Related Experiment Video
Updated: Aug 11, 2026

A Choroid Plexus Epithelial Cell-based Model of the Human Blood-Cerebrospinal Fluid Barrier to Study Bacterial Infection from the Basolateral Side
Published on: May 6, 2016
Blast-like cells in cerebrospinal fluid of neonates. Possible germinal matrix origin
J R Fischer1, D D Davey, M L Gulley
1Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City 52242.
Insights
Primitive cell clusters (PCCs) in infant cerebrospinal fluid (CSF) were identified. These immature cells, found in hydrocephalus cases, are likely germinal matrix cells, not hematopoietic cells.
Area of Science:
- Neurology
- Pediatrics
- Cell Biology
Background:
- Primitive cell clusters (PCCs), immature blast-like cells, have been observed in cerebrospinal fluid (CSF).
- Their origin has been debated, with some suggesting a hematopoietic origin.
Purpose of the Study:
- To investigate the nature of PCCs observed in the CSF of infants with hydrocephalus.
- To determine the origin of PCCs using immunohistochemical analysis.
Main Methods:
- Analysis of Wright's-stained CSF cytocentrifuge specimens from four infants.
- Immunoperoxidase staining for neuron-specific enolase (NSE) and pan-leukocyte antibodies.
- Clinical correlation with hydrocephalus, intraventricular hemorrhage (IVH), and Arnold-Chiari malformation.
Main Results:
- PCCs were observed in four infants with hydrocephalus, three with IVH and one with Arnold-Chiari malformation.
- Hemosiderin-laden macrophages were present in IVH cases, sometimes mixed with PCCs.
- Immunoperoxidase staining showed PCCs were positive for NSE but negative for pan-leukocyte antibodies.
Conclusions:
- The findings suggest PCCs in infant CSF are most likely germinal matrix cells.
- This challenges previous assumptions of a hematopoietic origin for these cells.
- PCC identification may be relevant in understanding neurological conditions in infants.
Abstract:
Primitive cell clusters (PCCs) composed of immature blast-like cells were observed in Wright's-stained cerebrospinal fluid (CSF) cytocentrifuge specimens from four infants over an 18-month period. All of these patients had hydrocephalus; in three this was secondary to subependymal germinal matrix intraventricular hemorrhage (IVH) associated with prematurity. The fourth was associated with Arnold-Chiari malformation, Chiari type II. In the CSF samples from the patients with IVH, hemosiderin-laden macrophages were also prominent and, in some cases, were intimately admixed with the PCCs. Immunoperoxidase staining of cytocentrifuge preparations from one of the patients revealed that the PCCs stained with neuron-specific enolase (NSE) but not with pan-leukocyte antibodies. Cells with similar morphologic characteristics to PCCs in the CSF of infants have been infrequently illustrated in the literature and thought to be of hematopoietic origin. However, the immunohistochemical findings and the clinical presentation suggest that PCCs are most likely germinal matrix cells.
Related Concept Videos
Bacterial Meningitis
Viral Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology
Encephalitis l: Introduction
Encephalitis ll: Pathophysiology

