ABSTRACT. It is still uncertain whether the yolk sac is the only origin of hemopoietic stem cells during fetal development. We studied the level of circulating granulocytelmacrophage colony-forming unit (CFU-GM) from the 23rd week of gestation to fullterm, trying to delineate its role in the ontogeny of human hemopoiesis. Cord blood samples were collected from 45 healthy premature neonates and 91 healthy full-term neonates. CFU-GM assays were performed using a single agar layer system with human placental conditioned medium as a source of colony stimulating activity. The mean numbers of colonies produced from the cord blood samples of the premature and full-term neonates were 116 f 185 (SD) and 96 + 11312 x lo5 mononuclear cells, respectively. There was no statistical difference between the numbers of colonies of the two groups (Mann-Whitney test, p > 0.05). These results indicate that the level of circulating CFU-GM from the 23rd week of gestation to full term is constantly high an^ add credence to the assumption that CFU-GM are produced not only from the yolk sac but also from other hemopoietic sites. (Pediatv Res 24:701-702,1988) Abbreviations CFU-GM, granulocyte/macrophage colony-forming units HSC, hemopoietic stem cells BM, bone marrow CB, cord blood PB, peripheral blood MNC, mononuclear cells YS, yolk sacThe hemopoietic stem cells which form colonies in vitro in the presence of colony stimulating activity are designated as colonyforming units in culture and regarded as the committed stem cells of the granulocyte and monocyte-macrophage series (1). During human intrauterine development, hemopoiesis has three phases. In the embryo, erythroblasts arise in the YS. From the 6th wk of gestation, erythropoiesis is transferred to the liver which is the most active site of hemopoiesis from the 6th to the 12th wk of gestation. Although the HSC populations are exclusively erythropoietic, CFU-GM are present in fetal liver in a level Received September 25, 1987; accepted August 8, 1988. Correspondence Dr. Der-Cherng Liang, Department of Pediatrics, Mackay Memorial Hospital, 92, Sec. 2, Chung-San North Road, Taipei, Taiwan 10449, Republic of China. similar to (2) or even higher than (3) that in the adult BM. Hepatic hemopoiesis declines in the 3rd trimester and ceases soon after birth. The onset of BM hemopoiesis occurs during the 15-16th wk of gestation (4). Whether the YS is the only origin of HSC remains to be clarified.A high level of CFU-GM has been found in human fetal blood from the 12th to the 18th (5) and the 13th to the 21st (4) wk of gestation. CFU-GM has also been noted to be increased in CB of full-term neonates (6)(7)(8)(9)(10)(11)(12)(13)(14). In this report, we studied the level of circulating CFU-GM from the 23rd wk of gestation to full term, trying to delineate its role in the ontogeny of human hemopoiesis.
MATERIALS AND METHODSMaterials. CB was collected in sterile tubes containing heparin immediately after delivery and was kept at 4" C for less than 12 h before culture. Altogether, 136 CB samples ...