“…Genetic alterations might directly affect proliferation and/or differentiation of hematological stem cells, e.g., due to altered responsiveness to or signaling of growth factors (Divoky et al, 2001;Ruan et al, 2005) or impaired cell division (Devlin et al, 2010). Hematological changes can also occur due to altered morphology, life-span, and/or function of blood cells (Muro et al, 2000;Shet et al, 2008), impaired hemoglobin synthesis (Bishop et al, 2011) secondary to changes in regulatory pathways (Haase, 2006) or iron metabolism (Mok et al, 2006;Vujić Spasić et al, 2007), primary diseases of other organs (Fernandez-Banares et al, 2009;Gonzalez-Casas et al, 2009), or infections (Rivera and Ganz, 2009). Therefore, additional investigations, like clinical chemistry analyses and/or microscopic evaluation of blood cells (blood smears or cytospin preparations), and/or studies of cellular properties in culture, are usually necessary to elucidate the cause of changes detected in the peripheral blood cell count.…”