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The Journal of Neuroscience, November 15, 1999, 19(22):9986-9995
Identification, Isolation, and Promoter-Defined Separation of
Mitotic Oligodendrocyte Progenitor Cells from the Adult Human
Subcortical White Matter
Neeta Singh
Roy1, 3,
Su
Wang1, 3,
Catherine
Harrison-Restelli1,
Abdellatif
Benraiss1,
Richard A. R.
Fraser2,
Michel
Gravel4,
Peter E.
Braun4, and
Steven A.
Goldman1
Departments of 1 Neurology and Neuroscience and
2 Neurosurgery, Cornell University Medical College, New
York, New York 10021, 3 Aitken Neuroscience Center, New
York, New York 10021, and 4 Department of Biochemistry,
McGill University, Montreal, Quebec, Canada H3A 2T5
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ABSTRACT |
Previous studies have suggested the persistence of oligodendrocyte
progenitor cells in the adult mammalian subcortical white matter. To
identify oligodendrocyte progenitors in the adult human subcortical
white matter, we transfected dissociates of capsular white matter with
plasmid DNA bearing the gene for green fluorescence protein (hGFP),
placed under the control of the human early promoter (P2) for the
oligodendrocytic protein cyclic nucleotide phosphodiesterase (P/hCNP2).
Within 4 d after transfection with P/hCNP2:hGFP, a discrete
population of small, bipolar cells were noted to express GFP. These
cells were A2B5-positive (A2B5+),
incorporated bromodeoxyuridine in vitro, and
constituted <0.5% of all cells. Using fluorescence-activated cell
sorting (FACS), the P/hCNP2-driven GFP+ cells were
then isolated and enriched to near-purity. In the weeks after FACS,
most P/hCNP2:hGFP-sorted cells matured as morphologically and
antigenically characteristic oligodendrocytes. Thus, the human subcortical white matter harbors mitotically competent progenitor cells, which give rise primarily to oligodendrocytes in
vitro. By using fluorescent transgenes of GFP expressed under
the control of an early oligodendrocytic promoter, these
oligodendrocyte progenitor cells may be extracted and purified from
adult human white matter in sufficient numbers for implantation and
cell-based therapy.
Key words:
regeneration; myelin; remyelination; cell sorting; stem
cells; subependyma
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INTRODUCTION |
Oligodendrocytes of the adult
forebrain are primarily postmitotic. Nonetheless, persistent cycling
oligodendrocyte progenitors (OPs) have been described in adult rodent
subcortical white matter (Gensert and Goldman, 1996 ) and may provide a
substrate for remyelination after demyelinating injury (Blakemore et
al., 1996 ; Gensert and Goldman, 1997 ). In humans, the demonstration and
identification of persistent subcortical progenitor cells have been
more problematic. A pro-oligodendrocytic phenotype has been described
in adult human subcortical white matter, although these postmitotic
cells may have included mature oligodendrocytes recapitulating their
developmental program after dissociation (Armstrong et al., 1992 ;
Gogate et al., 1994 ). Rare examples of oligodendrocytes derived from
mitotic division have been reported in human subcortical dissociates
(Scolding et al., 1995 ), and candidate progenitors have been identified in histological sections on the basis of PDGF receptor expression (Scolding et al., 1998 ). Nonetheless, the identification and isolation of viable mitotic oligodendrocyte progenitors from the adult human brain has proven an elusive goal. Indeed, not only have mitotically competent adult human OPs not been preparable in the numbers or purity
required for their characterization or functional engraftment, but
their very existence in humans has been unclear (Scolding, 1997 ,
1998 ).
To establish the existence and relative incidence of oligodendrocyte
progenitors in the adult human white matter, we therefore designed a
new strategy for the isolation and enrichment of native oligodendrocyte
precursors from adult brain tissue. For this purpose, we capitalized on
a strategy initially developed for the identification of neuronal
precursor cells in which cultured forebrain dissociates were
transfected with the gene for green fluorescent protein (hGFP) (Chalfie
et al., 1994 ; Levy et al., 1996 ), regulated by the early neuronal
promoter for T 1 tubulin (Gloster et al., 1994 ). This approach
permitted the recognition of live, fluorescent neuronal progenitor
cells in mixed cell culture. Fluorescence-activated cell sorting (FACS)
then permitted the high-yield enrichment and relative purification of
these progenitor cells (Goldman et al., 1997 ; Wang et al., 1998a ).
In the present study, we extended this strategy to identify and purify
oligodendrocyte progenitors from adult human subcortical white matter.
To this end, we used FACS of subcortical cells transfected with hGFP placed under the control of the 5' regulatory region of an
early oligodendrocytic protein, specifically the early promoter (P2)
for 2',3'-cyclic nucleotide 3'-phosphodiesterase (CNP; EC 3.1.4.37)
(Vogel et al., 1988 ; Tsukada and Kurihara, 1992 ). CNP
protein is one of the earliest known myelin-associated proteins to be
synthesized in developing oligodendrocytes. It is expressed by newly
generated cells of oligodendrocytic lineage, even within the
ventricular zone, and appears to be expressed by their precursors as
well, in both rodents and humans (Scherer et al., 1994 ; Yu et al.,
1994 ; Grever et al., 1997 ; Peyron et al., 1997 ; Chandross et al., 1999 ). Importantly, the 5' regulatory region of the CNP gene
includes two distinct promoters, P2 and P1, which are associated with
two distinct RNAs, and are sequentially activated at different developmental stages (Douglas et al., 1992 ; Douglas and Thompson, 1993 ;
Monoh et al., 1993 ; Scherer et al., 1994 ) (Fig.
