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266            PART 4  ■  Erythrocyte Disorders





                                                                                         B                          Iron loss              Increased erythroid demand                  Fe
                                                                                                                 1–2 mg/day                Hypoxia                                     Inflammation






                                                                       Bone marrow
                                                                          ~300 mg                                                                                            –            +




                                                                                                                                                                    D          HFE/TfR1

                                                                                                                                                                               TfR2
                                                                                                                                                                               HJV/sHJV
                                                                                                                                                                                                     Liver
                                                                            20–25                                    Fe – Tf

                                                                            mg/day                                   ~3 mg
                                   Erythrocytes
                                     ~1800 mg                                                                                                    Iron uptate                 +
                                                                                                                                                1–2 mg/day








                                                                                        C





                                                                                                                                      A



                                                                                                                                                                         Hepcidin
                                                                       Macrophages
                                                                          ~600 mg


                                 FIGURE 14.5  P                          x            . T                   x               k                                                       m
                                                               m                                                                             . N

                                           x                   x m     . T                                                 m                                    m  j                   . O

                                   m                                                            . Im             ,                 m
                                                       ,                                                               m                      k          m                                      m

                                               . H            ,                                 ,       m            , β-             –  k                                                ,

                                             m                                                               x                                 m                                                           -

                                                m                  . A              q          ,                                                                                                  m

                                                     . H              x                                                                                   ,             mm             m    ,
                                                               m      ,                   x                                           x                      HFE,   RF  ,        HJV          .

                                 I   HFE-,    R  -,        HJV-            HH (                      m         m        ),

                                               ,                                                                                  . A, B, C,        D
                                            m            m. (R                  m S     k     DW,        . H                    m         m        :                  m     x

                                                                   , Clin Chem,     (  ):      ,         ; F           ,             m        )






                    H                                                                                                           H                                               m     m              . Ex

                                    x                                                 k                                                                                      m

                          m        ,        x  m     ,          m                          j  j                                   m (MPS). B     k

                              .                                                                                                                                                                                        -

                    H                      m                              m                  m                                                          m                                    m

                       m            m.  H                                                                                            m   .

                    m       m      m          m          m                            :                                         R                                                                       m

                                                                                                                              m    x                                                                 -
                .  D                                                                m                                                            m                                                m
                                              x   -                          (HIF)                                            m                                    ,           ,                 m            m


                           -                               (IRP )
                .  R                                         m m                                                              m                                    k                                                .
                                                                                                                           H                                                                  ,       m
                .  R                                    m
                                                                                                                                               ,

                    M                                                                                                                                             ,                           x         ,     -

                            ,        k                                                               m                                 . H                           m

                              . W                               ,                                                                    q      m                                                   m

                            ,               m                                m  . H                                                     .

                  m                                                                q      m                                     I                                                                m                  -

                     . T                                                            m                 -                                         -                       m                             m            -

                       ,                 ,                                  q                                                                       mm                       k

                    z                           .                                                                             m               . H
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