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Macrophages, microglial cells, and HLA-DR antigens in fetal and infant brain

M M Esiri1, M S al Izzi, M C Reading

  • 1Department of Neuropathology, Radcliffe Infirmary, Oxford.

Insights

Macrophages and microglia are present in fetal brains, with immune responses varying by age. Human Leukocyte Antigen-DR (HLA-DR) antigen expression on these cells may indicate susceptibility to infections in developing brains.

Area of Science:

  • Neuroscience
  • Immunology
  • Developmental Biology

Background:

  • Immune cell presence and function in the developing human brain are not fully understood.
  • Macrophages and microglia are key immune cells in the central nervous system.

Purpose of the Study:

  • To investigate the presence and characteristics of macrophages, microglia, and HLA-DR antigen expression in fetal and infant brain tissue.
  • To correlate immune cell findings with gestational age and sudden infant death syndrome (SIDS).

Main Methods:

  • Immunohistochemistry was used to analyze brain tissue sections from 20 fetuses and infants (18 weeks gestation to 8 months post-term).
  • Reactions for macrophages, microglia, and HLA-DR antigens were assessed.

Main Results:

  • Macrophages were detected in various brain regions across all samples.
  • Well-differentiated microglia appeared after 35 weeks gestation, with less developed forms seen earlier.
  • HLA-DR antigens were found on some macrophages, primarily perivascularly, with weaker reactions in younger fetuses.

Conclusions:

  • The study characterizes the ontogeny of macrophages and microglia in the human fetal brain.
  • HLA-DR expression suggests potential immune surveillance and response capabilities even in early development.
  • Findings may inform understanding of immune responses in fetal brain infections, including HIV.

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