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Original Article
Brief Report
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Volume 346:1545-1552 May 16, 2002 Number 20
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Disputed Maternity Leading to Identification of Tetragametic Chimerism
Neng Yu, M.D., Margot S. Kruskall, M.D., Juan J. Yunis, M.D., Joan H.M. Knoll, Ph.D., Lynne Uhl, M.D., Sharon Alosco, M.T., Marina Ohashi, Olga Clavijo, Zaheed Husain, Ph.D., Emilio J. Yunis, M.D., Jorge J. Yunis, M.D., and Edmond J. Yunis, M.D.

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Chimerism, the presence of two genetically distinct cell lines in an organism, either is acquired through the infusion of allogeneic hematopoietic cells during transplantation1 or transfusion2 or is inherited. In fraternal twins, chimerism occurs by means of blood-vessel anastomoses. A less common cause of congenital chimerism — so-called tetragametic chimerism — occurs through the fertilization of two ova by two spermatozoa, followed by the fusion of the zygotes and the development of an organism with intermingled cell lines.3 Examples have been found in mice4 and other mammalian species,5,6,7 including humans.8,9,10,11,12,13,14,15,16,17 Affected persons are identified by the finding of two populations . . . [Full Text of this Article]

Case Report

Methods

Tissue Collection

Blood Grouping and HLA Studies

Cytogenetic Analysis

Determination of Sex Chromosomes

Short Tandem-Repeat Microsatellite Markers

Mixed-Lymphocyte Culture and Cell-Mediated Lysis

Results

Blood Typing

HLA Studies

Cytogenetic Analysis

Short Tandem-Repeat Microsatellite Markers

Mixed-Lymphocyte Culture and Cell-Mediated Lysis

Discussion


Source Information

From the American Red Cross Blood Services, New England Region, Dedham, Mass. (N.Y., S.A., M.O.); Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (M.S.K., J.H.M.K., L.U.); Servicios Medicos Yunis Turbay, Bogota, Colombia (Juan J. Yunis, Emilio J. Yunis); Departamento de Patología, Facultad de Medicina e Instituto de Genética, Universidad Nacional, Bogota, Colombia (Juan J. Yunis); Dana–Farber Cancer Institute and Harvard Medical School, Boston (O.C., Z.H., Edmond J. Yunis); and Miami (Jorge J. Yunis).

Address reprint requests to Dr. Kruskall at the Division of Laboratory and Transfusion Medicine, Yamins 309, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, or at mkruskal@caregroup.harvard.edu.

References


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