Our knowledge of the molecular mechanisms underlying human embryonic stem cell (hESC) selfrenewal and differentiation is incomplete. The level of octamerbinding transcription factor 4 (Oct4), a critical regulator of pluripotency, is precisely controlled in mouse embryonic stem cells. However, studies of human OCT4 are often confounded by the presence of three isoforms and six expressed pseudogenes, which has complicated the interpretation of results. Using an inducible lentiviral overexpression and knockdown system to manipulate OCT4A above or below physiological levels, we specifically examine the functional role of the OCT4A isoform in hESC. (We also designed and generated a comparable series of vectors, which were not functional, for the overexpression and knockdown of OCT4B.) We show that specific knockdown of OCT4A results in hESC differentiation, as indicated by morphology changes, cell surface antigen expression, and upregulation of ectodermal genes. In contrast, inducible overexpression of OCT4A in hESC leads to a transient instability of the hESC phenotype, as indicated by changes in morphology, cell surface antigen expression, and transcriptional profile, that returns to baseline within 5 days. Interestingly, sustained expression of OCT4A past 5 days enhances hESC cloning efficiency, suggesting that higher levels of OCT4A can support self-renewal. Overall, our results indicate that high levels of OCT4A increase hESC cloning efficiency and do not induce differentiation (whereas OCT4B expression cannot be induced in hESC), highlighting the importance of isoform-specific studies in a stable and inducible expression system for human OCT4. Additionally, we demonstrate the utility of an efficient method for conditional gene expression in hESC.human embryonic stem cells; OCT4 isoforms; OCT4A; pluripotency; self-renewal PLURIPOTENT STEM CELLS (PSC) have two unique properties: 1) indefinite self-renewal in culture and 2) the ability to differentiate into tissues from all three embryonic germ layers, or pluripotency (30, 37). Human embryonic stem cells (hESC) and induced pluripotent stem cells, two types of PSC that can be used to model human embryonic development in vitro, represent a promising source of cells for regenerative medicine applications. To realize this potential, a deeper understanding of the genes that regulate self-renewal and differentiation is necessary.Previous studies identified octamer-binding transcription factor 4 (Oct4), sex-determining region Y-box 2 (Sox2), and Nanog as critical transcriptional regulators of early mouse development in vivo and self-renewal and pluripotency of mouse embryonic stem cells (mESC) in vitro (2,6,15,21,22). Oct4, a POU domain transcription factor expressed throughout early mammalian development, is essential for inner cell mass growth and blastocyst survival (22). A 50% increase or decrease in Oct4 expression in mESC promotes differentiation into extraembryonic endoderm and mesoderm, or trophectoderm, respectively, suggesting that the threshold level of Oct...