Determining the extent of maternal-foetal chimerism in cord blood

Sci Rep. 2019 Mar 27;9(1):5247. doi: 10.1038/s41598-019-41733-w.

Abstract

During pregnancy, maternal T cells can enter the foetus, leading to maternal-foetal chimerism. This phenomenon may affect how leukaemia patients respond to transplantation therapy using stem cells from cord blood (CB). It has been proposed that maternal T cells, primed to inherited paternal HLAs, are present in CB transplants and help to suppress leukaemic relapse. Several studies have reported evidence for the presence of maternal T cells in most CBs at sufficiently high numbers to lend credence to this idea. We here aimed to functionally characterise maternal T cells from CB. To our surprise, we could not isolate viable maternal cells from CB even after using state-of-the-art enrichment techniques that allow detection of viable cells in heterologous populations at frequencies that were several orders of magnitude lower than reported frequencies of maternal T cells in CB. In support of these results, we could only detect maternal DNA in a minority of samples and at insufficient amounts for reliable quantification through a sensitive PCR-based assay to measure In/Del polymorphisms. We conclude that maternal microchimerism is far less prominent than reported, at least in our cohort of CBs, and discuss possible explanations and implications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cells, Cultured
  • Female
  • Fetal Blood / metabolism*
  • Flow Cytometry
  • HLA Antigens / metabolism
  • Humans
  • Polymerase Chain Reaction
  • Polymorphism, Genetic / genetics
  • Pregnancy
  • T-Lymphocytes / metabolism
  • Temperature

Substances

  • HLA Antigens