Recruitment of stem cells from the bone marrow (BM) is an important aspect of cardiac healing that becomes inefficient with age. We investigated the role of young stem cell antigen 1 (Sca-1)-positive BM cells on the aged heart by microarray analysis after BM reconstitution. Sca-1 and Sca-1 BM cells from young green fluorescent protein (GFP)-positive mice were used to reconstitute the BM of aged mice. Myocardial infarction (MI) was induced 3 mo later. GFP cells were more abundant in the BM, blood, and heart of Sca-1 mice, which corresponded to preserved cardiac function after MI. At baseline, Sca-1 BM reconstitution increased cardiac expression of serum response factor, vascular endothelial growth factor A, and myogenic genes, but reduced the expression of After MI, inflammation was identified as a key difference between Sca-1 and Sca-1 groups, as cytokine expression and cell surface markers associated with inflammatory cells were up-regulated with Sca-1 reconstitution. Mac-3 and F4/80 staining showed that the postinfarction heart was composed of a mixture of GFP (donor) macrophages, GFP (host) macrophages, and GFP cells that did not contribute to the macrophage population. This study demonstrates that Sca-1 BM cells regulate cardiac healing though an acute inflammatory response and also before injury by stimulating formation of a beneficial cardiac niche.-Tobin, S. W., Li, S.-H., Li, J., Wu, J., Yeganeh, A., Yu, P., Weisel, R. D., Li, R.-K. Dual roles for bone marrow-derived Sca-1 cells in cardiac function.