PMID- 16364868 OWN - NLM STAT- MEDLINE DCOM- 20060707 LR - 20220330 IS - 1557-3117 (Electronic) IS - 1053-2498 (Linking) VI - 24 IP - 12 DP - 2005 Dec TI - Identification of male cardiomyocytes of extracardiac origin in the hearts of women with male progeny: male fetal cell microchimerism of the heart. PG - 2179-83 AB - BACKGROUND: Fetal progenitor cells may cross the placenta during pregnancy, persist for decades in the maternal bloodstream, and find a microenvironment conducive to colonization in a variety of maternal solid organs. Whether extracardiac fetal progenitors are present in the heart of women with male issue is unknown. METHODS: The hearts from 2 non-pregnant women who had given birth to 2 and 3 male children, respectively, were studied. Myocardial specimens from 2 men and 2 women (without history of pregnancies) were used as controls. Real time polymerase chain reaction was performed to amplify the SRY gene located at the Y chromosome. Fluorescence in situ hybridization (FISH) with probes specific for X and Y chromosomes was combined with alpha-actin immunohistochemistry to identify cardiac muscle cells. Histocompatibility studies were conducted in both patients and their male relatives. RESULTS: The SRY gene was amplified in the myocardium of both patients. FISH analysis showed clear evidence of male cells with the typical cardiomyocyte phenotype within the myocardium. X- and Y-chromosome bodies in the nuclei were found in 0.25% and 0.20% of cells, respectively. Increased human leukocyte antigen compatibility was observed between patients and their sons. CONCLUSIONS: This study identified male cardiomyocytes of extracardiac origin, presumably fetal, in the hearts of 2 women with male progeny. Fetal progenitor cells may colonize the heart and under appropriate microenvironmental stimuli, differentiate into cardiomyocytes. FAU - Bayes-Genis, Antoni AU - Bayes-Genis A AD - Servei de Cardiologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. abayesgenis@hsp.santpau.es FAU - Bellosillo, Beatriz AU - Bellosillo B FAU - de la Calle, Oscar AU - de la Calle O FAU - Salido, Marta AU - Salido M FAU - Roura, Santiago AU - Roura S FAU - Ristol, Francesc Sole AU - Ristol FS FAU - Soler, Carolina AU - Soler C FAU - Martinez, Monica AU - Martinez M FAU - Espinet, Blanca AU - Espinet B FAU - Serrano, Sergi AU - Serrano S FAU - Bayes de Luna, Antoni AU - Bayes de Luna A FAU - Cinca, Juan AU - Cinca J LA - eng PT - Case Reports PT - Journal Article DEP - 20050928 PL - United States TA - J Heart Lung Transplant JT - The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation JID - 9102703 SB - IM MH - Cardiomyopathy, Dilated MH - Cell Differentiation MH - *Cell Movement MH - *Chimerism MH - Chromosomes, Human, X MH - Chromosomes, Human, Y MH - Female MH - Genes, sry MH - Heart Transplantation MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - *Maternal-Fetal Exchange MH - Middle Aged MH - Myocardium/*cytology MH - Myocytes, Cardiac/*physiology MH - Phenotype MH - Polymerase Chain Reaction MH - Pregnancy MH - Stem Cells/*physiology EDAT- 2005/12/21 09:00 MHDA- 2006/07/11 09:00 CRDT- 2005/12/21 09:00 PHST- 2005/01/31 00:00 [received] PHST- 2005/05/16 00:00 [revised] PHST- 2005/06/07 00:00 [accepted] PHST- 2005/12/21 09:00 [pubmed] PHST- 2006/07/11 09:00 [medline] PHST- 2005/12/21 09:00 [entrez] AID - S1053-2498(05)00378-5 [pii] AID - 10.1016/j.healun.2005.06.003 [doi] PST - ppublish SO - J Heart Lung Transplant. 2005 Dec;24(12):2179-83. doi: 10.1016/j.healun.2005.06.003. Epub 2005 Sep 28.