Medicine
Volume 37, Issue 3 , Pages 129-132, March 2009

Haemopoiesis – the formation of blood cells

Ted Gordon-Smith MA FRCP FRCP(Ed) FRCPath FAcadMedSci is Emeritus Professor of Haematology and Honorary Consultant Physician at St George’s Hospital Medical School, London, UK. Competing interests: none declared

Abstract 

After birth and throughout life haemopoiesis takes place in the bone marrow. In the early embryo, blood cells, mainly erythrocytes, arise from blood islands in the yolk sac before more varied cells, including lymphoid and myeloid stem cells and precursors, are derived from the aorto-gonad-mesonephron of the para-aortic splanchnopleure. Foetal haemopoieis occurs mainly in the liver. The stem cell is the pluripotent progenitor cell from which the cells of the blood and lymphoid systems are ultimately derived. They are capable of self-renewal as well as proliferation and differentiation. Their proper function depends on the microenvironment of the haemopoietic organ in which they develop – the haemopoietic niche. They can migrate to and circulate in the blood, and home into and repopulate the bone marrow. Stem cells give rise to lymphoid and myeloid precursors. The myeloid precursors differentiate further into the erythrocytic, granulocytic and thrombocytic lineages that deliver red cells, granulocytes, monocytes and platelets to the circulation. Cell production is tightly controlled through cytokine and humoral loops and can be considerably increased in response to demand.

Keywords: differentiation, erythropoiesis, granulopoiesis, haemopoiesis, pluripotent, stem cells, thrombopoiesis

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PII: S1357-3039(09)00024-3

doi:10.1016/j.mpmed.2009.01.011

Medicine
Volume 37, Issue 3 , Pages 129-132, March 2009