1). Only the CNP mRNA transcribed from
the more upstream promoter, P2, is found in the fetal brain, suggesting
that the P2 promoter (P/CNP2) directs expression to young
oligodendrocytes and their precursors (O'Neill et al., 1997 ; Gravel et
al., 1998 ). As a result, the CNP2 promoter was chosen for this study
for its ability to target transgene expression to oligodendrocyte
progenitors and their immature progeny in rodents. On this basis, we
postulated that the human homolog of the CNP2 promoter, P/hCNP2, would
similarly target transgene expression to human oligodendrocyte
progenitor cells.

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Figure 1.
The human P/CNP2:hGFP vector. Humanized GFP (Levy
et al., 1996 ), a mutant form of red-shifted GFP optimized for
expression in human cells, was placed under the control of the human
CNP2 promoter (P/hCNP2) (Gravel et al., 1996 ). To construct
P/hCNP2:hGFP, an XbaI-XbaI
fragment encompassing exon 0 and part of intron 1 was isolated from the
SK/hgCNP plasmid, which contains the complete sequence of the human CNP
gene (Gravel et al., 1996 ), and was then linked to the hGFP gene fused
to the SV40 polyadenylation signal.
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We report here that the P/hCNP2 has indeed allowed us to direct
expression of a reporter gene to oligodendrocyte progenitor cells of
the adult human brain and to thereby identify and isolate these cells.
Plasmids of hGFP under the control of P/hCNP2, transfected into
dissociated subcortical cultures, identified a population of bipolar,
primarily A2B5-immunopositive (A2B5+)
precursor cells. These cells typically incorporated the mitotic marker
bromodeoxyuridine (BrdU) from the culture media and developed oligodendrocytic antigenic expression in vitro. Using FACS,
we isolated these P/hCNP2:hGFP+ cells from
surgically resected subcortical white matter and observed their
development into mature,
galactocerebroside+ oligodendrocytes in
the weeks thereafter. This strategy has allowed us to establish the
existence of a distinct class of mitotically competent oligodendrocyte
progenitors in the adult human white matter. In addition,
P/hCNP2:hGFP-based FACS has enabled us to isolate and separate these
cells, viably and in high-yield, and in numbers and purity sufficient
to study their cell biology and suitability for engraftment.
Parts of this paper have been published previously in abstract form
(Wang et al., 1998b ).
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MATERIALS AND METHODS |
Plasmid construction
P/hCNP2:hGFP and P/hCNP2:lacZ. hGFP, a mutant
form of GFP optimized for expression in human cells (Levy, 1996 ), was
placed under the control of the human CNP2 promoter (Douglas et al., 1992 ; Monoh et al., 1993 ; Gravel et al., 1996 ). The human CNP gene had
been isolated previously (Gravel et al., 1996 ) by screening a human
fibroblast genomic library with a cDNA probe for rat CNP1 (Bernier et
al., 1987 ). The human CNP gene was then subcloned into
pBluescript, and the resultant plasmid was designated SK/hgCNP. This
plasmid was digested with BglII and XhoI to
delete much of the gene downstream of the promoter region. The
remaining BglII and XhoI ends were then filled in
and blunt-end ligated, yielding plasmid SK/P1P2hCNP, in which both
BglII and XhoI were regenerated. A 1123 bp
XhoI-XhoI fragment containing SV40
SD/SA-GFPh-SV40 poly(A+) was then
excised from pT 1:hGFP (Wang et al., 1998 ) and subcloned into
XhoI-digested SK/P1P2hCNP to generate the plasmid
P/P1P2hCNP:hGFP. The orientation of the hGFP insert was then determined
by restriction enzyme mapping.
To construct P/hCNP2:hGFP, the T 1 tubulin promoter region was
excised from pP/T 1:hGFP using XbaI and replaced with the
hCNP2 promoter obtained by digesting SK/hgCNP with XbaI. The
orientation of the P/hCNP2 insert was also determined by restriction
enzyme mapping. Similarly, P/hCNP2:lacZ was constructed by
removing the T 1 promoter from the T 1:lacZ (Wang et
al., 1998a ) with XbaI, and replacing it with the
XbaI-XbaI fragment containing the hCNP2 promoter.
P/CMV:hGFP was constructed as reported previously (Wang et al.,
1998a ).
