Nrf2−/− HSPCs have no increase in basal ROS but are more susceptible to oxidative stress. (A) ROS levels in Nrf2+/+ and Nrf2−/− BM cells. BM isolated from Nrf2+/+ and Nrf2−/− mice was incubated with H2-CM-DCFDA to detect intracellular ROS by flow cytometry. Mean fluorescence intensity was measured in LT-HSC (CD34− c-Kit+Sca1+Lin−), ST-HSC (CD34+ c-Kit+Sca1+Lin−), and Lin+ cells. Relative MFIs are normalized to wild-type LT-HSCs. Data represent mean values from 13 mice of each genotype in 4 different experiments. (B) Induction of intracellular ROS in Nrf2+/+ and Nrf2−/− BM cells by increasing doses of H2O2. BM cultured in normoxia for 30 minutes with H2O2 (50-200μM) to induce oxidative stress. BM from 3 mice per genotype was pooled for each concentration of H2O2. Data are mean fluorescence intensity values of H2-CM-DCFDA (arbitrary units). (C) Nrf2−/− progenitors show increased sensitivity to oxidative stress in vitro. Whole BM cells were treated with 50μM H2O2 for 30 minutes, plated in methylcellulose medium supplemented with cytokines, and colonies were scored at 14 days. Data are mean values from 3 individual mice plated in duplicated. *P = .012. (D) Schema for testing in vivo sensitivity of Nrf2−/− LT-HSCs to radiation injury. Mice were transplanted with Nrf2+/+ or Nrf2−/− and allowed to form stable chimeras. Mice were then treated with a sublethal dose of radiation (400 rads) and their chimerism compared 4 months later to assess the effect of radiation on LT-HSCs. (E) Nrf2−/− LT-HSCs show increased radiosensitivity. Four months after radiation, peripheral blood chimerism returned to baseline in mice transplanted with Nrf2+/+ BM, but remained much lower in Nrf2−/− chimeras, suggesting a selective loss of Nrf2−/− LT-HSCs. *P = .018