SUMMARYNerve growth factor-b (NGF) is known as a growth factor for human basophils and murine mast cells and has recently been shown to also up-regulate mast cell characteristics in human leukaemic mast cells. We have examined here the effect of NGF on the differentiation of normal human mast cells from cord blood progenitors during culture with stem cell factor (SCF), NGF alone or in combination, or ®broblast supernatants. All these supplements induced mast cell immunoreactivity against tryptase, c-Kit and FceRIa, but none of the cells reacted against the basophil speci®c antibody 2D7 before or during culture. Intracellular tryptase activity increased as well, with maximal levels on combined culture with SCF and NGF. On reverse transcription±polymerase chain reaction (RT±PCR), cells lacked tryptase and chymase and expressed low levels of FceRI and c-Kit mRNA prior to culture, with marked up-regulation of FceRI and c-Kit, and with de novo expression of mast-cell speci®c a-and b-tryptase by week 3, and of chymase by week 5. Only the TrkA and not the p75 NGF receptor was detected at m-RNA and protein level, and only the TrkA NGF receptor was up-regulated during NGF-driven culture. These ®ndings show therefore that, like SCF, NGF is another growth factor that can induce and regulate human mast-cell development and differentiation.