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Efficient  ex   vivo  transduction of hematopoietic stem cells (HSCs) is encumbered by differentiation which reduces engraftment. We hypothesized that inhibiting DNA methyltransferase with decitabine would block differentiation of transduced CD34 +  cells under cytokine stimulation and thus improve transduction efficiency for engrafting HSCs. Human CD34 +  cells in cytokine-containing media were treated with or without decitabine for 24 or 48 hours, and then these cells were transduced with a GFP-expressing lentiviral vector. Utilizing decitabine pre-treatment for 48 hours, we observed an equivalent percentage of successfully transduced cells (GFP-positivity) and a higher percentage of cells that retained CD34 positivity, compared to no decitabine exposure. Cell proliferation was inhibited after decitabine exposure. Similar results were observed among CD34 +  cells from six different donors. Repopulating activity was evaluated by transplantation into NOD/SCID/IL2Rγ null  mice and demonstrated an equivalent percentage of GFP-positivity in human cells from decitabine-treated samples and a trend for higher human cell engraftment (measured 20–24 weeks after transplantation), compared to no decitabine exposure. In conclusion,  ex   vivo  decitabine exposure inhibits both differentiation and proliferation in transduced human CD34 +  cells and modestly increases the engraftment ability in xenograft mice, while the transduction efficiency is equivalent in decitabine exposure, suggesting improvement of lentiviral transduction for HSCs.

Decitabine Suspends Human CD34+ Cell Differentiation and Proliferation during Lentiviral Transduction