Spermatogonial stem cells reside in specific niches within seminiferous tubules and continuously generate differentiating daughter cells for production of spermatozoa. Although spermatogonial stem cells are unipotent, these cells are able to spontaneously convert to germline cell-derived pluripotent stem cells (GPSCs) in vitro. GPSCs have many properties of embryonic stem cells and are highly plastic, but their therapeutic potential in tissue regeneration has not been fully explored. Using a novel renal epithelial differentiation protocol, we obtained GPSC-derived tubular-like cells (GTCs) that were functional in vitro, as demonstrated through transepithelial electrical resistance analysis. In mice, GTCs injected after ischemic renal injury homed to the renal parenchyma, and GTC-treated mice showed reduced renal oxidative stress, tubular apoptosis, and cortical damage and upregulated tubular expression of the antioxidant enzyme hemeoxygenase-1. Six weeks after ischemic injury, kidneys of GTC-treated mice had less fibrosis and inflammatory infiltrate than kidneys of vehicle-treated mice. In conclusion, we show that GPSCs can be differentiated into functionally active renal tubular-like cells that therapeutically prevent chronic ischemic damage in vivo, introducing the potential utility of GPSCs in regenerative cell therapy. AKI is a common complication characterized by a rapid reduction in kidney function that results in failure to maintain fluid. AKI is a potentially reversible disease. However, some patients recover incompletely from AKI, and these patients either continue undergoing dialysis or progress to CKD. Moreover, development of CKD can lead to ESRD. One of the main causes of AKI is ischemia/reperfusion injury (IRI). 1 IRI is a pathologic condition characterized by an initial restriction of blood supply followed by the subsequent restoration of perfusion and concomitant reoxygenation that is frequently associated with an exacerbation of tissue injury and a strong inflammatory response. 2 The cells within the renal parenchyma that suffer the most damage upon kidney ischemia are the proximal tubular cells. This is likely due to the presence of a brush border on these cells that increases cell surface area and sensitizes them to damage.The recent discovery of the ability to reprogram adult cells into pluripotent stem cells (iPSCs) has profound therapeutic implications for diseases involving tissue damage and degeneration. Derivation of pluripotent stem cells from an adult source avoids several ethical concerns of obtaining such cells from embryos. However, efficient generation of iPSCs typically requires transduction of cells with reprogramming factors, including potent proto-oncogenes that can limit their therapeutic uses. 3 The existence of inherent epigenetic differences between iPSCs and regular embryonic stem cells (ESCs) can adversely affect iPSCs functionality. 4,5