Pluripotent embryonic stem (ES) cells have the potential to differentiate t
o all fetal and adult cell types and might represent a useful cell source f
or tissue engineering and repair. Here we show that differentiation of ES c
ells toward the osteoblast lineage can be enhanced by supplementing serum-c
ontaining media with ascorbic acid, beta -glycerophosphate, and/or dexameth
asone/retinoic acid or by co-culture with fetal murine osteoblasts. ES cell
differentiation into osteoblasts was characterized by the formation of dis
crete mineralized bone nodules that consisted of 50-100 cells within an ext
racellular matrix of collagen-1 and osteocalcin. Dexamethasone in combinati
on with ascorbic acid and beta -glycerophosphate induced the greatest numbe
r of bone nodules and was dependent on time of stimulation with a seven-fol
d increase when added to ES cultures after, but not before, 14 days. Co-cul
ture with fetal osteoblasts also provided a potent stimulus for osteogenic
differentiation inducing a five-fold increase in nodule number relative to
ES cells cultured alone. These data demonstrate the application of a quanti
tative assay for the derivation of osteoblast lineage progenitors from plur
ipotent ES cells. This could be applied to obtain purified osteoblasts to a
nalyze mechanisms of osteogenesis and for use of ES cells in skeletal tissu
e repair.