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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1580-1585.
Prepublished online as a Blood First Edition Paper on November 6, 2003; DOI 10.1182/blood-2003-05-1595.

Submitted May 20, 2003
Accepted October 29, 2003
Current mechanistic scenarios in hemopoietic stem/progenitor cell mobilization
Thalia Papayannopoulou*
Department of Medicine, Division of Hematology, University of Washington, Seattle, WA, USA
* Corresponding author; email: thalp{at}u.washington.edu.
Uncovering the molecular mechanisms governing the exit of stem/progenitor cells from bone marrow to peripheral blood at steady-state or after their enforced migration has been an ongoing challenge. Recently, however, several new avenues or paradigms in mobilization have emerged from ever-expanding work in humans subjected to G-CSF mobilization, as well as from studies in normal and gene-deficient mouse models. Although these developments represent notable advances that met with considerable excitement, they have been quenched by surprising vacillations in subsequent research. This perspective highlights recent developments in mobilization along with their controversies. A full understanding of the directional cues that control the migratory behavior and the fate of stem/progenitor cells once they migrate out of bone marrow will await further experimentation, aiming to bridge our current gaps in knowledge.

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