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Microglia in the immune surveillance of the brain: human microglia constitutively express HLA-DR molecules

J Gehrmann1, R B Banati, G W Kreutzberg

  • 1Max-Planck-Institute of Psychiatry, Department of Neuromorphology, Martinsried near Munich, Germany.

Insights

Resting microglia in normal human brain tissue show strong HLA-DR expression, particularly in white matter. This finding challenges the concept of brain immune privilege and highlights microglia

Area of Science:

  • Neuroimmunology
  • Human Brain Tissue Analysis
  • Immunohistochemistry

Background:

  • MHC class II expression in normal human brain tissue is debated, with some views suggesting low levels except in white matter.
  • Previous understanding posits the brain as an immune-privileged site, implying limited immune cell activity and antigen presentation.

Purpose of the Study:

  • To investigate the constitutive expression of HLA-DR (MHC class II) in histologically normal human brain autopsy tissue.
  • To compare HLA-DR expression patterns in different brain regions, focusing on microglia and other cell types.
  • To evaluate the implications of observed HLA-DR expression on the concept of brain immune privilege.

Main Methods:

  • Immunocytochemical examination of HLA-DR expression in brain areas from three autopsy cases with short post-mortem intervals (6 hours).
  • Histological evaluation confirmed the normal appearance of all studied brain areas.
  • Confirmation of staining patterns using multiple anti-HLA-DR monoclonal antibodies and quantitative analysis.

Main Results:

  • Strong constitutive HLA-DR expression was observed on ramified microglia across all examined brain areas.
  • Microglial HLA-DR expression was most abundant in white matter (e.g., corpus callosum, capsula interna) compared to grey matter.
  • A sharp contrast in microglial HLA-DR density was noted at the white-grey matter border; HLA-ABC (MHC class I) was found on endothelia, not microglia.

Conclusions:

  • Constitutive HLA-DR expression by microglia identifies them as the primary resident antigen-presenting cells in the human brain.
  • The widespread and strong HLA-DR expression by resting microglia challenges the traditional view of the brain as an immune-privileged site.
  • Microglia play a crucial role in brain immune surveillance, evidenced by their antigen-presenting capabilities.

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