Department of Neurology and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Sichuan, 610041, China.
West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Sichuan, 610041, China.
Adv Exp Med Biol. 2019;1173:179-194. doi: 10.1007/978-981-13-9589-5_10.
Iron has been proposed to be responsible for neuronal loss in several diseases of the central nervous system, including Alzheimer's disease (AD), Parkinson's disease (PD), stroke, Friedreich's ataxia (FRDA), multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS). In many diseases, abnormal accumulation of brain iron in disease-affected area has been observed, without clear knowledge of the contribution of iron overload to pathogenesis. Recent evidences implicate that key proteins involved in the disease pathogenesis may also participate in cellular iron metabolism, suggesting that the imbalance of brain iron homeostasis is associated with the diseases. Considering the complicated regulation of iron homeostasis within the brain, a thorough understanding of the molecular events leading to this phenotype is still to be investigated. However, current understanding has already provided the basis for the diagnosis and treatment of iron-related CNS diseases, which will be reviewed here.
铁被认为与中枢神经系统的几种疾病中的神经元丢失有关,包括阿尔茨海默病(AD)、帕金森病(PD)、中风、弗里德里希共济失调(FRDA)、多发性硬化症(MS)、肌萎缩侧索硬化症(ALS)。在许多疾病中,已经观察到疾病受累区域的脑铁异常积累,但不清楚铁过载对发病机制的贡献。最近的证据表明,参与疾病发病机制的关键蛋白也可能参与细胞铁代谢,这表明脑铁动态平衡的失衡与疾病有关。考虑到脑内铁动态平衡的复杂调节,仍需要深入研究导致这种表型的分子事件。然而,目前的认识已经为铁相关中枢神经系统疾病的诊断和治疗提供了基础,本文将对此进行综述。