Leukemia inhibitory factor (LIF) is required, but not sufficient, for pluripotent mouse embryonic stem (ES) cell expansion in vitro in the absence of serum or a feeder cell layer, suggesting that additional signals are provided by serum or feeders that are necessary to support self-renewal. Here we show that transgenic ES cell lines expressing Bcl-2, an antiapoptotic protein, continue to self-renew in serum-and feeder-free conditions when supplemented with LIF; even in the absence of bone morphogenic proteins. Bcl-2-expressing clones sustain the characteristics of undifferentiated, pluripotent ES cells during long-term culture, and maintain their potential to differentiate into mature cell types. These results suggest that LIF and Bcl-2 overexpression are sufficient to expand these mouse pluripotent stem cells in vitro.leukemia inhibitory factor ͉ antiapoptotic protein ͉ pluripotency S tem cells are defined as cells that, at the single-cell level, are capable of self-renewal and differentiation to specialized cell types (1). ES cells are pluripotent stem cells derived from the inner cell mass of blastocysts (2) and can self-renew indefinitely in vitro in the presence of leukemia inhibitory factor (LIF) and FBS or mouse feeder layer cells, resulting in daughter cells that maintain their potential for multilineage differentiation (3, 4). When ES cells are maintained in serum-and feeder-free conditions, the number of undifferentiated cells quickly reaches a plateau and begins to decline after only a couple of passages (5), and cells with a non-ES cell morphology quickly arise in culture (6) despite the presence of LIF. Thus, additional factors provided by serum or feeders appear to be required to fully support the self-renewal of mouse ES cells.Bone morphogenic proteins (BMPs) have been implicated as the factor contained in serum or provided by feeder layers that acts in concert with LIF to maintain undifferentiated mouse ES cells in vitro (7). It was recently suggested that BMPs can replace serum and feeder cell requirements in ES cell culture by activating the Smad pathway and inducing expression of the Id gene, a common target of Smad signaling (8) that appears to block differentiation by negatively regulating basic helix-loophelix proteins (5). Although the exact mechanism by which BMP promotes self-renewal of ES cells is not certain, recent work suggests that it might also inhibit the mitogen-activated protein kinase (MAPK) pathway independent of Smads (7). Importantly, inhibition of p38 MAPK facilitates derivation of ES cells from blastocysts lacking Alk-3 (BMPRIA) (7), and ES cells can be derived from blastocysts lacking Smad4 (the common partner of all Smads; ref. 9), supporting the hypothesis that BMP acts by means of different mechanisms depending on the presence or absence of serum and feeders.Considering the possibility that serum and feeder cells provide cell survival signals manifest as growth factors and cytokines (10) and that extrinsic survival signals are especially critical in low cell density co...