Tartrate-resistant acid phosphatase is an inducible marker of cell dif
ferentiation and activation expressed by specialized cells of macropha
ge Lineage and some activated lymphocytes. Clinically, this phosphatas
e is a diagnostic marker for hairy cell leukaemia and osteoclast activ
ity. The cDNA for this enzyme has been cloned from a placental express
ion library, yet the cell(s) expressing the enzyme protein has not bee
n determined with certainty. Our laboratories have developed a monoclo
nal antibody, 9C5, suitable for immunohistochemical localization of ta
rtrate-resistant acid phosphatase in paraffin sections. The purpose of
this study was to use antibody 9C5 to identify cells expressing tartr
ate-resistant acid phosphatase in sections of paraffin-embedded, norma
l, full-term placenta and to determine if those cells expressed other
macrophage markers including CD68 (PG-M1 antibody), LN5, lysozyme, alp
ha(1)-antitrypsin and alpha(1)-antichymotrypsin. Histochemical localiz
ation of activity in frozen sections was compared with immunohistochem
ical localization in paraffin sections of the same tissue specimens. T
he activity and antigenicity of this enzyme were detected in decidual
cells, syncytiotrophoblast, and some macrophages distributed throughou
t maternal and embryonic tissues, but not in neutrophils. Unlike other
tissues previously examined, placenta contains significant numbers of
the phosphate-positive cells that are not of macrophage origin.