Department of Neurodegeneration Diagnostics, Medical University of Bialystok, 15-269 Bialystok, Poland.
Department of Public International Law and European Law, Faculty of Law, University of Bialystok, 15-089 Bialystok, Poland.
Int J Mol Sci. 2023 Oct 29;24(21):15721. doi: 10.3390/ijms242115721.
Trace elements and metals play critical roles in the normal functioning of the central nervous system (CNS), and their dysregulation has been implicated in neurodegenerative disorders such as Alzheimer's disease (AD) and Parkinson's disease (PD). In a healthy CNS, zinc, copper, iron, and manganese play vital roles as enzyme cofactors, supporting neurotransmission, cellular metabolism, and antioxidant defense. Imbalances in these trace elements can lead to oxidative stress, protein aggregation, and mitochondrial dysfunction, thereby contributing to neurodegeneration. In AD, copper and zinc imbalances are associated with amyloid-beta and tau pathology, impacting cognitive function. PD involves the disruption of iron and manganese levels, leading to oxidative damage and neuronal loss. Toxic metals, like lead and cadmium, impair synaptic transmission and exacerbate neuroinflammation, impacting CNS health. The role of aluminum in AD neurofibrillary tangle formation has also been noted. Understanding the roles of these elements in CNS health and disease might offer potential therapeutic targets for neurodegenerative disorders. The Codex Alimentarius standards concerning the mentioned metals in foods may be one of the key legal contributions to safeguarding public health. Further research is needed to fully comprehend these complex mechanisms and develop effective interventions.
微量元素和金属在中枢神经系统 (CNS) 的正常功能中起着关键作用,它们的失调与神经退行性疾病如阿尔茨海默病 (AD) 和帕金森病 (PD) 有关。在健康的 CNS 中,锌、铜、铁和锰作为酶辅助因子发挥着重要作用,支持神经传递、细胞代谢和抗氧化防御。这些微量元素的失衡会导致氧化应激、蛋白质聚集和线粒体功能障碍,从而导致神经退行性变。在 AD 中,铜和锌的失衡与淀粉样蛋白-β和 tau 病理学有关,影响认知功能。PD 涉及铁和锰水平的破坏,导致氧化损伤和神经元丧失。有毒金属,如铅和镉,会损害突触传递并加剧神经炎症,影响 CNS 健康。铝在 AD 神经纤维缠结形成中的作用也已被注意到。了解这些元素在 CNS 健康和疾病中的作用可能为神经退行性疾病提供潜在的治疗靶点。食品中提到的这些金属的《食品法典》标准可能是保障公共健康的关键法律贡献之一。需要进一步研究以充分理解这些复杂的机制并开发有效的干预措施。