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Review
. 2019 Feb:119:65-70.
doi: 10.1016/j.bone.2018.02.019. Epub 2018 Feb 21.

Bone and blood interactions in human health and disease

Rodrigo J Valderrábano  1 , Joy Y Wu  2
Affiliations
Review

Bone and blood interactions in human health and disease

Rodrigo J Valderrábano et al. Bone. 2019 Feb.

Abstract

Under physiologic conditions hematopoiesis takes place in the bone marrow, and the skeleton provides the structural and supportive network necessary for normal hematopoiesis. Chronic disorders affecting hematopoiesis such as sickle cell anemia and thalassemia demonstrate striking skeletal phenotypes including bone loss and increased fracture risk. There is mounting evidence that anemia in older populations may also be associated with bone fragility. Given the interconnectedness of bone and hematopoietic cells, it is important to review the potential clinical implications and opportunities for therapeutic intervention. There are recognized associations between blood-borne and solid tissue malignancy and skeletal health, but our review will focus on non-malignant disease.

Keywords: Anemia; Bone health; Bone mineral density; Fracture; Hematopoiesis; Osteoporosis.

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Figures

Figure 1
Figure 1. Risk estimates for specific fracture by low Hgb level*
Risk estimates for non-spine, hip and spine fracture by low hemoglobin level in selected studies. Fx: Fracture, ♂: men, ♀: women.
See this image and copyright information in PMC

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