← Blood XX, skin XY

Teacher guide

Middle school, high school and college

A one-year-old boy’s blood cells carried DNA from his mother alone, while his skin cells carried DNA from both parents. Students watch Raven’s video, use the lab results to rule out a hidden piece of Y chromosome, and work out how one body can carry two kinds of DNA. Teach it after the Coquita lesson if you can.

Red and white blood cells under a microscope

At a glance

Middle school
Grades 7 to 8 · About 23 minutes
High school
Grades 9 to 12 · About 38 minutes
College
College · About 35 minutes
Materials
The worksheet for your level, a screen for the video.
Grouping
Students work alone. For partners, pair students for Questions, or for Read the paper on the college worksheet.
The phenomenon
A boy’s blood cells tested XX and carried DNA from his mother only. His skin cells tested XY and carried DNA from both parents.
Topics covered
Chromosomes, XX and XY, eggs, sperm, fertilization, sex development, a child’s medical case.
Framing
This lesson centers a child’s medical case. Keep discussion on his cells and on what the researchers published. The answer notes name chromosome patterns beyond XX and XY for students who ask.

Preview the video before sharing it with your class.

Video and transcripts

  1. 1

    A boy whose blood came back female and his skin came back male

    Walks through the tests on the boy’s blood and skin and introduces the phrase human parthenogenetic chimaera. The same video is on Instagram as “A BOY with ‘GIRL blood’?” The worksheets link only the YouTube copy, since many schools block Instagram.

    Watch on YouTube
    Transcript

    Transcribed from the posted video on YouTube.

    A baby’s blood test came back XX, two X chromosomes. That’s a pattern that doctors usually associate with female bodies. How did that happen?

    Doctors noticed that the left side of the baby boy’s face was smaller than the right, and so that flagged genetic testing. They looked at his chromosomes, and they caught something. His blood read XX.

    Now, XX boys do happen, usually because it’s a tiny piece of the Y chromosome gets slapped onto the X, and that starts bringing the signal that can start the male development in humans.

    They started looking at other things. What about other places in his body? Is it just his blood? They looked at his skin cells, and those came back XY. The blood was XX. The skin was XY.

    They ran 62 DNA markers. In his blood, every marker looked like only his mother. But in his skin cells, both parents were right there.

    One guess is that the egg activated and started dividing before any sperm arrived, and then a sperm fertilized one of those early cells, because one line of his cells had DNA from both parents, and the other just doubled its own chromosomes and kept going without paternal DNA.

    This is super rare, guys. It’s called a human parthenogenetic chimaera. Two cell lines, one kid.

    There’s a study on this. It was published in the 90s, and the study ended when the kid was about three. He should be in his 30s now. What’s up, dude?

    If this was sitting in your medical file, would you want to know about it? What happens if this kid actually commits a crime, and his blood is at the scene of the crime? They’re going to see a woman’s blood. Let me know in the comments, guys. I’m Dr. Raven Baxter, your favorite scientist. Follow me for more science. Bye!

Your word of the day is

par-theh-no-jeh-NET-ik ky-MEER-uh

partheno-maiden, virginfrom Greek parthénos
-geneticorigin, birthfrom Greek génesis
chimaerashe-goatfrom Greek chímaira

Parthenogenetic chimaera. A body made of two cell lines, where one line grew from an egg with no DNA from a father. Also spelled chimera.

