OBJECTIVE: To explore the mechanism of differentiation from cardiac stem cells (CSCs) into cardiac cells induced by Cornu Corvi polypeptides. METHODS: CSCs were isolated from SD rats, and cultured to P3 generation after identification and then divided into blank control group, 5-azacitidine induction group (3 μmol/L), Cornu Corvi polypeptides induction group (800 μg/ml) and combination induction group. Except blank control group was cultured with culture solution containing 3% FBS, other groups were cultured with culture solution containing relevant derivant for 14 d. The expression of cTnT was determined by immunohistochemical method; the expression of cTnT, ATF-2 and MEF-2C were determined by immunoblot assay; mRNA expression of cTnT, Nkx2.5 and GATA4 were detected by RT-PCR. RESULTS: CSCs were prepared successfully with purity>97%. Compared with blank control group (cTnT being negative), cTnT of induction groups were positive, and the protein expression of cTnT, ATF-2 and MEF-2C and mRNA expression of cTnT, Nkx2.5 and GATA4 were all increased (P<0.05). Compared with 5-azacitidine induction group, the protein expression of cTnT and MEF-2C and mRNA expression of cTnT and GATA4 were decreased in Cornu Corvi polypeptide groups (P<0.05); the protein expression of cTnT, ATF-2 and MEF-2C and mRNA expression of cTnT and GATA4 were all increased in combination induction group (P<0.05). CONCLUSIONS: Cornu Corvi polypeptides can induce differentiation of CSCs into cardiac cells by promoting the expression of Nkx2.5, GATA4, ATF-2, MEF-2C and other transcription factors.