Can Two Females Have a Baby With Bone Marrow?

The idea of two females having a baby using one partner’s bone marrow to create a sperm equivalent is based on a promising scientific development, though it is not a clinically available reality today. This concept relies on stem cell research, specifically a technique called In Vitro Gametogenesis (IVG), which aims to create functional sex cells, or gametes, in a laboratory dish. While research has demonstrated success in animal models like mice, generating a healthy human baby in this way is still theoretical and faces obstacles. The bone marrow would serve as the source material for the initial cells that would then be reprogrammed and guided through a complex process to mimic the development of sperm.

The Essential Role of Sperm in Human Conception

Human reproduction requires the fusion of two distinct haploid genomes—one from the egg and one from the sperm—to create a new individual with a complete set of 46 chromosomes. The sperm’s function extends beyond simply delivering its 23 chromosomes to the egg. It also provides specific factors necessary to activate the egg and initiate embryo development.

The sperm carries a unique epigenetic signature, including specialized RNA molecules. These epigenetic marks are crucial for regulating gene expression in the newly formed embryo and ensuring proper development. Without the precise combination of genetic material and these specialized activation and regulatory factors, a fertilized egg cannot develop into a viable embryo.

Why Bone Marrow is Considered as a Source Material

Scientists are interested in using cells from various tissues, including skin, blood, or bone marrow, because they contain somatic cells that can be converted into a starting material for gamete creation. Bone marrow is a particularly attractive source because it contains a population of adult stem cells. These cells can be harvested with relative ease.

The critical first step is transforming these ordinary somatic cells into what are known as Induced Pluripotent Stem Cells (iPSCs). This is achieved by introducing a specific set of genes, often called Yamanaka factors, which effectively rewind the cell’s developmental clock to an embryonic-like state. Once converted into iPSCs, the cells gain the potential to differentiate into almost any cell type in the body, including, theoretically, the precursors for sperm or eggs, known as primordial germ cells. The use of bone marrow as a source allows for the creation of patient-specific iPSCs that carry the individual’s unique genetic code.

The Science of Creating Gametes in the Lab

The process of generating functional gametes outside the body from stem cells involves several stages. The first stage involves coaxing the induced pluripotent stem cells (iPSCs) to become Primordial Germ Cell-like Cells (PGCLCs), the earliest precursors of sperm and eggs. This process requires a highly specific sequence of growth factors and signaling molecules to mimic the environment found in an early embryo. While researchers have successfully generated PGCLCs from human iPSCs, achieving full maturation into functional human sperm remains a significant challenge.

The next, and most complex, step is guiding the PGCLCs through meiosis, the specialized cell division that halves the chromosome number and creates the final gamete. In mouse studies, scientists have successfully used reconstituted gonadal tissue to support the maturation of these lab-created cells into functional eggs and sperm that produced live offspring. However, the efficiency of this process in mice is low. When translating this to human cells, there are concerns regarding the risk of genetic or epigenetic errors that could lead to abnormal development or a high incidence of cancer in the resulting offspring. The biological complexity of human gamete development is difficult to replicate accurately in a laboratory dish.

The Genetic Barrier to Two-Female Conception

The most fundamental barrier to two females having a biological child using a manufactured sperm equivalent is the lack of a Y chromosome in the mother’s genetic material. A biological female possesses two X chromosomes (XX), and any cell derived from her, including the iPSCs from her bone marrow, will carry this XX genetic makeup. When these cells are guided to form a sperm-like cell, they can only produce gametes carrying an X chromosome.

A functional sperm must carry either an X or a Y chromosome to determine the sex of the offspring upon fertilization. The Y chromosome is home to the SRY gene, which is the master switch initiating the entire male developmental pathway. The Y chromosome also contains other genes necessary for the complex process of spermatogenesis, or sperm production. Without the genes carried on the Y chromosome, a lab-created gamete from a female source cannot successfully produce a functional male gamete equivalent capable of supporting full-term, healthy development. To overcome this, scientists would theoretically need to use advanced genome editing techniques, such as CRISPR, to introduce the necessary Y-chromosome genes or their functional equivalents into the female-derived cells, a speculative and ethically complex scenario.