Bone Marrow Bone marrow is a spongy substance found in the center of the bones. It manufactures bone marrow stem cells and other substances, which in turn produce blood cells. Each type of blood cell made by the bone marrow has an important job. Red blood cells carry oxygen to tissues in the body. Platelets stop bleeding by helping blood clot. White blood cells fight infections. Manufactures – производит stem cells – стволовые клетки Platelets – тромбоциты White Blood Cells blood clot – тромб Three very important types of white blood cells are essential to the proper functioning of the body's immune system, which fights infection: Neutrophils нейтрофилы Neutrophils and Macrophages — These white blood cells fight bacterial and fungal infections by "eating" germs Lymphocytes — These white blood cells fight bacterial, viral and fungal infections. T lymphocytes, also called T cells, attack viruses and other germs. T cells from the donor also can attack the recipient resulting in a reaction called graft versus host disease. T cells from the recipient can reject the donor bone marrow cell resulting in graft failure. B lymphocytes make antibodies which help destroy germs in our body. Alternative Sources of Bone Marrow Stem Cells Another source of bone marrow stem cells is the blood that circulates in the veins and arteries of all normal people. These stem cells are known as peripheral blood stem cells (PBSC). Patients recovering from chemotherapy and healthy people who are treated with certain drugs that stimulate the growth of the bone marrow have relatively large numbers of PBSC in their blood. The PBSC can be collected and used in certain situations as a source of stem cells for transplantation. Another source of stem cells is the blood found in the placenta of a newborn baby once the umbilical cord is cut. Umbilical cord blood (UCB) has been successfully used as a source of bone marrow stem cells for transplantation in both related and unrelated patients. Macrophages мегалофаги fungal грибковый graft versus host disease – реакция ТПХ (реакция "трансплантат против хозяина" реакция иммунокомпетент ных клеток трансплантата на антигены реципиента после трансплантации peripheral blood stem cells - СКПК (стволовые клетки периферической крови Anatomy of the bone. The bone is made up of compact bone, spongy bone, and bone marrow. Compact bone makes up the outer layer of the bone. Spongy bone is found mostly at the ends of bones and contains red marrow. Bone marrow is found in the center of most bones and has many blood vessels. There are two types of bone marrow: red and yellow. Red marrow contains blood stem cells that can become red blood cells, white blood cells, or platelets. Yellow marrow is made mostly of fat. Task 1. Answer the following questions: 1) 2) 3) 4) 5) What is a bone marrow? What does the bone marrow manufacture? Why does our body need lymphocytes? What are the main alternatives for bone marrow stem cells? Why do some people need a bone marrow transplant? Task 2. Insert the correct words into the gaps: Bone marrow is the soft, 1)_______________ tissue that has many blood vessels and is found in the 2)______________ of most bones. There are two types of bone marrow: 3)___________ and 4)_____________. Red bone marrow contains blood 5)_______________ that can become red blood cells, white blood cells, or platelets. Yellow bone marrow is made mostly of 6)_______________ and contains stem cells that can become cartilage, fat, or bone cells.