We have observed that a severe decrease in the number of erythroid progenit
or cells follows the long-term culture (LTC) of human primitive stem cells
on an established mouse fibroblast feeder layer. This suggests that one, or
several, factors necessary to support erythroid differentiation might be m
issing in these culture conditions. To improve the erythroid differentiatio
n and stem cell output of LTCs, we have examined the hypothesis that the fa
ctors that regulate pluripotent stem cell proliferation and erythroid commi
tment can be found in media conditioned by embryonic stem (ES) cells. We ha
ve found that media conditioned by undifferentiated and differentiating ES
cells can affect differentiation patterns in both short-term culture and LT
C assays. Medium conditioned by undifferentiated ES cells increases the num
bers of estimated LTC-initiating cells (est.LTC-IC) and potentiates granulo
cytic differentiation. In contrast, medium conditioned by ES cells undergoi
ng differentiation increases the number of est.LTC-IC and is a powerful pro
moter of erythroid differentiation. In the presence of rh is medium, the nu
mber of erythroid progenitors generated after 5 weeks of LTC was increased
up to 100-fold as compared with controls, and the number of est.LTC-IC was
amplified up to 140-fold. These results offer a new approach for the identi
fication of factors implicated in stem cell proliferation, self-renewal and
commitment. In addition, the improved LTC conditions for the expansion of
stem cells without reduction of their in vitro differentiation potential sh
ould be useful for a wide range of applications. copyright (C) 2000 S. Karg
er AG. Basel.