• Haploid embryonic stem cells (haESCs) combine the advantages of haploidy and pluripotency, enabling efficient genetic screening and drug-targeted therapy.
• The establishment of haESCs in various species, from medaka fish to mammals, has overcome the challenge of haploid cell culture and opened new avenues for genetic research.
• HaESCs serve as powerful tools for studying X chromosome inactivation, haploid diploidization, and gamete substitution, with potential applications in reproductive medicine.
• The review highlights the historical milestones and future directions in haESC research, emphasizing their significance in life sciences and clinical translation.
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