Mesenchymal precursor cells found in the blood (BMPCs) of normal persons ad
here to plastic and glass and proliferate logarithmically in DMEM-20% fetal
calf serum (FCS) without growth factors. They form cells with fibroblast-l
ike and stromal morphology, which is not affected by eliminating CD34, CD3,
or CD14 cells. Osteogenic supplements (dexamethasone, ascorbic acid, and b
eta -glycerophosphate) added to the culture inhibited fibroblast formation,
and BMPCs assumed the cuboidal shape of osteoblasts. After 5 days in suppl
emented medium, the elutriated cells displayed alkaline phosphatase (AP), a
nd the addition of bone morphogenetic protein (BMP)2 (1 ng) doubled AP prod
uction (P<0.04). Two weeks later, 30% of the cells were very large and reac
ted with anti-osteocalcin antibody. The same cultures also contained sudano
phlic adipocytes and multinucleated giant cells that stained for tartrate-r
esistant acid phosphatase (TRAP) and vitronectin receptors. Cultured BMPCs
immunostain with antibodies to vimentin, type I collagen, and BMP receptors
, heterodimeric structures expressed on mesenchymal lineage cells. In addit
ion, BMPCs stain with anti-CD105 (endoglin), a putative marker for bone-mar
row mesenchymal stem cells (MSCs).