Self-renewing, totipotent embryonic stem (ES) cells may provide a virtually
unlimited donor source for transplantation. A protocol that permits the in
vitro generation of precursors for oligodendrocytes and astrocytes from ES
cells was devised. Transplantation in a rat model of a human myelin diseas
e shows that these ES cell-derived precursors interact with host neurons an
d efficiently myelinate axons in brain and spinal cord. Thus, ES cells can
serve as a valuable source of cell type-specific somatic precursors for neu
ral transplantation.