Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report

Abstract Background Organ transplantations cause discrepancy in results from cell-free DNA (cfDNA) testing, but scientific literature is scarce. Case A 33-year old gravida underwent cfDNA testing, which showed high levels of Y chromosome (ChrY) in the maternal bloodstream. The ChrY pattern was compa...

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Main Authors: Nuria Balaguer, Emilia Mateu-Brull, Roy P. Naja, Jara B. Nagi, Miguel Milán
Format: Article
Language:English
Published: BMC 2021-01-01
Series:Molecular Cytogenetics
Subjects:
Online Access:https://doi.org/10.1186/s13039-020-00523-0
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author Nuria Balaguer
Emilia Mateu-Brull
Roy P. Naja
Jara B. Nagi
Miguel Milán
author_facet Nuria Balaguer
Emilia Mateu-Brull
Roy P. Naja
Jara B. Nagi
Miguel Milán
author_sort Nuria Balaguer
collection DOAJ
description Abstract Background Organ transplantations cause discrepancy in results from cell-free DNA (cfDNA) testing, but scientific literature is scarce. Case A 33-year old gravida underwent cfDNA testing, which showed high levels of Y chromosome (ChrY) in the maternal bloodstream. The ChrY pattern was comparable to an adult male reference. As a result, cfDNA testing was only informative for autosomes. Routine 20-week ultrasound scan showed no structural alterations and the presence of female external genitalia. Post-clinical research revealed that the patient received a bone marrow transplant from a male donor several years before. Fluorescence in situ hybridization showed that 100% of nuclei analysed from the patient’s lymphocytes presented a ChrY. Conclusion This case demonstrates ChrY can be used as a marker to avoid sex discrepancies in certain patients with organ transplants.
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spelling doaj.art-6415f15e081a41b8b76f29142bdb0cc92022-12-21T17:24:33ZengBMCMolecular Cytogenetics1755-81662021-01-011411510.1186/s13039-020-00523-0Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case reportNuria Balaguer0Emilia Mateu-Brull1Roy P. Naja2Jara B. Nagi3Miguel Milán4Igenomix Spain Lab S.L.U. Parque tecnológicoIgenomix Spain Lab S.L.U. Parque tecnológicoIgenomix UK Ltd, Surrey Technology CentreThe Centre for Reproductive & Genetic HealthIgenomix Spain Lab S.L.U. Parque tecnológicoAbstract Background Organ transplantations cause discrepancy in results from cell-free DNA (cfDNA) testing, but scientific literature is scarce. Case A 33-year old gravida underwent cfDNA testing, which showed high levels of Y chromosome (ChrY) in the maternal bloodstream. The ChrY pattern was comparable to an adult male reference. As a result, cfDNA testing was only informative for autosomes. Routine 20-week ultrasound scan showed no structural alterations and the presence of female external genitalia. Post-clinical research revealed that the patient received a bone marrow transplant from a male donor several years before. Fluorescence in situ hybridization showed that 100% of nuclei analysed from the patient’s lymphocytes presented a ChrY. Conclusion This case demonstrates ChrY can be used as a marker to avoid sex discrepancies in certain patients with organ transplants.https://doi.org/10.1186/s13039-020-00523-0NIPTBone marrowcfDNASex-discrepancy
spellingShingle Nuria Balaguer
Emilia Mateu-Brull
Roy P. Naja
Jara B. Nagi
Miguel Milán
Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
Molecular Cytogenetics
NIPT
Bone marrow
cfDNA
Sex-discrepancy
title Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
title_full Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
title_fullStr Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
title_full_unstemmed Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
title_short Chromosome Y as a marker for sex discrepancies in patients with organ transplants: a case report
title_sort chromosome y as a marker for sex discrepancies in patients with organ transplants a case report
topic NIPT
Bone marrow
cfDNA
Sex-discrepancy
url https://doi.org/10.1186/s13039-020-00523-0
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