Shared and Distinctive Ultrastructural Abnormalities Expressed by Megakaryocytes in Bone Marrow and Spleen From

Maria Zingariello1, Vittorio Rosti2, Alessandro M Vannucchi3

  • 1Unit of Microscopic and Ultrastructural Anatomy, Department of Medicine, University Campus Bio-Medico, Rome, Italy.

Frontiers in Oncology
|December 14, 2020
PubMed

Insights

Ultrastructural analysis reveals distinct megakaryocyte abnormalities in myelofibrosis patients. Bone marrow megakaryocytes show immature features and metabolic issues, while spleen megakaryocytes appear mature but have energy metabolism deficits.

Area of Science:

  • Hematology
  • Cell Biology
  • Pathology

Background:

  • Myelofibrosis is characterized by bone marrow fibrosis and extramedullary hematopoiesis, primarily in the spleen.
  • Malignant megakaryocytes in the bone marrow exhibit ultrastructural abnormalities, but their morphology in extramedullary sites like the spleen remains understudied.

Purpose of the Study:

  • To compare the ultrastructural morphology of megakaryocytes in the bone marrow and spleen of myelofibrosis patients versus healthy controls.
  • To investigate potential differences in megakaryocyte metabolism and their implications in myelofibrosis pathogenesis.

Main Methods:

  • Transmission electron microscopy was used to examine megakaryocytes from bone marrow and spleen samples.
  • Samples were obtained from myelofibrosis patients and healthy individuals for comparative analysis.

Main Results:

  • Megakaryocyte numbers were significantly increased in both bone marrow and spleen of myelofibrosis patients.
  • Bone marrow megakaryocytes were predominantly immature with abnormal membranes and glycosome accumulation, suggesting altered metabolism.
  • Spleen megakaryocytes were mature with normal membranes but showed mitochondrial abnormalities, indicating impaired energy metabolism.

Conclusions:

  • Malignant megakaryocytes in myelofibrosis exhibit distinct ultrastructural and metabolic impairments in the bone marrow versus the spleen.
  • These site-specific differences in megakaryocyte morphology and metabolism may contribute differently to the pathogenesis of myelofibrosis.