We describe the derivation of pluripotent embryonic stem (ES) cells from hu
man blastocysts. Two diploid ES cell lines have been cultivated in vitro fo
r extended periods while maintaining expression of markers characteristic o
f pluripotent primate cells. Human ES cells express the transcription facto
r Oct-4, essential for development of pluripotential cells in the mouse. Wh
en grafted into SCID mice, both lines give rise to teratomas containing der
ivatives of all three embryonic germ layers. Both cell lines differentiate
in vitro into extraembryonic and somatic cell lineages. Neural progenitor c
ells may be isolated from differentiating ES cell cultures and induced to f
orm mature neurons. Embryonic stem cells provide a model to study early hum
an embryology, an investigational tool for discovery of novel growth factor
s and medicines, and a potential source of cells for use in transplantation
therapy.