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myelogenous leukemia 520 myocardial autoantibodies (MyAs)<br />

develop as a consequence of ineffective hematopoiesis<br />

marked by abnormal myeloid, erythroid, and megakaryocytic<br />

precursors and may develop into acute myeloid<br />

leukemia (AML).<br />

myelogenous leukemia<br />

A myeloid lineage cell malignancy.<br />

myeloid antigen<br />

A surface epitope of myeloid leukocytes. Examples include<br />

CD13, CD14, and CD33. A poor prognosis is indicated<br />

when the leukocytes of a patient with acute lymphocytic<br />

leukemia express myeloid antigens. Their expression is a<br />

better indicator of decreased survival than are other features<br />

of the disease.<br />

myeloid cells<br />

Cells that arise from common myeloid progenitors, comprising<br />

erythrocytes, neutrophils, monocyte/macrophages,<br />

eosinophils, basophils, and megakaryocytes.<br />

myeloid cell series<br />

An immature bone marrow cell (myeloblast) that is a<br />

precursor of the polymorphonuclear leukocyte series. This<br />

18-μm diameter cell has a relatively large nucleus with<br />

finely distributed chromatin and two conspicuous nucleoli.<br />

The cytoplasm is basophilic when stained. During maturation,<br />

the cytoplasm becomes populated with large azurophilic<br />

primary granules, representing the promyelocyte<br />

stage. Later, the specific or secondary granules appear,<br />

representing the myelocyte stage. The nucleoli vanish as the<br />

nuclear chromatin forms dense aggregates. The chromatin<br />

in the nucleus condenses, and the cells no longer divide at<br />

this metamyelocyte stage. The nucleus assumes a sausagelike<br />

configuration known as a band. This subsequently<br />

develops into a three-lobed polymorphonuclear leukocyte<br />

that subsequently becomes a neutrophil, eosinophil, or<br />

basophil of the myeloid cell group. All three types of<br />

myeloid cells are present in normal peripheral blood.<br />

myeloid lineage<br />

A bone marrow-derived subset of cells, including granulocytes,<br />

monocytes, and macrophages.<br />

myeloid progenitors<br />

Bone marrow stem cells that lead to the formation of granulocytes,<br />

monocytes, and macrophages.<br />

myeloma<br />

A plasma cell dyscrasia characterized by highly malignant<br />

plasma cells in solid masses or dispersed as clones in the<br />

bone marrow. A plasmacytoma represents proliferation<br />

of a neoplastic plasma cell clone in bone marrow with the<br />

production of a monoclonal immunoglobulin paraprotein<br />

in addition to Bence–Jones proteins (free Ig light chains).<br />

Besides myeloma in humans, an experimental variety can<br />

be induced in certain inbred mouse strains such as BALB/c<br />

by intraperitoneal injection of mineral oil.<br />

myeloma, IgD<br />

A myeloma in which the monoclonal immunoglobulin is<br />

IgD. It constitutes 1 to 2% of myelomas and usually occurs<br />

in older males. Lymphadenopathy and hepatosplenomegaly<br />

are present. Approximately one half of the cases develop<br />

dissemination beyond the bones. Patients develop osteolysis,<br />

hypercalcemia, anemia, azotemia, aberrant plasma<br />

cells, and plasma blasts.<br />

myeloma protein<br />

The immunoglobulin synthesized in excess in patients with<br />

multiple myeloma (plasmacytoma). Myeloma proteins are<br />

products of proliferating plasma cells of a malignant clone.<br />

The heavy and light chains are usually assembled to produce<br />

the homogeneous monoclonal paraimmunoglobulin,<br />

but if the synthesis of light chains is exclusive or exceeds<br />

that of heavy chains, a Bence–Jones protein may appear in<br />

addition to the paraimmunoglobulin or it may occur alone.<br />

A myeloma protein may be a whole molecule of monoclonal<br />

immunoglobulin or part of the molecule synthesized by<br />

malignant plasma cells.<br />

myelomatosis<br />

A condition in which bone marrow plasma cells undergo<br />

malignant transformation and produce excessive homogeneous<br />

monoclonal immunoglobulin molecules that represent<br />

a paraprotein of a specific immunoglobulin isotype<br />

such as IgG or IgA. IgD and IgE myelomas also occur.<br />

Serum electrophoresis reveals a clearly demarcated band.<br />

Isoelectric focusing shows a classic monoclonal banding<br />

pattern. Some patients also have Bence–Jones protein in<br />

their urine. Patients are often males past 50 years of age<br />

and commonly present with spontaneous bone fracture or<br />

anemia due to replacement of bone marrow.<br />

myeloperoxidase<br />

An enzyme present in the azurophil granules of neutrophilic<br />

leukocytes that catalyzes peroxidation of many<br />

microorganisms. Myeloperoxidase, in conjunction with<br />

hydrogen peroxidase and halide, has a bactericidal effect.<br />

myeloperoxidase (MPO) deficiency<br />

A lack of 116-kDa myeloperoxidase in both neutrophils<br />

and monocytes. This enzyme is located in the primary<br />

granules of neutrophils. It possesses a heme ring that<br />

imparts a dark green tint to the molecule. MPO deficiency<br />

has an autosomal-recessive mode of inheritance. Affected<br />

patients have a mild version of chronic granulomatous<br />

disease. Candida albicans infections are frequent in this<br />

condition.<br />

myelopoiesis<br />

The generation of descendant myeloid lineage cells from<br />

hematopoietic stem cells differentiating into common<br />

myeloid progenitors in the bone marrow.<br />

myeloproliferative diseases (MPD)<br />

Chronic hematopoietic neoplasms of myeloid lineage cells,<br />

including chronic myelogenous leukemia (CML), polycythemia<br />

vera, essential thrombocythemia, and myelofibrosis.<br />

myocardial antibodies<br />

Antibodies against myocardium that have been demonstrated<br />

in two thirds of coronary artery bypass patients<br />

and in Dressler syndrome. Patients with acute rheumatic<br />

fever often manifest myocardial antibodies reactive with<br />

sarcolemmal, myofibrillar, or intermyofibrillar targets.<br />

Dilated cardiomyopathy patients and patients with systemic<br />

hypertension/autoimmune polyendocrinopathy may develop<br />

autoantibodies against myocardium.<br />

myocardial autoantibodies (MyAs)<br />

Myocardial autoantibody titers increase in approximately<br />

two thirds of coronary artery bypass patients, but this is not<br />

necessarily related to postcardiotomy syndrome. MyAs with<br />

sarcolemmal, intermyofibrillar patterns are demonstrable<br />

in most acute rheumatic fever patients. Their molecular<br />

mimicry is believed to have a role in pathogenesis. The sera<br />

of patients with idiopathic dilated cardiomyopathy react<br />

with the adenine nuclear translocator protein, a mitochondrial<br />

branched chain α-ketoacid dehydrogenase, cardiac β

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