Unexplained Aspects of Anemia of Inflammation

Anemia of inflammation (AI), also known as anemia of chronic inflammation or anemia of chronic disease was described over 50 years ago as anemia in association with clinically overt inflammatory disease, and the findings of low plasma iron, decreased bone marrow sideroblasts and increased reticuloen...

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Main Authors: Elizabeth A. Price, Stanley L. Schrier
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2010/508739
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author Elizabeth A. Price
Stanley L. Schrier
author_facet Elizabeth A. Price
Stanley L. Schrier
author_sort Elizabeth A. Price
collection DOAJ
description Anemia of inflammation (AI), also known as anemia of chronic inflammation or anemia of chronic disease was described over 50 years ago as anemia in association with clinically overt inflammatory disease, and the findings of low plasma iron, decreased bone marrow sideroblasts and increased reticuloendothelial iron. Pathogenic features underlying AI include a mild shortening of red cell survival, impaired erythropoietin production, blunted responsiveness of the marrow to erythropoietin, and impaired iron metabolism mediated by inflammatory cytokines and the iron regulatory peptide, hepcidin. Despite marked recent advances in understanding AI, gaps remain, including understanding of the pathogenesis of AI associated with “noninflammatory” or mildly inflammatory diseases, the challenge of excluding iron deficiency anemia in the context of concomitant inflammation, and understanding more precisely the contributory role of hepcidin in the development of AI in human inflammatory diseases.
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spelling doaj-art-8bd035e377184c1a98d018edfd3a8a922025-08-20T02:09:14ZengWileyAdvances in Hematology1687-91041687-91122010-01-01201010.1155/2010/508739508739Unexplained Aspects of Anemia of InflammationElizabeth A. Price0Stanley L. Schrier1Department of Medicine (Hematology), Stanford University, Stanford, CA 94305-3434, USADepartment of Medicine (Hematology), Stanford University, Stanford, CA 94305-3434, USAAnemia of inflammation (AI), also known as anemia of chronic inflammation or anemia of chronic disease was described over 50 years ago as anemia in association with clinically overt inflammatory disease, and the findings of low plasma iron, decreased bone marrow sideroblasts and increased reticuloendothelial iron. Pathogenic features underlying AI include a mild shortening of red cell survival, impaired erythropoietin production, blunted responsiveness of the marrow to erythropoietin, and impaired iron metabolism mediated by inflammatory cytokines and the iron regulatory peptide, hepcidin. Despite marked recent advances in understanding AI, gaps remain, including understanding of the pathogenesis of AI associated with “noninflammatory” or mildly inflammatory diseases, the challenge of excluding iron deficiency anemia in the context of concomitant inflammation, and understanding more precisely the contributory role of hepcidin in the development of AI in human inflammatory diseases.http://dx.doi.org/10.1155/2010/508739
spellingShingle Elizabeth A. Price
Stanley L. Schrier
Unexplained Aspects of Anemia of Inflammation
Advances in Hematology
title Unexplained Aspects of Anemia of Inflammation
title_full Unexplained Aspects of Anemia of Inflammation
title_fullStr Unexplained Aspects of Anemia of Inflammation
title_full_unstemmed Unexplained Aspects of Anemia of Inflammation
title_short Unexplained Aspects of Anemia of Inflammation
title_sort unexplained aspects of anemia of inflammation
url http://dx.doi.org/10.1155/2010/508739
work_keys_str_mv AT elizabethaprice unexplainedaspectsofanemiaofinflammation
AT stanleylschrier unexplainedaspectsofanemiaofinflammation