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Bone marrow suppression also known as myelotoxicity or myelosuppression, is the decrease in production of cells responsible for providing immunity , carrying oxygen (erythrocytes), and/or those responsible for normal blood clotting (thrombocytes). [1]
Myeloid-derived suppressor cells (MDSC) are a heterogeneous group of immune cells from the myeloid lineage (a family of cells that originate from bone marrow stem cells). MDSCs expand under pathologic conditions such as chronic infection and cancer, as a result of altered haematopoiesis . [ 1 ]
Bone marrow is a semi-solid tissue found within the spongy (also known as cancellous) portions of bones. [2] In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). [3] It is composed of hematopoietic cells, marrow adipose tissue, and supportive stromal cells.
This figure depicts the process of B cell selection in the bone marrow. Immature B cells in the bone marrow undergo negative selection when they bind self peptides. [2] Properly functioning B cell receptors recognize non-self antigen, or pathogen-associated molecular proteins . [1] Main outcomes of autoreactivity of BCRs [1] [2]
Myelodysplastic syndrome (MDS) is a form of blood cancer in which the bone marrow no longer produces enough healthy, normal blood cells. [9] MDS are a frequently unrecognized and rare group of bone marrow failure disorders, yet the incidence rate has rose from 143 reported cases in 1973 to approximately 15,000 cases in the United States each year.
Dysplasia can affect all three lineages seen in the bone marrow. The best way to diagnose dysplasia is by morphology and special stains used on the bone marrow aspirate and peripheral blood smear. Dysplasia in the myeloid series is defined by: Granulocytic series [citation needed]:
Appetite suppression; Bone marrow suppression, the decrease in cells responsible for providing immunity, carrying oxygen, and those responsible for normal blood clotting; Cough medicine, which may contain a cough suppressant, a medicinal drug used in an attempt to treat coughing; Expressive suppression, a psychological aspect of emotion regulation
Common side effects include bone-marrow suppression and vomiting. [5] Bone-marrow suppression is especially common in people with a genetic deficiency of the enzyme thiopurine S-methyltransferase. [5] Other serious risk factors include an increased risk of certain cancers. [5] Use during pregnancy may result in harm to the baby. [5]