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논문 기본 정보

자료유형
학술저널
저자정보
Thomas Schroeder (University of Duesseldorf) Stefanie Geyh (University of Duesseldorf) Ulrich Germing (University of Duesseldorf) Rainer Haas (University of Duesseldorf)
저널정보
대한혈액학회 Blood Research Blood Research Vol.51 No.4
발행연도
2016.1
수록면
225 - 232 (8page)

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Myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) are clonal myeloid disorders characterized by hematopoietic insufficiency. As MDS and AML are considered to originate from genetic and molecular defects of hematopoietic stem and progenitor cells (HSPC), the main focus of research in this field has focused on the characterization of these cells. Recently, the contribution of BM microenvironment to the pathogenesis of myeloid malignancies, in particular MDS and AML has gained more interest. This is based on a better understanding of its physiological role in the regulation of hematopoiesis. Additionally, it was demonstrated as a ‘proof of principle’ that genetic dis-ruption of cells of the mesenchymal or osteoblastic lineage can induce MDS, MPS or AML in mice. In this review, we summarize the current knowledge about the contribution of the BM microenvironment, in particular mesenchymal stromal cells (MSC) to the patho-genesis of AML and MDS. Furthermore, potential models integrating the BM micro-environment into the pathophysiology of these myeloid disorders are discussed. Finally, strategies to therapeutically exploit this knowledge and to interfere with the crosstalk be-tween clonal hematopoietic cells and altered stem cell niches are introduced.

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