Adult human brain white matter dissociation and culture
Adult human brain tissues, obtained freshly in the course of
surgical resection, were collected directly into
Ca2+/Mg2+-free
HBSS. The white matter was dissected from the rest of the tissue, cut
into pieces of ~2 mm on edge, or 8 mm3,
and rinsed twice with PIPES solution (in mM: 120 NaCl, 5 KCl, 25 glucose, and 20 PIPES). It was then digested in
prewarmed papain-PIPES solution (11.4 U/ml papain; Worthington,
Freehold, NJ) and DNase I (10 U/ml; Sigma, St. Louis, MO), on a
rocking shaker for 1 hr at 37°C. The tissue was then collected by
centrifuging at 200 × g in an IEC Centra-4B
centrifuge, resuspended in DMEM-F-12-N2 with DNase I (10 U/ml), and
incubated for 15 min at 37°C. The samples were again spun, and their
pellets were recovered in 2 ml of DMEM-F-12-N2. They were then
dissociated by sequentially triturating for 20, 10, and 5 times,
respectively, through three glass Pasteur pipettes fire polished to
decreasing bore diameters. Undissociated tissue pieces were eliminated
by passage through a fine 40 µm mesh. The cells were collected and
rinsed once with DMEM-F-12-N2 containing 20% plasma-derived FBS
(PD-FBS; Cocalico Biologicals, Reamstown, PA) to stop the enzymatic
dissociation and then resuspended at 1 × 107 cells/ml in DMEM-F-12-N2 containing
10% FBS. The cell suspension was plated at 0.1 ml/dish into 35 mm
Falcon Primaria plates coated with laminin (2 µg/cm2) and incubated at 37°C in 5%
CO2. After 4 hr, an additional 0.7 ml of
DMEM-F-12-N2 with 2% PD-FBS was added into each plate. This medium
was supplemented with PDGF AA (20 ng/ml; Sigma), FGF-2 (20 ng/ml;
Sigma), NT-3 (20 ng/ml; Regeneron Pharmaceuticals, Tarrytown, NY), and
BrdU (10 µg/ml). Cultures were transfected after 2-6 d in
vitro (DIV). After transfection, the cultures were switched to
serum-free DMEM-F-12-N2, with maintained growth factor and BrdU
supplementation until FACS.
Transfection
All plasmid constructs were introduced into the cultured cells
by liposomal transfection, as described previously (Wang et al.,
1998a ). Briefly, 2-6 d after plating, each 35 mm dish received a
mixture of 2 µg of plasmid DNA and 10 µl of lipofectin in OPTI-MEM (Life Technologies, Gaithersburg, MD). The cells were incubated at 37°C in 5% CO2-95% air for 6 hr. The
transfections were terminated with DMEM-F-12-N2 containing 10%
PD-FBS. After 2 hr, the cells were returned to serum free
DMEM-F-12-N2 with PDGF AA, NT-3, and FGF2. Imaging for hGFP was first
done 2 d after transfection and daily thereafter using an Olympus
(Tokyo, Japan) IX70 epifluorescence microscope. The greatest number and
proportion of GFP+ cells were observed
6-7 d after transfection; cultures were therefore sorted at that time point.
Flow cytometry and sorting
Flow cytometry and sorting of hGFP+
cells was performed on a FACS Vantage (Becton Dickinson, Cockeysville,
MD). Cells (5 × 106/ml) were
analyzed by light forward and right angle (side) scatter and for GFP
fluorescence through a 530 ± 15 nm bandpass filter as they
traversed the beam of an argon ion laser (488 nm, 100 mW).
P/hCNP2:lacZ-transfected control cells were used to set the background fluorescence; a false positive rate of 0.02 ± 0.05% was accepted to ensure an adequate yield. For the test samples transfected with P/hCNP2:hGFP, cells having fluorescence higher than
background were sorted at 3000 cells/sec. Sorted cells were plated onto
laminin-coated 24-well plates, into DMEM-F-12-N2 containing PDGF-AA,
NT-3, and FGF2, each at 20 ng/ml. After 4 d, some plates were
fixed for immunocytochemistry, and the remainder was switched to
DMEM-F-12-N2 containing 10% PD-FBS. After an additional 3 weeks in vitro, the sorted cells were stained for either CNP, O4,
TuJ1, or glial fibrillary acidic protein (GFAP)
immunoreactivities; each was double-stained for BrdU as well.
Data analysis
Experimental end points included the proportion of A2B5-, O4-,
CNP-, GFA-, and TuJ1-immunoreactive cells in the total sorted population (all nominally GFP+ after
sorting), as a function of time after FACS. At each sampled time point,
the respective proportions of A2B5+,
O4+, CNP+,
GFA+, and
III-tubulin/TuJ1+ cells were compared
with each other and with unsorted controls that were similarly
dispersed but replated without sorting (after adjusting their cell
densities to those of the post-FACS sorted pool). For each combination
of treatment (sorted or unsorted), time point (4 d and 3-4 weeks after
FACS), and immunolabel (A2B5, O4, CNP, TuJ1, and GFA), the number of
stained and unstained cells were counted in 10 randomly chosen fields,
in each of three triplicate cultures.
