IntroductionAdhesive interactions between hematopoietic progenitor and stem cells and the hematopoietic microenvironment play a critical role in maintaining hematopoiesis. [1][2][3][4][5] Hematopoietic growth factors are potent regulators of hematopoiesis. In addition, these proteins have been implicated in modulating adhesion between hematopoietic progenitor cells and extracellular matrix proteins via changes in integrin receptor activation. [6][7][8][9] The role of adhesion molecules alone or with growth factors in maintaining proliferation, differentiation, and survival of hematopoietic cells is less understood, 10,11 but collaboration between growth factor receptors and integrins has been hypothesized to be necessary for normal hematopoietic development. 12 Specifically, integrin receptors such as alpha 4 beta 1 (␣ 4  1 ) and/or alpha 5 beta 1 (␣ 5  1 ), may collaborate in unique ways with receptor tyrosine kinases, to influence cellular events. In this regard, mice deficient in the receptor tyrosine kinase, c-Kit, its ligand stem cell factor (SCF), or  1 integrins demonstrate hematopoietic defects of varying severity, suggesting critical roles for these proteins in normal blood development. 1,13,14 Our laboratory and other investigators have shown that receptors of the extracellular matrix protein, fibronectin (FN), are involved in the adhesion of hematopoietic cells, including stem and progenitor cells in the hematopoietic microenvironment. [15][16][17][18][19][20] FN is expressed at high levels throughout the hematopoietic microenvironment. 21,22 The FN molecule contains binding sites for heparin, collagen, fibrin, and gelatin, suggesting that it plays an important role in regulating the architecture of the hematopoietic microenvironment. The binding of hematopoietic cells to FN is mediated by at least 2 integrin receptors. The ␣ 5  1 receptor recognizes the minimal binding sequence Arg-Gly-Asp (single-letter amino acid code: RGD), as well as 2 other synergistic binding sites, all of which are located within the cell-binding domain of the FN molecule, 23,24 and ␣ 4  1 binds sequences within the alternatively spliced IIICS region of FN defined by the synthetic peptides CS-1 and CS-5. 25,26 These receptors play a critical role in normal hematopoietic development. 1,27,28 Mutant mice homozygous for null mutations of c-Kit, or its ligand SCF, die in embryonic development or shortly after birth due to severe anemia. 14,[29][30][31] Viable homozygous mutants of c-Kit also demonstrate severe anemia and a marked reduction in both immature and mature erythroid progenitors. Data from these mutant mice show a critical role for c-Kit-mediated signaling in normal erythroid development. 29,30 Interactions of erythroid cells with FN are also believed to be essential for erythropoiesis, particularly for terminal stages of erythroid differentiation. [32][33][34][35][36] Erythroid progenitors express both ␣ 4  1 and ␣ 5  1 . 37,38 Efficient production of mature cells in vitro requires adhesion to FN in some systems....