The present invention is predicated on the discovery of certain
interactions between cellular growth factors and opposing actions that
control differentiation and migration or invasion of cytotrophoblasts
into the uterine endometrium during pregnancy. IGF-II and latent
transforming growth factor beta (TGF.beta.), the inactive precursor of
TGF.beta., compete for binding to the CIM6P receptor. IGF-II prevents
latent TGF.beta. binding to the CIM6P receptor. The invention therefore
offers a method of regulating and directing cytotrophoblast
differentiation and function based on the interaction between IGF-II,
latent TGF.beta. and the CIM6P receptor. There is disclosed a method of
regulating cytotrophoblast and stem cell differentiation and migration
characterized by adjusting levels of insulin-like growth factor II
(IGF-II) available for binding to the cation-independent
mannose-6-phosphate (CIM6P) receptor. The discovery may be applied to
embryonic or adult stem cells to control their differentiation and
migratory behaviour.