Immunocytochemistry
Cells were immunostained live for A2B5 or O4 (Bansal et al.,
1989 ), or after fixation with 4% paraformaldehyde, for CNP, TuJ1, GFAP, or BrdU. Selected plates were also stained for CD68 or factor VIII, antigenic markers of microglial and endothelial cells,
respectively (Kirschenbaum et al., 1994 ; Rafii et al., 1995 ). For A2B5
or O4 immunocytochemistry, plates were washed twice with DMEM-F-12-N2 and then blocked with DMEM-F-12-N2 containing 5% normal goat serum (NGS) for 10 min at 4°C. Monoclonal antibody (mAb) A2B5 (clone 105; American Type Culture Collection, Manassas, VA) was used as an
undiluted culture supernatant, and mouse mAb O4 (Boehringer Mannheim,
Indianapolis, IN) was used at 1:200. Both were applied in
DMEM-F-12-N2 for 30 min at 4°C. The plates were then washed with
three changes of cold HBSS containing 1% NGS. The secondary antibody,
Texas Red-conjugated goat anti-mouse IgM was used at a dilution of 1:50
for 30 min at 4°C. The cells were then washed and fixed with cold 4%
paraformaldehyde for 10 min, washed, mounted in SlowFade, and observed
using an Olympus IX70 equipped for epifluorescence. Immunocytochemistry
for GFAP and TuJ1 was performed according to described methods (Wang et
al., 1998a ), as was that for TuJ1 and BrdU (Luskin et al., 1997 ), CD68
(Kirschenbaum et al., 1994 ), and factor VIII (Leventhal et al., 1999 ).
Selected cultures were also stained for the more mature oligodendrocyte
antigens O1 and galactocerebroside, as described previously (Bansal et
al., 1989 ).
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RESULTS |
Dissociates of adult human white matter harbored a pool of bipolar,
A2B5+ cells
To fully characterize the cell phenotypes resident in adult human
white matter, papain dissociates of surgically resected frontal and
temporal capsular white matter were obtained from eight patients. These
included four males and four females, who ranged from 24 to 65 years
old. Three patients had temporal lobe resections for medication
refractory epilepsy; two were subjected to decompressive resection
during or after extra-axial meningioma removal, two samples were taken
during aneurysmal repair, and one was taken from the non-neoplastic
approach to a histologically benign ganglioglioma. The monolayer
cultures resulting from these white matter dissociations were stained
after 5-7 DIV for either of two oligodendrocytic markers, which
included the epitopes recognized by the A2B5 and O4 antibodies.
Additional, matched cultures were stained after 14 DIV for A2B5, O4, or
oligodendrocytic CNP protein, and for either neuronal ( III-tubulin)
or astrocytic (GFAP) target antigens.
In the 14 DIV dissociates of subcortical white matter, 48.2 ± 10.7% of the plated cells expressed the oligodendrocytic epitope recognized by mAb O4 (n = 3 patients, with a total of
935 O4+ cells among 2041 scored white
matter cells; mean ± SD) (Fig. 2).
In matched plates, 49.9 ± 4.9% were immunoreactive for
oligodendrocytic CNP protein, and 7.3 ± 3.2% expressed
astrocytic GFAP. Double-labeling of selected plates revealed that the
O4+ and CNP+
pools were primarily overlapping, with a small proportion of CNP+/O4-negative
(O4 ) cells. In contrast, the
GFA+ cells only rarely colabeled as
O4+. A small proportion of
TuJ1+ neurons (5.2 ± 2.2%) was also
observed, as were factor VIII-immunoreactive endothelial cells
(11.7 ± 8.9%) and CD68+ microglia
(19.9 ± 5.5%). Through 30 DIV, the proportions of
oligodendrocytes and neurons in these cultures remained approximately
stable, with 51.3 ± 7.0% O4+ cells
and 6.0 ± 2.1% TuJ1+ cells,
respectively. In contrast, the proportion of GFA-defined astrocytes in
these cultures increased from 7.3 ± 3.2% at 14 DIV to 15.9 ± 1.4% at 30 DIV (p < 0.01 by Student's
t test).

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Figure 2.
Adult human white matter harbors oligodendrocyte
progenitors. Immunocytochemistry of white matter dissociates for a
panel of cell type-selective antigens revealed a diverse representation
of phenotypes before sorting. A-C, A typical bipolar
cell, double-labeled for A2B5 (red) and BrdU
(yellow), fixed after 4 DIV. D-F,
A cluster of postmitotic O4+ cells
(D, E) and an overtly less mature
BrdU-incorporating O4+/BrdU+ cell
(F), all fixed after 7 DIV. G-I,
Representative examples of the diverse phenotypes present in the adult
white matter. These included cells expressing CNP
(G), GFAP (H), and
TuJ1 (I) immunoreactivities, which
respectively identify oligodendrocytes, astrocytes, and neurons; each
cell type was found in the proportion noted in Results. Scale
bar, 40 µm.
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Notably, a distinct population of small bipolar cells, which expressed
A2B5 but which otherwise expressed neither neuronal nor
oligodendrocytic phenotypic markers, was observed; these constituted 1.8 ± 0.4% (n = 5 patients) of all cultured
white matter cells at 7 d. However, these cells became scarcer
with time in vitro by 30 DIV, and
A2B5+ cells constituted <0.1% of the
total cultured cell pool.
