In the three decades since pluripotent mouse embryonic stem (ES) cells were first described 1,2 they have been derived and maintained by using various empirical combinations of feeder cells, conditioned media, cytokines, growth factors, hormones, fetal calf serum, and serum extracts [1][2][3][4][5][6][7] . Consequently ES-cell self-renewal is generally considered to be dependent on multifactorial stimulation of dedicated transcriptional circuitries, pre-eminent among which is the activation of STAT3 by cytokines (ref. 8). Here we show, however, that extrinsic stimuli are dispensable for the derivation, propagation and pluripotency of ES cells. Self-renewal is enabled by the elimination of differentiation-inducing signalling from mitogen-activated protein kinase. Additional inhibition of glycogen synthase kinase 3 consolidates biosynthetic capacity and suppresses residual differentiation. Complete bypass of cytokine signalling is confirmed by isolating ES cells genetically devoid of STAT3. These findings reveal that ES cells have an innate programme for self-replication that does not require extrinsic instruction. This property may account for their latent tumorigenicity. The delineation of minimal requirements for self-renewal now provides a defined platform for the precise description and dissection of the pluripotent state.Reprints and permissions information is available at www.nature.com/reprints.Correspondence and requests for materials should be addressed to Q.L.Y. (qying@keck.usc.edu) or A.S. (ags39@cscr.cam.ac.uk). Full Methods and any associated references are available in the online version of the paper at www.nature.com/nature.Supplementary Information is linked to the online version of the paper at www.nature.com/nature. We found that, in combination with LIF, either inhibitor replaces the requirement for serum/BMP and supports robust long-term ES-cell propagation (Supplementary Information). Lineage commitment does not occur despite a reduced expression of inhibitorof-differentiation proteins. In contrast, ES cells plated without LIF in either PD184352 or SU5402 progressively degenerate and cannot be maintained even though differentiation is suppressed. To reduce off-target side effects we tried low doses of PD184352 and SU5402 together (PS). In PS we find that undifferentiated ES cells expand through multiple passages (Fig. 1a, b). Differentiation is constrained, although occasional neural rosettes emerge. This result, observed with several independent ES cell lines, suggests that the minimal requirements for ES-cell self-renewal may be to deflect commitment signals emanating from FGF receptor and ERK signalling. However, apoptosis is relatively high in PS, especially immediately after passage, and cells survive poorly at clonal density, which is indicative of collateral compromise to cell growth and viability.
Author ContributionsES-cell propagation has been reported to be enhanced by an indirubin entity, 6-bromoindirubin-3′-oxime (BIO), that inhibits glycogen synthase kinase-3 (GSK3) 4 . ...