Mandel Silvia, Maor Gila, Youdim Moussa B H
Eve Topf and USA National Parkinson Foundation Centers of Excellence for Neurodegenerative Diseases Research and Department of Pharmacology and Rappaport Family Research Institute, Technion-Faculty of Medicine, Haifa, 31096, Israel.
J Mol Neurosci. 2004;24(3):401-16. doi: 10.1385/JMN:24:3:401.
One of the prominent pathological features of Parkinson's disease (PD) is the abnormal accumulation of iron in the substantia nigra pars compacta (SNpc), in the reactive microglia, and in association with neuromelanin, within the melanin-containing dopamine (DA) neurons. Lewy body, the morphological hallmark of PD, is composed of lipids, redox-active iron, and aggregated alpha-synuclein, concentrating in its peripheral halo and ubiquitinated, hyperphosphorylated, neurofilament proteins. The capacity of free iron to enhance and promote the generation of toxic reactive oxygen radicals has been discussed numerous times. Recent observations, that iron induces aggregation of inert alpha-synuclein to toxic aggregates, have reinforced the critical role of iron in oxidative stress-induced pathogenesis of DA neuron degeneration and protein degradation via ubiquitination. N-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)- and 6-hydroxydopamine-induced neurodegeneration in rodents and nonhuman primates is associated with increased presence of iron and alpha-synuclein in the SNpc. The accumulation of iron in MPTP-induced neurodegeneration has been linked to nitric oxide-dependent mechanism, resulting in degradation of prominent iron regulatory proteins by ubiquitination. Radical scavengers such as R-apomorphine and green tea catechin polyphenol (-)-epigallocatechin-3-gallate, as well as the recently developed brain-permeable VK-28 series derivative iron chelators, which are neuroprotective against these neurotoxins in mice and rats, prevent the accumulation of iron and alpha-synuclein in SNpc. This study supports the notion that a combination of iron chelation and antioxidant therapy, as emphasized on several occasions, might be a significant approach to neuroprotection in PD and other neurodegenerative diseases.
帕金森病(PD)的一个显著病理特征是黑质致密部(SNpc)、反应性小胶质细胞以及含黑色素的多巴胺(DA)神经元内与神经黑色素相关的铁异常蓄积。路易小体是PD的形态学标志,由脂质、具有氧化还原活性的铁和聚集的α-突触核蛋白组成,集中在其外周晕中,并且存在泛素化、过度磷酸化的神经丝蛋白。游离铁增强并促进有毒活性氧自由基生成的能力已被多次讨论。最近的观察结果表明,铁可诱导惰性α-突触核蛋白聚集成有毒聚集体,这进一步强化了铁在氧化应激诱导的DA神经元变性和通过泛素化进行的蛋白质降解发病机制中的关键作用。N-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)和6-羟基多巴胺诱导的啮齿动物和非人类灵长类动物神经变性与SNpc中铁和α-突触核蛋白的增加有关。MPTP诱导的神经变性中铁的蓄积与一氧化氮依赖性机制有关,导致主要的铁调节蛋白通过泛素化降解。自由基清除剂如R-阿扑吗啡和绿茶儿茶素多酚(-)-表没食子儿茶素-3-没食子酸酯,以及最近开发的可透过血脑屏障的VK-28系列衍生物铁螯合剂,在小鼠和大鼠中对这些神经毒素具有神经保护作用,可防止铁和α-突触核蛋白在SNpc中蓄积。本研究支持这样一种观点,即如多次强调的那样,铁螯合和抗氧化治疗相结合可能是PD和其他神经退行性疾病神经保护的重要方法。