The isolation and expansion of human neural progenitor cells have important
potential clinical applications, because these cells may be used as graft
material in cell therapies to regenerate tissue and/or function in patients
with central nervous system (CNS) disorders. This paper describes a contin
uously dividing multipotent population of progenitor cells in the human emb
ryonic forebrain that can be propagated in vitro. These cells can be mainta
ined and expanded using a serum-free defined medium containing basic fibrob
last growth factor (bFGF), leukemia inhibitory factor (LIF), and epidermal
growth factor (EGF). Using these three factors, the cell cultures expand an
d remain multipotent for at least 1 year in vitro. This period of expansion
results in a 10(7)-fold increase of this heterogeneous population of cells
. Upon differentiation, they form neurons, astrocytes, and oligodendrocytes
, the three main phenotypes in the CNS. Moreover, GABA-immunoreactive and t
yrosine hydroxylase-immunoreactive neurons can be identified. These results
demonstrate the feasibility of long-term in vitro expansion of human neura
l progenitor cells. The advantages of such a population of neural precursor
s for allogeneic transplantation include the ability to provide an expandab
le, well-characterized, defined cell source which can form specific neurona
l or glial subtypes. (C) 1999 Academic Press.