The CNP2 promoter targeted GFP expression to a bipolar,
A2B5+ phenotype
To identify either oligodendrocyte progenitor cells or their
immature progeny, white matter dissociates were next transfected after
2-6 d with plasmids encoding P/hCNP2:hGFP. Within 4 d after transfection with P/hCNP2:hGFP, a small proportion of
GFP+ cells were noted. These were
invariably small, bipolar cells and constituted <1% of the total cell
pool (Fig. 3). After an additional 4-7 d
in vitro, the cultures were immunostained for one of three
oligodendrocyte lineage markers, which included A2B5, O4, and CNP
protein, or for either astrocytic GFAP or neuronal III-tubulin. At
that point, the GFP+ cells could generally be described as
A2B5+/O4±/GFAP /TuJ1 ;
62.5 ± 8.8% of P/hCNP2:hGFP+ cells
expressed A2B5-IR, 21.1 ± 7.5% were
O4+, and another 7.3 ± 3.2%
expressed astrocytic GFAP. None were recognized by mAb TuJ1, which
targets neuronal III-tubulin (Menezes and Luskin, 1994 ). Thus,
within the first 7-10 d in culture, P/hCNP2:hGFP selectively
identified a population of bipolar, A2B5+
cells. When followed over the weeks thereafter, most of these P/hCNP2:hGFP+ cells developed into
oligodendrocytes, which could be recognized by their small, multipolar,
heavily branching profiles. Indeed, by 4 weeks, most
P/hCNP2:hGFP+ cells expressed O4, whereas
only rare cells (<1%) continued to express A2B5 immunoreactivity.

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Figure 3.
P/hCNP2:hGFP identifies a population of bipolar,
A2B5+ cells. GFP expression was observed within 4-5
d after transfection. The P/hCNP2:hGFP+ cells
typically first appeared as small, bipolar cells. A-F,
P/hCNP2:hGFP-expressing cells (A, C, E) and their
corresponding phase contrast micrographs (B, D,
H). E, F, Immunocytochemistry identified
the P/hCNP2:hGFP+ bipolar cells as
A2B5+; G indicates double-labeling of
the two. Inset in H shows that this cell
incorporated BrdU. Scale bar, 30 µm.
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P/hCNP2:hGFP-identified cells were mitotic
in vitro
Among white matter dissociates continuously exposed to BrdU and
transfected with pP/hCNP2:hGFP on day 4 in vitro, 55 ± 14.8% of the resultant P/hCNP2:hGFP+
cells incorporated BrdU by day 7 (n = 30 plates,
derived from three patients) (Fig. 3). Similarly, 43.1 ± 9.1%
(n = 5 plates) of the
A2B5+ cells in matched plates incorporated
BrdU over the same time period. Morphologically, essentially all of
these A2B5+ and
BrdU+ cells were bipolar at 1 week (Fig.
2). In contrast, the large majority of morphologically mature
oligodendrocytes failed to incorporate BrdU in vitro. Only
2.1 ± 1.1% of O4+ cells labeled
with BrdU to which they were exposed during the first week in culture,
and these few O4+ cells may have just
arisen from A2B5+ forebears.
P/hCNP2:hGFP-based FACS yielded a distinct pool of bipolar,
A2B5+ progenitors
Using sorting criteria intended for cell type purification, the
P/hCNP2-driven GFP+ cells were then
enriched and cultured separately (Fig.
4). Immediately after FACS,
P/hCNP2:hGFP-separated cells primarily expressed A2B5-IR. Furthermore,
the majority of these A2B5+ cells were
found to have incorporated BrdU from their culture medium before FACS,
indicating their mitogenesis in vitro (Fig. 5). Within the week after sorting and
with concurrent transfer to higher serum media, most of the sorted
cells developed O4 expression and lost A2B5-IR.

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Figure 4.
Culture, isolation, and enrichment of
oligodendrocyte progenitors. Adult human subcortical white matter,
derived from surgical samples of frontal and temporal lobe, was
dissected and enzymatically dissociated using papain and DNase and then
cultured and transfected with either P/hCNP2:hGFP or control plasmids
(P/CMV:hGFP and P/hCNP2:lacZ).
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Figure 5.
Isolation of P/hCNP2:hGFP+
cells by FACS. A and B shows a
representative sort of a human white matter sample, derived from the
frontal lobe of a 42-year-old woman during repair of an intracranial
aneurysm. This plot shows 50,000 cells (sorting events) with their GFP
fluorescence intensity (FL1), plotted against their forward scatter
(FSC, a measure of cell size). A indicates the plot
obtained from a nonfluorescent P/hCNP2:lacZ-transfected
control, whereas B indicates the corresponding result
from a matched culture transfected with P/hCNP2:hGFP. The boxed area
(R1 and R2) includes those
P/hCNP2:hGFP+ cells recognized and separated on the
basis of their fluorescence emission. The many cells thereby recognized
in the P/hCNP2:hGFP-transfected sample (B)
contrasts to the rare cells so identified in the nonfluorescent
P/hCNP2:lacZ-transfected control
(A). C and D show
phase and fluorescence images of GFP+ cells 2 hr
after sorting. Scale bar, 20 µm.
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Notably, P/hCNP2:hGFP-separable cells were not rare. Among seven
patients whose white matter dissociates were transfected with
P/hCNP2:hGFP, 0.59 ± 0.1% of all subcortical cells expressed the transgene and could be separated on that basis. As a result, typically >2000 pCNP2:hGFP+ cells
(2382 ± 944) were obtained from sorts that averaged 352,000 gated
cells (Fig. 6).

