Fetal microchimeric cells in blood of women with an autoimmune thyroid disease

患有自身免疫性甲状腺疾病的女性血液中的胎儿微嵌合细胞

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作者:Trees Lepez, Mado Vandewoestyne, Shahid Hussain, Filip Van Nieuwerburgh, Kris Poppe, Brigitte Velkeniers, Jean-Marc Kaufman, Dieter Deforce

Conclusion

This study shows a clear association between fetal microchimeric cells and autoimmune thyroid diseases.

Methods

Fluorescence in situ hybridization (FISH) and repeated FISH were used to count the number of male fetal cells. Furthermore, the fetal cells were further characterized.

Objective

Aim of this study was to detect and characterize fetal cells in blood of postpartum women with and without an AITD. Participants: Eleven patients with an AITD and ten healthy volunteers, all given birth to a son maximum 5 years before analysis, and three women who never had been pregnant, were included. None of them had any other disease of the thyroid which could interfere with the

Results

In patients with HT, 7 to 11 fetal cells per 1.000.000 maternal cells were detected, compared to 14 to 29 fetal cells in patients with GD (p=0.0061). In patients with HT, mainly fetal CD8(+) T cells were found, while in patients with GD, fetal B and CD4(+) T cells were detected. In healthy volunteers with son, 0 to 5 fetal cells were observed, which was significantly less than the number observed in patients (p<0,05). In women who never had been pregnant, no male cells were detected.

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