maturation arrest
arrest
[ah-rest´]mat·u·ra·tion ar·rest
maturation arrest
HaematologyThe presence of relatively mature cytoplasm and an immature nucleus, seen in patients with megaloblastic anaemia due to a deficiency of vitamin B12 and/or folic acid, and in acute leukaemias.
Maturation arrest affects all cells, is most prominent in the bone marrow, and is characterised by enlarged cells with delicate, open chromatin and prominent parachromatin. This nuclear:cytoplasmic asynchrony is due to decreased DNA synthesis and a block in mitosis, attributed to the slowing of cobalamin-dependent pathway of methionine synthesis; this in turn sequesters folate as N5-methyl FH4, which cannot be used by thymidylate synthetase to generate dTMP from dUMP.