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Bone marrow

life science Maturity 11-13 Next article →

Bone marrow is a semi-solid tissue located within the spongy, or cancellous, portions of bones. It serves as a vital biological hub for the human body. This tissue is the primary site for haematopoiesis, which is the production of new blood cells. In healthy adult humans, bone marrow makes up approximately 5% of total body mass. For a person weighing 73 kg, this equals about 3.7 kg of marrow.

Site for procedure of Bone Marrow
Site for procedure of Bone Marrow

The mechanism of blood production is a massive, continuous process. Within the medullary cavity, hematopoietic stem cells act as the foundation. These stem cells give rise to three main classes of blood cells. These include erythrocytes, which are red blood cells. They also include leukocytes, or white blood cells, and thrombocytes, known as platelets. Every day, human marrow produces approximately 500 billion blood cells. Once these cells reach maturity, they enter the systemic circulation through permeable blood vessels called sinusoids.

Trilineage hematopoiesis, annotated
Trilineage hematopoiesis, annotated

Bone marrow is organized into different types based on its cellular makeup. It is often categorized as either red marrow or yellow marrow. Red marrow is highly active in haematopoiesis and contains many hematopoietic cells. Yellow marrow consists mostly of marrow adipose tissue, or fat cells. A newborn baby's bones contain exclusively red marrow. As a person ages, there is a progressive conversion toward yellow marrow. However, the body can adapt to chronic hypoxia, a condition of low oxygen. In these cases, the body can convert yellow marrow back into red marrow to increase cell production.

The composition of the marrow is supported by a complex structure called the stroma. The stroma is the connective tissue that is not directly involved in blood production. Instead, stromal cells provide a specialized microenvironment that influences how hematopoietic cells function. This environment includes various cell types like fibroblasts and macrophages. Macrophages are particularly important because they deliver iron for hemoglobin synthesis. Other cells include adipocytes, which are fat cells, and osteoblasts, which synthesize bone. Endothelial cells form the sinusoids that allow mature cells to exit the marrow.

Bone marrow WBC
Bone marrow WBC

Research into the marrow's role in the immune system has grown recently. In 2003, scientists described the marrow as a priming site for T-cell responses. Mature T cells move into the marrow parenchyma to interact with dendritic cells. These dendritic cells can take up and process antigens. This interaction leads to T-cell activation and proliferation. Further studies in 2013 used two-photon dynamic imaging in mice to corroborate these findings. The bone marrow also acts as a sanctuary for plasma cells and a nest for memory T cells.

Bone marrow biopsy
Bone marrow biopsy

Clinical significance is found in how the marrow responds to disease. The architecture of the marrow can be damaged by infections like tuberculosis or malignancies. Certain cancers, such as leukemia, attack the hematologic progenitor cells directly. Diseases like aplastic anemia can also decrease the production of blood cells and platelets. Because radiation and chemotherapy kill rapidly dividing cells, they often damage the bone marrow. This damage can lead to a depressed immune system. To diagnose these issues, doctors may perform a bone marrow aspiration. This procedure usually involves using a hollow needle to collect a sample from the ilium.

acute leukemia-ALL
acute leukemia-ALL

Doctors use various medical imaging tools to assess bone marrow health. Plain film X-rays cannot visualize soft marrow directly, though they show bone changes. CT imaging has a slightly better capacity to assess the medullary cavity. MRI is the most sensitive and specific tool for assessing bone composition. MRI can distinguish between the high T1-relaxivity of fatty yellow marrow and the darker signal of red marrow. This helps clinicians identify pathologic lesions or changes in marrow density.

Bone marrow WBC
Bone marrow WBC
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🖼️ Images & Media (6)
File:Trilineage hematopoiesis, annotated.jpg
Trilineage hematopoiesis, annotated.jpg
File:Bone marrow WBC.JPG
Bone marrow WBC.JPG
File:acute leukemia-ALL.jpg
acute leukemia-ALL.jpg
File:Bone marrow biopsy.jpg
Bone marrow biopsy.jpg
File:Site for procedure of Bone Marrow.jpg
Site for procedure of Bone Marrow.jpg
File:Eusthenopteron BW.jpg
Eusthenopteron BW.jpg
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