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偏头痛大脑中的铁元素。

Iron in the migraine brain.

作者信息

Tepe Nermin, Yemisci Muge, Karatas Hulya

机构信息

Department of Neurology, Faculty of Medicine, Balıkesir University, Balıkesir, Türkiye.

Institute of Neurological Sciences and Psychiatry, Hacettepe University, Ankara, Türkiye.

出版信息

Histol Histopathol. 2025 Jun;40(6):805-812. doi: 10.14670/HH-18-862. Epub 2024 Dec 16.

Abstract

Iron, a vital element for numerous peripheral and central nervous system functions, is a key player in DNA synthesis, gene expression, myelination, neurotransmission, and mitochondrial electron transport. Iron has utmost importance in various neurological functions, including neurotransmitter synthesis and brain cell metabolism. Migraine is a neurogliovascular disorder in which neuroinflammation plays a crucial role. Iron deficiency has been associated with various neurological issues and could potentially influence migraine frequency or severity. However, the relationship between iron levels and migraine is not fully clear and necessitates further research. On the other hand, iron overload could also have negative effects, as excessive iron might contribute to oxidative stress and inflammation, which may impact migraine-related pathways. The interplay between iron levels and neuroinflammation might affect migraines. While iron deficiency could exacerbate inflammation or disrupt neurotransmitter balance, iron overload might increase oxidative stress and neuroinflammation. Comprehending this balance is fundamental, as both iron deficiency and overload can have detrimental effects on brain health and migraine symptoms. In this review, we will summarize the current interconnection between migraine, iron levels, and neuroinflammation that are currently under active investigation.

摘要

铁是众多外周和中枢神经系统功能所必需的元素,在DNA合成、基因表达、髓鞘形成、神经传递和线粒体电子传递中起着关键作用。铁在各种神经功能中至关重要,包括神经递质合成和脑细胞代谢。偏头痛是一种神经血管疾病,其中神经炎症起着关键作用。缺铁与各种神经问题有关,并可能影响偏头痛的频率或严重程度。然而,铁水平与偏头痛之间的关系尚不完全清楚,需要进一步研究。另一方面,铁过载也可能产生负面影响,因为过量的铁可能导致氧化应激和炎症,这可能会影响与偏头痛相关的途径。铁水平与神经炎症之间的相互作用可能会影响偏头痛。缺铁可能会加剧炎症或破坏神经递质平衡,而铁过载可能会增加氧化应激和神经炎症。理解这种平衡至关重要,因为缺铁和铁过载都会对大脑健康和偏头痛症状产生不利影响。在本综述中,我们将总结目前正在积极研究的偏头痛、铁水平和神经炎症之间的当前相互联系。

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