PMID- 15610364 OWN - NLM STAT- MEDLINE DCOM- 20050526 LR - 20080528 IS - 0905-6157 (Print) IS - 0905-6157 (Linking) VI - 15 IP - 6 DP - 2004 Dec TI - Monocyte switch in neonates: high phagocytic capacity and low HLA-DR expression in VLBWI are inverted during gestational aging. PG - 513-6 AB - Pre-term neonates are at high risk to develop early-onset sepsis which possibly is caused by an immature immune system. Monocytes play a pivotal role as professional phagocytic and antigen-presenting cells in the innate immunity. In the present study, we investigated in monocytes from cord blood the expression of human leukocyte antigen (HLA)-DR as a marker for antigen-presenting capability, the expression of the high-affinity receptor for IgG (FcgammaRI/CD64), and the capacity to phagocytize non-opsonized Escherichia coli. We compared 70 infants in three groups according to their gestational age (group I: 20 very low birth weight infants (VLBWI), 24-31 weeks of gestation; group II: 25 pre-term infants, 32-36 weeks of gestation, and group III: 25 term neonates). The expression of CD64 as well as the phagocytic capacity of monocytes from cord blood were highest in VLBWI (p < 0.05 and p < 0.01, respectively). In contrast, HLA-DR expression was significantly (p < 0.05) diminished in VLBWI, which possibly leads to a reduced antigen-presenting capacity. We conclude that monocytes have different functional properties during gestational aging, which perhaps participate in the high incidence of infections in VLBWI. FAU - Hallwirth, Ulrike AU - Hallwirth U AD - Department of Pediatric Surgery, University of Graz, Graz, Austria. FAU - Pomberger, Gerhard AU - Pomberger G FAU - Pollak, Arnold AU - Pollak A FAU - Roth, Erich AU - Roth E FAU - Spittler, Andreas AU - Spittler A LA - eng PT - Journal Article PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (HLA-DR Antigens) SB - IM MH - Age Factors MH - Analysis of Variance MH - Escherichia coli/immunology MH - Fetal Blood/immunology MH - Flow Cytometry/methods MH - *Gestational Age MH - HLA-DR Antigens/*biosynthesis/*blood MH - Humans MH - Infant, Newborn MH - Infant, Very Low Birth Weight/*immunology MH - Monocytes/*immunology MH - Phagocytosis/immunology/*physiology EDAT- 2004/12/22 09:00 MHDA- 2005/05/27 09:00 CRDT- 2004/12/22 09:00 PHST- 2004/12/22 09:00 [pubmed] PHST- 2005/05/27 09:00 [medline] PHST- 2004/12/22 09:00 [entrez] AID - PAI168 [pii] AID - 10.1111/j.1399-3038.2004.00168.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2004 Dec;15(6):513-6. doi: 10.1111/j.1399-3038.2004.00168.x.