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    Nutrilexic · Iron · Technical diagram A

    The hepcidin axis: iron's conductor

    Three physiological states that decide whether iron flows, gets blocked, or is mobilised.

    State 1 · Homeostasis
    Normal iron balance
    The liver senses iron through the BMP6-hemojuvelin-SMAD1/5/8 pathway. It produces hepcidin in proportion. Hepcidin binds intestinal and macrophage ferroportin, limiting iron export into plasma. Transferrin then carries iron to target cells.
    Source: Camaschella, Haematologica 2020 · BMP-SMAD pathway, PMC 2020
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