Pharmaceutical Nanotechnology Lab, Institutes of Nano Science and Technology (INST), Sector 81. Mohali, Punjab, 140306, India.
Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India.
Mol Neurobiol. 2024 Dec;61(12):10916-10940. doi: 10.1007/s12035-024-04256-8. Epub 2024 May 29.
Changes in the transition metal homeostasis in the brain are closely linked with Alzheimer's disease (AD), including intraneuronal iron accumulation and extracellular copper and zinc pooling in the amyloid plague. The brain copper, zinc, and iron surplus are commonly acknowledged characteristics of AD, despite disagreements among some. This has led to the theory that oxidative stress resulting from abnormal homeostasis of these transition metals may be a causative explanation behind AD. In the nervous system, the interaction of metals with proteins appears to be an essential variable in the development or suppression of neurodegeneration. Chelation treatment may be an option for treating neurodegeneration induced by transition metal ion dyshomeostasis. Some clinicians even recommend using chelating agents as an adjunct therapy for AD. The current review also looks at the therapeutic strategies that have been attempted, primarily with metal-chelating drugs. Metal buildup in the nervous system, as reported in the AD, could be the result of compensatory mechanisms designed to improve metal availability for physiological functions.
脑内过渡金属动态平衡的改变与阿尔茨海默病(AD)密切相关,包括神经元内铁的积累以及淀粉样斑块中外周铜和锌的蓄积。尽管存在一些分歧,但脑内铜、锌和铁过剩通常被认为是 AD 的特征之一。这导致了这样一种理论,即这些过渡金属异常动态平衡导致的氧化应激可能是 AD 的一个致病原因。在神经系统中,金属与蛋白质的相互作用似乎是神经退行性变发展或抑制的一个重要变量。螯合治疗可能是治疗由过渡金属离子动态平衡失调引起的神经退行性变的一种选择。一些临床医生甚至建议将螯合剂作为 AD 的辅助治疗。本综述还探讨了主要采用金属螯合药物进行的治疗策略。AD 中报道的神经系统金属蓄积可能是为改善金属对生理功能的可用性而设计的补偿机制的结果。