Receptor CD163 of monocytes / macrophages bound hemoglobin and its complexes with haptoglobin ( Hp - Hb ) , the receptor activates a receptor group " scavenger " for hemoglobin ( HbSR ) . Through the uptake and internalization of hemoglobin iron removal occurs as a factor inducing free radical reactions and as a factor increasing the growth and pathogenicity of bacteria. SCD163/HbSR soluble receptor is cleaved from the surface of monocytes by molecular patterns associated with pathogens at the same time , which is likely to hemolysis and the formation of Hb - Hp complexes . The consequences of infection include additional features , especially anti-inflammatory, for CD163/HbSR , beyond binding and internalization of Hb - Hp complexes . The initial innate immune response to infection affects the synthesis of pro-inflammatory cytokines to recruit leukocytes to areas of new tissue and inflammation and inflammatory mediators , additional production , which help to reduce local tissue damage . Inflammatory mediators such as glucocorticoids and interlukina - 10 significantly increase the expression of cell surface CD163/HbSR , while the pro-inflammatory cytokines tumor necrosis factor TNF -a and interferon - gprzeciwnie suppress its expression . Increased surface expression of the receptor can additionally reduce CD163/HbSR part Hb internalized in the cellular pool of iron , thereby limiting the increase in the intracellular pathogens dependent on that component.