Pluripotent embryonic stem cells (ESCs) are capable of differentiating into cell types belonging to all three germ layers within the body, which makes them an interesting and intense field of research. Inefficient specific differentiation and contamination with unwanted cell types are the major issues in the use of ESCs in regenerative medicine. Lineage-specific progenitors generated from ESCs could be utilized to circumvent the issue. We demonstrate here that sustained activation of the Wnt pathway (using Wnt3A or an inhibitor of glycogen synthase kinase 3␤) in multiple mouse and human ESCs results in meso/endodermspecific differentiation. Using monolayer culture conditions, we have generated multipotential "mesendodermal progenitor clones" (MPC) from mouse ESCs by sustained Wnt pathway activation. MPCs express increased levels of meso/endodermal and mesendodermal markers and exhibit a stable phenotype in culture over a year. The MPCs have enhanced potential to differentiate along endothelial, cardiac, vascular smooth muscle, and skeletal lineages than undifferentiated ESCs. In conclusion, we demonstrate that the Wnt pathway activation can be utilized to generate lineage-specific progenitors from ESCs, which can be further differentiated into desired organ-specific cells.The unique property of pluripotent ESCs 2 to differentiate into three germ layers derivatives makes ESCs an ideal source of cells for regenerative therapy (1). One of the most pressing problems in developing ESC-based applications has been the inefficient differentiation of ESCs into the specific therapeutic cell type of choice and the presence of unwanted differentiated cells of other germ layers. A strategy to overcome this problem is to derive lineage-specific progenitor stem cells from ESCs.The advantages of lineage-specific progenitor cells over ESCs are that they differentiate into a limited number of cell types of a particular lineage and, therefore, the differentiation will be robust and more efficient. In addition, they can self-renew, and thus, can be maintained as a renewable source of cells.ESCs can aggregate to form embryoid bodies (EBs) (2, 3), which resemble an intact embryo, and thus, many protocols for in vitro differentiation of the ESCs utilize formation of EB as the first step. However, there can be a mixture of differentiating cells in using an EB approach, whereas differentiation using monolayer culture can yield more uniform and homogenous results. A successful strategy for the use of ESCs in regenerative medicine could involve formation of lineage-restricted progenitor cell using a monolayer culture system as a first step.Gene expression analysis and fate maps together indicate that endoderm and mesoderm are derived, at least in part, from bipotent mesendodermal cells that separate during gastrulation (4, 5) Active canonical Wnt signaling is detected in pregastrulating embryo, through primitive streak (PS) formation, and during gastrulation (6). The evolutionary conserved Wnt signaling pathway is absolutely essential for...

Serosal pathologies including malignant mesothelioma (MM) can show features of osseous and/or cartilaginous differentiation although the mechanism for its formation is unknown. Mesothelial cells have the capacity to differentiate into cells with myofibroblast, smooth muscle and endothelial cell characteristics. Whether they can differentiate into other cell types is unclear. This study tests the hypothesis that mesothelial cells can differentiate into cell lineages of the embryonic mesoderm including osteoblasts and adipocytes. To examine this, a functional assay of bone formation and an adipogenic assay were performed in vitro with primary rat and human mesothelial cells maintained in osteogenic or adipogenic medium (AM) for 0–26 days. Mesothelial cells expressed increasing levels of alkaline phosphatase, an early marker of the osteoblast phenotype, and formed mineralized bone-like nodules. Mesothelial cells also accumulated lipid indicative of a mature adipocyte phenotype when cultured in AM. All cells expressed several key osteoblast and adipocyte markers, including osteoblast-specific runt-related transcription factor 2, and demonstrated changes in mRNA expression consistent with epithelial-to-mesenchymal transition. In conclusion, these studies confirm that mesothelial cells have the capacity to differentiate into osteoblast- and adipocyte-like cells, providing definitive evidence of their multipotential nature. These data strongly support mesothelial cell differentiation as the potential source of different tissue types in MM tumours and other serosal pathologies, and add support for the use of mesothelial cells in regenerative therapies.