This is how you write a science communication book for the public: clearly, engagingly, concisely. Lise Barneoud manages to bring the reader up to speed about the most recent science in microchimerism in just over 150 pages using short clear descriptions of science, and clear and creative metaphors. Her choices turn what could have been a dry book of facts into a philosophical meditation on the self and immigration. Because what are chimeric cells if not shadow immigrants.
Some of the examples offered in this book where known to me, but most were completely new. I was familiar with chimerism caused by an absorbed twin, and that caused by fetal cells passing from the fetus to their mother. I wasn't aware how bi-directional that highway truly is, or that cells from three generations (grandmother, mother and latest offspring) can sometimes be found in the same person. Microchimerism caused by sexual intercourse that doesn't result in fertilization was something I'd heard of but had thought it was all wacky--it looks like it's a real phenomenon, but how long this lingers is yet unclear. The book goes beyond merely describing how cells from different individuals can end up in other bodies: whether through sexual intercourse, pregnancy, or transplant, the effects may be similar and equally diverse. Sometimes the migrating cells become established productive members of the cellular body, regenerating, pruning synapses and boosting immunity or triggering life-saving tolerance. Other times the cells may boost inflammation and cancer. This part brought to mind "The Master Builder: How the New Science of the Cell Is Rewriting the Story of Life" by Alfonso Martinez Arias. In his thesis, that cells rather than genes are the engines of life, Arias emphasizes how context (i.e. cellular environment and intra and inter-cellular communication) is the most important thing deciding a cell's fate.
The metaphors did occasionally jump way ahead of current knowledge, especially in the final chapters. There was a lot of speculation about how many generations can be trapped in an individuals, without any discussion on how migrant cells can break the Hayflick limit--the hard stop for future cell divisions caused by an exhaustion of telomeres that protect the ends of chromosomes. The author gives an example of migrant cells that were able to traverse bodies across 10 generations of mice, but mouse cells can immortalize themselves spontaneously in culture--something human cells have never been able to do. Some of that poetic license was a bit disorienting after multiple chapters in which science and poetry had blended seamlessly. Take for example the case of marmoset fathers who the author presumes may be providing more care to offspring who are macro-chimeric because their skin-to-skin contact 'recognizes' more of their HLA genes; this is completely absurd, given that skin cells on the upper levels are dead and don't establish any connections with other dead skin cells on another individual--they cannot given they're just empty shells. I was surprised how at times the language was also quite gender inclusive, until I found out that was an artifact of the translation and not part of the original French writing.
Despite small confusions and unnecessary speculations, I think the book did an excellent job of introducing the public to the latest science of microchimerism, and highlighted both its promises and challenges laying ahead. The most important part of this book was the reminder of how limited and artificial our biological 'rules' truly are. Micro and macro-chimeric individuals and their migrating cells do not break the laws of nature; rather they break the rules we imposed on nature in order to understand it. As usual, when we probe deeper into an area, we find more exceptions and more options that we previously thought. How we react to this uncertainty tells us more about ourselves, than about the multitudes hiding inside us.
4.5 stars rounded up