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. 2014 Feb 20;123(8):1124–1125. doi: 10.1182/blood-2014-01-546994

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A model of the pathophysiology of the anemia of inflammation based on the findings in Kim et al and Gardenghi et al.1,2 Injection of heat-killed B abortus stimulates an inflammatory response including increased production of hepcidin and IL-6. Hepcidin binds to the iron exporter ferroportin resulting in internalization of the protein, increased macrophage iron storage, and subsequent hypoferremia. Recovery from the inflammatory response lowers hepcidin and IL-6 levels leading to increased release of iron from the macrophages to the developing erythrocytes and relief of the block in erythroid development. Fpn, ferroportin.