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阿尔茨海默病和痴呆症中的微量元素:当前知识状况

Trace Elements in Alzheimer's Disease and Dementia: The Current State of Knowledge.

作者信息

Tyczyńska Magdalena, Gędek Marta, Brachet Adam, Stręk Wojciech, Flieger Jolanta, Teresiński Grzegorz, Baj Jacek

机构信息

Department of Correct, Clinical and Imaging Anatomy, Medical University of Lublin, ul. Jaczewskiego 4, 20-090 Lublin, Poland.

Department of Forensic Medicine, Medical University of Lublin, ul. Jaczewskiego 8b, 20-090 Lublin, Poland.

出版信息

J Clin Med. 2024 Apr 19;13(8):2381. doi: 10.3390/jcm13082381.


DOI:10.3390/jcm13082381
PMID:38673657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11050856/
Abstract

Changes in trace element concentrations are being wildly considered when it comes to neurodegenerative disorders, such as Alzheimer's disease and Parkinson's disease. This study aims to present the role that trace elements play in the central nervous system. Moreover, we reviewed the mechanisms involved in their neurotoxicity. Low zinc concentrations, as well as high levels of copper, manganese, and iron, activate the signalling pathways of the inflammatory, oxidative and nitrosative stress response. Neurodegeneration occurs due to the association between metals and proteins, which is then followed by aggregate formation, mitochondrial disorder, and, ultimately, cell death. In Alzheimer's disease, low Zn levels suppress the neurotoxicity induced by β-amyloid through the selective precipitation of aggregation intermediates. High concentrations of copper, iron and manganese cause the aggregation of intracellular α-synuclein, which results in synaptic dysfunction and axonal transport disruption. Parkinson's disease is caused by the accumulation of Fe in the midbrain dopaminergic nucleus, and the pathogenesis of multiple sclerosis derives from Zn deficiency, leading to an imbalance between T cell functions. Aluminium disturbs the homeostasis of other metals through a rise in the production of oxygen reactive forms, which then leads to cellular death. Selenium, in association with iron, plays a distinct role in the process of ferroptosis. Outlining the influence that metals have on oxidoreduction processes is crucial to recognising the pathophysiology of neurodegenerative diseases and may provide possible new methods for both their avoidance and therapy.

摘要

在涉及神经退行性疾病,如阿尔茨海默病和帕金森病时,微量元素浓度的变化受到广泛关注。本研究旨在阐述微量元素在中枢神经系统中所起的作用。此外,我们还综述了其神经毒性所涉及的机制。低锌浓度以及高铜、高锰和高铁水平会激活炎症、氧化和亚硝化应激反应的信号通路。金属与蛋白质结合会导致神经退行性变,随后形成聚集体、线粒体功能紊乱,最终导致细胞死亡。在阿尔茨海默病中,低锌水平通过聚集中间体的选择性沉淀抑制β-淀粉样蛋白诱导的神经毒性。高浓度的铜、铁和锰会导致细胞内α-突触核蛋白聚集,从而导致突触功能障碍和轴突运输中断。帕金森病是由中脑多巴胺能核中铁的积累引起的,而多发性硬化症的发病机制源于锌缺乏,导致T细胞功能失衡。铝通过增加活性氧形式的产生扰乱其他金属的稳态,进而导致细胞死亡。硒与铁一起在铁死亡过程中发挥独特作用。概述金属对氧化还原过程的影响对于认识神经退行性疾病的病理生理学至关重要,并且可能为其预防和治疗提供可能的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/2b263abc7cc9/jcm-13-02381-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/2f9a34432e32/jcm-13-02381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/6985f8e6795c/jcm-13-02381-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/2b263abc7cc9/jcm-13-02381-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/2f9a34432e32/jcm-13-02381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/6985f8e6795c/jcm-13-02381-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d436/11050856/2b263abc7cc9/jcm-13-02381-g003.jpg

相似文献

[1]
Trace Elements in Alzheimer's Disease and Dementia: The Current State of Knowledge.

J Clin Med. 2024-4-19

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[10]
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The Role of Magnesium in Depression, Migraine, Alzheimer's Disease, and Cognitive Health: A Comprehensive Review.

Nutrients. 2025-7-4

[2]
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Transl Psychiatry. 2025-7-1

[3]
Neuroprotective Effects of a Benzofuran-Containing Selenium in a Mouse Alzheimer's Disease Model: Molecular, Biochemical, and Behavioral Analyses.

ACS Chem Neurosci. 2025-7-2

[4]
Actual Data on Essential Trace Elements in Parkinson's Disease.

Nutrients. 2025-5-29

[5]
ASIC1a-Dependent Potentiation of Acid-Sensing Ion Channel Currents by Cyanide.

Biomolecules. 2025-3-25

[6]
Associations of Environmental Exposure to Arsenic, Manganese, Lead, and Cadmium with Alzheimer's Disease: A Review of Recent Evidence from Mechanistic Studies.

J Xenobiot. 2025-3-24

[7]
Role of Copper and Zinc Ions in the Hydrolytic Degradation of Neurodegeneration-Related Peptides.

Molecules. 2025-1-17

[8]
Exposure to Cadmium and Other Trace Elements Among Individuals with Mild Cognitive Impairment.

Toxics. 2024-12-22

[9]
Psychiatric Symptoms in Wilson's Disease-Consequence of Gene Mutations or Just Coincidence?-Possible Causal Cascades and Molecular Pathways.

Int J Mol Sci. 2024-11-18

[10]
Mol-ecular structure of tris-[(6-bromo-pyridin-2-yl)meth-yl]amine.

Acta Crystallogr E Crystallogr Commun. 2024-9-10

本文引用的文献

[1]
Relationship and Accuracy of Urine Lead as an Alternative to Blood Lead Biomarker among Panel Beaters in Enugu Metropolis: Nigeria.

Indian J Occup Environ Med. 2023

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Common and Trace Metals in Alzheimer's and Parkinson's Diseases.

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Environ Res. 2023-11-1

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