Granulocyte colony-stimulating factor (G-CSF) is used routinely in the clinical setting to mobilize hematopoietic stem progenitor cells (HSPCs) into the patient's blood for collection and subsequent transplantation. However, a significant proportion of patients who have previously received chemotherapy or radiotherapy and require autologous HSPC transplantation cannot mobilize the minimal threshold of mobilized HSPCs to achieve rapid and successful hematopoietic reconstitution. Although several alternatives to the G-CSF regime have been tested, few are used in the clinical setting. We have shown previously in mice that administration of prolyl 4-hydroxylase domain enzyme (PHD) inhibitors, which stabilize hypoxiainducible factor (HIF)-1a, synergize with G-CSF in vivo to enhance mouse HSPC mobilization into blood, leading to enhanced engraftment via an HSPC-intrinsic mechanism. To evaluate whether PHD inhibitors could be used to enhance mobilization of human HSPCs, we humanized nonobese, diabetic severe combined immune-deficient Il2rg L/L mice by transplanting them with human umbilical cord blood CD34 + HSPCs and then treating them with G-CSF with and without co-administration of the PHD inhibitor FG-4497. We observed that combination treatment with G-CSF and FG-4497 resulted in significant mobilization of human lineage-negative (Lin L ) CD34 + HSPCs and more primitive human Lin L CD34 + CD38 L HSPCs into blood and spleen, whereas mice treated with G-CSF alone did not mobilize human HSPCs significantly. These results suggest that the PHD inhibitor FG-4497 also increases human HSPC mobilization in a xenograft mouse model, suggesting the possibility of testing PHD inhibitors to boost HSPC mobilization in response to G-CSF in humans. Copyright Ó 2017 ISEH -International Society for Experimental Hematology. Published by Elsevier Inc.
Granulocyte-stimulating factor (G-CSF) is used in the clinical setting to mobilize CD34þ hematopoietic stem and progenitor cells (HSPCs) into the blood for subsequent transplantation [1]. Autologous HSPC transplantations, which represent half of all HSC transplantations, increase survival rates of relapsed non-Hodgkin's lymphoma patients and multiple myeloma patients [2,3]. In the autologous transplantation setting, 20-60% of patients previously treated with repeated cycles of high-dose chemotherapy or radiotherapy fail to mobilize the minimum threshold of 2 Â 10 6 CD34 þ cells/kg required for rapid hematopoietic reconstitution [4], precluding potentially curative autologous HSPC transplantation. The synthetic CXCR4 chemokine receptor antagonist AMD3100/Plerixafor synergizes with G-CSF to promote HSPC mobilization and salvages mobilization in about 70% of poor mobilizers [5,6]. Because Plerixafor is the only drug approved by the U.S. Food and Drug Administration that boosts HSPC mobilization, there remains considerable scope to identify alternative strategies to further improve HSPC mobilization in poor mobilizers [4].Recently, we have demonstrated in mice that HSPCautonomous stabilizatio...