Previous work showed that Nanog, a homeobox family transcription factor, maintains embryonic stem cell pluripotency, suggesting that it has a role in stabilizing cell phenotype. Human chondrocytes lose their phenotype and dedifferentiate after relatively few passages in culture, changes that may limit their value in restoring damaged articular cartilage. We hypothesized that Nanog could stabilize the phenotype of cultured human chondrocytes in long-term monolayer cultures. To test this hypothesis, the human Nanog gene was stably transduced into human chondrocytes using a retroviral vector. Chondrocyte-specific gene expression (collagen type II, aggrecan, cartilage link protein, and Sox9) was measured by reverse transcription-polymerase chain reaction (RT-PCR) and real-time PCR in monolayer cultured chondrocytes transduced with Nanog and in control chondrocytes transduced with empty vector. In vitro cartilage matrix protein formation by Nanog-transduced and control cells was compared using Safranin-O and immunofluorescence stains. We found that after 25 passages, Nanog-transduced chondrocytes maintained significantly higher expression of collagen type II, aggrecan, and cartilage link protein genes than controls. Under chondrogenic conditions, Nanog-transduced cells produced significantly more cartilagespecific matrix than control cells. These findings support the hypothesis that Nanog maintains the human chondrocyte phenotype and function after long-term monolayer culture. Preservation of the chondrocyte phenotype may improve the ability of cultured chondrocytes to repair or restore articular cartilage. Keywords: chondrocyte; Nanog; dedifferentiation; cartilage repair Surgeons and scientists have developed various approaches to restore cartilaginous articular surfaces with the intention of relieving pain and improving mobility for people with traumatic or degenerative damage to their synovial joints. Many of the current approaches involve the expansion of autologous chondrocytes followed by reimplantation of these cells into cartilage defects or their utilization for engineering of replacement tissue ex vivo. 1-3 However, primary chondrocytes spread, lose their round morphology, begin to proliferate, and dedifferentiate after a limited number of passages in monolayer. 4,5 As the cell number increases, the cells assume the appearance of fibroblasts, and decrease the expression of collagen type II (Col2), aggrecan, link protein, and other chondrocytespecific genes. 6 In some culture systems, such as suspension culture over nonadherent plastic surfaces or with cells encased in agarose or alginate gels, there is some retention of cartilage-producing phenotype, 7,8 but the slow proliferation rate cannot meet the requirement of large numbers of cells for implantation in cartilage defects. Other studies have shown that monolayer expanded chondrocytes, which no longer synthesize appreciable cartilage extracellular matrix (ECM), can reexpress the chondrocyte phenotype if they are placed in suspension culture or ...