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PMID: 2201412 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Review

How do normal and leukemic white blood cells egress from the bone marrow? Morphological facts and biochemical riddles.

Blut ·Vol. 61 ·No. 1 ·1990-07-00 ·Pages 3-13

Petrides PE, Dittmann KH

Abstract

Under normal circumstances only mature granulocytes and monocytes cross the bone marrow sinus wall, a trilaminar structure consisting of endothelial cells, a discontinuous basal membrane and an adventitial cell layer in order to get access to the blood circulation. In leukemia, however, immature white blood cells are able to traverse the barrier and to appear in the blood stream. Very little is known about the regulatory processes which govern the egress of white blood cells in healthy individuals and their malignant counterparts in patients with leukemia. The results of the few studies performed to address this question in animal and human leukemias all agree that the extent to which adventitial cells (fibroblasts) cover the endothelium in bone marrow is drastically reduced. This implies altered interactions between the leukemic and adventitial cells and their extracellular matrix. We propose here a model to explain the egress of normal cells and their leukemic counterparts. It is based upon our own experimental data and the general at present limited knowledge of the subject. It is hoped that this model will stimulate further research into this important aspect of leukemogenesis.

MeSH Terms
Animals Biological Factors/physiology Bone Marrow/anatomy & histology Bone Marrow Cells Cell Adhesion/physiology Cell Movement/physiology Cytokines Humans Leukemia/pathology Leukocytes/physiology Models, Biological
Chemicals
Biological Factors Cytokines
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Petrides P E
Department of Medicine III, University of Munich Medical School Grosshadern, Federal Republic of Germany.
Dittmann K H
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Article Info
Journal
Blut
Abbr.
Blut
ISSN
0006-5242
Published
1990-07-00
Pages
3-13
Language
English
Region
Germany
NLM ID
0173401
Subset
IM
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