Department of Neurology, Baylor College of Medicine, NB205, One Baylor Plaza, Houston, TX 77030, USA.
J Neural Transm (Vienna). 2011 Mar;118(3):473-7. doi: 10.1007/s00702-010-0518-0. Epub 2010 Dec 16.
Iron is an essential element for multiple functions of the brain. Maintenance of iron homeostasis involves regulation of iron influx, iron efflux and iron storage. Mismanagement of brain iron has been implicated in neuronal injury and death in several neurodegenerative diseases, such as Parkinson's disease (PD), Alzheimer's disease (PD) and Amyotrophic lateral sclerosis (ALS). Multiple iron chelators have been shown neuroprotective and neurorestorative in these diseases, suggesting that iron chelation might be a promising therapeutics. In this paper, we briefly review the new findings of biological function of several molecules that regulate iron homeostasis in the brain, the possible role of iron mismanagement in the pathogenesis of PD, AD and ALS, and then discuss the putative mechanisms for current available iron chelators as potential therapeutics for neurodegenerative diseases.
铁是大脑多种功能所必需的元素。铁稳态的维持涉及铁内流、铁外流和铁储存的调节。脑铁管理不善与几种神经退行性疾病中的神经元损伤和死亡有关,如帕金森病(PD)、阿尔茨海默病(AD)和肌萎缩侧索硬化症(ALS)。多项研究表明,多种铁螯合剂对这些疾病具有神经保护和神经修复作用,提示铁螯合可能是一种有前途的治疗方法。本文简要综述了调节脑内铁稳态的几种分子的生物学功能的新发现,铁代谢紊乱在 PD、AD 和 ALS 发病机制中的可能作用,然后讨论了现有铁螯合剂作为神经退行性疾病潜在治疗药物的推测机制。