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Figure 6.
P/hCNP2:hGFP-sorted cells divide and express
oligodendrocytic markers. A-C, A bipolar
A2B5+/BrdU+ cell 48 hr after
FACS. D-F, Within 3 weeks, the bipolar cells matured
into fibrous, O4+ cells. These cells often
incorporated BrdU, indicating their in vitro origin from
replicating A2B5+ cells. G-I, A
multipolar oligodendrocyte expressing CNP, still expressing GFP 3 weeks
after FACS. Scale bar, 20 µm.
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Plasmid transfection favored transgene expression by
mitotic targets
The incidence of progenitor cells in the adult white matter may be
estimated from the frequency of P/hCNP2-defined cells in these
cultures, once the transfection efficiency of this cell population is
known relative to the overall white matter cell population. In this
regard, our net transfection efficiency, determined using P/CMV:hGFP,
was 13.5 ± 2.2% (n = 3 plates; 10 low-power fields of each were scored). This suggested that approximately one cell
in eight was successfully transfected with the promoter-driven reporter. On this basis, we estimated that oligodendrocyte progenitor cells might comprise as many as 4% (0.59% × 1/0.135 = 4.37%)
of all cells in the subcortical white matter. However, this figure needs to be viewed cautiously, because it assumes that all cells in
these cultures were transfected and expressed the plasmid vectors with
equal efficiency, regardless of their phenotype or mitotic competence.
To test this assumption, we exposed a sample of white matter cultures
to BrdU, and 3 d later, transfected them with a plasmid of GFP
regulated by the constitutively active cytomegalovirus (CMV) promoter
(P/CMV:hGFP) (n = 3 plates, with 15 fields from each
scored). One week later, the cultures were fixed, and the relative
proportions of mitotic (BrdU+) and
postmitotic (BrdU )
GFP+ transfectants were determined.
In keeping with the postmitotic nature of mature oligodendrocytes, only
16.1 ± 1.2% of the cells in unsorted white matter cultures had
incorporated BrdU by 10 d in vitro (n = 20 fields; mean ± SEM). In these same cultures, 9.4 ± 1.0%
of the cells expressed GFP placed under the control of the CMV
promoter. Remarkably, however, 78.3 ± 6.5% of these
GFP+ cells were
BrdU+; this value was over fourfold
greater than the BrdU labeling index of the total cell population
(p < 0.01 by Fisher's exact test). These data
suggested that the transduction efficacy of dividing cells in these
cultures was substantially higher than that of postmitotic cells. This
in turn suggested that mature oligodendrocytes were either transduced
with less efficiency or exhibited less efficient transgene expression
than mitotically competent oligodendrocyte progenitor cells. As a
result, although the P/CNP2 promoter might have been expected to drive
transgene expression in oligodendrocytes as well as their progenitor
cells, the greater transfection efficiency of dividing cells would have restricted CNP2:hGFP expression to mitotic cells in the
oligodendroglial lineage, resulting in selective GFP expression by the
oligodendrocyte progenitor pool. Thus, the enhanced transfection and
expression of episomal plasmids in dividing cells, combined with the
restriction of P/CNP2 transcriptional activation to oligodendrocyte
progenitors and their daughters, appeared to collaborate to account for
the selective expression of P/CNP2:hGFP by these adult human
oligodendrocyte progenitor cells.
P/hCNP2:hGFP+-sorted cells matured primarily,
but not exclusively, into oligodendrocytes
Whether mitotic or postmitotic when transfected, the majority of
P/hCNP2-sorted cells developed and matured as oligodendrocytes. By 3 weeks after FACS, 74.1 ± 7.7% of these cells expressed
oligodendrocytic CNP protein; a matched sample of sorted cells stained
after 3 weeks in vitro for O4 yielded 66.3 ± 6.8%
O4-IR cells, most of which colabeled for the more mature marker
galactocerebroside (Fig. 7). Nonetheless,
concurrent development of nonoligodendrocytic phenotypes was also noted
after FACS purification, albeit at lower frequency than
oligodendrocytes; immediately after sorting, 6.5 ± 5.4% of the
sorted cells expressed GFAP, and 11.0 ± 4.6% were GFAP+ by 3 weeks in vitro.
These were not simply false positive contaminants because most were
observed to express P/hCNP2:hGFP fluorescence. No
P/hCNP2:hGFP+ neurons, as defined by
concurrent TuJ1/ III-tubulin-IR, were observed immediately before
FACS. Surprisingly however, 7.5 ± 4.4% of P/hCNP2:hGFP-sorted
cells were noted to mature into
III-tubulin/TuJ1+ neurons in the week
after sorting. These TuJ1+ cells were
similarly confirmed visually as expressing P/hCNP2:hGFP (Fig.
8). Importantly, the presence of these
sporadic P/hCNP2:hGFP+ neurons and
astrocytes after FACS suggests that P/hCNP2-defined progenitors may
harbor or retain latent multilineage potential, which may be excercised
in the low-density, homogeneous cellular environment of the sorted
pool.

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Figure 7.
