cell population. They can be greatly expanded in vitro and induced to diffe
rentiate into multiple mesenchymal cell types. However, differentiation to
non-mesenchymal fates has not been demonstrated. Here, adult rat stromal ce
lls were expanded as undifferentiated cells in culture for more than 20 pas
sages, indicating their proliferative capacity. A simple treatment protocol
induced the stromal cells to exhibit a neuronal phenotype, expressing neur
on-specific enolase, NeuN, neurofilament-M, and tau. With an optimal differ
entiation protocol, almost 80% of the cells expressed NSE and NF-M. The ref
ractile cell bodies extended long processes terminating in typical growth c
ones and filopodia. The differentiating cells expressed nestin, characteris
tic of neuronal precursor stem cells, at 5 hr, but the trait was undetectab
le at 6 days. In contrast, expression of trkA, the nerve growth factor rece
ptor, persisted from 5 hr through 6 days. Clonal cell lines, established fr
om single cells, proliferated, yielding both undifferentiated and neuronal
ells. Human marrow stromal cells subjected to this protocol also differenti
ated into neurons. Consequently, adult marrow stromal cells can be induced
to overcome their mesenchymal commitment and may constitute an abundant and
accessible cellular reservoir for the treatment of a variety of neurologic
diseases. (C) 2000 Wiley-Liss, Inc.