During hematopoiesis in humans, cells of the myeloid lineage are derived from a common myeloid progenitor (CMP) in the bone marrow. This lineage—which includes monocytes, granulocytes, erythrocytes, and platelets—is a primary component of the innate immune system and serves as a first line of defense against infection.
To date, as many as 25 distinct myeloid lineage cells have been characterized, each of which perform a unique role in mounting an immune response. The ability to identify and quantify each of the myeloid subtypes is essential for understanding why different populations are activated in response to certain pathogens and how they contribute to the resolution of an immune challenge.
Each terminal effector cell type—the end product of each branch of the myeloid lineage—participates in the immune response in a unique way. For example, basophils act in many inflammatory reactions and secrete the anticoagulant heparin to slow the formation of blood clots. Eosinophils are well known for their role in combating parasitic and viral infections through their release of major basic proteins and ribonucleases. Neutrophils, the most abundant granulocyte, are front-line responders to sites of inflammation and infection and are able to attack and remove invading microorganisms through phagocytosis. Macrophages are present in most tissues and recognize foreign antigens and damaged cells for immediate destruction via phagocytosis, a process that can also lead to antigen presentation and the activation of other immune cells. Upon tissue injury or pathogen infection, monocytes in the blood are recruited to the affected tissue and differentiate into macrophages. Dendritic cells have the capacity to engulf cellular and foreign material by phagocytosis, which is then processed for presentation as antigens to T cells. As such, dendritic cells serve to relay information about pathogens between the innate and adaptive immune systems.
Distinguishing between each of the cell types within the myeloid lineage can be accomplished using a variety of methods. First, subsets of myeloid cells can be characterized based on their morphology and distribution with tissues or blood. However, fine-grained classification of different cell classes requires immunophenotyping, which exploits the expression of distinct cell surface molecules that can be recognized by antibodies and visualized by immunohistochemistry or flow cytometry. Groups of antibodies with reactivity to these cell surface molecules at various stages of differentiation are used to identify “cluster of differentiation” (CD) antigens. Patterns of CD antigen immunoreactivity, in addition to immunophenotyping, can be used to detect and quantify the presence of a specific immune cell in a heterogeneous population.
Examples of myeloid lineage markers include pan-myeloid marker CD11b, CD206 for M2-type macrophages, CD68, and CD15 for neutrophils. While some markers are unique to each cell class, often a combinatorial analysis of multiple markers is required to assess the true phenotype of the myeloid cell lineages.