Tyczyńska Magdalena, Gędek Marta, Brachet Adam, Stręk Wojciech, Flieger Jolanta, Teresiński Grzegorz, Baj Jacek
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.
J Clin Med. 2024 Apr 19;13(8):2381. doi: 10.3390/jcm13082381.
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.
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。
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