Definition
Myelosuppression (acute suppression of the bone marrow) is the most common adverse side effect of cytotoxic anticancer therapy. It describes the decrease in the production of blood cells in the bone marrow. The bone marrow produces three types of blood cells: red blood cells (erythrocytes), white blood cells (leukocytes) (which include lymphocytes, monocytes, granulocytes), and platelets (thrombocytes). Since these cell types serve distinct and important functions, myelosuppression can be associated with moderate to severe life-threatening complications, such as anemia, increased risk of infection, and bleeding.
Characteristics
The bone marrow contains stem cellsable to reproduce and differentiate into red blood cells, white blood cells, and platelets, depending on the body’s need for replacing these cell pools. Because the proliferating precursor cells produced by stem cells are almost always in mitosis and reproduce rapidly, they are highly susceptible to cytotoxic...
References
Carey PJ (2003) Drug-induced myelosuppression: diagnosis and management. Drug Saf 26:691–706
Heuser M, Ganser A (2005) Colony-stimulating factors in the management of neutropenia and its complications. Ann Hematol 84:697–708
Martinelli S, Kostylina G, Niggli V et al (2006) Targeting survivin via PI3K but not c-akt/PKB by anticancer drugs in immature neutrophils. Oncogene 25:6915–6923
Salemi S, Yousefi S, Constantinescu MA et al. (2012) Autophagy is required for self-renewal and differentiation of adult human stem cells. Cell Res 22:432–435.
Zangemeister-Wittke U, Simon HU (2004) An IAP in action: the multiple roles of survivin in differentiation, immunity and malignancy. Cell Cycle 3:1121–1123
See Also
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Zangemeister-Wittke, U., Simon, HU. (2015). Myelosuppression. In: Schwab, M. (eds) Encyclopedia of Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27841-9_3940-2
Download citation
DOI: https://doi.org/10.1007/978-3-642-27841-9_3940-2
Received:
Accepted:
Published:
Publisher Name: Springer, Berlin, Heidelberg
Online ISBN: 978-3-642-27841-9
eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences