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Mechanism of origin of complete hydatidiform moles

Nature volume 286, pages 714–716 (1980)Cite this article

Abstract

Complete or ‘true’ hydatidiform mole, an abnormality of human gestation, is characterized by hydropic degeneration of all placental villi, marked hypertrophy of the trophoblast, absence of a fetus and a propensity to become malignant. The chromosome constitution of complete moles is usually 46,XX1,2, and Kajii et al. reported that the entire genome in seven out of seven cases was paternal in origin, with all centromere markers homozygous for paternal heteromorphisms3. These observations, since confirmed4,5, can be explained by the fertilization of an ‘empty’ egg—no effective genome—by either a haploid sperm that then duplicates without cytokinesis, to restore the diploid number, or by a diploid sperm resulting from failure of the second meiotic division. We report here a study of a series of complete moles that shows the first alternative to be correct in the majority of cases.

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Authors and Affiliations

  1. Department of Anatomy and Reproductive Biology, University of Hawaii School of Medicine, Honolulu, Hawaii, 96822

    Patricia A. Jacobs & Carola M. Wilson

  2. Departments of Pediatrics, Johns Hopkins University, Baltimore, Maryland, 21210

    Joyce A. Sprenkle & Barbara R. Migeon

  3. Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, 21210

    Neil B. Rosenshein

Authors
  1. Patricia A. Jacobs
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  2. Carola M. Wilson
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  3. Joyce A. Sprenkle
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  4. Neil B. Rosenshein
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  5. Barbara R. Migeon
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Jacobs, P., Wilson, C., Sprenkle, J. et al. Mechanism of origin of complete hydatidiform moles. Nature 286, 714–716 (1980). https://doi.org/10.1038/286714a0

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