IntroductionCord blood (CB) cells are an effective source of pluripotent hematopoietic stem and progenitor cells (HSCs/HPCs) that can be used to hematologically reconstitute patients who have received myeloablative chemotherapy and/or radiation therapy. 1 Numerous investigators have tried to increase CB stem cell numbers by culturing CD34 ϩ cells ex vivo under a variety of culture conditions; these attempts have, however, met with limited success. 2-13 CBHSCs/HPCs have also been used to generate alternative sources of terminally differentiated blood cells for use as transfusion products. 4,8 Adult blood HSCs/HPCs, human embryonic stem cells (ES) as well as induced pluripotent stem cells (iPS) have also been used for this same purpose. 4,8,14,15 All presently available TPs are composed of terminally differentiated cells with a finite life span. 2,4,8 HPCs retain their capacity to undergo repeated divisions allowing them to produce greater numbers of blood cells belonging to a particular lineage. The use of HPCs as a TP would represent a major paradigm shift because they would continue to generate differentiated cells for a prolonged period of time. The major obstacle to the creation of such a TP is the lack of sufficient numbers of HSCs/HPCs from a readily accessible sources. [16][17][18] Recently, a variety of epigenetic events including the methylation of gene promoter regions as well as transcriptional inhibitory complexes such as histone deacetylases and certain histone methylases have been shown to influence HSC fate decisions. 19,20 Chromatin-modifying agents (CMAs) such as HDACIs and DNA methyltransferase inhibitors (DNMTIs) comprise a structurally diverse group of compounds which are capable of regulating chromatin remodeling and influencing gene expression patterns. 21,22 Our laboratory has sequentially treated both adult marrow and CB-CD34 ϩ cells with a DNMTI followed by an HDACI in vitro resulting in an increase in the numbers of human marrow repopulating cells (MRCs). 23,24 The use of such small molecules to alter normal HSC/HPC fate decisions has been confirmed by several additional laboratories. 13,19,[25][26][27] We hypothesize that a particular combination of cytokines and an HDACI might be useful to promote erythroid commitment of CB-CD34 ϩ cells.
Methods
Isolation of CB-CD34 ؉ cellsFresh CB collections were obtained from the Placental Blood Program at the New York Blood Center (New York, NY) according to guidelines established by the Mount Sinai School of Medicine Institutional Review Board. Low-density CB-mononuclear cells (MNCs) were isolated by density centrifugation and CD34 ϩ cells were isolated as previously described. 23 Highly purified CB-CD34 ϩ cells (90%-98%) were used for all experiments.
Ex vivo cultureHuman CB-CD34 ϩ cells (1 ϫ 10 5 /mL) were cultured in Iscove modified Dulbecco medium (IMDM; Lonza) containing 30% FBS (HyClone Laboratories) supplemented with 100 ng/mL SCF, 100 ng/mL Flt3 ligand (FL), 100 ng/mL Tpo, and 50 ng/mL IL-3 (cytokines were a gift of Amgen) and incubated in...