The bone marrow microenvironment supports normal hematopoiesis, but also plays a major role in the expansion of the leukemic cells in a malignancy, or either in a premalignant state, but later on also when the MDS progresses to acute myeloid leukemia. The leukemic cells mimic and manipulate the stromal microenvironment to their advantage, and this is all accompanied or with an inhibition of the normal hematopoiesis and, therefore, the bone marrow microenvironment has also targets for therapies and is manipulated and modulated by any therapeutical approach...
The bone marrow microenvironment supports normal hematopoiesis, but also plays a major role in the expansion of the leukemic cells in a malignancy, or either in a premalignant state, but later on also when the MDS progresses to acute myeloid leukemia. The leukemic cells mimic and manipulate the stromal microenvironment to their advantage, and this is all accompanied or with an inhibition of the normal hematopoiesis and, therefore, the bone marrow microenvironment has also targets for therapies and is manipulated and modulated by any therapeutical approach. And this needs always to be taken into consideration, both for the treatment of the disease, but also after eradication of the leukemic cells also to improve again the normal hematopoiesis.