Human bone marrow multipotent mesenchymal stromal cells (hMSCs) number decreases with aging. Sub-populations of hMSCs can differentiate into cells found in bone, vasculature, cartilage, gut, and other tissues, and participate in their repair. Maintaining throughout adult life, such cell sub-populations should help prevent or delay the onset of age-related degenerative conditions. Low oxygen tension, the physiological environment in progenitor cell-rich regions of the bone marrow microarchitecture, stimulates the self-renewal of marrow-isolated adult multilineage inducible (MIAMI) cells and expression of Sox 2, Nanog, Oct4a nuclear accumulation, Notch intracellular domain (NICD), notch target genes, neuronal transcriptional repressor element 1 (RE1) silencing transcription factor (REST), and hypoxia-inducible factor-1 alpha (HIF-1). Additionally, by decreasing the expression of (i) the pro-apoptotic proteins apoptosis-inducing factor (AIF) and Bak, and (ii) senescence-associated p53 expression and β-galactosidase activity. Furthermore, low oxygen increases canonical Wnt pathway signaling, co-receptor Lrp5 expression, and PI3K/Akt pathway activation. Lrp5 inhibition decreases self-renewal marker Sox2 mRNA, Oct4a nuclear accumulation and cell numbers. Wortmannin-mediated PI3K/Akt pathway inhibition leads to increased osteoblastic differentiation at both, low and high, oxygen tensions. We demonstrate that low oxygen stimulates a complex signaling network involving PI3K/Akt, Notch, and canonical Wnt pathways, which mediate the observed increase in nuclear Oct4a and REST, with simultaneous decrease in p53, AIF and Bak. Collectively, these pathway activations contribute to increased self-renewal with concomitant decreased differentiation, cell cycle arrest, apoptosis and/or senescence in MIAMI cells. Importantly, the PI3K/Akt pathway plays a central mechanistic role in the oxygen tension-regulated self-renewal vs. osteoblastic differentiation of progenitor cells.