IntroductionVascular endothelial growth factor (VEGF-A 165 ) is a multifunctional cytokine that plays a prominent role in normal vascular biology by regulating numerous cellular responses of endothelial precursors including proliferation, differentiation, migration, and apoptosis. [1][2][3][4][5][6] In addition, a role for VEGF-A 165 in hematopoietic differentiation has been identified, 7-10 and has been extended to primitive hematopoietic cells capable of repopulation from mouse embryonic stem cells (ESCs), 11 and by targeted gene disruption of VEGF-A 165 or its tyrosine kinase receptor VEGFR2/KDR/Flk-1 (hereafter KDR). 12-14 Furthermore, a role for VEGF-A 165 in early developmental events of primitive and definitive erythroid lineages from mouse ESCs has been established. 15 This latter observation indicates a potential function of VEGF-A 165 in cellular events leading to the emergence of mouse hematopoiesis that specifically affects erythroid differentiation.During mammalian embryogenesis, erythropoiesis occurs in 2 waves: the primitive wave, which occurs and remains confined to the extra-embryonic yolk sac, 16-18 is followed by the definitive wave, which originates in the yolk sac and/or within the embryo proper, 19,20 which then sequentially migrates to the fetal liver and ultimately to the bone marrow. 18 Definitive and primitive erythroid cells derived from mouse ESCs are morphologically distinct 9,21 and can be molecularly distinguished by differences in globin expression, where primitive erythroid cells express the embryonic and ⑀ globins whereas definitive cells express the adult  globin. [22][23][24][25] Mammalian erythropoiesis from uncommitted pluripotent stem cells is an early cellular differentiation event that can be characterized by sequential progress through stages of progenitor development that can be assayed from erythroid blast-forming units (BFU-Es) to erythroid colony-forming units (CFU-Es) and eventually maturation into erythroblasts, normoblasts, reticulocytes, and finally enucleated mature erythrocytes. 26 This complex process is controlled by the combined effects of growth factors, including the erythroid-specific cytokine erythropoietin (EPO). 27 Because human embryonic erythropoietic development is inaccessible for in vivo study, an in vitro model allowing the study of this process at both the cellular and molecular levels is necessary. Human embryonic stem cells (hESCs) provide a potential model of early developmental events of cell fate commitment which includes the study of embryonic hematopoiesis. 28 Recently, hESCs have been shown to respond to a combination of hematopoietic cytokines and BMP-4 that promotes hESC differentiation toward hematopoietic cell fate. 29 However, in vitro manipulation of hESCs to direct or regulate hematopoietic differentiation and blood lineage development have not been explored. Taking advantage of the ability to effectively differentiate hESCs into hematopoietic progenitors that represent primitive erythroid cells by CFU assays, the availability o...