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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0295.

Submitted January 31, 2002
Accepted March 25, 2002
Male microchimerism in healthy women and women with scleroderma: cells or circulating DNA? A quantitative answer
Nathalie C Lambert*, Y.M. Dennis Lo, Timothy D Erickson, Tracy S Tylee, Katherine A Guthrie, Daniel E Furst, and J. Lee Nelson
Human Immunogenetics, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
Department of Chemical Pathology, The Chinese University of Hong Kong, Hong Kong, SAR, China
Rheumatology, Virginia Mason Medical Center, Seattle, WA, USA
Human Immunogenetics, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Rheumatology, University of Washington Medical Center, Seattle, WA, USA
* Corresponding author; email: nlambert{at}fhcrc.org.
Male DNA, of presumed fetal origin, can be detected in the maternal circulation decades after delivery and is referred to as fetal microchimerism (FM). We previously found quantitatively greater FM in the circulation of women with the autoimmune disease scleroderma (SSc) than healthy women. However, it is unknown whether this This difference is could be due to intact circulating cells or free DNA, released from breakdown in disease-affected tissues. To distinguish the origin of FM, we developed a real time quantitative PCR assay for the Y-chromosome specific sequence DYS14, and tested 114 women in PBMC and/or plasma. Fifty-seven controls and 57 SSc patients were studied, 44 and 43 of whom respectively, had given birth to at least one son. Circulating FM was quantitatively greater in PBMC from SSc patients (n=39), range: 0.0-12.5 genome equivalents/million of maternal cells, compared to healthy women (n=39), range: 0.0-4.4 (p=0.03). In contrast, there was no difference between patients (n= 25) and controls (n=22) in plasma, and no evidence of free DNA. FM was enriched among T lymphocytes compared to PBMC (p=0.01) in controls (n=14), but not in SSc patients (n=14), the latter most likely possibly due to immunosuppressive medications use. In conclusion, this the real-time quantitative assay distinguished that quantitative differences in the circulation of SSc women are due to cells and not to free DNA. This technique provides a tool to precisely quantify cellular subsets thereby helping to clarify the role of FM in the healthy host and patients with SSc or other diseases.

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