| |
|
|
|
|
|
|
|||
|
1 Instituto di Patologia Speciale Medica of the Genoa University School of
Medicine (Prof. A. Fieschi, Director), Genoa, Italy.
An in vitro culture technic for the study of reticulocyte maturation was
described. The method gave reproducible results and proved to be of value
in the comparative study of reticulocyte maturation in blood disorders. By this
method it was shown that variations in the reticulocyte maturation in vitro
paralleled similar variations present in vivo. The maturation of reticulocytes from patients with different types of
anemia was investigated. In some anemias the in vitro maturation of reticulocytes was prolonged, not only because younger reticulocytes were present in
the blood, but also because the rate at which the reticulum substance disappeared was delayed. This was particularly evident in the anemia of chronic
uremia, in Cooleys anemia and in pernicious anemia in relapse. In only occasional cases of hereditary spherocytosis and of autoimmune hemolytic
anemia was the rate of reticulocyte maturation found to be moderately
delayed. In patients with iron deficiency anemia or bleeding anemia it was
always normal. From the above findings the following conclusions were derived: 1. The reticulocyte number in the circulating blood is the resultant of three
variables: (a) the rate of output of new reticulocytes from the bone marrow;
(b) the stage of maturation at which reticulocytes are delivered into the
peripheral circulation; (c) the rate of disappearance of the reticulum substance. 2. The number of reticulocytes in the circulating blood cannot be indiscriminately used as a precise index of red cell production in erythrokinetics. 3. There is good reason to believe that a defect in the rate at which the
reticulocytes mature in the circulating blood is an index of a similar defect
in the process of erythroblastic differentiation in the bone marrow.
This article has been cited by other articles:
| |||||||||||
| Copyright © 1960 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||