Hematopoietic System

Bone Marrow - Pigment

Narrative
Comment:
Iron is stored as hemosiderin in resident macrophages of the bone marrow. An increase in the amount of hemosiderin within the bone marrow is recorded as (increased) pigment. Hemosiderin appears as a golden brown pigment with hematoxylin and eosin stain and as green, blue-green, or black with Wright’s stain. Although golden brown pigment seen in macrophages most likely represents hemosiderin, a special stain, such as Prussian blue, would be needed for confirmation. Since iron is normally stored in the marrow, the level of pigmentation is assessed and graded in comparison with same-site concurrent controls.

Increased hemosiderin of the bone marrow is associated with old or chronic hemorrhage or hemolytic anemia or is due to the administration of excessive amounts of oral or parenteral iron (iron overload). Anemia of inflammatory (or chronic) disease may also result in increased bone marrow hemosiderin. This is due to increased production of hepcidin, a key mediator of anemia of inflammation, by the liver. Hepcidin plays a role in maintaining normal iron homeostasis by inhibiting absorption of dietary iron from the intestinal epithelium and preventing the export of iron from macrophages. Inflammatory and neoplastic disorders cause an increase in hepcidin production that with time results in increased iron stores within the bone marrow. These iron stores are unavailable for erythropoiesis, subsequently contributing to the development of anemia.
Recommendations:

While golden brown pigment within the bone marrow is presumed to be hemosiderin, it cannot be confirmed without special stains. Thus, “pigment” is deemed the most appropriate diagnosis. Increases in pigment in subchronic and chronic studies should always be documented, with grading based on the relative amounts of pigment present in comparison with same-site concurrent controls. When an increase in pigment is treatment related, it should be described in the narrative as being consistent with hemosiderin.

References:

Braumann A, Wulfhekel U, Düllmann J, Nielsen P. 1992. Iron overload of the bone marrow by trimethylhexanoyl-ferrocene in rats. Acta Anat 144:285-295.

Abstract: http://www.ncbi.nlm.nih.gov/pubmed/1414192

Harvey JW. 2008. Iron metabolism and its disorders. In: Clinical Biochemistry of Domestic Animals (Kaneko JJ, Harvey JW, Bruss ML, eds). Elsevier, Burlington, MA, 259-285.

Abstract: http://www.elsevier.com/books/clinical-biochemistry-of-domestic-animals/kaneko/…

Hejtmancik MR, Treka BA, Kurtz PJ, Persing RL, Ryan MJ, Yarrington JT, Chhabra RS. 2002. Comparative gavage subchronic toxicity studies of o-chloroaniline and m-chloroaniline in F344 rats and B6C3F1 mice. Toxicol Sci 69:234-243.

Abstract: http://www.ncbi.nlm.nih.gov/pubmed/12215679

Nemeth E, Rivera S, Gabayan V, Keller C, Taudork S, Pedersen BK, Ganz T. 2004. IL-6 mediates hypoferremia of inflammation by inducing the synthesis of the iron regulatory hormone hepcidin. J Clin Invest 113:1271-1276.

Abstract: http://www.ncbi.nlm.nih.gov/pubmed/15124018

Nemeth E, Tuttle MS, Powelson J, Vaughn MB, Donovan A, Ward DM, Ganzand T, Kaplan J. 2004. Hepcidin regulates cellular iron efflux by binding to ferroportin and inducing its internalization. Science 306:2090-2093.

Abstract: http://www.ncbi.nlm.nih.gov/pubmed/15514116

Travlos GS. 2006. Histopathology of the bone marrow. Toxicol Pathol 34:566-598.

Abstract: http://tpx.sagepub.com/content/34/5/566.abstract

Travlos GS, Mahler J, Ragan HA, Chou BJ, Bucher JR. 1996. Thirteen-week inhalation toxicity of 2- and 4-chloronitrobenzene in F344/N rats and B6C3F1 mice. Fundam Appl Toxicol 30:75-92.

Abstract: http://www.ncbi.nlm.nih.gov/pubmed/8812232
  • Image of pigment in the bone marrow from a male B6C3F1 mouse in a subchronic study

    Low amounts of golden brown pigment in bone marrow in a male B6C3F1 mouse from a subchronic study.

Enlarge Image