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. 2008 Sep-Oct;12(5A):1548-50.
doi: 10.1111/j.1582-4934.2008.00356.x. Epub 2008 May 1.

A potential pathogenetic role of iron in Alzheimer's disease

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A potential pathogenetic role of iron in Alzheimer's disease

Laura Silvestri et al. J Cell Mol Med. 2008 Sep-Oct.

Abstract

The role of iron in the pathogenesis of Alzheimer's disease (AD) is still unclear, despite the evidence that it accumulates in the same brain regions characterized by the amyloid beta peptide (Abeta) accumulation. Here we propose that iron directly influences the Abeta production through the modulation of furin, a proconvertase involved in the regulation of the alpha-secretase-dependent processing of the amyloid protein precursor (APP).

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Figures

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Schematic representation of the proposed mechanisms leading to increased iron and iron mediated mechanisms of Aβ upregulation. The initial iron accumulation downregulates furin, impairing the processing of ADAM10 and TACE, the two α-secretases involved in sAPP production. Since the activity of α- and β-secretases are tightly balanced, due to the close proximity of their consensus cleavage sites, reduction in α-secretase activity increases the Aβ production, through β- and γ-secretases. Iron accumulation in the cell increases the reactive oxygen species (ROS) production, which upregulates TIMP2, an inhibitor of α-secretase, and shifts the cytoplasmic aconitase to IRP1, giving a wrong signal of iron deficiency and stimulating the cells to enhance iron uptake. The effects mediated by ROS create a vicious circle, which amplify the α-secretase activity reduction and increment the Aβ production.

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