To search for new indicators of self-renewing hematopoietic stem cells (HSCs), highly purified populations were isolated from adult mouse marrow, micromanipulated into a specially designed microscopic array, and cultured for 4 days in 300 ng͞ml Steel factor, 20 ng͞ml IL-11, and 1 ng͞ml flt3-ligand. During this period, each cell and its progeny were imaged at 3-min intervals by using digital time-lapse photography. Individual clones were then harvested and assayed for HSCs in mice by using a 4-month multilineage repopulation endpoint (>1% contribution to lymphoid and myeloid lineages). In a first experiment, 6 of 14 initial cells (43%) and 17 of 61 clones (28%) had HSC activity, demonstrating that HSC self-renewal divisions had occurred in vitro. Characteristics associated with HSC activity included longer cell-cycle times and the absence of uropodia on a majority of cells within the clone during the final 12 h of culture. Combining these criteria maximized the distinction of clones with HSC activity from those without and identified a subset of 27 of the 61 clones. These 27 clones included all 17 clones that had HSC activity; a detection efficiency of 63% (2.26 times more frequently than in the original group). The utility of these characteristics for discriminating HSC-containing clones was confirmed in two independent experiments where all HSCcontaining clones were identified at a similar 2-to 3-fold-greater efficiency. These studies illustrate the potential of this monitoring system to detect new features of proliferating HSCs that are predictive of self-renewal divisions.video microscopy ͉ time-lapse imaging ͉ cell-cycle kinetics ͉ cell behavior ͉ lineage tracking T ime-lapse video imaging offers unique opportunities to determine how specific physical properties of individual living cells change with respect to one another over time and under different conditions. Time-lapse micrography has been used for more than half a century (1-4) to study cell morphology during attachment and migration (5, 6), cell lifetimes (7, 8), growth (9), death (2, 10), contact inhibition (11), clonal heterogeneity (12), and mitosis (13). Software for extracting and analyzing cell lineage (14) Here, we asked whether time-lapse video imaging could be used to identify previously unidentified behavioral traits of hematopoietic stem cells (HSCs) with functionally validated long-term multilineage repopulating activity in vivo. A number of groups have reported methods for obtaining highly purified (Ͼ20% pure) populations of HSCs from normal adult mouse bone marrow (23-28). One of these methods involves isolating cells lacking surface markers characteristic of mature blood cells (i.e., lineage marker-negative, or lin Ϫ cells) and able to efflux the fluorescent dyes, Rhodamine-123 (Rho Ϫ cells) and Hoechst 33342 (25). Efflux of Hoechst 33342 results in the appearance of a side population of cells (SP cells) in two-dimensional plots of fluorescent events (29). In mouse bone marrow (BM), the subset of lin Ϫ Rho Ϫ SP cells represents Ϸ0.004...