Cells isolated from the embryonic, neonatal, acid adult rodent central nerv
ous system divide in response to epidermal growth factor (EGF) and fibrobla
st growth factor 2 (FGF-2), while retaining the ability to differentiate in
to neurons and glia(1,2). These cultures can be grown in aggregates termed
neurospheres, which contain a heterogeneous mix of both multipotent stem ce
lls and more restricted progenitor populations(3,4). Neurospheres can also
be generated from the embryonic human brain(5-7) and in some cases have bee
n expanded for extended periods of time in culture(8-10). However, the mech
anisms controlling the number of neurons generated from human neurospheres
are poorly understood. Here we show that maintaining cell-cell contact duri
ng the differentiation stage, in combination with growth factor administrat
ion, can increase the number of neurons generated under serum-free conditio
ns from 8% to > 60%. Neurotrophic factors 3 and 4 (NT3, NT4) and platelet-d
erived growth factor (PDGF) were the most potent, and acted by increasing n
euronal survival rather than inducing neuronal phenotype. Following differe
ntiation, the neurons could survive dissociation and either replating or tr
ansplantation into the adult rat brain. This experimental system provides a
practically limitless supply of enriched, non-genetically transformed neur
ons. These should be useful for both neuroactive drug screening in vitro an
d possibly cell therapy for neurodegenerative diseases.