Activated iron-containing microglia in the human hippocampus identified by magnetic resonance imaging in Alzheimer disease
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Although amyloid plaques and neurofibrillary pathology play important roles in Alzheimer disease (AD), our understanding of AD is incomplete, and the contribution of microglia and iron to neurodegeneration is unknown. High-field magnetic resonance imaging (MRI) is exquisitely sensitive to microscopic iron. To explore iron-associated neuroinflammatory AD pathology, we studied AD and control human brain specimens by (1) performing ultra-high resolution ex vivo 7 Tesla MRI, (2) coregistering the MRI with successive histologic staining for iron, microglia, amyloid beta, and tau, and (3) quantifying the relationship between magnetic resonance signal intensity and histological staining. In AD, we identified numerous small MR hypointensities primarily within the subiculum that were best explained by the combination of microscopic iron and activated microglia (p = 0.025), in contradistinction to the relatively lesser contribution of tau or amyloid. Neuropathologically, this suggests that microglial-mediated neurodegeneration may occur in the hippocampal formation in AD and is detectable by ultra-high resolution MRI.
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Activated microglia can accumulate iron in Alzheimer's disease, e.g., in the hippocampus as detected by ultra-high-resolution MR.
“Apart from neurons, activated microglia can accumulate iron in Alzheimer’s disease, e.g., in the hippocampus as detected my ultra-high-resolution MR [258].”
From “Pumping iron”—how macrophages handle iron at the systemic, microenvironmental, and cellular levels (2017) · cites this paper as [258]
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- Authors
- Zeineh, M. M., Chen, Y., Kitzler, H. H., Hammond, R., Vogel, H., & Rutt, B. K.
- Affiliations
- Stanford Medicine (US)
- Western University (CA)
- University Hospital Carl Gustav Carus (DE)
- Stanford University (US)
- Corresponding author
- Zeineh, Michael M.
- Venue
- Neurobiology of Aging
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 36
- Issue
- 9
- Pages
- 2483-2500
- ISSN
- 0197-4580 (ISSN-L)
- PMC
- PMC4839298
- OpenAlex
- W1819889766
- Cited by
- 151
- References
- 53
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 15 · 2023: 9 · 2022: 19 · 2021: 14 · 2020: 5 · 2019: 17 · 2018: 19 · 2017: 12 · 2016: 9 · 2015: 2
- FWCI
- 7.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurobiology of Aging (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Biomedical Imaging and Bioengineering (P41EB015891)
- National Center for Research Resources (S10RR026351)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, microglia, iron, hippocampus, subiculum, neuroinflammation, neurodegeneration, amyloid-beta, tau protein, ultra-high resolution MRI, 7T MRI, iron quantification, histopathological correlation
- MeSH terms
- CD163 Antigen, Acetylcholinesterase, Aged, Aged, 80 and over, Alzheimer Disease, Amyloid, Female, Hippocampus, Humans, Image Processing, Computer-Assisted, Iron, Magnetic Resonance Imaging, Male, Myelin Sheath, Postmortem Changes, Receptors, Cell Surface, Antigens, Differentiation, Myelomonocytic, Antigens, CD, tau Proteins, Microglia
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