Transplantation of small cord blood (CB) units, or of autologous ex vivo-genetically modified adult hematopoietic stem cells (HSC), face the common challenge of suboptimal HSC doses for infusion and impaired engraftment of the transplanted cells. Ex vivo expansion of HSCs, using either cellbased coculture approaches or especially small molecules have been successfully tested mainly in CB and in prolonged cultures. Here, we explored whether innovative combinations of small molecules can sufficiently, after short culture, expand adult HSCs while retaining their functionality in vivo. We found that 5-day cultured cells, in the presence of the small molecule combinations tested, achieved higher engraftment levels in NSG mice than both their uncultured and their cytokine only-cultured counterparts. Surprisingly, the engraftment levels were neither concordant to the numbers of phenotypically similar HSCs expanded under different small molecule combinations, nor explained by their distinct companion cells present. Transcriptomic comparative analysis of sorted, phenotypically similar, ex vivo generated HSCs transplanted in equal numbers, suggested that HSCs generated under expansion conditions that maintain low expression of the Rap1/Ras/ PI3K-AKT pathway exhibit a superior functional profile in vivo. STEM CELLS TRANSLATIONAL MEDI-CINE 2017;6:1852-1858
SIGNIFICANCE STATEMENTHere, we document that the engraftment potential of ex vivo expanded phenotypically similar hematopoietic stem cells (HSCs) is dictated by the specific expansion conditions rather than their surface phenotype. The results of our study have important implications for all investigators studying the ex vivo expansion of adult HSCs.