CD163-positive perivascular macrophages in the human CNS express molecules for antigen recognition and presentation

Babs O Fabriek, Elise S Van Haastert, Ian Galea, Machteld M J Polfliet, Ed D Döpp, Michel M Van Den Heuvel, Timo K Van Den Berg, Corline J A De Groot, Paul Van Der Valk, Christine D Dijkstra

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Perivascular macrophages (PVM) constitute a subpopulation of resident macrophages in the central nervous system (CNS) that by virtue of their strategic location at the blood-brain barrier potentially lend themselves to a variety of important functions in both health and disease. Functional evidence suggests that PVM play a supportive role during experimental autoimmune encephalomyelitis in rodents. However, the function of PVM in the human CNS remains poorly characterized. We first set out to investigate the validity of the antibody EDhu1, which recognizes human CD163, to specifically identify human PVM. Second, we wanted to gain insight into the function of PVM in antigen recognition and presentation and therefore we studied the expression of DC-SIGN, mannose receptor, MHC class II, and several costimulatory molecules by PVM in the normal and inflamed human CNS (multiple sclerosis (MS) brain lesions). Conventional immunohistochemistry and double-labeled immunofluorescence techniques were used. We show that CD163 specifically reveals PVM in the normal human CNS. In MS lesions, CD163 staining reveals expression on foamy macrophages and microglia, besides an upregulation of the amount of PVM stained. In contrast, mannose receptor expression is restricted to PVM in both normal and inflamed brain tissue. Furthermore, we show that a subpopulation of PVM in the human brain express several molecules involved in antigen recognition, presentation, and costimulation. Therefore PVM, which occupy a strategic location at the BBB, are equipped to recognize antigen and present it to T cells, supporting a role in the regulation of perivascular inflammation in the human CNS.

Original languageEnglish
Pages (from-to)297-305
Number of pages9
Issue number4
Publication statusPublished - Sept 2005


  • Aged
  • Antigen Presentation/immunology
  • Antigen-Presenting Cells/immunology
  • Antigens, CD/immunology
  • Antigens, Differentiation, Myelomonocytic/immunology
  • Blood-Brain Barrier/cytology
  • Cell Adhesion Molecules/immunology
  • Central Nervous System/immunology
  • Cerebral Arteries/cytology
  • Encephalitis/immunology
  • Female
  • Histocompatibility Antigens Class II/immunology
  • Humans
  • Inflammation Mediators/immunology
  • Lectins, C-Type/immunology
  • Lymphocyte Activation/immunology
  • Macrophages/immunology
  • Male
  • Mannose-Binding Lectins/immunology
  • Microcirculation/cytology
  • Microglia/immunology
  • Middle Aged
  • Receptors, Cell Surface/immunology
  • T-Lymphocytes/immunology

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