Adult human mesenchymal stem cells (MSCs) hold promise for an increasing list of therapeutic uses due to their ease of isolation, expansion, and multilineage differentiation potential. To maximize the clinical potential of MSCs, the underlying mechanisms by which MSC functionality is controlled must be understood. We have taken a deconstructive approach to understand the individual components in vitro, namely the role of candidate "stemness" genes. Our recent microarray gene expression profiling data suggest that interleukin-6 (IL-6) may contribute to the maintenance of MSCs in their undifferentiated state. In this study, we showed that IL-6 gene expression is significantly higher in undifferentiated MSCs as compared to their chondrogenic, osteogenic, and adipogenic derivatives. Moreover, we found that MSCs secrete copious amounts of IL-6 protein, which decreases dramatically during osteogenic differentiation. We further evaluated the role of IL-6 for maintenance of MSC "stemness", using a series of functional assays. The data showed that IL-6 is both necessary and sufficient for enhanced MSC proliferation, protects MSCs from apoptosis, inhibits adipogenic and chondrogenic differentiation of MSCs, and increases the rate of in vitro wound healing of MSCs. We further identified ERK1/2 activation as the key pathway through which IL-6 regulates both MSC proliferation and inhibition of differentiation. Taken together, these findings show for the first time that IL-6 maintains the proliferative and undifferentiated state of bone marrowderived MSCs, an important parameter for the optimization of both in vitro and in vivo manipulation of MSCs. KeywordsMesenchymal stem cells; Differentiation; Stemness; Interleukin-6 Three components are required for successful tissue engineering and regeneration: cells with regenerative potential, a biocompatible scaffold or matrix, and environmental and endogenous influences to drive these cells towards desired functional tissue neo-genesis. Adult human mesenchymal stem cells (MSCs) are a promising source of cells that can largely satisfy the first of our three necessary criteria. MSCs are tissue-resident stem cells [Pereira et al., 1995;Prockop, 1997]. They are commonly isolated from the bone marrow but can also be found in the perivascular regions of most tissues, such as adipose, skeletal muscle, and umbilical cord [Sarugaser et al., 2005;Zuk et al., 2002]. MSCs are capable of differentiation into several cell lineages, including osteoblasts, chondrocytes, adipocytes, and myoblasts [Jiang et al., 2002;Pittenger et al., 1999]. Owing to their ease of isolation, expansion, and multi-lineage differentiation capability, MSCs are a promising cell source for both tissue engineering and in vivo stimulation of other tissue-resident stem cells. In addition, MSCs possess immunosuppressive activities and have been successfully used to treat Graft vs. Host Disease [Le Blanc et al., 2004] and as a source for gene therapy (Osteogenesis Imperfecta) [Le Blanc et al., 2005].Although there is ...

Our data establish PDCD10 as the gene responsible for CCM in families linking to the CCM3 locus. The discovery of the third gene involved in inherited forms of CCM, after KRIT1 and Malcavernin, is an important step toward dissecting the molecular pathophysiology of this disease.