Within the complex cellular arrangement found in the bone marrow stroma the
re exists a subset of nonhematopoietic cells referred to as mesenchymal pro
genitor cells (MPC). These cells can be expanded ex vivo and induced, eithe
r in vitro or in vivo, to terminally differentiate into at least seven type
s of cells: osteocytes, chondrocytes, adipocytes, tenocytes, myotubes, astr
ocytes and hematopoietic-supporting stroma. This broad multipotentiality, t
he feasibility to obtain MPC from bone marrow, cord and peripheral blood an
d their transplantability support the impact that the use of MPC will have
in clinical settings. However, a number of fundamental questions about the
cellular and molecular biology of MPC still need to be resolved before thes
e cells can be used for safe and effective cell and gene therapies intended
to replace, repair or enhance the physiological function of the mesenchyma
l and/or hematopoietic systems.