Objectives-Human cord blood (CB) is a potential source of hematopoietic stem cells (HSC) for gene therapy to treat patients with hematopoietic disorders. However, limited numbers of CB CD34 + cells, low transduction efficiency with lentiviral vectors (LVs), and low engraftment efficiency of NOD/SCID repopulating cells (SRC), a measure of HSC, are blocks to this procedure. To optimize culture and transduction conditions, we compared various lengths of time for prestimulation before transduction, transduction duration, and post-transduction cell culture.Materials and methods-We used a lentiviral vector to transduce human cord blood CD34 + cells followed by engraftment into NOD/SCID mice. We evaluated the effects of pre-stimulation and transduction time, and optimized the ex vivo cell culture duration before transplantation.Results-We were able to achieve up to 40% transduction efficiency and up to 50% engraftment efficiency of SRC in CB CD34 + cells when CD34 + CB cells were either not pre-stimulated or prestimulated in 1% FBS medium for 1 hr, followed by 5 hr transduction and 3 days culture in a cocktail of growth factors after transduction. No apparent functional changes of CB CD34 + cells were noted under these conditions. Conclusion-This gene transduction/cell expansion protocol is the first systematic study to optimize pre-stimulation time, transduction time and very importantly, ex vivo culture time after transduction, and may be of use for LV gene transduction in a gene therapy setting.