ObjectiveTo investigate effect of heart tissue-derived extracellular matrix(ECM) on the differentiation, proliferation and apoptosis of cardiosphere-derived cells(CDC) in vitro. MethodsCDCs were cultured by cardiac explant methods. ECM was prepared by decelluariztion procedure. CDCs were cultured on ECM coated dishes or conventional fibrin (FN) coated dishes. Then we compared the differentiation rate, proliferation, and apoptosis rate of CDC between the two groups in vitro. ResultsECM could significantly promote CDC differentiating into vascular endothelial cell, cardiac muscle cell or smooth muscle cell (0.060±0.002 vs. 0.043±0.002, P < 0.001; 0.082±0.003 vs. 0.051±0.002, P < 0.001; 0.055±0.002 vs. 0.034±0.001, P < 0.001). ECM also significantly promoted the proliferation of CDC and reduced the apoptosis and necrosis rate of CDC in vitro (0.052±0.002 vs. 0.025±0.001, P < 0.001). ConclusionWe obtained c-kit+ CDCs, effectively remove the cellular components of heart tissue-derived ECM and preserved the composition and structure of ECM. ECM can promote the differentiation of CDC to vascular endothelial cell, cardiac muscle cell or smooth muscle cell, promote the proliferation of CDCs and decrease CDC apoptosis and necrosis rate in vitro.