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Updated: Jun 10, 2026

Detection of Residual Donor Erythroid Progenitor Cells after Hematopoietic Stem Cell Transplantation for Patients with Hemoglobinopathies
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[Tetragametic chimerism: Case report].

A Loriaux1, S Boulet, V Delorme

  • 1CHU de Grenoble, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|August 10, 2010
PubMed
Summary
This summary is machine-generated.

This study details a rare spontaneous monochorionic dizygous pregnancy, revealing a hematopoietic chimera in a female twin due to stem cell exchange. This phenomenon highlights early fetal immune tolerance and potential links to assisted reproduction.

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Last Updated: Jun 10, 2026

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Published on: December 22, 2010

Area of Science:

  • Reproductive biology
  • Human genetics
  • Developmental biology

Background:

  • Monochorionic dizygous pregnancies are rare, involving twins sharing a placenta but originating from separate zygotes.
  • Hematopoietic chimerism occurs when an individual has cell populations from genetically distinct individuals.
  • Understanding the mechanisms of twin pregnancies and chimerism is crucial for reproductive medicine.

Observation:

  • The third documented case of spontaneous monochorionic dizygous pregnancy was identified through fetal sex discordance.
  • Blood group analysis of the female twin confirmed hematopoietic chimera, indicating shared blood cell origins.
  • The pregnancy involved a single placenta with vascular connections between the fetuses.

Findings:

  • Monochorionic dizygous twins may form from the fusion of two zygotes at the late morula stage.
  • Exchange of stem cells between fetuses during early development can lead to chimerism.
  • The immature fetal immune system facilitates successful engraftment of cells from the co-twin.

Implications:

  • This case provides insights into the biological mechanisms underlying rare twin pregnancies and chimerism.
  • The findings suggest that assisted reproductive technologies might increase the incidence of such pregnancies.
  • Understanding fetal immune tolerance is key to managing potential complications and future reproductive strategies.