Highlights
- •PD patients have higher SNpc brain iron than controls.
- •PD patients have higher SNpc/White Matter brain iron ratio than controls.
- •PD patients have higher SNpc/serum iron ratio than controls.
Abstract
Brain iron has been previously found elevated in the substantia nigra pars compacta
(SNpc), but not in other brain regions, of Parkinson's disease (PD) patients. However,
iron in circulation has been recently observed to be lower than normal in PD patients.
The regional selectivity of iron deposition in brain as well as the relationship between
SNpc brain iron and serum iron within PD patients has not been completely elucidated.
In this pilot study we measured brain iron in six regions of interest (ROIs) as well
as serum iron and serum ferritin, in 24 PD patients and 27 age- gender-matched controls.
Brain iron was measured on magnetic resonance imaging (MRI) with a T2 prime (T2′)
method. Difference in brain iron deposition between PD cases and controls for the
six ROIs were calculated. SNpc/white matter brain iron ratios and SNpc/serum iron
ratios were calculated for each study participant, and differences between PD patients
and controls were tested. PD patients overall had higher brain iron than controls
in the SNpc. PD patients had significantly higher SNpc/white matter brain iron ratios
than controls, and significantly higher brain SNpc iron/serum iron ratios than controls.
These results indicate that PD patients' iron metabolism is disrupted toward a higher
partitioning of iron to the brain SNpc at the expenses of iron in the circulation.
Keywords
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Article info
Publication history
Published online: April 22, 2017
Accepted:
April 21,
2017
Received in revised form:
March 27,
2017
Received:
October 28,
2016
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.