Lack of Evidence That Male Fetal Microchimerism is Present in Endometriosis

article OA: closed CC0 ⤵ 2 in-corpus citations
AI-generated summary by claude@2026-06+body, 2026-06-08

This study tested whether male fetal microchimerism exists in endometriosis tissues, but Y chromosomes were not observed in any endometrial samples from cases or controls.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text

This study tested the hypothesis that male fetal microchimerism is present in eutopic and ectopic endometrium from women with endometriosis, but absent in eutopic endometrium from women without endometriosis. Using tricolor interphase fluorescence in situ hybridization with chromosome probes for X and Y, the authors analyzed paired eutopic and ectopic endometrial tissue from 19 endometriosis patients and eutopic endometrium from 12 controls. They found only XX signals consistent with normal female chromosomal composition and reported that Y chromosomes were not observed in any endometrial tissue samples from either group. The paper therefore does not provide evidence supporting male fetal microchimerism as a feature of endometriosis, and relates to endometriosis by directly evaluating microchimerism in eutopic and ectopic endometrium from women with endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 7,806 characters · extracted from oa-doi-fallback · 5 sections · click to expand

Abstract

Introduction Fetal microchimerism has been implicated in the etiology of autoimmune diseases. This study was done to test the hypothesis that male fetal microchimerism is present in eutopic and ectopic endometrium (EM) obtained from women with endometriosis but not in eutopic EM from women without endometriosis.

Methods

A total of 31 patients were selected, including women with endometriosis (paired eutopic and ectopic EM; n = 19) and women without endometriosis (eutopic EM; n = 12). Tricolor interphase fluorescence in situ hybridization analysis was performed by cohybridization of CEP Y SpectrumAqua and CEP X SpectrumGreen (SG)/CEP Y SpectrumOrange probes.

Results

Ectopic EM from women with endometriosis had 75% XX chromosomes (double SG signals) and 25% X chromosomes (single SG signal). Y chromosomes were not observed in any of the eutopic/ectopic endometrial tissues from cases or controls.

Conclusions

We were unable to confirm our hypothesis that male fetal microchimerism is present in eutopic and/or ectopic EM obtained from women with endometriosis. Similar content being viewed by others