FACS-sorted P/hCNP2:hGFP+ cells
mature primarily as oligodendrocytes. A,
B, P/hCNP2:hGFP-sorted cells express O4
(red) and begin process elaboration within 4 d
after FACS. C, D, By 2 weeks after FACS,
these cells generally develop multipolar morphologies.
Red, O4-immunoreactive cells. E,
F, Progenitor derived-cells matured further over the
following weeks, developing oligodendrocytic morphologies and both CNP
protein (E) and galactocerebroside
(F) expression by 4 weeks in
vitro. Scale bar, 30 µm.
|
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|
Figure 8.
White matter precursor cells may constitute a pool
of multipotential progenitors. By 1 week after FACS, some
P/hCNP2:hGFP-sorted cells were noted to mature into either
TuJ1+ neurons (A) or
GFAP+ astrocytes (B). Both the
TuJ1+ (red in A) and
GFAP+ (red in B) cells
were confirmed visually as expressing P/hCNP2:hGFP
(green). No such neuronal differentiation of
CNP2:hGFP-identified cells was ever noted in unsorted plates, within
which these cells generally matured as oligodendrocytes and much less
so as astrocytes. This suggests that P/hCNP2-defined progenitors
may retain some degree of multilineage potential, which may be
selectively exercised in the low-density, homogeneous environment of a
sorted cell pool in which paracrine influences on differentiation are
minimized.
|
|
 |
DISCUSSION |
These data indicate that the adult human subcortex harbors a
population of residual, mitotically competent oligodendrocyte progenitor cells. The cells constitute a discrete population of bipolar
blasts, distinct from mature oligodendrocytes. The progenitors are
mitotically competent, and as such, distinct from the much larger
population of mature, apparently postmitotic oligodendrocytes. These
cells were antigenically immature
(A2B5+/O4 )
when isolated but matured
(O4+/O1+)
over several weeks in culture. Cell-specific targeted reporting, achieved by transfecting the overall white matter pool with plasmids of
GFP placed under the control of the early promoter for oligodendrocytic CNP, allowed the live-cell identification of these progenitor cells.
This in turn provided a means for their isolation and purification by fluorescence-activated cell sorting based on P/hCNP2-driven GFP expression.
The nature of the adult white matter progenitor pool
P/hCNP2-defined oligodendrocytic progenitors were not rare. By our
sorting criteria, they constituted as many as 4% of cells in the adult
human white matter. This figure is marginally greater than previous
estimates based on histological identification of PDGF R expression
(Scolding et al., 1998 ). However, our experiments may have selected for
smaller, less fibrous cells, which might be the most capable of
surviving tissue dissociation and sorting. Such a bias might have
tended to overestimate the incidence of competent progenitor cells in
the parenchymal dissociates, so that 4% should be viewed as an upper
limit estimate of the incidence of progenitor cells in human
subcortical white matter. Nonetheless, the relative abundance and
ubiquity of these cells suggest that they may play an important role in
the maintenance and function of the normal adult white matter. In rats,
a substantial proportion of the white matter cell population is cycling
at any one time (Gensert and Goldman, 1996 ). These cells may be
recruited to oligoneogenesis in the event of demyelinating injury
(Gensert and Goldman, 1997 ), and they may be induced to divide in
vitro by combinations of factors to which they are responsive in
development (McMorris and McKinnon, 1996 ; Shi et al., 1998 ). Salient
differences have been noted in the factor responsiveness of
oligodendrocyte progenitors in adult rats and humans, so that the
implications of studies on rodent-derived OPs for human oligodendrocyte
progenitor biology remain unclear (Scolding, 1998 ). Nonetheless, the
presence of such a large pool of mitotically competent progenitors in
humans suggests that some degree of oligodendrocytic turnover may be occurring in the subcortical white matter. This in turn suggests the
possible replacement of damaged or dysfunctional postmitotic oligodendrocytes by progenitor-derived recruits. Recent advances in our
understanding of both the humoral and contact-mediated control of
oligodendrocyte progenitor expansion in rodents (Shi et al., 1998 ; Wang
et al., 1998c ) argue that these endogenous progenitors will prove
attractive targets for exogenous activation.
Ontogeny and lineage of parenchymal
oligodendrocytic precursors
Neural precursor cells are widespread in the subependymal
zone of the forebrain ventricular lining (Goldman and Nottebohm, 1983 ; Lois and Alvarez-Buylla, 1993 ; Luskin, 1993 ; Morshead et al.,
1994 ; Kirschenbaum et al., 1994 ; Kirschenbaum and Goldman, 1995 ; Pincus
et al., 1998 ) (for review, see Goldman, 1998 ; Goldman and Luskin,
1998 ). At least some of these cells may manifest glial antigenicity
in situ (Doetsch et al., 1999 ). Whether the
P/hCNP2:hGFP-defined subcortical precursors described here are
coderived with the subependymal progenitor pool is unknown. It is also
unclear whether the P/hCNP2-defined precursors constitute committed
oligodendrocyte precursors or whether they are more intrinsically
pluripotential and generate given lineages as a function of the
environment to which they are exposed. The latter possibility is
suggested by the small proportion of
P/hCNP2:hGFP+ cells that were found to be
GFAP+ astrocytes upon immunostaining; many
of these never developed expression of any oligodendrocytic marker
and appeared instead to be astrocytes. This suggests that the
P/hCNP2-defined progenitor pool may constitute a bipotential
astrocyte-oligodendrocyte progenitor, which may yield primarily
oligodendrocytic progeny by virtue of the culture conditions we used.
