Megakaryocyte contribution to bone marrow fibrosis: many arrows in the quiver
Author(s) -
Alessandro Malara,
Vittorio Abbonante,
Maria Zingariello,
Anna Ritá Migliaccio,
Alessandra Balduini
Publication year - 2018
Publication title -
mediterranean journal of hematology and infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 31
ISSN - 2035-3006
DOI - 10.4084/mjhid.2018.068
Subject(s) - myelofibrosis , bone marrow , megakaryocyte , medicine , stromal cell , fibrosis , pathology , dysplasia , hyperplasia , cancer research , haematopoiesis , biology , microbiology and biotechnology , stem cell
In Primary Myelofibrosis (PMF), megakaryocyte dysplasia/hyperplasia determines the release of inflammatory cytokines that, in turn, stimulate stromal cells and induce bone marrow fibrosis. The pathogenic mechanism and the cells responsible for progression to bone marrow fibrosis in PMF are not completely understood. This review article aims to provide an overview of the crucial role of megakaryocytes in myelofibrosis by discussing the role and the altered secretion of megakaryocyte-derived soluble factors, enzymes and extracellular matrices that are known to induce bone marrow fibrosis.
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