Experimental Hematology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; Pediatric Immuno-Hematology Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Hematology and Bone Marrow Transplant Unit, IRCCS San Raffaele Hospital, Milan, Italy; Università Vita-Salute San Raffaele, Milan, Italy.
Handb Clin Neurol. 2024;202:23-39. doi: 10.1016/B978-0-323-90242-7.00006-7.
Hematopoiesis is a complex process that takes place inside the bone marrow, where a specialized structure, the bone marrow niche, participates in the maintenance of hematopoietic stem cell functionality. Inflammatory conditions, such as autoimmune diseases, could alter this equilibrium leading to pathologic consequences. Immune cells, which also reside in the bone marrow, directly participate in sustaining the inflammatory state in autoimmune diseases. In particular, memory lymphocytes are key players in the long-term maintenance of the immune response against self-antigens, causing tissue damage and bone marrow alterations.
造血是一个发生在骨髓内部的复杂过程,其中一个特殊的结构,骨髓龛,参与维持造血干细胞的功能。炎症状态,如自身免疫性疾病,可能会改变这种平衡,导致病理后果。免疫细胞也存在于骨髓中,它们直接参与维持自身免疫性疾病中的炎症状态。特别是记忆性淋巴细胞是长期维持针对自身抗原的免疫反应的关键因素,导致组织损伤和骨髓改变。