Word partComes fromMeaning
partheno-Greek parthénosmaiden, virgin
-geneticfrom genesis, Greek génesisorigin, birth
chimaeraLatin chimaera, from Greek chímairashe-goat, and the name of a monster in Greek myth
chromo- (bonus word chromosome)Greek chrōmacolor
-some (bonus word chromosome)Greek sômabody

Same roots, other subjects

  • History and artThe Chimera of Arezzo is a bronze statue the Etruscans made in the 5th or 4th century BCE. It shows a lion with a goat’s head rising from its back and a snake for a tail. Today the statue stands in the National Archaeological Museum of Florence.
  • EnglishChimerical means wildly fanciful or unreal, as in “a chimerical plan.”
  • World languagesIn Spanish, quimera can mean a pipe dream, something impossible to achieve. In French, chimère names the monster, a creature of the imagination, and the biology term.
  • MusicA chromatic scale moves in half steps. Chromatic also means “of color,” from the same chrōma root as chromosome.
  • BiologyWilhelm von Waldeyer-Hartz named chromosomes in the late 1800s from the Greek words for color and body, because chromosomes soak up dye.

Word hunt. Ask students to find three more words ending in -some and decide which ones mean body. Ribosome does. Handsome and awesome carry a different -some, an Old English ending.

The paper spells the word chimaera. Dictionary.com lists chimera first, with chimaera as a second spelling. Parthenogenesis, the word of the day in the Coquita lesson, shares its first two parts with parthenogenetic.

Lesson flow

Lesson flow level
  1. 3 minPredictStudents answer the question and write one sentence.
  2. About 2 minVideo
  3. 4 minWord of the dayBreak the phrase into its parts together.
  4. 8 minQuestionsStudents answer on their own, then share out. With the partner option, pairs discuss first.
  5. 5 minExit ticket
  1. 3 minPredictStudents answer the question and write one sentence.
  2. About 2 minVideo
  3. 4 minWord of the dayBreak the phrase into its parts together.
  4. 8 minQuestionsStudents answer on their own, then share out. With the partner option, pairs discuss first.
  5. About 15 minClaim, evidence, reasoning and Going further
  6. 5 minExit ticket
  1. About 2 minVideo
  2. 4 minWord of the dayBreak the phrase into its parts together.
  3. 3 minPredict
  4. Read the paperThe paper reading works as homework or a discussion section.
  5. 5 minExit ticket

Worksheet

Worksheet level
Print the middle school worksheet
Blood XX, Skin XYMiddle school learnscience.org

Predict

Chromosomes are tiny threads inside your cells that carry genes. A one-year-old boy’s blood test shows two X chromosomes (XX), a pattern doctors usually see in girls. Could a test on another part of the boy’s body give a different answer than the blood test?

Circle one. Yes / No

Watch

  1. A boy whose blood came back female and his skin came back maleyoutube.com/shorts/rYCzxUn_5s0

Word of the day

Parthenogenetic chimaera (par-theh-no-jeh-NET-ik ky-MEER-uh). A body made of two cell lines, where one line grew from an egg with no DNA from a father. Also spelled chimera.

Word partComes fromMeaning
partheno-Greek parthénosmaiden, virgin
-geneticGreek génesisorigin, birth
chimaeraGreek chímairashe-goat, and a monster in Greek myth

Questions

  1. Most people get one copy of each chromosome from mom and one from dad. The boy’s blood cells had two matching copies from his mom, and his skin cells had one copy from each parent. Which of the boy’s cells have more genetic variety, meaning more genes with two different versions?

    Circle one. His blood cells / His skin cells

    Hint. Two matching copies carry the same version of every gene. Where could a second version of a gene come from?

  2. Doctors often check a person’s chromosomes with a blood sample. The boy’s blood cells tested XX, but his skin cells tested XY. What can doctors miss when they test only one part of the body?

    Hint. What would doctors have known if they’d tested only the boy’s blood?

  3. Some boys have cells with two X chromosomes. Most of these boys carry a small piece of the Y chromosome stuck on one X, and that piece almost always comes from their dad. Which two test results showed that a hidden Y piece didn’t cause the boy’s XX blood?

    Hint. Look for one result about his blood and one result about his skin.

  4. As of 2021, scientists had reported six people with mom-only cells, which carry DNA from a person’s mom and none from their dad. Why might doctors have trouble finding people with mom-only cells?

