The human brainstem is a complex division of the brain comprised of more than 200 nuclei and fiber tracts. The brainstem is essential for the functioning of the entire body. We introduce here the most detailed human brainstem Atlas across the human lifespan: fetus, child, adult. ANCHOR, the Atlas of Neurochemical Characterization of the Human Brainstem, is an online platform that includes more than 800 serial histological sections, stained for Nissl and seven immunochemical (IHC) markers, from the human brainstem of three ages: 25 fetal gestational weeks (GW), 9 years old, and 54 years old. This makes ANCHOR the most comprehensive human brainstem Atlas to date. In these three brainstems, we identified and manually annotated over 200 structures. We further characterized these structures with the seven IHC markers. We specifically describe the catecholaminergic groups in the human brainstem across all three age groups. In addition, we identified the protoplasmic commissural dendrites of the hypoglossal nucleus and we describe the pretectal nuclei in the Nissl-stained fetal 25 GW brainstem. ANCHOR includes an online viewer that integrates multimodal data, from magnetic resonance imaging and block face imaging to Nissl- and IHC-stained serial sections and 3D reconstruction of the entire brainstem. For the 9-year-old specimen, the online viewer allows simultaneous navigation of annotated sections with corresponding IHC, for viewing the specific region-wise cellular features accessible at
https://anchor.humanbrain.in/.
Mihail Bota, Soundharya Venkatesh, Shevani Arun Arunesh, Nagajothi Ganesan, Supriti Mulay, Karan Ramana Gopi, Sruti Rekha Muni, Shrimathi Mani, Chrisline Sam, A.S.T. Aditya Bharg, Vinoth Kanna, S. Lata, E. Harish Kumar, S. Suresh, Mousumi Sen, Ranjit Immanuel James, Abi Manesh, George M. Varghese, K.V. Vinoth, Keerthi Ram, Richa Verma, Paul R. Manger, Mohanasankar Sivaprakasam
(2026), ANCHOR: Atlas of Neurochemical Characterization of the Human brainstem with 3D Reconstruction. bioRxiv 2026.06.03.727794; doi:
https://doi.org/10.64898/2026.06.03.727794