot sufficiently activate and/or use xenogeneic latent TGF-ß1 to undergo LC transformation; and 2) FCS-derived factors other than TGF-ß1 can promote non-LC DC development from CD14+ precursors.

In accordance with earlier observations (22, 23) we found that DC generated from blood monocytes in the presence of GM-CSF/IL-4 could display E-cad in a TGF-ß1-dependent fashion (Fig. 2Go, A and B). However, TGF-ß1 does not allow these DC to undergo unequivocal LC differentiation, as it did not abolish the expression of the monocyte/macrophage-related Ag FXIIIa (Fig. 2GoA) and the myeloid Ag CD11b (Fig. 2GoB), two markers never detected on classical LC. These data strengthen the concept that not all CD14+ DC precursor subsets can undergo full TGF-ß-dependent LC differentiation and, furthermore, suggest that the differentiational stage of the CD11b-CD14+ intermediate is likely to be the last checkpoint during myelopoiesis from which TGF-ß-dependent, unambiguous LC differentiation can occur.

It should not be forgotten that the CD11b-CD14+ cells are versatile precursors that, depending on the cytokine signals delivered, can enter various lineages of myeloid differentiation. Unlike CD1a+ LC precursors, which do not express receptors for M-CSF and die in the sole presence of this cytokine (5), CD11b-CD14+ precursors differentiate into macrophages in the presence of M-CSF (Fig. 6Go). We have preliminary evidence that in the combined presence of TGF-ß1 and M-CSF, CD11b-CD14+ precursors develop into weakly E-cad- and CD1a-positive DDC-like cells. Thus, it appears that the CD11b-CD14+ subpopulation contains multilineage myeloid precursors with LC, non-LC DC, and monocyte/macrophage differentiation potential. It is also conceivable that the early receipt of either TGF-ß1 or M-CSF signals by a certain, poorly differentiated common progenitor cell type results in the emergence of either CD1a+ LC precursors or CD11b+CD14+ non-LC DC precursors on day 6 of the stem cell cultures. The latter argument is supported by our observation that the supplementation of FCS- as well as serum-free CD34+ stem cell cultures with neutralizing anti-TGF-ß mAbs can reduce the frequency of CD1a+ LC precursors on day 6 (data not shown). However, the inhibition of CD1a+ LC precursor development was never complete. Thus, it is possible that 1) in certain CD1a+ LC precursors, TGF-ß delivery may occur in a compartmentalized autocrine or perhaps even intracrine fashion not accessible to mAb-based inhibition; or 2) stem cell pools exist that allow for TGF-ß-independent LC development. In fact, our studies of the precursor frequencies and proliferation potentials of the various CD34+ HPC-derived subpopulations showed that CD11b-CD14+ and CD1a+ precursors emerge from stem cell pools that differ in their proliferative potential (Fig. 8Go and Table IGo). Due to their similar size, however, it cannot be decided whether the stem cell pools of these precursor subsets are identical, partially overlapping, or mutually exclusive. Unfortunately, our attempts to identify and purify cord blood-derived CD34+ HPC subsets with mutually exclusive CD1a or CD14 differentiation potentials have remained unsuccessful. Thus, it appears that CD1a+ and CD14+ precursors originate from phenotypically similar stem cell pools, but enter divergent pathways early after the start of the culture. This argument finds support in the observation that LC derived from CD1a+ precursors homogeneously express the maturation-related surface Ag CD83 by day 10, while CD14+ precursor-derived LC start to up-regulate this molecule only after day 13 of the culture (data not shown).

At the present time it is not clear which cell type serves as the main TGF-ß1 source in vivo and, perhaps more important, as the biologically relevant LC/DDC precursor. Although TGF-ß1 is constitutively produced by keratinocytes (1), cell transfer studies in mice showed that radiation-resistant host cells other than keratinocytes could be important in this regard (24). As it is well established that TGF-ß is secreted as a latent complex (25, 26), the activity of TGF-ß-liberating factors rather than the mere presence of this cytokine may be of importance for the regulation of LC development. Concerning the nature of the LC/DDC progenitor, it remains to be seen whether certain CD1a+BG- cells or even CD1a- cutaneous lymphocyte Ag (CLA)+ cells (27) reside within the dermis and can develop into typical LC. The involvement of the CD14 pathway of LC/DDC development can be deduced from our recent identification of a CD45+HLA-DR+CD14+ but CD11b- cell population within human dermis that by immunophenotype corresponds to the TGF-ß1-responsive CD14+ LC precursor seen in CD34+ HPC-derived cultures (data not shown). Should this cell type give rise to LC in the presence of TGF-ß1 but develop into macrophages in the presence of M-CSF it would provide the skin with the unique option to rapidly generate functionally diverse cell types in response to the local cytokine milieu.


    Acknowledgments
 
We thank Mrs. Bärbel Reininger for technical help.


    Footnotes
 
1 This work was supported in part by grants from the Austrian Ministry of Science and Transportation and from Novartis (Basel, Switzerland). Back

2 Address correspondence and reprint requests to Dr. Dieter Maurer, Division of Immunology, Allergy and Infectious Diseases, Department of Dermatology, University of Vienna Medical School, Waehringer Guertel 18-20, A-1090 Vienna, Austria. E-mail address: Back

3 Abbreviations used in this paper: LC, Langerhans cells; ACC, accessory cells; BG, Birbeck granules; CB, cord blood; CFDA, carboxyfluorescein diacetate; DC, dendritic cells; DDC, dermal dendritic cells; EM, electron microscopy; HPC, hemopoietic progenitor cells; E-cad, E-cadherin; Flt3-L, Flt3 ligand; FXIIIa, factor XIIIa; ML, multilamellar organelles; MV, multivesicular organelles; PerCP, peridinin chlorophyll protein; SA, streptavidin; SA-PE, PE-conjugated streptavidin. Back

Received for publication March 29, 1999. Accepted for publication August 16, 1999.


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 Introduction
 Materials and Methods
 Results
 Discussion
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