Abstract

BackgroundA robust scalable method for producing enucleated red blood cells (RBCs) is not only a process to produce packed RBC units for transfusion but a potential platform to produce modified RBCs with applications in advanced cellular therapy. Current strategies for producing RBCs have shortcomings in the limited self-renewal capacity of progenitor cells, or difficulties in effectively enucleating erythroid cell lines. We explored a new method to produce RBCs by inducibly expressing c-Myc in primary erythroid progenitor cells and evaluated the proliferative and maturation potential of these modified cells.ResultsPrimary erythroid progenitor cells were genetically modified with an inducible gene transfer vector expressing a single transcription factor, c-Myc, and all the gene elements required to achieve dox-inducible expression. Genetically modified cells had enhanced proliferative potential compared to control cells, resulting in exponential growth for at least 6 weeks. Inducibly proliferating erythroid (IPE) cells were isolated with surface receptors similar to colony forming unit-erythroid (CFU-Es), and after removal of ectopic c-Myc expression cells hemoglobinized, decreased in cell size to that of native RBCs, and enucleated achieving cultures with 17% enucleated cells. Experiments with IPE cells at various levels of ectopic c-Myc expression provided insight into differentiation dynamics of the modified cells, and an optimized two-stage differentiation strategy was shown to promote greater expansion and maturation.ConclusionsGenetic engineering of adult erythroid progenitor cells with an inducible c-Myc vector established an erythroid progenitor cell line that could produce RBCs, demonstrating the potential of this approach to produce large quantities of RBCs and modified RBC products.

Highlights

  • A robust scalable method for producing enucleated red blood cells (RBCs) is a process to produce packed Red blood cell (RBC) units for transfusion but a potential platform to produce modified RBCs with applications in advanced cellular therapy

  • Negligible c-Myc background expression with no dox Induced proliferation of c-Myc transduced hematopoietic progenitor cells Three separate independent experiments were done on different preparations of primary mouse bone marrow cells purified to have the surface receptor profile lineage negative (Lin−)Ter119−Mac-1−Gr-1−c-Kit+CD71(low/−) (Additional file 1: Figure S3), which is known to be enriched with burst forming unit-erythroid (BFU-E) [9]

  • For both conditions where cells were modified with the Third generation TRE (TRE3G)-cMyc vector, substantial cell death occurred as a result of the puromycin selection step

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Summary

Introduction

A robust scalable method for producing enucleated red blood cells (RBCs) is a process to produce packed RBC units for transfusion but a potential platform to produce modified RBCs with applications in advanced cellular therapy. BFU-Es differentiate to form CFU-Es (c-kit+CD71highTer119−) [9,10,11], which usually divide three to five times over two to 3 days as they hemoglobinize, and undergo a decrease in cell size [8]. As these cells develop, they exit the cell cycle, repress transcription, Mayers et al BMC Biotechnology (2019) 19:21 condense their chromatin, and extrude their nucleus to form a reticulocyte [12]. After about 2 days, the reticulocyte shows loss of reticulin as it terminally differentiates into a RBC [13]

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