Macrophages are believed to play an important role within the immunoprotective effects of human breast milk. It was the purpose of this study to evaluate the capability of human milk macrophages (MM⌽) to generate superoxide anions (O 2 -) in comparison with peripheral blood monocytes (BMo) after stimulation with opsonized and unopsonized zymosan. Potential inhibitors of attachment and phagocytosis such as mannose and cytochalasin B were used. Expression of the mannose receptor on MM⌽ was demonstrated by staining with MAb. BMo generated more O 2 -than MM⌽ (417 Ϯ 79 versus 216 Ϯ 15 nmol O 2 -/mg protein, p Ͻ 0.05) after stimulation with opsonized zymosan. When unopsonized zymosan was used as a serum-independent stimulus, BMo generated slightly less O 2 -in comparison with MM⌽ (150 Ϯ 34 versus 176 Ϯ 18 nmol O 2 -/mg protein, p Ͻ 0.05). These findings imply a higher proportion of opsoninindependent phagocytosis in MM⌽ than in BMo (82 versus 36%). Preincubation with mannose resulted in a significantly higher reduction of O 2 -generation in MM⌽ compared with BMo stimulated with opsonized zymosan, whereas no difference was found when unopsonized zymosan was used. After addition of cytochalasin B, equal inhibition of O 2 -generation was observed regardless of the cell type or stimulus used. Thus, MM⌽ are stimulated to a greater extent by serum-independent mechanisms than BMo. As opsonins like complement or IgG are rare in the colostrum and the neonatal intestinal environment, such a differentiation toward serum-independent phagocytic abilities could play an important role for protective functions of human MM⌽. Besides well-known nutritional benefits, transfer of antimicrobial activity is of great importance in infant breast-feeding. A great variety of humoral defense factors (e.g. secretory Ig, especially sIgA, lactoferrin, lysozyme, oligosaccharides, mucins, and others) contribute to the beneficial effects. In addition, large numbers of viable cells are present in human colostrum and breast milk with a high proportion of macrophages likely being responsible for antiinfectious properties.These human MM⌽ with a diameter of 18 to 40 m contain a high amount of phagocytosed lipids, "foamy cells." Their morphologic and cytochemical properties are similar to differentiated macrophages. For example, they bear Fc receptors for different subclasses of IgG, IgA, and C3b receptors and synthesize various humoral defensive factors such as complement factors, lactoferrin, and lysozyme (1-5).Because human MM⌽ remain viable in conditions similar to those in the small intestine (6), show relative resistance to an environment with a pH Ͻ3, and resist trypsinization (7), it seems very likely that MM⌽ can develop their immunoprotective functions within the gastrointestinal tract of the breast-fed baby.Interaction of macrophage membrane receptors with complementary coating substances on a pathogen's surface is well described as opsonophagocytosis. These coatings (opsonins), derived from various sites of the hosts immune system, consist of b...