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Red and White Blood Cell Counts Are Associated With Bone Marrow Adipose Tissue, Bone Mineral Density, and Bone Microarchitecture in Premenopausal Women
dc.contributor.authorPolineni, Sai
dc.contributor.authorResulaj, Megi
dc.contributor.authorFaje, Alexander T
dc.contributor.authorMeenaghan, Erinne
dc.contributor.authorBredella, Miriam A
dc.contributor.authorBouxsein, Mary
dc.contributor.authorLee, Hang
dc.contributor.authorMacDougald, Ormond A
dc.contributor.authorKlibanski, Anne
dc.contributor.authorFazeli, Pouneh K
dc.date.accessioned2020-07-02T20:34:37Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-07-02T20:34:37Z
dc.date.issued2020-06
dc.identifier.citationPolineni, Sai; Resulaj, Megi; Faje, Alexander T; Meenaghan, Erinne; Bredella, Miriam A; Bouxsein, Mary; Lee, Hang; MacDougald, Ormond A; Klibanski, Anne; Fazeli, Pouneh K (2020). "Red and White Blood Cell Counts Are Associated With Bone Marrow Adipose Tissue, Bone Mineral Density, and Bone Microarchitecture in Premenopausal Women." Journal of Bone and Mineral Research 35(6): 1031-1039.
dc.identifier.issn0884-0431
dc.identifier.issn1523-4681
dc.identifier.urihttps://hdl.handle.net/2027.42/155991
dc.description.abstractBone marrow adipose tissue (BMAT) resides within the bone marrow microenvironment where its function remains poorly understood. BMAT is elevated in anorexia nervosa, a disease model of chronic starvation, despite depletion of other fat depots. In addition to BMAT, the marrow microenvironment also consists of osteoblast and hematopoietic progenitors. BMAT is inversely associated with bone mineral density (BMD) in multiple populations including women with anorexia nervosa, and regulates hematopoiesis in animal models. We hypothesized that BMAT would be associated with circulating populations of hematopoietic cells (red and white blood cells) in humans and performed a post hoc analysis of two studies—a cross‐sectional study and a longitudinal study—to investigate this hypothesis. We studied 89 premenopausal women cross‐sectionally (median age [interquartile range], 27 [24.5, 31.7] years), including 35 with anorexia nervosa. We investigated associations between red blood cell (RBC) and white blood cell (WBC) counts and BMAT assessed by 1H‐magnetic resonance spectroscopy, BMD assessed by DXA, and bone microarchitecture assessed by HR‐pQCT. In addition, we analyzed longitudinal data in six premenopausal women with anorexia nervosa treated with transdermal estrogen for 6 months and measured changes in BMAT and blood cell counts during treatment. Cross‐sectionally, BMAT was inversely associated with WBC and RBC counts. In contrast, BMD and parameters of bone microarchitecture were positively associated with WBC and RBC. In women with anorexia nervosa treated with transdermal estrogen for 6 months, decreases in BMAT were significantly associated with increases in both RBC and hematocrit (rho = −0.83, p = 0.04 for both). In conclusion, we show that BMAT is inversely associated with WBC and RBC in premenopausal women, and there is a potential association between longitudinal changes in BMAT and changes in RBC. These associations warrant further study and may provide further insight into the role and function of this understudied adipose depot. © 2020 American Society for Bone and Mineral Research.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherANOREXIA NERVOSA
dc.subject.otherBONE MICROARCHITECTURE
dc.subject.otherBONE MINERAL DENSITY
dc.subject.otherHEMATOPOIESIS
dc.subject.otherMARROW ADIPOSE TISSUE
dc.titleRed and White Blood Cell Counts Are Associated With Bone Marrow Adipose Tissue, Bone Mineral Density, and Bone Microarchitecture in Premenopausal Women
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelInternal Medicine and Specialities
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/155991/1/jbmr3986.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/155991/2/jbmr3986_am.pdf
dc.identifier.doi10.1002/jbmr.3986
dc.identifier.sourceJournal of Bone and Mineral Research
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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