Progress in isolating stem cells from tissues, or generating them from adult cells by nuclear transfer, encourages attempts to use stem cells from affected individuals for gene correction and autologous therapy. Current viral vectors are efficient at introducing transgenic sequences but result in random integrations. Gene targeting, in contrast, can directly correct an affected gene, or incorporate corrective sequences into a site free from undesirable side effects, but efficiency is low. Most current targeting procedures, consequently, use positive-negative selection with drugs, often requiring >10 days. This drug selection causes problems with stem cells that differentiate in this time or require feeder cells, because the feeders must be drug resistant and so are not eliminated by the selection. To overcome these problems, we have developed a procedure for isolating gene-corrected stem cells free from feeder cells after 3-5 days culture without drugs. The method is still positive-negative, but the positive and negative drugresistance genes are replaced with differently colored fluorescence genes. Gene-corrected cells are isolated by FACS. We tested the method with mouse ES cells having a mutant hypoxanthine phosphoribosyltransferase (Hprt) gene and grown on feeder cells. After 5 days in culture, gene-corrected cells were obtained free from feeder cells at a ''purity'' of >30%, enriched >2,000-fold and with a recovery of Ϸ20%. Corrected cells were also isolated singly for clonal expansion. Our FACS-based procedure should be applicable at small or large scale to stem cells that can be cultured (with feeder cells, if necessary) for >3 days.electroporation ͉ flow cytometry ͉ fluorescent protein ͉ gene targeting ͉ gene therapy H ematopoietic stem cells (HSC) are among the longest known and best studied stem cells (1). They are characterized by their ability to fully repopulate the bone marrow of suitably prepared recipients and have been used therapeutically in the form of bone marrow transplants for several decades. HSC are, however, difficult to culture ex vivo without differentiating, and normal HSC have been induced to increase to only about six times the input number of HSC in vitro (2). The in vitro expansion of HSC from experimental animals has been enhanced (up to approximately forty times input) by the introduction of transgenes coding for MDR1 or HOXB4 (3, 4), but HSC cannot currently be clonally expanded in vitro. Their ability to selfreplicate extensively in vivo is, however, undoubted because a single HSC is sufficient to repopulate the bone marrow of a recipient, which can then be used to repopulate the bone marrows of secondary recipients (5, 6).The history of bone marrow transplantations clearly emphasizes that problems are likely to arise when there are histocompatibility differences between donors and recipients. Thus, the first successful bone marrow transplant was with an identical twin (genetically an autologous transplant) (7). Only the subsequent elucidation of histocompatibility antigens all...