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脑铁代谢与中枢神经系统疾病。

Brain Iron Metabolism and CNS Diseases.

机构信息

Laboratory of Molecular Iron Metabolism, Key Laboratory of Animal Physiology, Biochemistry and Molecular Biology of Hebei Province, College of Life Sciences, Hebei Normal University, 20, Nan Er Huan Eastern Road, Shijiazhuang, 050024, Hebei Province, China.

出版信息

Adv Exp Med Biol. 2019;1173:1-19. doi: 10.1007/978-981-13-9589-5_1.

Abstract

Iron is the most abundant trace element in the human body. It is well known that iron is an important component of hemoglobin involved in the transport of oxygen. As a component of various enzymes, it participates in the tricarboxylic acid cycle and oxidative phosphorylation. Iron in the nervous system is also involved in the metabolism of catecholamine neurotransmitters and is involved in the formation of myelin. Therefore, iron metabolism needs to be strictly regulated. Previous studies have shown that iron deficiency in the brain during infants and young children causes mental retardation, such as delayed development of language and body balance, and psychomotor disorders. However, if the iron is excessively deposited in the aged brain, it is closely related to the occurrence of various neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, and Friedreich's ataxia. Therefore, it is important to fully study and understand the mechanism of brain iron metabolism and its regulation. On this basis, exploring the relationship between brain iron regulation and the occurrence of nervous system diseases and discovering new therapeutic targets related to iron metabolism have important significance for breaking through the limitation of prevention and treatment of nervous system diseases. This review discusses the complete research history of iron and its significant role in the pathogenesis of the central nervous system (CNS) diseases.

摘要

铁是人体内含量最丰富的微量元素。众所周知,铁是血红蛋白的重要组成部分,参与氧气的运输。作为各种酶的组成部分,它参与三羧酸循环和氧化磷酸化。神经系统中的铁也参与儿茶酚胺神经递质的代谢,并参与髓鞘的形成。因此,铁代谢需要严格调节。先前的研究表明,婴幼儿期大脑中的铁缺乏会导致精神发育迟滞,如语言和身体平衡发育迟缓,以及精神运动障碍。然而,如果铁在老年大脑中过度沉积,则与各种神经退行性疾病的发生密切相关,如阿尔茨海默病、帕金森病和弗里德里希共济失调。因此,充分研究和了解脑铁代谢及其调节机制非常重要。在此基础上,探索脑铁调节与神经系统疾病发生的关系,发现与铁代谢相关的新治疗靶点,对于突破神经系统疾病防治的局限性具有重要意义。本综述讨论了铁的完整研究历史及其在中枢神经系统(CNS)疾病发病机制中的重要作用。

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