Hematopoietic stem cell compartment: acute and late effects of radiation therapy and chemotherapy.
Open accessAbstract
The bone marrow is an important dose-limiting cell renewal tissue for chemotherapy, wide-field irradiation, and autologous bone marrow transplantation. Over the past 5-10 years a great deal has been discovered about the hematopoietic stem cell compartment. Although the toxicity associated with prolonged myelosuppression continues to limit the wider use of chemotherapy and irradiation, ways are being discovered to circumvent this toxicity such as with the increasing use of cytokines. This review describes what is known of how chemotherapy and irradiation damage stem cells and the microenvironment, how cytokines protect hematopoietic cells from radiation damage and speed marrow recovery after chemotherapy or marrow transplantation, and how various types of blood marrow cells contribute to engraftment and long-term hematopoiesis after high doses of cytotoxic agents and/or total body irradiation.
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BM suppression is one of the common side effects of radiotherapy and the primary cause of death after exposure to a moderate or high dose of TBI.
“Bone marrow (BM) suppression is one of the common side effects of radiotherapy and the primary cause of death after exposure to a moderate or high dose of total body irradiation (TBI).1,2”
From Total body irradiation causes long-term mouse BM injury via induction of HSC premature senescence in an Ink4a- and Arf-independent manner (2014) · cites this paper as [1]
Long-term cancer survivors are at increased risk for developing late effects related to cancer treatment, including IR-induced residual BM injury.
“long-term cancer survivors are at increased risk for developing late effects related to cancer treatment, including IR-induced residual BM injury”
From Total body irradiation causes long-term mouse BM injury via induction of HSC premature senescence in an Ink4a- and Arf-independent manner (2014) · cites this paper as [1]
IR-induced residual BM injury can deteriorate to become hypoplastic anemia or myelodysplastic syndrome over time or after additional treatment with IR and/or chemotherapy or undergoing autologous BM transplantation.
“IR-induced residual BM injury can deteriorate to become hypoplastic anemia or myelodysplastic syndrome over time or after additional treatment with IR and/or chemotherapy or undergoing autologous BM transplantation.1,2”
From Total body irradiation causes long-term mouse BM injury via induction of HSC premature senescence in an Ink4a- and Arf-independent manner (2014) · cites this paper as [1]
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Hematopoietic Stem Cell Quiescence Maintained by p21 <sup>cip1/waf1</sup>
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- Authors
- Mauch, P., Constine, L., Greenberger, J., Knospe, W., Sullivan, J., Liesveld, J. L., & Deeg, H. J.
- Affiliations
- Harvard University (US)
- University of Rochester Medicine (US)
- University of Pittsburgh Medical Center (US)
- New York University (US)
- University of Washington (US)
- Corresponding author
- Mauch, Peter
- Venue
- International Journal of Radiation Oncology*Biology*Physics
- Publisher
- Elsevier BV
- Published
- 1995-03
- Volume
- 31
- Issue
- 5
- Pages
- 1319-1339
- ISSN
- 0360-3016 (ISSN-L)
- OpenAlex
- W2082603775
- Cited by
- 507
- References
- 172
- Citations by year
- 2026: 13 · 2025: 24 · 2024: 24 · 2023: 26 · 2022: 24 · 2021: 22 · 2020: 33 · 2019: 21 · 2018: 25 · 2017: 28 · 2016: 28 · 2015: 33 · 2014: 23 · 2013: 19 · 2012: 25
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Radiation Oncology*Biology*Physics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- hematopoietic stem cells, radiotherapy, chemotherapy, myelosuppression, bone marrow microenvironment, cytokines, autologous bone marrow transplantation, total body irradiation, engraftment, hematopoiesis
- MeSH terms
- Animals, Bone Marrow Diseases, Dogs, Hematopoietic Stem Cells, Humans, Radiation Dosage, Radiation Tolerance, Radiotherapy, Whole-Body Irradiation, Bone Marrow Transplantation, Hematopoietic Cell Growth Factors, Mice
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