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Updated: Jul 14, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
CD64 (Fcgamma receptor I) cell surface expression on maturing neutrophils from preterm and term newborn infants
G Fjaertoft1, L Håkansson, T Foucard
1Department of Women's and Children's Health, Section of Paediatrics, University Hospital, Uppsala, Sweden.
Insights
Neutrophil CD64 (FcgammaRI) expression is moderately increased in preterm infants at birth, potentially aiding bacterial infection diagnosis. This expression normalizes within the first month, unaffected by preterm birth complications like RDS or PROM.
Area of Science:
- Immunology
- Neonatal Research
- Infectious Disease Diagnostics
Background:
- Neutrophil CD64 (FcgammaRI) expression elevates during bacterial infections, suggesting diagnostic potential in infants.
- Understanding CD64 dynamics in newborns is crucial for early infection detection.
Purpose of the Study:
- To monitor changes in neutrophil CD64 expression postpartum in infants.
- To assess the influence of respiratory distress syndrome (RDS) and preterm rupture of membranes (PROM) on CD64 expression.
Main Methods:
- Flow cytometry analyzed CD64, CD32, CD16, CD11b/CD18, and CD35 expression on neutrophils from preterm/term infants and adults.
- Comparative analysis of Fcgamma and complement receptor expression.
Main Results:
- Preterm infants exhibit moderately increased neutrophil CD64 at birth, decreasing to term/adult levels within one month.
- Neutrophil CD32 and CD16 expression were lower in preterm infants compared to term infants and adults.
- CD11b expression was similar across groups but increased post-birth in newborns.
Conclusions:
- Neutrophil CD64 is moderately elevated in preterm infants at birth, likely indicating bacterial infection rather than preterm birth complications.
- CD64 expression appears independent of RDS and PROM, reinforcing its specificity for bacterial infections.
Background:
The expression of CD64 (FcgammaRI) is increased from an almost negligible to a marked level on neutrophils in patients with bacterial infections. CD64 expression on neutrophils might therefore be a potential candidate for the diagnosis of bacterial infections in infants.
Aim:
This study was performed to monitor changes of neutrophil expression of CD64 during the postpartum period to further evaluate the usefulness of this analysis. The possible influence on the expression of this receptor by other factors was also investigated, including respiratory distress syndrome (RDS) and preterm rupture of the membranes (PROM).
Methods:
Cell surface expression of CD64 on neutrophils from preterm and term newborn infants and healthy adults was analysed by flow cytometry. The expression of the other Fcgamma receptors, CD32 and CD16, and the complement receptors CD11b/CD18 and CD35 was also analysed for comparison.
Results:
Neutrophils from preterm newborn infants showed a moderately increased level of CD64 expression that, during their first month of life, was reduced to the level observed on neutrophils from term newborn infants and adults. In contrast, the level of neutrophil expression of CD32 and CD16 was significantly lower in preterm than term newborn infants and adults. Neutrophils from all groups indicated similar levels of CD11b expression, but the expression on neutrophils from newborn infants increased after birth.
Conclusion:
Our results showed that neutrophil expression of CD64 is moderately increased in preterm newborn infants at birth. It seems not to be influenced by RDS, PROM or other factors related to preterm birth but by bacterial infection.
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