    Hint. Think about how often people get a chromosome test. Which part of the body do doctors usually test?

Exit ticket

The tests found different DNA in the boy’s blood and skin. How can the boy have blood cells with DNA from only his mom and skin cells with DNA from both of his parents?

Hint. His body grew from one egg. Did dad’s DNA join every early cell, or only some of them?

Print the high school worksheet
Blood XX, Skin XYHigh school learnscience.org

Predict

Chromosomes are tiny threads inside your cells that carry genes. A one-year-old boy’s blood test shows two X chromosomes (XX), a pattern doctors usually see in girls. Could a test on another part of the boy’s body give a different answer than the blood test?

Circle one. Yes / No

Watch

  1. A boy whose blood came back female and his skin came back maleyoutube.com/shorts/rYCzxUn_5s0

Word of the day

Parthenogenetic chimaera (par-theh-no-jeh-NET-ik ky-MEER-uh). A body made of two cell lines, where one line grew from an egg with no DNA from a father. Also spelled chimera.

Word partComes fromMeaning
partheno-Greek parthénosmaiden, virgin
-geneticGreek génesisorigin, birth
chimaeraGreek chímairashe-goat, and a monster in Greek myth

Bonus word from the video. Chromosome (KROH-muh-sohm). Chromo- comes from Greek chrōma, “color,” and -some from Greek sôma, “body.” Chromosomes are the threadlike bodies that carry a cell’s genes, named for the way they soak up dye.

Questions

  1. The boy’s blood cells carried one half-set of chromosomes from his mom, copied twice. His skin cells carried one half-set from each parent. Which of the boy’s two cell lines has more genetic variety, and why?

    Hint. Think about where each copy of a chromosome came from in each cell line.

  2. A blood test read the boy as XX. A skin test read him as XY. How can the boy’s blood test read XX while his skin test reads XY? And why did the blood test miss his XY cells?

    Hint. Could different tissues in one body come from different groups of cells?

  3. Most boys with XX cells carry a small piece of the Y chromosome on one X. That piece almost always comes from the father’s sperm. Lisa Strain and her colleagues reported two results in 1995 that rule out a hidden Y piece in the boy. What are the two results, and how does each one rule out that cause?

    Hint. Look for one result about his blood and one result about his skin.

  4. As of 2021, scientists had reported six people with a mom-only cell line, carrying DNA from the mother alone. Genetic tests usually start with blood, yet in one of the six cases, none of the white blood cells tested came from the mom-only line. How could a mom-only cell line go unnoticed? And what test would find more people with mom-only cell lines?

    Hint. Think about which tissue doctors test first and which other tissues could hold a mom-only line.

Claim, evidence, reasoning

More than 98 out of 100 of the boy’s blood cells came from the mom-only line, the cells with DNA from his mom alone. Fewer than 5 out of 100 of his skin cells did. How could the boy’s body grow from one egg, with mom-only cells making up most of his blood cells but few of his skin cells? Answer with a claim, evidence from this lesson and reasoning. As part of your reasoning, draw the first few cell divisions and label which cells carry DNA from dad.

Hint. Start with one egg. Which early cells got DNA from dad, and what did each of those cells grow into?

Going further: genes from dad

  1. Mouse embryos made from the mother’s DNA alone don’t survive past early development. Some genes switch on only in the copy that came from the father. Yet some mice with a mix of mom-only cells and two-parent cells survive. What two questions would help explain why the boy’s two-parent cells were important? Pick one of your questions and name the evidence a scientist would need to answer that question.

    Hint. Think about what genes from dad add. Which parts of the body might need those genes most?

Exit ticket

Scientists think the boy’s body grew from one egg, yet his blood and skin carried different DNA. Starting from one egg, how could mitosis and differentiation give the boy blood cells with DNA from his mom alone and skin cells with DNA from both parents?

