Skip to main content

Extramedullary Haemopoiesis

  • Chapter
  • First Online:
Pathology of the Placenta
  • 2106 Accesses

Abstract

Blood cell production starts within the yolk sac during the third week of gestation, from where haematopoietic stem cells colonise the umbilical cord and aorta-gonad-mesonephros region and then the liver. By term, the bone marrow is the main site of blood cell production. Extramedullary haemopoiesis (EMH) is defined as blood cell production outside the bone marrow and, in the placenta, it happens within the villous stroma. Prolonged hypoxia and/or anaemia, usually associated with hydrops fetalis, may induce placental EMH, where a central macrophage provides the adequate microenvironment for maturation of the erythroid precursors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Brugnara C, Platt OS. The neonatal erythrocyte and its disorders. In: Orkin SH, Nathan DG, Ginsburg D, Look AT, Fisher DE, Lux SE, editors. Nathan and Oski’s hematology of infancy and childhood. 7th ed. Philadelphia: Saunders Elsevier; 2009. p. 21–66.

    Google Scholar 

  2. Sieff CA, Zon LI. Anatomy and physiology of hematopoiesis. In: Orkin SH, Nathan DG, Ginsburg D, Look AT, Fisher DE, Lux SE, editors. Nathan and Oski’s hematology of infancy and childhood. 7th ed. Philadelphia: Saunders Elsevier; 2009. p. 195–305.

    Google Scholar 

  3. Tavian M, Coulombel L, Luton D, Clemente HS, Dieterlen-Lièvre F, Péault B. Aorta-associated CD34+ hematopoietic cells in the early human embryo. Blood. 1996;87:67–72.

    CAS  PubMed  Google Scholar 

  4. Alvarez-Silva M, Belo-Diabanbouaya P, Salaün J, Dieterlen-Lièvre F. Mouse placenta is a major hematopoietic organ. Development. 2003;130:5437–44.

    Article  CAS  Google Scholar 

  5. Gekas C, Dieterlen-Lièvre F, Orkin SH, Mikkola HK. The placenta is a niche for hematopoietic stem cells. Dev Cell. 2005;8:365–75.

    Article  CAS  Google Scholar 

  6. Covas DT, Panepucci RA, Fontes AM, Silva WA Jr, Orellana MD, Freitas MC, et al. Multipotent mesenchymal stromal cells obtained from diverse human tissues share functional properties and gene-expression profile with CD146(+) perivascular cells and fibroblasts. Exp Hematol. 2008;36:642–54.

    Article  CAS  Google Scholar 

  7. He S, Wang L, Pan P, Wei H, Meng D, Du J, Tian X, Zheng C, Qiu X, Luo G. Etiology and perinatal outcome of nonimmune hydrops in Southern China. AJP Rep. 2017;7:e111–5.

    Article  Google Scholar 

  8. Johns JL, Christopher MM. Extramedullary hematopoiesis: a new look at the underlying stem cell niche, theories of development, and occurrence in animals. Vet Pathol. 2012;49:508–23.

    Article  CAS  Google Scholar 

  9. Kim CH. Homeostatic and pathogenic extramedullary hematopoiesis. J Blood Med. 2010;1:13–9.

    Article  Google Scholar 

  10. Sandler SG, Queenan JT. A guide to terminology for Rh immunoprophylaxis. Obstet Gynecol. 2017;130:633–5.

    Article  Google Scholar 

  11. Gilja BK, Shah VP. Hydrops fetalis due to ABO incompatibility. Clin Pediatr (Phila). 1988;27:210–2.

    Article  CAS  Google Scholar 

  12. Karagol BS, Zenciroglu A, Okumus N, Karadag N, Dursun A, Hakan N. Hemolytic disease of the newborn caused by irregular blood subgroup (Kell, C, c, E, and e) incompatibilities: report of 106 cases at a tertiary-care centre. Am J Perinatol. 2012;29:449–54.

    Article  Google Scholar 

  13. Rogers BB, Mark Y, Oyer CE. Diagnosis and incidence of fetal parvovirus infection in an autopsy series: I.Histology. Pediatr Pathol. 1993;13:371–9.

    Article  CAS  Google Scholar 

  14. Jordan JA. Identification of human parvovirus B19 infection in idiopathic nonimmune hydrops fetalis. Am J Obstet Gynecol. 1996;174:37–42.

    Article  CAS  Google Scholar 

  15. Ravishankar S, Migliori A, Struminsky J, Has P, Sung CJ, He M. Placental findings in feto-maternal hemorrhage in livebirth and stillbirth. Pathol Res Pract. 2017;213:301–4.

    Article  Google Scholar 

  16. Lewis NE, Marszalek L, Ernst LM. Placental pathologic features in fetomaternal hemorrhage detected by flow cytometry. Pediatr Dev Pathol. 2017;20:142–51.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luiz Cesar Peres .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Peres, L.C. (2019). Extramedullary Haemopoiesis. In: Khong, T., Mooney, E., Nikkels, P., Morgan, T., Gordijn, S. (eds) Pathology of the Placenta. Springer, Cham. https://doi.org/10.1007/978-3-319-97214-5_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-97214-5_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97213-8

  • Online ISBN: 978-3-319-97214-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics