Objective:The present study aims to determine whether pharmacological activation of the transcriptional coactivator with PDZ-binding motif Tafazzin(TAZ) by chemical TM-25659 can promote osteogenic differentiation and bone formation of adipose-derived stem cells(ADSCs)in vitro and in vivo. Methods:Human ADSCs were isolated and expanded in vitro. The changing expressions of TAZ during ADSCs differentiation at different time points were measured by Western blot and real-time quantitative reverse transcription polymerase chain reaction(PCR). Alizarin red S and oil red O staining were used to detect osteogenic and adipogenic effects. The ADSCs following initial osteogenic differentiation and TM-25659 were loaded on scaffold β-tricalcium phosphate(β-TCP)and then subcutaneously implanted into nude mice. Six weeks later,the results of bone formation in vivo after implantation of the ADSCs were measured and compared by Hematoxylin-Eosin staining,Masson staining and immunohistochemistry staining. Results:TAZ was upregulated during osteogenic differentiation of ADSCs but downregulated during adipogenic differentiation. Pharmacological activation of TAZ by TM-25659 promotes osteogenic differentiation of ADSCs in vitro. The transient treatment of ADSCs with TM-25659 significantly enhances new bone regeneration of ADSCs in vivo. Conclusion:TAZ is a key mediator for promoting osteogenic differentiation of ADSCs. The pharmacological activation of TAZ in ADSCs might become a feasible treatment for bone regeneration and repair.