In contrast to a previous study of Sanai et al., our study had the advantage of using serial sagittal sections of the human basal forebrain, combined with 5-bromo-2′-deoxyuridine labeling, rigorous magnetic resonance imaging, and polymerase chain reaction analysis. We believe these methods convincingly demonstrate the presence of a rostral migratory stream in the human brain that resembles that in other mammals. W e recently identified a previously partly undefined structure in the human forebrain, which we named the ventriculo-olfactory neurogenic system (VONS) (1). We proposed the VONS to be defined as the subventricular zone (SVZ), the rostral migratory stream (RMS), and the olfactory tract and bulb. Sanai et al. (2) previously reported that an RMS did not exist in the human brain, but they missed vital clues in their study that pointed to the possibility of an RMS. We expand on this idea and on their questions and critiques (3) regarding our study below.Concerning the questions of Sanai et al.(3) about the number of proliferating cell nuclear antigen (PCNA)-positive cells in the RMS, we have the following responses. First, not all of the RMS cells are dividing. Second, the images in figure 1 in our original study (1) were captured from 50-mm-thick sections, so a tightly packed PCNA appearance exists. In thick sections from human hippocampus, another neurogenic region (Fig. 1A), PCNA-positive cells are also tightly packed, but clearly not all are PCNA-stained (evidenced by calbindin staining). Third, we have previously published results of the control experiments that show that PCNA detects proliferating cells (4) and have carefully evaluated PCNA and K i -67 as markers for proliferation, with similar results (5). Sanai and colleagues appear not to have used PCNA in their studies or to have experimental proof of what their cell cycle markers detected. Perhaps this is why their study did not reveal an RMS. In our RMS mapping studies, we used human brain cases that were neurologically normal (all our cases died from heart or lung pathology), whereas Sanai et al. studied many cases that had brain tumors or vascular malformations that normally would have been treated with radiotherapy. It may therefore be possible that such treatment reduced the abundance of dividing cells and migrating neuroblasts in the specimens they used.Cells positive for 5-bromo-2′-deoxyuridine (BrdU) and neuronal nuclei (NeuN) in the olfactory bulb were seen in the periglomerular layer of all examined BrdU cases. As stated in the supporting online material for (1), the cause of death in these cases was squamous cell carcinoma at the base of the tongue, and patients were not treated by radiotherapy. The ages of the patients were (B1) 57, (B2) 64, and (B3) 70 years of age, and the time between injection and mortem date was 274, 128, and 578 days, respectively. NeuN labeling was found in two forms: (i) with strong cytoplasmic labeling and (ii) with weaker nucleus-specific labeling (Fig. 1, B to D). Similar cytoplasmic labeling has previously...