12. To keep them in a totipotent state, embryonic stem cells need to be maintained in a medium supplemented with (1) growth hormone (2) leukemia inhibiting factor (3) nestin (4) insulin
  1. To keep them in a totipotent state, embryonic stem cells need to be maintained in a medium supplemented with
    (1) growth hormone
    (2) leukemia inhibiting factor
    (3) nestin
    (4) insulin

    The correct answer is (2) leukemia inhibiting factor.


    Option-wise explanation

    (1) Growth hormone

    Growth hormone mainly regulates systemic growth and metabolism in vivo.
    It is not the standard factor used to prevent differentiation and maintain embryonic stem cells in an undifferentiated state in vitro.

    (2) Leukemia inhibitory factor – correct

    Leukemia inhibitory factor (LIF) is a cytokine that activates JAK/STAT3 signaling in mouse embryonic stem (ES) cells, maintaining their self‑renewal and undifferentiated, highly potent state.
    In standard mouse ES‑cell culture, serum (or BMP4) plus LIF is added specifically to stop spontaneous differentiation and preserve pluripotency/totipotent‑like potential.

    (3) Nestin

    Nestin is an intermediate filament protein used as a marker of neural stem/progenitor cells.
    It is not a soluble factor added to culture medium to maintain ES‑cell potency.

    (4) Insulin

    Insulin is often included in serum‑free media as a metabolic and survival factor, but by itself it does not maintain embryonic stem cells in a totipotent or pluripotent state.
    Differentiation will still occur without specific self‑renewal signals like LIF (for mouse ES cells) or defined pluripotency factors.


    Therefore, to keep embryonic stem cells in an undifferentiated, highly potent state, the culture medium is supplemented with leukemia inhibitory factor (LIF), making option (2) correct.

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