• Increasing receptor stability of an Mpl-based cell growth switch improves ex vivo expansion from cord blood CD34 1 cells.• Expansion includes Epoindependent, macrophageassociated erythropoiesis from a novel erythroidmegakaryocytic precursor population.Several approaches for controlling hematopoietic stem and progenitor cell expansion, lineage commitment, and maturation have been investigated for improving clinical interventions. We report here that amino acid substitutions in a thrombopoietin receptor (
/CD41a1 PEM population constitutes up to 13% of the expansion cultures, can differentiate into erythrocytes or megakaryocytes, exhibits very little expansion capacity, and exists at very low levels in unexpanded cord blood. The CD206 1 macrophage population constitutes up to 15% of the expansion cultures, exhibits highexpansion capacity, and is physically associated with differentiating erythroblasts. Taken together, these studies describe a fundamental enhancement of the CGS expansion platform, identify a novel precursor population in the erythroid/megakaryocytic differentiation pathway of humans, and implicate an erythropoietinindependent, macrophage-associated pathway supporting terminal erythropoiesis in this expansion system. (Blood. 2015;125(6):1025-1033