Neuronal differentiation from expanded human ventral mesencephalic neural precursor cells (NPCs) is very limited. Astrocytes are known to secrete neurotrophic factors, and so in order to enhance neuronal survival from NPCs, we tested the effect of regional astrocyte-conditioned medium (ACM) from the rat cortex, hippocampus and midbrain on this process. Human NPC's were expanded in FGF-2 before differentiation for 1 or 4 weeks in ACM. The results show that ACM from the hippocampus and midbrain increase the number of neurons from expanded human NPCs, an effect that was not observed with cortical ACM. In addition, both hippocampal and midbrain ACM increased the number and length of phosphorylated neurofilaments. MALDI-TOF analysis used to determine differences in media revealed that although all three regional ACMs had cystatin C, a-2 macroglobulin, extracellular matrix glycoprotein and vimentin, only hippocampal and midbrain ACM also contained clusterin, which when immunodepleted from midbrain ACM eliminated the observed effects on neuronal differentiation. Furthermore, clusterin is a highly glycosylated protein that has no effect on cell proliferation but decreases apoptotic nuclei and causes a sustained increase in phosphorylated extracellular signalregulated kinase, implicating its role in cell survival and differentiation. These findings further reveal differential effects of regional astrocytes on NPC behavior and identify clusterin as an important mediator of NPC-derived neuronal survival and differentiation. Cell Death and Differentiation (2011) 18, 907-913; doi:10.1038/cdd.2010.169; published online 7 January 2011Astrocytes are essential regulators of neuronal function, and produce diffusible and non-diffusible neuron supporting signals, including neurotrophic factors and membrane-bound molecules (for review see Barres 1 ). Interestingly, emerging evidence highlights that there are many regional differences in astrocytes in respect to structure and function and soluble factor production, for example, astrocytes from the hippocampus and their conditioned media can support the survival of neurons from regions other than the hippocampus. 2 In contrast, astrocytes from the mesencephalon release factors, which are more effective at promoting dopamine neuron survival than cortical or striatal astrocytes. 3 These studies show that the astrocytes from neurogenic regions 4 release more neurogenic factors than astrocytes from the non-neurogenic regions.It is well established that stem cells can be isolated from the developing and adult rodent CNS, and expanded in vitro using EGF and FGF2 (for review see Gage 5 ) More recently the same has been shown to be true for the developing human fetal CNS. 6 These cells are capable of long-term expansion in vitro to achieve B50 population doublings. 6 However, as they progress in culture with time, their differentiation pattern changes with the number of neurons declining and the number of astrocytes predominating. 7 Previous studies have shown that astrocyte-conditioned medi...