SUMMARYWe have used a panel of MoAbs lo investigate the phenotype of macrophages and other leucocytes infiltrating onchocercal nodules. Nodules were removed from individuals at the end of the second year of a community-based, placebo-controlled trial of annual ivcrmeclin chemotherapy in northern Nigeria. No significant differences were seen in the distribution and phenotype of leucocytes in nodules from ivermectin-and plaee bo-treated individuals. Live adult worms were only seen in nine of the 21 nodules examined. Three regions were elearly discernible within nodules eontaining both live and dead worms; an outer fibrovascular capsule {zone A), an inner adult worm bundle with surrounding hyaline extracellular matrix interspersed with solitary eells (zone B), and a dense cellular infiltrate surrounding and in contact with a variable proportion ofthe worm (zone C). Maerophages were the predominant cell type in all zones ofthe nodule. Those in zone B were distinguished by their dendritic morphology and strong reaetivity with MoAbs directed against class II molecules. FcRl (CD64) and CD68, whereas macrophages in zone C were larger, more heterogeneous in shape, and were distinguished by strong reaetivity with MoAbs directed against CR4 (CDIlc. CDI8) and MRP8/MRPI4, and with MoAb24. Tcells were found primarily in zones A and C. whilst eosinophils were found in only six nodules. A unique staining pattern was seen using MoAbs reacting with the ealcium-binding protein MRP8/MRPI4. Most macrophages in zones A and B were negative; however, where the occasional positive maerophage was seen in zone B. MRP8/MRPI4 was also found around the eell and on the neighbouring worm surface, giving the impression that MRP8/ MRP14 was being seereted onto the adult worm. Maerophages in zone C were also MRP8/MRPI4-positive. and often the whole infiltrate was surrounded with extracellular MRP8/MRPI4, with greatest concentration seen adjacent to the worm. MRP8/MRP14 was not identified on the surface of microfilariae(MF) within the same nodules. Since MRP8/MRPI4 was seen on the adult worm in the absence of a leueocytic infiltrate, it may have an early role to play in the immune response to Onchocerca volvulus.