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hematopoietic cells 316 hemolysin<br />

marrow. Stromal cells, T cells, and other types of cells<br />

regulate hematopoiesis.<br />

hematopoietic cells<br />

Erythrocytes and leukocytes.<br />

hematopoietic cell transplant (HCT)<br />

The inoculation of hematopoietic stem cells from the<br />

peripheral blood, induced from the bone marrow, or occasionally<br />

from umbilical cord blood of a histocompatible<br />

donor into a recipient with an injured immune system.<br />

hematopoietic chimerism<br />

A successful bone marrow transplant leads to a state of<br />

hematological and/or immunological chimerism in which<br />

donor-type blood cells coexist permanently with host-type<br />

tissues, without manifesting alloreactivity to each other.<br />

Usually incomplete or mixed hematopoietic chimerism is<br />

generated after bone marrow transplantation in which both<br />

host-type and donor-type blood cells can be detected in<br />

the recipient. Not only is immune reactivity against donor<br />

type cells an obstacle to bone marrow engraftment, but<br />

the problem of graft-vs.-host disease (GVHD) mediated by<br />

donor T cells reactive against host antigens is also present.<br />

Refer to chimera.<br />

hematopoietic-inducing microenvironment (HIM)<br />

An anatomical location in which the cells and cellular factors<br />

requisite for the generation of hematopoietic cells may<br />

be found.<br />

hematopoietic lineage<br />

A series of cells that develop from hematopoietic stem cells<br />

and yield mature blood elements.<br />

hematopoietic stem cell (HSC)<br />

An undifferentiated bone marrow cell that serves as a<br />

precursor for multiple cell lineages. A common pluripotent<br />

hematopoietic precursor capable of self-renewal or commitment<br />

to differentiation into the common myeloid precursor<br />

that is the parent cell of a myeloid lineage (myelopoiesis)<br />

or a common lymphoid progenitor that leads to cells of<br />

the lymphoid lineage (lymphopoiesis). These cells are also<br />

demonstrable in the yolk sac and later in the liver in the<br />

fetus.<br />

hematopoietic stem cell transplantation<br />

Used to reconstitute hematopoietic cell lineages and treat<br />

neoplastic diseases. Twenty-five percent of allogenic marrow<br />

transplants in 1995 were performed using hematopoietic<br />

stem cells (HSCs) obtained from unrelated donors.<br />

Because only 30% of patients requiring allogenic marrow<br />

transplants had siblings that were human leukocyte antigen<br />

(HLA)-genotypically identical, it became necessary to identify<br />

related or unrelated potential marrow donors. It was<br />

found that complete HLA compatibility between donor and<br />

recipient is not absolutely necessary to reconstitute patients<br />

immunologically. Transplantation of unrelated marrow is<br />

accompanied by an increased incidence of graft-vs.-host<br />

disease (GVHD). Removal of mature T lymphocytes from<br />

marrow grafts decreases the severity of GVHD but often<br />

increases the incidence of graft failure and disease relapse.<br />

HLA-phenotypically identical marrow transplants among<br />

relatives are often successful. HSC transplantation provides<br />

a method to reconstitute hematopoietic cell lineages with<br />

normal cells capable of continuous self renewal. The<br />

principal complications of HSC transplantation are GVHD,<br />

graft rejection, graft failure, prolonged immunodeficiency,<br />

toxicity from radio-chemotherapy given pre-and post-<br />

transplantation, and GVHD prophylaxis. Methotrexate<br />

and cyclosporin A are given to help prevent acute GVHD.<br />

Chronic GVHD may also become a serious complication<br />

that involves the skin, gut, and liver, and an associated sicca<br />

syndrome. Allogeneic HSC transplantation often involves<br />

older individuals and unrelated donors. Thus, blood stem<br />

cell transplantation represents an effective method for the<br />

treatment of patients with hematologic and nonhematologic<br />

malignancies and various types of immunodeficiencies.<br />

The in vitro expansion of a small number of CD34 + cells<br />

stimulated by various combinations of cytokines appears<br />

to produce hematopoietic reconstitution when reinfused<br />

after a high-dose therapy. Recombinant human hematopoietic<br />

growth factors (HGFs; cytokines) may be given to<br />

counteract chemotherapy-treatment-related myelotoxicity.<br />

HGF increases the number of circulating progenitor and<br />

stem cells which is important for the support of high-dose<br />

therapy in autologous and allogeneic HSC transplantation.<br />

Both the bone marrow and umbilical cord blood serve as<br />

sources for hematopoietic stem cells.<br />

hematopoietic system<br />

Those tissues and cells that generate peripheral blood cells.<br />

hematopoietic tumor<br />

The malignant transformation of immune system cells.<br />

hematopoietins<br />

Factors that facilitate the growth and development of<br />

blood cells.<br />

hematoxylin bodies<br />

Nuclear aggregates of irregular shape found in areas of<br />

fibrinoid change or fibrinoid necrosis in systemic lupus<br />

erythematosus patients. These homogeneous-staining<br />

nuclear masses contain nuclear protein and DNA, as well<br />

as anti-DNA. They are probably formed from injured cell<br />

nuclei that interacted with antinuclear antibodies in vivo.<br />

Hematoxylin staining imparts a bluish-purple color to<br />

hematoxylin bodies. They may be viewed in the kidneys,<br />

lymph nodes, spleen, lungs, atrial endocardium, synovium,<br />

and serous membranes. Hematoxylin bodies of the tissue<br />

correspond to LE cells of the peripheral blood.<br />

hematuria<br />

Macroscopic or microscopic blood in the urine from any<br />

cause, whether glomerular basement membrane injury or<br />

renal stones, for example.<br />

hemocyanin<br />

A blood pigment that transports oxygen in invertebrates. In<br />

immunology, hemocyanin of the keyhole limpet has been<br />

widely used as an experimental antigen.<br />

hemocytoblast<br />

A bone marrow stem cell.<br />

hemolymph<br />

Invertebrate circulatory system liquid that conveys nutritious<br />

molecules and waste products throughout the body of<br />

the organism.<br />

hemolysin<br />

A complement-fixing antibody that lyses erythrocytes in<br />

the presence of complement and acts with complement to<br />

produce an interruption in the membrane integrity of red<br />

blood cells, causing disruption. Historically, the term refers<br />

to rabbit anti-sheep erythrocyte antibody used in the visible<br />

part of a complement fixation test. Microbial products such<br />

as streptolysin O may disrupt (lyse) red blood cells in agar<br />

medium.

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