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怀有儿子的女性的甲状腺、肺、皮肤和淋巴结中会出现嵌合体现象。

Chimerism occurs in thyroid, lung, skin and lymph nodes of women with sons.

作者信息

Koopmans Marije, Kremer Hovinga Idske C L, Baelde Hans J, Harvey Mark S, de Heer Emile, Bruijn Jan A, Bajema Ingeborg M

机构信息

Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

J Reprod Immunol. 2008 Jun;78(1):68-75. doi: 10.1016/j.jri.2008.01.002. Epub 2008 Mar 7.

Abstract

Chimerism indicates the presence of cells from one individual in another. Pregnancy and blood transfusions are considered the main sources for chimerism. Chimeric cells have been attributed a pathogenic role in various autoimmune diseases. However, data on the occurrence of chimeric cells in normal organs are scarce. In order to gain insight into the possible pathogenic potential of chimeric cells in autoimmune disease, it is necessary to determine the prevalence of chimeric cells in organs not affected by autoimmune disease. In situ hybridization for the Y-chromosome was performed on organs obtained at autopsy of 51 women. We investigated 44 thyroid, 38 lung, 21 skin and 7 lymph node samples. All women had sons, and data from their blood transfusion histories were retrieved for at least 10 years before death. Slides were scored semi-quantitatively for chimerism as low (1-3 Y-chromosome-positive cells per slide), moderate (4-10 positive cells per slide) or high (more than 10 positive cells per slide). Y-chromosome-positive cells were found in 8 thyroid, 10 lung, 3 skin and 1 lymph node samples of 18 women. There was no association between the presence of chimeric cells and blood transfusion history. Most organs in which chimerism was present contained a small to moderate level. Thus, chimerism can occur in normal organs of women without autoimmune disease. Our results indicate that chimerism is not necessarily associated with disease.

摘要

嵌合体是指一个个体的细胞存在于另一个个体中。怀孕和输血被认为是嵌合体的主要来源。嵌合细胞在多种自身免疫性疾病中被认为具有致病作用。然而,关于正常器官中嵌合细胞出现情况的数据却很稀少。为了深入了解嵌合细胞在自身免疫性疾病中可能的致病潜力,有必要确定未受自身免疫性疾病影响的器官中嵌合细胞的患病率。对51名女性尸检获得的器官进行了Y染色体原位杂交。我们研究了44个甲状腺、38个肺、21个皮肤和7个淋巴结样本。所有女性都育有儿子,并获取了她们至少在死亡前10年的输血史数据。玻片上的嵌合体情况进行半定量评分,分为低(每张玻片1 - 3个Y染色体阳性细胞)、中(每张玻片4 - 10个阳性细胞)或高(每张玻片超过10个阳性细胞)。在18名女性的8个甲状腺、10个肺、3个皮肤和1个淋巴结样本中发现了Y染色体阳性细胞。嵌合细胞的存在与输血史之间没有关联。大多数存在嵌合体的器官中嵌合水平为低到中度。因此,嵌合体可出现在无自身免疫性疾病女性的正常器官中。我们的结果表明,嵌合体不一定与疾病相关。

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