Objective: In order to study the immunological function of the human fetus
in the first and second trimesters, mixed lymphocyte culture (MLC) of fetal
liver and thymic cells was performed. MLC is a functional test to determin
e human lymphocyte antigen-D incompatibilities. Methods: Human fetal liver
and thymic tissue was obtained from abortions in gestational weeks 7-17.5.
Forty-seven fetuses were studied with one-way MLC. The cells were stimulate
d by adding irradiated fetal liver cells, adult bone marrow and peripheral
blood lymphocytes. The activity was measured as DNA incorporation of radiol
abeled thymidine. Results: The results indicate that the human fetus is com
petent to react as early as 11-12 weeks of gestation and in some cases even
earlier. In very immature fetal livers (< 8 weeks), the MLC seems to be in
hibited. Conclusions: Our data suggest that the human fetus can react again
st foreign transplantation antigens earlier than previous papers have claim
ed. The onset of reactivity seems to differ considerably among fetuses. The
present findings may explain some of the limited success of in utero trans
plantations of hematopoietic stem cells in human fetuses of normal immunolo
gical status. Copyright (C) 2000 S. Karger AG, Basel.