Gammill Hilary S, Stephenson Mary D, Aydelotte Tessa M, Nelson J Lee
a Clinical Research Division; Fred Hutchinson Cancer Research Center ; Seattle , WA USA.
b Department of Obstetrics & Gynecology ; University of Washington ; Seattle , WA USA.
Chimerism. 2014;5(3-4):103-5. doi: 10.1080/19381956.2015.1017241. Epub 2015 Mar 16.
Miscarriage is the most common pregnancy complication, and recurrent miscarriage (3 or more consecutive pregnancy losses) affects 1-5% of couples. Maternal-fetal exchange and the persistence of exchanged material as microchimerism appears to be disrupted in complicated pregnancies. We recently conducted a longitudinal cohort study of microchimerism in women with recurrent miscarriage. Our initial data raise multiple questions that require further investigation. Here, we review our data from this recent study and provide additional information regarding microchimerism in the granulocyte cell layer. This area of investigation offers a unique window into early reproductive events, and future related studies have the potential to identify novel therapeutic approaches and insights into human evolution.
流产是最常见的妊娠并发症,复发性流产(连续3次或更多次妊娠丢失)影响1%-5%的夫妇。母胎物质交换以及作为微嵌合体的交换物质的持续存在在复杂妊娠中似乎受到破坏。我们最近对复发性流产女性的微嵌合体进行了一项纵向队列研究。我们的初步数据提出了多个需要进一步研究的问题。在此,我们回顾了这项最新研究的数据,并提供了关于粒细胞层微嵌合体的更多信息。这一研究领域为早期生殖事件提供了一个独特的窗口,未来相关研究有可能识别出新的治疗方法,并深入了解人类进化。