Chemo/radiotherapy-Induced Bone Marrow Niche Alterations

Autor: Mohammad Ghasemi Dehcheshmeh, Najmaldin Saki, Niloofar Farshchi, Hassan Rafieemehr, Masumeh Maleki Behzad, Saeed Azandeh
Rok vydání: 2020
Předmět:
Zdroj: Cancer Investigation. :1-15
ISSN: 1532-4192
0735-7907
DOI: 10.1080/07357907.2020.1855353
Popis: Bone marrow (BM) niche is a specific microenvironment for hematopoietic stem cells (HSCs) as well as non-hematopoietic cells. Evidence shows that chemo/radiotherapy can lead to the disruption of different properties of HSCs such as proliferation, differentiation, localization, self-renewa, and steady-state of cell populations. Investigations have shown that the deregulation of balance within the marrow cavity due to chemo/radiotherapy could lead to bone loss, abnormal hematopoiesis, and enhanced differentiation potential of mesenchymal stem cells towards the adipogenic lineage. Therefore, understanding the underlying mechanisms of chemo/radiotherapy induced BM niche changes may lead to the application of appropriate therapeutic agents to prevent BM niche defects. Highlights Chemo/radiotherapy disrupts the steady-state of bone marrow niche cells and result in deregulation of normal balance of stromal cell populations. Chemo/radiotherapy agents play a significant role in reducing of bone formation as well as fat accumulation in the bone marrow niche. Targeting molecular pathways may lead to recovery of bone marrow niches after chemo/radiotherapy.
Databáze: OpenAIRE