Abstract
Osteoporosis paradoxically represents a metabolic bone disorder without obviously abnormal metabolism or structural decomposition of the bone. Its pathogenesis is unclear, prevention unsafe and therapeutic restitution unachievable. Aplastic anaemia is considered to arise either from a defect of a primitive haematopoietic stem cell, from a deficiency of its stromal microenvironment or from disturbed interaction of both [2, 6]. Its cause is unexplained in the majority of patients, and cure is hopeless in many cases. Now, old age notoriously may also induce bone changes similar to osteoporosis as atrophy of the bone marrow similar to aplastic anaemia. Senility, as such, in spite of the elucidation of many partial aspects, remains enigmatic. In this study, changes of the common structural microenvironment are presented that might be involved in the pathogenesis of the three conditions.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Amsel S, Maniatis A, Tavassoli M, Crosby WH (1969) The significance of intramedullary cancellous bone formation in the repair of bone marrow tissue. Anat Rec 164:101
Boggs DR, Boggs SS (1976) The pathogenesis of aplastic anemia: a defective pluripotent hematopoietic stem cell with inappropriate balance of differentiation and self replication. Blood 48:71–76
Burkhardt R (1980) Myelogene Osteopathien. In: Kuhlencordt F, Bertelheimer H (eds) Erkrankungen der Knochen, Gelenke und Muskeln. 1st Part A/B Klinische Osteologie. Springer, Berlin Heidelberg New York, pp 1057–1188 (Handbuch der inneren Medizin, vol 6)
Burkhardt R, Bartl R, Frisch B, Jäger K, Mahl G, Hill W, Kettner G (1984) The structural relationship of bone forming and endothelial cells of the bone marrow. In: Arlet J, Ficat RP, Hungerford DS (eds) Bone circulation. Williams and Wilkins, Baltimore, pp 2–14
Burkhardt R, Kettner G, Böhm W, Schmidmeier M, Schlag R, Frisch B, Mallmann B, Eisenmenger W, Gilg T (1987) Changes in trabecular bone, hematopoiesis and bone marrow vessels in aplastic anemia, primary osteoporosis, and old age: a comparative histomorphometric study. Bone 8:157–164
Knospe WH (1977) Hematopoietic microenvironment. Role of sinusoidal microcirculation and other stromal elements. In: Hibino S, Takaku F, Shahidi NT (eds) Aplastic anemia. University of Tokyo Press, Tokyo, pp 95–105
Knospe WH, Blom J, Crosby WH (1966) Regeneration of locally irradiated bone marrow. I. Dose dependent, long-term changes in the rat, with particular emphasis upon vascular and stromal reaction. Blood 28:398
Lips P, van Ginkel FC, Netelenboes JG (1985) Bone marrow and bone remodeling. Bone 6:343–344
Meunier P, Aaron J, Edouard C, Vignon G (1971) Osteoporosis and the replacement of cell populations of the marrow by adipose tissue. Clin Orthop 80:147–154
Trueta J (1963) The role of the vessels in osteogenesis. J Bone Joint Surg [Br] 45B:402
Weiss L (1964) The structure of bone marrow. Functional interrelationships of vascular and hematopoietic compartments in experimental hemolytic anemia: an electron microscopic study. J Morphol 117:467–538
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Burkhardt, R. (1990). Bone Marrow Microcirculation in Primary Osteoporosis, Aplastic Anaemia, and Old Age. In: Arlet, J., Mazières, B. (eds) Bone Circulation and Bone Necrosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73644-5_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-73644-5_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-73646-9
Online ISBN: 978-3-642-73644-5
eBook Packages: Springer Book Archive