A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism

Abstract Chimerism results from the fusion of two zygotes in a single embryo, whereas mosaicism results from mitotic errors in a single zygote. True human chimerism is rare, with fewer than 100 cases reported in the literature. Here, we report a case in which the fetus was identified as having tetra...

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Main Authors: Lin Chen, Li Wang, Yang Zeng, Daishu Yin, Feng Tang, Dan Xie, Hongmei Zhu, Lingping Li, Jing Wang
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-024-06321-5
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author Lin Chen
Li Wang
Yang Zeng
Daishu Yin
Feng Tang
Dan Xie
Hongmei Zhu
Lingping Li
Jing Wang
author_facet Lin Chen
Li Wang
Yang Zeng
Daishu Yin
Feng Tang
Dan Xie
Hongmei Zhu
Lingping Li
Jing Wang
author_sort Lin Chen
collection DOAJ
description Abstract Chimerism results from the fusion of two zygotes in a single embryo, whereas mosaicism results from mitotic errors in a single zygote. True human chimerism is rare, with fewer than 100 cases reported in the literature. Here, we report a case in which the fetus was identified as having tetragametic chimerism based on short tandem repeat - polymerase chain reaction analysis of the family observed during amniocentesis for advanced maternal age. The chimerism occurred via the fertilization of two ova by two spermatozoa, followed by the fusion of early embryos. The genotypes of the two amniotic fluid samples obtained successively by one puncture were completely different, and the sex chromosomes were XY. Karyotyping and copy number variation sequencing showed no abnormalities. The fetus was delivered at term and the phenotype of the newborn was normal.
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spelling doaj.art-817564fb2cb444e984a3c762b635a8e92024-03-05T20:39:46ZengBMCBMC Pregnancy and Childbirth1471-23932024-02-012411610.1186/s12884-024-06321-5A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerismLin Chen0Li Wang1Yang Zeng2Daishu Yin3Feng Tang4Dan Xie5Hongmei Zhu6Lingping Li7Jing Wang8Department of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityDepartment of Medical Genetics / Prenatal Diagnostic Center, West China Second University Hospital, Sichuan UniversityAbstract Chimerism results from the fusion of two zygotes in a single embryo, whereas mosaicism results from mitotic errors in a single zygote. True human chimerism is rare, with fewer than 100 cases reported in the literature. Here, we report a case in which the fetus was identified as having tetragametic chimerism based on short tandem repeat - polymerase chain reaction analysis of the family observed during amniocentesis for advanced maternal age. The chimerism occurred via the fertilization of two ova by two spermatozoa, followed by the fusion of early embryos. The genotypes of the two amniotic fluid samples obtained successively by one puncture were completely different, and the sex chromosomes were XY. Karyotyping and copy number variation sequencing showed no abnormalities. The fetus was delivered at term and the phenotype of the newborn was normal.https://doi.org/10.1186/s12884-024-06321-5ChimerismShort tandem repeatPrenatal diagnosis
spellingShingle Lin Chen
Li Wang
Yang Zeng
Daishu Yin
Feng Tang
Dan Xie
Hongmei Zhu
Lingping Li
Jing Wang
A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
BMC Pregnancy and Childbirth
Chimerism
Short tandem repeat
Prenatal diagnosis
title A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
title_full A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
title_fullStr A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
title_full_unstemmed A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
title_short A prenatal case misunderstood as specimen confusion: 46,XY/46,XY chimerism
title_sort prenatal case misunderstood as specimen confusion 46 xy 46 xy chimerism
topic Chimerism
Short tandem repeat
Prenatal diagnosis
url https://doi.org/10.1186/s12884-024-06321-5
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