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Lineage Specification, Commitment and Self-Renewal in Embryos and Embryonic Stem Cells. Maurice A. Canham, Fella Hammachi, Gillian M. Morrison and Joshua M. Brickman Centre Development in Stem Cell Biology, Institute for Stem Cell Research, University of Edinburgh, King's Buildings, West Mains Road, Edinburgh EH9 3JQ Embryonic Stem (ES) cells are in vitro cell lines that are karyotypically normal and capable of differentiating into all the lineages of the foetus and adult. So what is an ES cell culture? Is it a uniform cell type or a heterogeneous mixture of cells with different potentials? I will present several lines of evidence that ES cultures are heterogeneous and that cells with in these cultures can shift identity within certain parameters. However, what keeps them ES cells? The ES cell specific transcription factor Oct4 is a key to answering this question. We have shown that Oct4 can inhibit commitment in multiple lineages, allowing ES cells to progress in and out of immediate early states of differentiation, but always remaining uncommitted. The means by which Oct4 does this is not the suppression of differentiation down specific lineages, but by maintaining a positive program to block commitment. This program is conserved in evolution and derived from mechanism(s) essential for embryonic development. This general mechanism may act on a variety of cell types and thus would be particularly effective at blocking differentiation in heterogeneous ES cell cultures. We have recently found a specific example of this phenomona in the early stages of differentiation in the extra-embryonic primitive endoderm lineage. We generated a fluorescent reporter ES cell line that is expressed in a sub-population of normal undifferentiated ES cell cultures. This cell line exploits an early marker of the endoderm lineage, Hex. We have replaced the first exon of Hex with a cDNA encoding a tagged version of the Hex protein upstream of an internal ribosomal entry site (IRES) driving the expression of the highly sensitive Yellow Fluorescent Protein, Venus. These cells express both wild type levels of Hex RNA and Venus in cells as they begin to form endoderm. Interestingly, Venus is also expressed in undifferentiated ES cell cultures, but never in the entire population of cells. As ES cells can easily differentiate towards primitive endoderm, we considered the possibility that these populations might represent an immediate early stage of primitive endoderm differentiation. Experiments using defined agonists and antagonists of the MAP kinase pathway alongside molecular analysis confirm this hypothesis. Venus positive cells express higher levels of the primitive endoderm marker, GATA6 and less of the ES cell pluripotency gene Nanog. However, while these cells are shifted in the direction of primitive endoderm, they are still not committed. Clonal analysis indicates that a Venus positive cell can readily revert to Venus negative ES cells. At all times these Hex positive and negative populations expresses equivalent levels of the master ES cell regulator, Oct4. These observations support our contention that ES cell cultures represent a heterogeneous mixture of cell types maintained in an uncommitted state. Thus when cultured under conditions that promote ES cell self-renewal, the ability of these different cells to progress further in differentiation towards their defined lineages may be suppressed by the master ES cell regulator Oct4.