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一例精原细胞来源的完全性葡萄胎

发布:2021-03-15 19:41 | 来源:健康日报网 | 查看:
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摘要: CHM发生在一位女性身上,她在体外将一个假定的圆形精子细胞注射到她的一个卵母细胞中,并将囊胚植入子宫内。CHM基因与她丈夫的外周血白细胞相同,不含母体来源的核DNA。 研究组假设,工作人员无意中选择了一个精原细胞,而非一个圆形精子细胞。CHM发展为妊

CHM发生在一位女性身上,她在体外将一个假定的圆形精子细胞注射到她的一个卵母细胞中,并将囊胚植入子宫内。CHM基因与她丈夫的外周血白细胞相同,不含母体来源的核DNA。

研究组假设,工作人员无意中选择了一个精原细胞,而非一个圆形精子细胞。CHM发展为妊娠滋养细胞瘤,化疗后消退。

附:英文原文

Title: Spermatogonium-Derived Complete Hydatidiform Mole

Author: Hirokazu Usui, M.D., Ph.D.,, and Makio Shozu, M.D., Ph.D.

Issue&Volume: 2021-03-10

Abstract: A complete hydatidiform mole (CHM) is a conceptus with only sperm-derived chromosomes. Here, we report on a CHM with genomic DNA identical to that of the paternal somatic cells. The CHM developed in a woman who had undergone intrauterine implantation of a blastocyst obtained through in vitro injection of a presumed round spermatid into one of her oocytes. The CHM was genetically identical to peripheral white cells of her husband and contained no maternally derived nuclear DNA. We hypothesize that a spermatogonium, rather than a round spermatid, was inadvertently selected for the procedure. The CHM developed into a gestational trophoblastic neoplasia, which resolved after chemotherapy. 

DOI: 10.1056/NEJMoa2005756

Source: https://www.nejm.org/doi/full/10.1056/NEJMoa2005756

期刊信息

The New England Journal of Medicine:《新英格兰医学杂志》,创刊于1812年。隶属于美国麻省医学协会,最新IF:70.67
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