Using confocal scanning laser microscopy of viable tissue sections, we
have demonstrated organized lymphoid aggregates (LA), that have a uni
que structure, in the stratum basalis of uterine endometrium. These LA
consist of a core of B cells surrounded by more numerous T cells and
an outer halo of monocytes/macrophages. The T cells in the LA were alm
ost exclusively CD8(+)CD4(-). These CD8(+) LA, in terms of both their
T cell and B cell components, were either small or absent during the e
arly proliferative stage of the menstrual cycle, significantly larger
in size at mid-cycle and during the secretory phase, and absent in pos
t-menopausal women, suggesting that their development is hormonally in
fluenced. This new finding of a menstrual cycle-dependent, phenotypica
lly unique, organized immune cell structure may lead to new insights i
nto the mechanisms by which the endometrium accepts a semiallogeneic g
raft while providing resistance to infectious organisms.