Postnatal growth of the human pons: A morphometric and immunohistochemical analysis

ABSTRACT Despite its critical importance to global brain function, the postnatal development of the human pons remains poorly understood. In the present study, we first performed magnetic resonance imaging (MRI)‐based morphometric analyses of the postnatal human pons (0–18 years; n = 6–14/timepoint). Pons volume increased 6‐fold from birth to 5 years, followed by continued slower growth throughout childhood. The observed growth was primarily due to expansion of the basis pontis. T2‐based MRI analysis suggests that this growth is linked to increased myelination, and histological analysis of myelin basic protein in human postmortem specimens confirmed a dramatic increase in myelination during infancy. Analysis of cellular proliferation revealed many Ki67+ cells during the first 7 months of life, particularly during the first month, where proliferation was increased in the basis relative to tegmentum. The majority of proliferative cells in the postnatal pons expressed the transcription factor Olig2, suggesting an oligodendrocyte lineage. The proportion of proliferating cells that were Olig2+ was similar through the first 7 months of life and between basis and tegmentum. The number of Ki67+ cells declined dramatically from birth to 7 months and further decreased by 3 years, with a small number of Ki67+ cells observed throughout childhood. In addition, two populations of vimentin/nestin‐expressing cells were identified: a dorsal group near the ventricular surface, which persists throughout childhood, and a parenchymal population that diminishes by 7 months and was not evident later in childhood. Together, our data reveal remarkable postnatal growth in the ventral pons, particularly during infancy when cells are most proliferative and myelination increases. J. Comp. Neurol. 523:449–462, 2015. © 2014 Wiley Periodicals, Inc. Through the use of morphometric and cellular techniques, the authors provide the first detailed description of the robust growth of the human pons after birth (0‐18 yrs). This preferential growth is largely due to expansion of the basis pontis through a combination of increased myelination and proliferation of glial progenitors, particularly in the first 7 months of life. These data have important implications for understanding both the normal development of the pons and the origin of brainstem tumors in children.