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Review
. 2024 Jan 23;31(2):603-616.
doi: 10.3390/curroncol31020044.

Homing and Engraftment of Hematopoietic Stem Cells Following Transplantation: A Pre-Clinical Perspective

Affiliations
Review

Homing and Engraftment of Hematopoietic Stem Cells Following Transplantation: A Pre-Clinical Perspective

Tanvir Hasan et al. Curr Oncol. .

Abstract

Hematopoietic stem-cell (HSC) transplantation (HSCT) is used to treat various hematologic disorders. Use of genetically modified mouse models of hematopoietic cell transplantation has been critical in our fundamental understanding of HSC biology and in developing approaches for human patients. Pre-clinical studies in animal models provide insight into the journey of transplanted HSCs from infusion to engraftment in bone-marrow (BM) niches. Various signaling molecules and growth factors secreted by HSCs and the niche microenvironment play critical roles in homing and engraftment of the transplanted cells. The sustained equilibrium of these chemical and biologic factors ensures that engrafted HSCs generate healthy and durable hematopoiesis. Transplanted healthy HSCs compete with residual host cells to repopulate stem-cell niches in the marrow. Stem-cell niches, in particular, can be altered by the effects of previous treatments, aging, and the paracrine effects of leukemic cells, which create inhospitable bone-marrow niches that are unfavorable for healthy hematopoiesis. More work to understand how stem-cell niches can be restored to favor normal hematopoiesis may be key to reducing leukemic relapses following transplant.

Keywords: clonal hematopoiesis; clonal leukemogenesis; competitive repopulation; engraftment; hematopoietic stem-cell transplantation; homing; xeno-transplantation.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Schematic representation of clonal hematopoiesis. Somatic mutations caused as people age give certain clones of HSCs a competitive advantage over other clones, thereby leading to their taking over the hematopoietic system.
Figure 2
Figure 2
Schematic representation of competitive repopulation assay to estimate the engraftment and hematopoietic system repopulation capacity of donor vs. competitor HSCs. Donor and competitor BM cells are distinguished by unique genetic markers. Donor and competitor cells are then mixed and transplanted into lethally irradiated recipient mice. Following approximately 6 months of repopulation period, recipient BM is harvested to assess cellular composition and the contribution of donor origin vs. competitor origin, based on selected genetic markers. Figure created with BioRender.com (accessed on 15 December 2023).

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