A case of a parthenogenetic 46,XX/46,XY chimera presenting ambiguous genitalia

J Hum Genet. 2020 Aug;65(8):705-709. doi: 10.1038/s10038-020-0748-4. Epub 2020 Apr 10.

Abstract

Sex-chromosome discordant chimerism (XX/XY chimerism) is a rare chromosomal disorder in humans. We report a boy with ambiguous genitalia and hypospadias, showing 46,XY[26]/46,XX[4] in peripheral blood cells. To clarify the mechanism of how this chimerism took place, we carried out whole-genome genotyping using a SNP array and microsatellite analysis. The B-allele frequency of the SNP array showed a mixture of three and five allele combinations, which excluded mosaicism but not chimerism, and suggested the fusion of two embryos or a shared parental haplotype between the two parental cells. All microsatellite markers showed a single maternal allele. From these results, we concluded that this XX/XY chimera is composed of two different paternal alleles and a single duplicated maternal genome. This XX/XY chimera likely arose from a diploid maternal cell that was formed via endoduplication of the maternal genome just before fertilization, being fertilized with both X and Y sperm.

Publication types

  • Case Reports

MeSH terms

  • Alleles
  • Chimera / genetics*
  • Chimerism*
  • Disorders of Sex Development / diagnostic imaging
  • Disorders of Sex Development / genetics*
  • Haplotypes
  • Humans
  • In Situ Hybridization, Fluorescence
  • Karyotyping
  • Male
  • Microsatellite Repeats / genetics
  • Mosaicism
  • Oligonucleotide Array Sequence Analysis
  • Parthenogenesis / genetics*
  • Polymorphism, Single Nucleotide
  • Sex Chromosome Aberrations
  • Sex Chromosome Disorders / blood
  • Sex Chromosome Disorders / diagnostic imaging
  • Sex Chromosome Disorders / genetics*