Unknown Effects of the Fetal and Maternal Microchimerism


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Demirhan O.

INSAC World Health Sciences, Doç. Dr. Mehmet DALKILIÇ Dr. Öğretim Üyesi Hale KÖKSOY, Editör, Gece Kitaplığı, Ankara, ss.940-961, 2022

  • Yayın Türü: Kitapta Bölüm / Mesleki Kitap
  • Basım Tarihi: 2022
  • Yayınevi: Gece Kitaplığı
  • Basıldığı Şehir: Ankara
  • Sayfa Sayıları: ss.940-961
  • Editörler: Doç. Dr. Mehmet DALKILIÇ Dr. Öğretim Üyesi Hale KÖKSOY, Editör
  • Çukurova Üniversitesi Adresli: Evet

Özet

The term chimera is used to describe a being composed of parts from different sources or living beings that emerged or were created as a mixture of different living things. The genetic chimera describes a mixed organism consisting of two or more different zygotes. Often during pregnancy, a reciprocal exchange of cells occurs between the mother and the fetus, including some cells of the immune system. These pluripotent cells cross the placental barrier and enter the host's body, can settle in different organs and survive for decades. Thus, an individual may have a small population of foreign cells and hence nucleic acids of another genetically different individual. This phenomenon is known as microchimerism (Mc). The physiological consequences of Mc are not clear. However, it can be said that it may have beneficial or harmful effects or have no effect at all. Cases of chimerism are generally classified into three categories; 1. occurring after a blood or bone marrow transplant (artificial); 2. formed by the fertilization of two oocytes by two spermatozoa and the development of the organism (tetragametic); 3. routine stem cell transfer between mother and fetus during pregnancy. The most common known form of microchimerism (Mc) is cell transfer that occurs during pregnancy; transfer of the baby's stem cells to the mother (fetal microchimerism=FMc) and the transfer of the mother's stem cells to the baby (maternal microchimerism=MMc). Fetal and maternal cell exchanges are quite common during pregnancy. Now, we know that the placenta is not an immunologically inert barrier, but rather, it allows the reciprocal transport of maternal and fetal cells in a state of mutual tolerance during gestation. To develop microchimerism, it is not also necessary to continue a pregnancy and deliver an infant. Surgical and spontaneous abortions can deliver up to 500,000 nucleated fetal cells into a woman's circulation (1).