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人脑中非血红素铁的组织化学分布

Histochemical distribution of non-haem iron in the human brain.

作者信息

Morris C M, Candy J M, Oakley A E, Bloxham C A, Edwardson J A

机构信息

MRC Neurochemical Pathology Unit, Newcastle General Hospital, Newcastle upon Tyne, UK.

出版信息

Acta Anat (Basel). 1992;144(3):235-57. doi: 10.1159/000147312.

Abstract

The detailed anatomical distribution of iron in the post-mortem human brain has been studied using Perl's and Turnbull's methods with the diaminobenzidine intensification procedure for the demonstration of non-haem Fe3+ and Fe2+, respectively. Attention to methodological procedures has revealed that even brief immersion of tissue in routinely used fixatives causes a reduction of staining intensity in areas of high iron content and, often, loss of staining in areas of low iron content. Optimal staining is obtained using frozen section briefly fixed for 5 min in 4% formalin and Perl's stain (Fe3+) with diaminobenzidine intensification. Highest levels of stainable iron were found in the extrapyramidal system with the globus pallidus, substantia nigra zona reticulata, red nucleus and myelinated fibres of the putamen showing highest staining reactivity. Moderate staining intensity with Perl's technique was found in the majority of forebrain, midbrain and cerebellar structures with the striatum, thalamus, cortex and deep white matter, substantia nigra zona compacta, and cerebellar cortex showing consistent staining patterns with intensification of Perl's stain. The brain-stem and spinal cord generally only showed staining with the intensification procedure and even this was of low intensity. Microscopically the non-heam iron appears to be found predominantly in glial cells as fine cytoplasmic granules which in heavily stained areas coalesce to fill the entire cell. Iron-positive granules appear to be free in the neuropil and also around blood vessels in the globus pallidus, striatum and substantia nigra. The neuropil shows a fibrous impregnation when stained for iron which is, in part, derived from glial processes, myelinated fibres and fibre bundles. Neurones, in general, show only very low reactivity for iron, and this is difficult to discern due, often, to the higher reactivity of the surrounding neuropil. In the globus pallidus and substantia nigra zona reticulata, neurones with highly stainable iron content are found with granular cytoplasmic iron reactivity similar to that seen in the local glial cells. Our results are comparable with those of early workers, but with the use of intensification extend the distribution of non-haem iron to areas previously reported as negative. No apparent correlation of iron staining with known neurotransmitter systems is seen and the predilection for the extrapyramidal system is not easily explained, though the non-haem iron in the brain appears to be as a storage form in the iron storage protein ferritin. The localization of iron in the brain provides a foundation for the study of iron in certain neurodegenerative diseases such as Parkinson's disease, where iron has been implicated in the pathogenesis.

摘要

运用珀尔氏法和特恩布尔氏法,分别采用二氨基联苯胺强化程序来显示非血红素Fe3+和Fe2+,对死后人类大脑中铁的详细解剖分布进行了研究。对方法步骤的关注表明,即使将组织短暂浸入常规使用的固定剂中,也会导致高铁含量区域的染色强度降低,而且通常会导致低铁含量区域的染色缺失。使用在4%福尔马林中短暂固定5分钟的冰冻切片以及采用二氨基联苯胺强化的珀尔氏染色法(Fe3+)可获得最佳染色效果。在锥体外系中发现可染色铁的含量最高,其中苍白球、黑质网状带、红核以及壳核的有髓纤维显示出最高的染色反应性。在大多数前脑、中脑和小脑结构中,采用珀尔氏技术可发现中等染色强度,纹状体、丘脑、皮质和深部白质、黑质致密部以及小脑皮质呈现出一致的染色模式,且珀尔氏染色增强。脑干和脊髓通常仅在强化程序下显示染色,即便如此,染色强度也很低。在显微镜下,非血红素铁似乎主要存在于神经胶质细胞中,呈细小的细胞质颗粒,在染色较重的区域会融合以填充整个细胞。铁阳性颗粒似乎在神经毡中游离,在苍白球、纹状体和黑质的血管周围也有。当对铁进行染色时,神经毡呈现出纤维状浸染,部分源自神经胶质突起、有髓纤维和纤维束。一般来说,神经元对铁的反应性非常低,而且由于周围神经毡的反应性较高,这一点往往难以辨别。在苍白球和黑质网状带中,发现铁含量可高度染色的神经元,其细胞质铁反应呈颗粒状,与局部神经胶质细胞中的情况相似。我们的结果与早期研究者的结果相当,但通过使用强化程序,将非血红素铁的分布扩展到了先前报告为阴性的区域。未观察到铁染色与已知神经递质系统之间存在明显关联,尽管大脑中的非血红素铁似乎是以铁储存蛋白铁蛋白的形式作为一种储存形式,但锥体外系对铁的偏好并不容易解释。大脑中铁的定位为研究某些神经退行性疾病(如帕金森病)中的铁提供了基础,在帕金森病中,铁与发病机制有关。

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