"Disease has been shown to occur in mothers who have had fetal microchimerism, and children/adults who have had maternal microchimerism. Children who have immunodeficiencies are at greater risk for graft verses host disease owing to engraftment of maternal lymphocytes. In both SCID and DiGeorge syndrome, maternal microchimerism and GVHD have been well described.
In a study by Susanne Miller et al., 121 patients with SCID were evaluated for maternal microchimerism using HLA typing. Maternal cells were found in 48 patients, with 19 patients showing signs of GVHD. GVHD manifested itself in the skin and in the liver...
The histologic and immunologic similarities of BA and GVHD are striking. The site of damage in BA and GVHD after bone marrow transplantation is the same. In each, lymphocytes congregate around the bile ducts. The damage occurs to both the intra-and extrahepatic biliary tracts. In a mouse model of acute GVHD, Nonomura et al. showed that transfer of allogeneic cells set along minor HLA mismatch can cause damage to both the intra and extrahepatic biliary ducts. Interestingly, the timeframe in this mouse model of acute GVHD, in terms of lymphocytic infiltration and fibrosis, appear similar to that of BA. Initially, a peak of lymphocytes around the bile ducts occurs about 2 weeks after transfer of allogeneic cells from donor to host mouse; as the lymphocytic infiltration subsides, liver fibrosis increases. This correlates with disease progression in BA, where initial diagnostic biopsies of BA livers usually show a larger lymphocytic infiltration, and less fibrosis, as compared to biopsies done later, i.e. at the time of liver transplantation."
So my own cells remaining and embedding in my son's liver after birth cause an inflamatory process to start up which damaged his biliary tract leading to atresia and ultimate destruction of his liver leading to liver transplant (twice). This is an interesting thought. Is is, indeed, the cause of Biliary Atresia?!
Most babies have some of mommy's cells hanging out with them when they are born. So what is it with biliary atresia kids that mommy's cells aren't just cleaned out by baby's immune system like "normal" "healthy" babies?
How is it mommy's cells come to imbed themselves into baby's liver?
Is this why moms feel this inherent sense of guilt for somehow causing their child's illness? I have never met a biliary atresia mom who hasn't, at some point, asked the question, "What did I do that caused this?"
In reading about "other people" cells grafting themselves into a recipient liver, I am reminded of models of spontaneous regeneration that I have read. One in particular jumps to mind in which male donor cells grafted themselves into the liver of a female recipient (who had liver disease). Guess what! Spontaneous liver regeneration--bye bye liver disease.
And the kicker? When testing a sample of the recipient's liver, after regeneration, they found cells with Y chromosomes--male cells. The male cells were still in there working with the liver. Conclusion was that the male donor cells imbedding in the recipient liver were very possibly the cause of regeneration.
So, does mommy's renegade cells cause an inflamatory response in a baby's liver leading to biliary atresia?
OR...is there something going on in baby's liver already and mommy's cells are grafting themselves in there in an attempt to circumvent liver damage and help an already hurt liver to regenerate itself?
Just my musing--out loud. No scientific data to back me up. Just my own little brain running off on another one of its tangents. I'm sure there's already some scientific data out there shooting down my little theory. However, I'll remain blissfully ignorant for the time being. Perhpas denial ain't just a river in Egypt after all.
I reckon it's now time I got up and did my housework for the day.
Do you suppose it is really the soap lowering the viscosity of water that makes getting food off the plates easier? Or is it really that the food is attracted to the soap itself and therefore leaves the plate of its own accord to go join with the soap?......