As such, this cell type may well be analogous to its A2B5-defined
counterparts in both the perinatal and adult rat optic nerve (Noble et
al., 1992 ; Butt and Ransom, 1993 ; Colello et al., 1995 ; Shi et al.,
1998 ).
White matter oligodendrocyte precursors may constitute a pool of
multipotential progenitor cells
Whether these cells might also be competent to generate neurons
remains unclear. No P/hCNP2:hGFP+ cells
were found to express neuronal TuJ1 in unsorted white matter cultures,
of >2000 hGFP+ cells studied.
Nonetheless, a small number of TuJ1+ cells
were noted to develop in P/hCNP2:hGFP-sorted cultures, and these
TuJ1-defined neurons were confirmed as
P/hCNP2:hGFP+ and were not nonfluorescent
contaminants of the sorts. Thus, with time in vitro,
particularly in the mitogenic FGF2/PDGF/NT3 environment provided here,
it remains possible that these cells retain or regain a capacity for
multilineage differentiation, as in development (Williams et al., 1991 ;
Davis and Temple, 1994 ). Importantly, we only noted
P/hCNP2:hGFP-defined cells to mature as neurons after high-grade
enrichment by sorting. Thus, the multilineage potential of these cells
might be preferentially exercised after their isolation from other cell
types in low-density culture. As such, the relative fidelity to
oligodendrocytic phenotype by P/hCNP2:hGFP-defined cells in the initial
white matter dissociates, before FACS, might reflect an initial
restriction of progenitor phenotype by paracrine and/or
density-dependent influences in vitro. Removal and sorting
of these cells to low-density, phenotypically homogeneous culture might
effectively remove such paracrine restrictions, in essence revealing a
multipotential progenitor cell in the adult subcortical parenchyma.
Implantation for the treatment of demyelinating diseases
The high-yield acquisition of oligodendrocyte progenitor cells
from the adult human white matter may allow us to better define those
growth and differentiation requirements specific to these cells. The
potential use of these cells as substrates for induced remyelination,
whether upon endogenous activation or engraftment, suggests therapeutic
strategies appropriate to a variety of white matter diseases. These
potential therapeutic targets include ischemic demyelination, as in
subcortical lacunar infarction and hypertensive leukoencephalopathy,
postinflammatory demyelinations, such as radiation necrosis and
remitted multiple sclerosis, as well as the degenerative and metabolic leukodystrophies.
Together, these observations suggest that a phenotypically distinct
pool of oligodendrocyte progenitor cells persists in relative abundance
in the adult human white matter. P/hCNP2:hGFP-based FACS permits their
viable harvest in sufficient numbers and purity to enable their
potential use in cell-based therapeutic strategies.
 |
FOOTNOTES |
Received April 19, 1999; revised July 30, 1999; accepted Aug. 27, 1999.
This work was supported by the National Multiple Sclerosis Society, the
G. Harold and Leila Y. Mathers Charitable Foundation, the Human
Frontiers Scientific Program, the Aitken Charitable Trust, and National
Institutes of Health Grants R01NS29813 and R01NS33106. We thank Dr.
Arturo Alvarez-Buylla for sharing with us his parenchymal dissociation protocols.
Drs. Roy and Wang contributed equally to this work.
Correspondence should be addressed to Dr. Steven A. Goldman, Department
of Neurology and Neuroscience, Cornell University Medical Center, 1300 York Avenue, Room E607, New York, NY 10021. E-mail:
sgoldm{at}mail.med.cornell.edu.
 |
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Science,
December 7, 2001;
294(5549):
2127 - 2130.
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A. Benraiss, E. Chmielnicki, K. Lerner, D. Roh, and S. A. Goldman
Adenoviral Brain-Derived Neurotrophic Factor Induces Both Neostriatal and Olfactory Neuronal Recruitment from Endogenous Progenitor Cells in the Adult Forebrain
J. Neurosci.,
September 1, 2001;
21(17):
6718 - 6731.
[Abstract]
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E. A. Maher, F. B. Furnari, R. M. Bachoo, D. H. Rowitch, D. N. Louis, W. K. Cavenee, and R. A. DePinho
Malignant glioma: genetics and biology of a grave matter
Genes & Dev.,
June 1, 2001;
15(11):
1311 - 1333.
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S. A. Back, N. L. Luo, N. S. Borenstein, J. M. Levine, J. J. Volpe, and H. C. Kinney
Late Oligodendrocyte Progenitors Coincide with the Developmental Window of Vulnerability for Human Perinatal White Matter Injury
J. Neurosci.,
February 15, 2001;
21(4):
1302 - 1312.
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H. Yang, T. Mujtaba, G. Venkatraman, Y. Y. Wu, M. S. Rao, and M. B. Luskin
Region-specific differentiation of neural tube-derived neuronal restricted progenitor cells after heterotopic transplantation
PNAS,
November 21, 2000;
97(24):
13366 - 13371.
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