References

Macer ML, Taylor HS. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am. 2012;39(4):535–549. Sampson JA. Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol. 1927;14(3):422–429. Halme J, Hammond MG, Hulka JF, Raj SG, Talbert LM. Retrograde menstruation in healthy women and in patients with endometriosis. Obstet Gynecol. 1984;64(2):151–154. Kruitwagen RF, Poels LG, Willemsen WN, et al. Endometrial epithelial cells in peritoneal fluid during the early follicular phase. Fertil Steril. 1991;55(2):297–303. Weed JC, Arquembourg PC. Endometriosis: Can it produce an autoimmune response resulting in infertility? Clin Obstet Gynecol. 1980;23(3):885–893. Mathur S, Garza DE, Smith LF. Endometrial autoantigens eliciting immunoglobulin (Ig)G, IgA, and IgM responses in endome-triosis. Fertil Steril. 1990;54(1):56–63. Gleicher N, el-Roeiy A, Confino E, Friberg J. Is endometriosis an autoimmune disease? Obstet Gynecol. 1987;70(1):115–122. Badawy SZ, Cuenca V, Kaufman L, Stitzel A, Thompson M. The regulation of immunoglobulin production by B cells in patients with endometriosis. Fertil Steril. 1989;51(5):770–773. Sinaii N, Cleary SD, Ballweg ML, Nieman LK, Stratton P. Autoimmune and related diseases among women with endometriosis: a survey analysis. Fertil Steril. 2002;77(2S1):S7–S8. Lebovic DI, Mueller MD, Taylor RN. Immunobiology of endo-metriosis. Fertil Steril. 2001;75(1):1–10. Haney AF, Muscato JJ, Weinberg JB. Peritoneal fluid cell populations in infertility patients. Fertil Steril. 1983;35(6):696–698. Olive DL, Weinberg JB, Haney AF. Peritoneal macrophages and infertility: the association between cell number and pelvic pathology. Fertil Steril. 1985;44(6):772–777. Halme J, Becker S, Hammond MG, Raj MHG, Raj S. Increased activation of pelvic macrophages in infertile women with mild endometriosis. Am J Obstet Gynecol. 1983;145(3):333–337. Hill JA, Anderson DJ. Lymphocyte activity in the presence of peritoneal fluid from fertile women and infertile women with and without endometriosis. Am J Obstet Gynecol. 1989;161(4):861–864. Pertl B, Bianchi DW. Fetal DNA in maternal plasma: emerging clinical applications. Obstet Gynecol. 2001;98(3):483–490. Bianchi DW, Zickwolf GK, Weil GJ, Sylvester S, DeMaria MA. Male fetal progenitor cells persist in maternal blood for as long as 27 years postpartum. Proc Natl Acad Sci U S A. 1996;93(2):705–708. Artlett CM, Smith JB, Jimenez SA. Identification of fetal DNA and cells in skin lesions from women with systemic sclerosis. N Engl J Med. 1998;338(17):1186–1191. Klintschar M, Schwaiger P, Mannweiler S, Regauer S, Kleiber M. Evidence of fetal microchimerism in Hashimoto’s thyroiditis. J Clin Endocrinol Metab. 2001;86(6):2494–2498. Srivatsa B, Srivatsa S, Johnson KL, Samura O, Lee SL, Bianchi DW. Microchimerism of presumed fetal origin in thyroid specimens from women: a case-control study. Lancet. 2001;358(9298):2034–2038. Miyashita Y, Ono M, Ono M, Ueki H, Kurasawa K. Y chromosome microchimerism in rheumatic autoimmune disease. Ann Rheum Dis. 2000;59(8):655–656. Vietor HE, Hallensleben E, van Bree SP, et al. Survival of donor cells 25 years after intrauterine transfusion. Blood. 2000;95(8):2709–2714. Kuroki M, Okayama A, Nakamura S, et al. Detection of maternal-fetal microchimerism in the inflammatory lesions of patients with Sjogren’s syndrome. Ann Rheum Dis. 2002;61(12):1041–1046. Abbud Filho M, Pavarino-Bertelli EC, Alvarenga MP, et al. Systemic lupus erythematosus and microchimerism in autoimmunity. Transplant Proc. 2002;34(7):2951–2952. Sawaya HH, Jimenez SA, Artlett CM. Quantification of fetal micro-chimeric cells in clinically affected and unaffected skin of patients with systemic sclerosis. Rheumatology. 2004;43(8):965–968. Guettier C, Sebagh M, Buard J, et al. Male cell microchimerism in normal and diseased female livers from fetal life to adulthood. Hepatology. 2005;42(1):35–43. Cirello V, Recalcati MP, Muzza M, et al. Fetal cell microchimerism in papillary thyroid cancer: a possible role in tumor damage and tissue repair. Cancer Res. 2008;68(20):8482–8488. Hromadnikova I, Zlacka D, Hien Nguyen TT, Sedlackova L, Zejskova L, Sosna A. Fetal cells of mesenchymal origin in cultures derived from synovial tissue and skin of patients with rheumatoid arthritis. Joint Bone Spine. 2008;75(5):563–566. Svyryd Y, Hernandez-Molina G, Vargas F, Sanchez-Guerrero J, Segovia DA, Mutchinick OM. X chromosome monosomy in primary and overlapping autoimmune diseases. Autoimmunity Reviews. 2012;11(5):301–304. Chan WF, Atkins CJ, Naysmith D, van der Westhuizen N, Woo J, Nelson JL. Microchimerism in the rheumatoid nodules of patients with rheumatoid arthritis. Arthritis Rheum. 2012;64(2):380–388. Du H, Taylor HS. Contribution of bone marrow-derived stem cells to endometrium and endometriosis. Stem Cells. 2007;25(8):2082–2086. Lebovic DI, Keeton K, Advincula AP. Evidence of fetal microchi-merism in endometriosis. 9th World Congress on Endometriosis; Maastricht, Netherlands: European Journal of Obstetrics and Gynecology and Reproductive Biology; 2005. page S27.Volume 123 Supplement 1 Abstract 007. Peterson SE, Nelson JL, Guthrie KA, et al. Prospective assessment of fetal-maternal cell transfer in miscarriage and pregnancy termination. Hum Reprod. 2012;27(9):2607–2612. Lo YM, Lau TK, Chan LY, Leung TN, Chang AM. Quantitative analysis of the bidirectional fetomaternal transfer of nucleated cells and plasma DNA. Clin Chem. 2000;46(9):1301–1309. Lambert NC, Pang JM, Yan Z, Samura O, Lee SL, Bianchi DW. Male microchimerism in women with systemic sclerosis and healthy women who have never given birth to a son. Ann Rheum Dis. 2005;64(6):845–848. Lambert N, Nelson JL. Microchimerism in autoimmune disease: more questions than answers? Autoimmunity Reviews. 2003;2(3):133–139. Yan Z, Lambert NC, Guthrie KA, et al. Male microchimerism in women without sons: quantitative assessment and correlation with pregnancy history. Am J Med. 2005;118(8):899–906. Ye Y, van Zyl B, Varsani H, et al. Maternal microchimerism in muscle biopsies from children with juvenile dermatomyositis. Rheumatology. 2012;51(6):987–991. Author information Authors and Affiliations Corresponding authors Rights and permissions About this article Cite this article Fassbender, A., Debiec-Rychter, M., Van Bree, R. et al. Lack of Evidence That Male Fetal Microchimerism is Present in Endometriosis. Reprod. Sci. 22, 1115–1121 (2015). https://doi.org/10.1177/1933719115574343 Published: Issue date: DOI: https://doi.org/10.1177/1933719115574343

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Chimerism Chromosomes, Human, X Chromosomes, Human, Y Endometriosis Adult Case-Control Studies Endometriosis Endometriosis Female Humans In Situ Hybridization, Fluorescence Male Risk Factors

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (41)

Cited by (2)

Source provenance

europepmc
last seen: 2026-06-12T06:13:51.797165+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:17:58.238279+00:00
License: CC0 · commercial use OK