Hint. Mitosis splits one cell into two, and each new cell gets the same DNA. Differentiation turns cells into specialized tissues, such as blood and skin.

Print the college worksheet
Blood XX, Skin XYCollege learnscience.org

Watch

  1. A boy whose blood came back female and his skin came back maleyoutube.com/shorts/rYCzxUn_5s0

Word of the day

Parthenogenetic chimaera (par-theh-no-jeh-NET-ik ky-MEER-uh). An individual with two cell lines, one of which developed from an egg without fertilization and carries only maternal chromosomes. Also spelled chimera.

Word partComes fromMeaning
partheno-Greek parthénosmaiden, virgin
-geneticGreek génesisorigin, birth
chimaeraGreek chímairashe-goat, and a monster in Greek myth

Bonus word. Chromosome (from chromo-, “color,” and -some, “body”) names a threadlike body of chromatin carrying genes in a linear order. Wilhelm von Waldeyer-Hartz coined the word in German in the late 1800s for the way chromosomes take up dye.

Predict

  1. Masunaga and others, 2021, report a new patient whose body holds a mom-only cell line, made of cells carrying only maternal chromosomes. Before you read the paper by Masunaga and others, make a guess. What percent of their new patient’s white blood cells came from the mom-only line? Write one sentence on why you think so.

    Hint. Think about the boy’s blood in the video. Would every patient follow the same pattern?

Read the paper

Masunaga and others, “Parthenogenetic mosaicism: generation via second polar body retention and unmasking of a likely causative PER2 variant for hypersomnia,” Clinical Epigenetics, 2021. The paper is free to read.

Yohei Masunaga’s team reported a 28-year-old woman with parthenogenetic mosaicism, the paper’s term for a mom-only cell line, and compared her case with five earlier reports. Table 1 of the paper lists all six cases, with the boy from the video as Case 1. For each case, the table gives the other cell lines found (the mom-only line was 46,XX in all six) and the estimated share of mom-only cells in each tissue tested.

CaseOther cell linesMom-only share, white blood cellsMom-only share, second tissueProposed mechanismGap between tissues (percentage points)
146,XYMore than 98%Less than 5% (skin fibroblasts)Parthenogenetic activation and endoreplication
246,XY and 69,XXYAbout 100%About 0% (skin fibroblasts)Unknown
346,XY0%45% (skin fibroblasts)Parthenogenetic activation and endoreplication
445,X84%56% (saliva)Parthenogenetic activation and endoreplication
547,XXXNot reported42% (amniotic fluid cells)Parthenogenetic activation and endoreplication
646,XX70%67% (saliva)Second polar body retention and endoreplication
  1. Quantitative reasoning Table 1 gives the mom-only share in two tissues for five of the six cases, and its last column is blank for your answers. What’s the gap between tissues, in percentage points, for each case in Table 1 with two tissues tested?

    Hint. Subtract the smaller share from the larger one. Keep words like “more than” or “about” in your answer.

  2. Quantitative reasoning Genetic tests usually start with blood, and a blood test reads white blood cells. Table 1 gives a white blood cell share for every case except Case 5. For which case in Table 1 would a blood test alone have missed the mom-only line?

    Circle one. Case 1 / Case 2 / Case 3 / Case 4 / Case 6

    Hint. A blood test sees only what the white blood cells carry.

  3. Quantitative reasoning In Table 1, five cases have a mom-only share for two different tissues. What do the gaps between tissues in Table 1 tell you about estimating a body-wide share of mom-only cells from one sample?

    Hint. Look at how far apart the two shares are in each case. Would one tissue give the same share as the whole body?

  4. Process of science For Case 6, the authors propose that the egg kept its second polar body, which holds sister copies of the egg’s own chromosomes. In Figure 1 and the Results section, regions next to the centromeres carried one version from mom. Some regions farther out carried two different versions from mom. How does crossing over in meiosis I explain the Case 6 pattern of one maternal version near the centromeres and two farther out? And why does that pattern point to one egg instead of two merged embryos?

