Mesenchymal stem cells (MSCs) are adult stem cells with a self-renewal and multipotent capability and express extensively in multitudinous tissues. We found that water channel aquaporin-5 (AQP5) is expressed in bone marrow-derived MSCs (BMMSCs) in the plasma membrane pattern. BMMSCs from AQP5 -/ -mice showed significantly lower plasma membrane water permeability than those from AQP5 + / + mice. In characterizing the cultured BMMSCs from AQP5-/ -and AQP5 + / + mice, we found no obvious differences in morphology and proliferation between the 2 genotypes. However, the multiple differentiation capacity was significantly higher in AQP5 -/ -than AQP5 + / + BMMSCs as revealed by representative staining by Oil Red O (adipogenesis); Alizarin Red S and alkaline phosphatase (ALP; osteogenesis); and type II collagen and Safranin O (chondrogenesis) after directional induction. Relative mRNA expression levels of 3 lineage differentiation markers, including PPARc2, C/EBPa, adipsin, collagen 1a, osteopontin, ALP, collagen 11a, collagen 2a, and aggrecan, were significantly higher in AQP5 -/ --differentiating BMMSCs, supporting an increased differentiation capacity of AQP5BMMSCs. Furthermore, a bone-healing process was accelerated in AQP5 -/ -mice in a drill-hole injury model. Mechanistic studies indicated a significantly lower apoptosis rate in AQP5 -/ -than AQP5 + / + BMMSCs. Apoptosis inhibitor Z-VAD-FMK increased the differentiation capacity to a greater extent in AQP5 + / + than AQP5 -/ -BMMSCs. We conclude that AQP5-mediated high plasma membrane water permeability enhances the apoptosis rate of differentiating BMMSCs, thus decreasing their differentiation capacity. These data implicate AQP5 as a novel determinant of differentiation of BMMSCs and therefore a new molecular target for regulating differentiation of BMMSCs during tissue repair and regeneration.