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The role of iron in chronic inflammatory diseases: from mechanisms to treatment options in anemia of inflammation

Oriana Marques, Günter Weiß, Martina U. Muckenthaler

2022Blood139 citationsDOI

Abstract

Anemia of inflammation (AI) is a highly prevalent comorbidity in patients affected by chronic inflammatory disorders, such as chronic kidney disease, inflammatory bowel disease, or cancer, that negatively affect disease outcome and quality of life. The pathophysiology of AI is multifactorial, with inflammatory hypoferremia and iron-restricted erythropoiesis playing a major role in the context of disease-specific factors. Here, we review the recent progress in our understanding of the molecular mechanisms contributing to iron dysregulation in AI, the impact of hypoferremia and anemia on the course of the underlying disease, and (novel) therapeutic strategies applied to treat AI.

Topics & Concepts

HepcidinMedicineAnemiaContext (archaeology)Anemia of chronic diseaseInflammationKidney diseaseInflammatory bowel diseaseDiseaseImmunologyErythropoiesisComorbidityInternal medicineBiologyPaleontologyIron Metabolism and DisordersHemoglobinopathies and Related DisordersErythrocyte Function and Pathophysiology
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