    Hint. Draw one pair of chromosomes with a crossover partway along. After meiosis I, which parts of the sister copies still match?

  5. Information flow The Case 6 patient has idiopathic hypersomnia, a sleep disorder. Exome sequencing found a rare variant in PER2, a circadian clock gene, in 55 of 66 sequencing reads from her and in 25 of 52 reads from her mother, who has no sleep symptoms. What percent of reads carried the PER2 variant in the Case 6 patient, and what percent in the patient’s mother?

    Hint. Divide the variant reads by the total reads for each person.

  6. Information flow The PER2 reads from the Case 6 patient come from a mix of mom-only cells and two-parent cells. If 70% of the Case 6 patient’s sequenced cells are mom-only cells with two variant copies of PER2, and each remaining cell has one variant copy, what percent of her PER2 reads would you predict carry the variant?

    Hint. Picture 100 cells. How many variant copies would they hold, out of how many copies in all?

  7. Information flow The Case 6 patient’s mother carries one copy of a recessive PER2 variant and has no sleep symptoms. How can a mom-only cell line give a daughter two copies of a recessive variant her mother carries once?

    Hint. Think about how the mom-only line got both copies of each chromosome.

  8. Science and society Masunaga and others note a bias in how doctors find people with a mom-only cell line. Genetic tests usually start with blood, and a mom-only line barely present in white blood cells would go unidentified. When should a genetics clinic test a second tissue, such as skin or saliva? And how could testing blood first skew what doctors know about mom-only cell lines? Write your answer as a one-paragraph recommendation to the clinic.

    Hint. Think about which cases a blood test finds first, and which cases never get found.

Exit ticket

Table 1 of Masunaga and others, 2021, lists all six known cases of a mom-only cell line. What does Table 1 of Masunaga and others, 2021, show, and what’s one question the table can’t answer?

Hint. Look at how the shares change across tissues. Then think about people who never got tested.

Standards

The lesson builds toward three Next Generation Science Standards (NGSS), the most widely used US science standards. Some states, like Texas and Virginia, write their own. NGSS covers kindergarten through grade 12. The college worksheet uses the AAAS Vision and Change framework for undergraduate biology.

LevelStandardLesson partPracticeCrosscutting concept
Middle schoolMS-LS3-2. Model why one parent and two parents give different genetic results (core ideas LS3.A, LS3.B)Middle and high school worksheets, Questions 1Developing and Using ModelsCause and Effect
High schoolHS-LS1-4. Use a model to show how cell division (mitosis) and differentiation build a complex body from one cell (core idea LS1.B)High school worksheet, claim, evidence, reasoning and exit ticketDeveloping and Using ModelsSystems and System Models
High schoolHS-LS3-1. Ask questions about how DNA and chromosomes carry instructions from parents to offspring (core ideas LS1.A, LS3.A)High school worksheet, going furtherAsking Questions and Defining ProblemsCause and Effect
CollegeInformation flow, exchange, and storage. AAAS Vision and Change core conceptCollege worksheetCore competencies: quantitative reasoning; process of science; science and societyCore concept: systems

Sources

Lisa Strain, Jon P. Warner, Thomas Johnston and David T. Bonthron of the Human Genetics Unit at the University of Edinburgh’s Western General Hospital described the boy in “A human parthenogenetic chimaera”. The paper appeared in the journal Nature Genetics in October 1995. It costs money to read, but the abstract is free.

The authors call the event “presumably rare.” That phrase shows students how careful scientists word a claim about how often something happens.

Two later papers that cover the case are free to read. K. Yamazawa, Tsutomu Ogata and colleagues summarized the case while reporting a similar one in the Journal of Medical Genetics, 2010. Yohei Masunaga, Tsutomu Ogata and colleagues listed all six known cases in a table in Clinical Epigenetics, 2021.

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