The identification of human CD34-negative (CD34 −) hematopoietic stem cells (HSCs) provides a new concept for the hierarchy in the human HSC compartment. Previous studies demonstrated that CD34 − severe combined immunodeficiency (SCID)-repopulating cells (SRCs) are a distinct class of primitive HSCs in comparison to the well-characterized CD34 +CD38 − SRCs. However, the purification level of rare CD34 − SRCs in 18 lineage marker-negative (Lin −) CD34 − cells (1/1000) is still very low compared with that of CD34 +CD38 − SRCs (1/40). As in the mouse, it will be necessary to identify useful positive markers for a high degree of purification of rare human CD34 − SRCs. Using 18Lin −CD34 − cells, we analyzed the expression of candidate positive markers by flow cytometric analysis. We finally identified CD133 as a reliable positive marker of human CB-derived CD34 − SRCs and succeeded in highly purifying primitive human CD34 − HSCs. The limiting dilution analysis demonstrated that the incidence of CD34 − SRCs in 18Lin −CD34 −CD133 + cells was 1/142, which is the highest level of purification of these unique CD34 − HSCs to date. Furthermore, CD133 expression clearly segregated the SRC activities of 18Lin −CD34 − cells, as well as 18Lin −CD34 + cells, in their positive fractions, indicating its functional significance as a common cell surface maker to isolate effectively both CD34 + and CD34 − SRCs.