Volume 201, Issue 6 , Pages 608.e1-608.e8, December 2009
Bone marrow–derived cells from male donors can compose endometrial glands in female transplant recipients
Objective
For continuous regeneration of human endometrium in menstrual cycles, endometrial stem cells are assumed to supply differentiating endometrial glandular cells. To elucidate the origin of endometrial stem cells, we examined the presence of donor-derived cells in endometria from patients who received bone marrow transplantation from male donors.
Study Design
Endometrial specimens biopsied after hormone replacement therapy were obtained and examined using fluorescent in situ hybridization analysis targeting X or Y chromosomes.
Results
All recipients had donor-derived Y chromosome–positive endometrial cells, accounting for 0.6-8.4% of glandular epithelial cells and 8.2-9.8% of stromal cells. Most of the endometrial glands were chimeric, consisting of both donor-derived and recipient cells.
Conclusion
Donor-derived cells are capable of composing endometrium in recipients, even those of the opposite sex. These results suggest unexpected plasticity of bone marrow stem cells as well as a potential origin of endometrial stem cells.
Key words: bone marrow transplant, endometrium, fluorescent in situ hybridization, stem cell
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This study was supported in part by a Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science and the Megumi Medical foundation of Kanazawa University.
Cite this article as: Ikoma T, Kyo S, Maida Y, et al. Bone marrow–derived cells from male donors can compose endometrial glands in female transplant recipients. Am J Obstet Gynecol 2009;201:608.e1-8.
PII: S0002-9378(09)00813-8
doi:10.1016/j.ajog.2009.07.026
© 2009 Mosby, Inc. All rights reserved.
Volume 201, Issue 6 , Pages 608.e1-608.e8, December 2009
