PERSPECTIVES
ceased at this time. Over the past 40 years,
however, it has become clear that the adult
brain also retains stem cells that produce neu-
rons and glia throughout an animal’s life.
This slow realization has challenged former
preconceptions about brain development,
and has provided an opportunity to explore
experimentally the identity of neural stem
cells and the mechanisms by which they gen-
erate differentiated progeny. In particular, it
offers a unique opportunity to identify cell
types that function as adult stem cells and
their lineage relationship to embryonic stem
cells. The understanding and manipulation of
neural stem cells in the embryo and the adult
will have profound therapeutic implications,
and will yield insight into how the brain is
built and maintained throughout the life of
an animal.
Fundamental knowledge about stem cells
in the blood, skin and other tissues has come
primarily from studies in adults, in which
long-term experimental intervention and
transplantation are possible
1
. Similarly, exper-
imental manipulations of germinal centres in
the adult brain are beginning to reveal sur-
prising insights. For example, stem cells in the
adult vertebrate brain express molecular
markers and ultrastructural characteristics of
mature glia
2–5
. Given the prevailing view that
glia represent a developmental endpoint, this
challenges old interpretations regarding the
origin of neuronal and glial cells. Another
series of recent observations indicates that
radial glia, long considered to be precursors
of astrocytes but not neurons, have properties
of embryonic stem cells
6–8
. This observation
raises questions about the lineage relationship
between stem cells that maintain adult brain
and embryonic stem cells involved in de novo
organ assembly.
Here we review the glial characteristics of
stem cells in the adult brain and suggest the
possibility that glia-like cells might be stem
cells at earlier developmental times, thus pro-
viding a hypothetical continuum between the
glia-like stem cells of the adult brain and the
neuroepithelial cells in the embryo.
Heritage of interpretation, not facts
Misconceptions about the origin of neurons
and glia have plagued our understanding of
brain ontogeny since the early days of devel-
opmental neuroscience. Soon after the
description of glia as supporting cells of the
nervous system, many researchers subscribed
to Virchow’s assumption that glia in the cen-
tral nervous system (CNS) had a mesenchy-
mal origin (reviewed in REF. 9). This inference
was refuted in the latter part of the nineteenth
century, when histological techniques began
revealing the structure of the early neural
epithelium. Wilhelm His
10
examined this
region and discovered that glial cells originat-
ed within the CNS primordium.He incor-
rectly concluded, however, that neurons and
glia were produced from two separate popu-
lations of progenitor cells (FIG. 1a).Rounded
mitotic cells near the neural tube lumen were
reported by His to be neuronal precursors
and the so-called ‘spongioblasts’(elongated
cells that probably correspond morphologi-
cally to what we now call radial glia) were
thought to produce glia. From this work
emerged the dominant hypothesis that in the
early neural tube, predetermined precursors
produced either neurons or glia. Schaper
11
and later Sauer
12
showed that the elongated
cells and the rounded mitotic cells of the early
neuroepithelium were indeed the same cells at
different stages of the cell cycle. Nevertheless,
the idea of separate origins for neurons and
glia remained heavily entrenched in the
neurosciences. In reality, the complexity of
For many years, it was assumed that neurons
and glia in the central nervous system were
produced from two distinct precursor pools
that diverged early during embryonic
development. This theory was partially
based on the idea that neurogenesis and
gliogenesis occurred during different periods
of development, and that neurogenesis
ceased perinatally. However, there is now
abundant evidence that neural stem cells
persist in the adult brain and support ongoing
neurogenesis in restricted regions of the
central nervous system. Surprisingly, these
stem cells have the characteristics of fully
differentiated glia. Neuroepithelial stem cells
in the embryonic neural tube do not show
glial characteristics, raising questions about
the putative lineage from embryonic to adult
stem cells. In the developing brain, radial glia
have long been known to produce cortical
astrocytes, but recent data indicate that
radial glia might also divide asymmetrically to
produce cortical neurons. Here we review
these new developments and propose that
the stem cells in the central nervous system
are contained within the neuroepithelial →
radial glia → astrocyte lineage.
Most adult tissues retain a reservoir of self-
renewing, multipotent stem cells that can
generate differentiated tissue components.
Until recently, the brain was thought to repre-
sent an exception to this general rule. For
decades, neurobiologists subscribed to the
idea that neural stem cells were depleted in
the perinatal brain and that neurogenesis
NATURE REVIEWS | NEUROSCIENCE VOLUME 2 | APRIL 2001 | 287
A unified hypothesis on the lineage
of neural stem cells
Arturo Alvarez-Buylla, José Manuel García-Verdugo and
Anthony D. Tramontin
OPINION
© 2001 Macmillan Magazines Ltd