Page 196 - Veterinary Immunology, 10th Edition
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                             FIG. 7.5  The role of hepcidin in regulating iron availability. This
                            protein prevents iron efflux from enterocytes and macrophages by
                           binding to ferroportin and triggering its degradation. The net effect is
                           to retain iron within these cells, making it unavailable for hemoglobin
                                  synthesis and leading to the development of anemia.


                  Most pathogenic bacteria, such as Staphylococcus aureus,

               Escherichia coli, Bacillus anthracis, Pasteurella multocida, and
               Mycobacterium tuberculosis, require iron for growth since iron forms
               the key catalytic site in many of their enzymes. Animals, however,
               also require iron for vital functions such as oxygen transport and

               energy production. As a result, bacteria and their hosts compete for
               the same metal. The result of this competition may determine the
               outcome of an infection.
                  Free iron concentrations within animal tissues are normally very

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               low. Mammalian blood has just 10 M free iron since almost all of
               the available iron is bound to proteins. These iron-binding proteins
               include transferrin, lactoferrin, hepcidin, siderocalin, haptoglobin,
               and ferritin.

                  Iron is usually absorbed from food by duodenal enterocytes. It
               binds to a cell surface iron carrier called ferroportin and is
               transported to the bloodstream where it is bound by transferrin.
               Most of this iron is incorporated into hemoglobin in red cells. Less

               than 10% of our daily needs, however, are met by importing dietary
               iron. Most is derived by recycling aged or damaged red cells. Aged
               red cells give up their iron when ingested by splenic macrophages.
               The macrophages phagocytose these cells and catabolize the
               hemoglobin using hemoxygenase. They release the iron obtained

               from hemoglobin into the circulation via ferroportin. The exported





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