The phenotypic and functional characteristics of fetal lymphocytes are of considerable interest for our understanding of the development of the immune system. Recent advances demonstrate that prenatal contact of allergens and other antigens is possible and also that the fetal T and B cells might be able to response to various stimuli during gestation [1][2][3][4][5][6]. A potential link between prenatal contact with allergens and allergic disease in future life has also been proposed [1]. Mononuclear cells in the human umbilical cord blood collected after delivery at term have been thoroughly studied in the last two decades [7][8][9][10][11][12][13][14] and it is generally accepted that T cells from the neonates are phenotypically and functionally immature. However, currently little is known about the maturational process of fetal T cells during human gestation, due to the difficulties in obtaining, and also ethical dilemmas of working with, human fetal tissues. So far, only a handful of reports documented the phenotypes of T lymphocytes in human fetuses [15][16][17][18][19][20][21], few covered the functional status of these cells [1,2,6].T cells are identified by monoclonal Ab against CD3 and are further divided into CD4 + (helper) and CD8 + (cytotoxic) subsets. The majority of peripheral T cells express ab-TCR, while a small proportion (about 10%) express gd-TCR. CD16 and CD56 are commonly used for the identification of NK cells that do not have T cell surface markers. In the present study, we collected blood samples by ultrasound-guided cordocentesis from umbilical cord of human fetuses at early second-and third-trimester. Phenotypes of the T cell subsets were quantitatively determined by flow cytometry and their functional status analysed in proliferation and cytokine (IL-2, IL-4, IL-16, IL-10, TNF-a and IFN-g) assays.Term cord blood, maternal and healthy unrelated male adult peripheral blood samples were also included as controls.
MATERIALS AND METHODS
Subjects and blood samples
SUMMARYThis study was undertaken to investigate the phenotypic and functional status of T lymphocytes of human fetuses from early second-to third-trimester. Cord blood samples were obtained from 19 healthy human fetuses (gestation weeks: 18-36), by cordocentesis, and 16 term newborns (gestation weeks 37-42). Maternal and unrelated male blood samples were also taken as controls. Percentage of lymphocytes in fetal white blood cells was 79·3%, reducing to 40% by term birth, much higher than that of adults. Cord blood mononuclear cells (CBMC), prepared by density gradient centrifugation followed by lysis of erythrocytes, were stained using PE-or FITC-labelled monoclonal Abs and analysed by flow cytometry. The frequencies of CD3 + T cells in fetal (40·1%) and neonatal (42·4%) CBMC were significantly lower than that of men (59·6%) and pregnant women (53·6%). Proportions of CD8 + T cells (9·5%), gd-T cells (0·5%) and NK cells (4·8%) in fetal CBMC were also lower than that of neonates (except gd-T cells) and adults. A negative linear corr...