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Bone marrow
Dr. Ayesha
physiotherapist
Introduction :
“Bone marrow”
• Bone marrow is the soft, spongy tissue found within the
medullary cavity of long bones and in the interstices of
cancellous bone. It plays a crucial role in the skeletal system
by housing hematopoietic stem cells (HSCs) responsible for
the production of blood cells and also serving as a reservoir
for fat storage.
Types of Bone Marrow
• Red Bone Marrow:
Found primarily in the ends of long bones, flat bones,
vertebrae, ribs, sternum, and pelvic girdle. It consists of hematopoietic cells
responsible for producing red blood cells, white blood cells, and platelets.
Additionally, red bone marrow contains adipocytes and stromal cells that
support the hematopoietic process.
• Yellow Bone Marrow:
Located in the medullary cavity of long bones, yellow bone
marrow is composed mainly of adipocytes (fat cells). It serves as a storehouse for
triglycerides and functions as an energy reserve.
Hematopoiesis
• Hematopoiesis is the process of blood cell formation that
occurs within the bone marrow. Hematopoietic stem cells
(HSCs) are multipotent cells capable of differentiating into
various blood cell types. The process is tightly regulated by
cytokines and growth factors, which control the proliferation
and differentiation of HSCs into mature blood cells.
Cellular Components of Bone Marrow
• Hematopoietic Cells: These include:
• Erythrocytes: Red blood cells responsible for oxygen
transport.
• Leukocytes: White blood cells involved in immune defense.
They include granulocytes (neutrophils, eosinophils, basophils),
lymphocytes (T cells, B cells, natural killer cells), and
monocytes.
• Platelets: Cell fragments involved in blood clotting.
• Stromal Cells: These include:
• Mesenchymal Stem Cells (MSCs): Multipotent cells
capable of differentiating into osteoblasts, adipocytes, and
chondrocytes. They also play a role in supporting
hematopoiesis.
• Osteoblasts, Adipocytes, Endothelial Cells: These cells
contribute to the structural support and microenvironment of
the bone marrow.
Clinical Considerations
• Bone Marrow Biopsy and Aspiration:
• These procedures involve the extraction of bone marrow
samples for diagnostic purposes. They are used to investigate
various hematological disorders such as anemia, leukemia, and
multiple myeloma.
• Disorders of Bone Marrow:
• Conditions affecting bone marrow function, including:
• Anemia:
• Decreased red blood cell production or hemoglobin levels.
• Leukemia: Cancer of the blood cells, characterized by
abnormal proliferation of white blood cells.
• Multiple Myeloma: Cancer of plasma cells, a type of white
blood cell.
• Bone Marrow Transplantation: A procedure used to treat
certain hematological disorders by replacing diseased or
damaged bone marrow with healthy donor marrow. It may be
autologous (using the patient's own marrow) or allogeneic
(using donor marrow).
Exploring Bone Marrow: Composition, Functions, and Clinical Insights
Exploring Bone Marrow: Composition, Functions, and Clinical Insights

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Exploring Bone Marrow: Composition, Functions, and Clinical Insights

  • 2. Introduction : “Bone marrow” • Bone marrow is the soft, spongy tissue found within the medullary cavity of long bones and in the interstices of cancellous bone. It plays a crucial role in the skeletal system by housing hematopoietic stem cells (HSCs) responsible for the production of blood cells and also serving as a reservoir for fat storage.
  • 3.
  • 4. Types of Bone Marrow • Red Bone Marrow: Found primarily in the ends of long bones, flat bones, vertebrae, ribs, sternum, and pelvic girdle. It consists of hematopoietic cells responsible for producing red blood cells, white blood cells, and platelets. Additionally, red bone marrow contains adipocytes and stromal cells that support the hematopoietic process. • Yellow Bone Marrow: Located in the medullary cavity of long bones, yellow bone marrow is composed mainly of adipocytes (fat cells). It serves as a storehouse for triglycerides and functions as an energy reserve.
  • 5.
  • 6. Hematopoiesis • Hematopoiesis is the process of blood cell formation that occurs within the bone marrow. Hematopoietic stem cells (HSCs) are multipotent cells capable of differentiating into various blood cell types. The process is tightly regulated by cytokines and growth factors, which control the proliferation and differentiation of HSCs into mature blood cells.
  • 7.
  • 8. Cellular Components of Bone Marrow • Hematopoietic Cells: These include: • Erythrocytes: Red blood cells responsible for oxygen transport. • Leukocytes: White blood cells involved in immune defense. They include granulocytes (neutrophils, eosinophils, basophils), lymphocytes (T cells, B cells, natural killer cells), and monocytes. • Platelets: Cell fragments involved in blood clotting.
  • 9. • Stromal Cells: These include: • Mesenchymal Stem Cells (MSCs): Multipotent cells capable of differentiating into osteoblasts, adipocytes, and chondrocytes. They also play a role in supporting hematopoiesis. • Osteoblasts, Adipocytes, Endothelial Cells: These cells contribute to the structural support and microenvironment of the bone marrow.
  • 10. Clinical Considerations • Bone Marrow Biopsy and Aspiration: • These procedures involve the extraction of bone marrow samples for diagnostic purposes. They are used to investigate various hematological disorders such as anemia, leukemia, and multiple myeloma. • Disorders of Bone Marrow: • Conditions affecting bone marrow function, including: • Anemia: • Decreased red blood cell production or hemoglobin levels.
  • 11.
  • 12. • Leukemia: Cancer of the blood cells, characterized by abnormal proliferation of white blood cells. • Multiple Myeloma: Cancer of plasma cells, a type of white blood cell. • Bone Marrow Transplantation: A procedure used to treat certain hematological disorders by replacing diseased or damaged bone marrow with healthy donor marrow. It may be autologous (using the patient's own marrow) or allogeneic (using donor marrow).