Iron and Oxidative Stress in Parkinson’s Disease: An Observational Study of Injury Biomarkers
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Parkinson's disease (PD) is characterized by progressive motor impairment attributed to progressive loss of dopaminergic neurons in the substantia nigra (SN) pars compacta. In addition to an accumulation of iron, there is also an increased production of reactive oxygen/nitrogen species (ROS/RNS) and inflammatory markers. These observations suggest that iron dyshomeostasis may be playing a key role in neurodegeneration. However, the mechanisms underlying this metal-associated oxidative stress and neuronal damage have not been fully elucidated. To determine peripheral levels of iron, ferritin, and transferrin in PD patients and its possible relation with oxidative/nitrosative parameters, whilst attempting to identify a profile of peripheral biomarkers in this neurological condition. Forty PD patients and 46 controls were recruited to compare serum levels of iron, ferritin, transferrin, oxidative stress markers (superoxide dismutase (SOD), catalase (CAT), nitrosative stress marker (NOx), thiobarbituric acid reactive substances (TBARS), non-protein thiols (NPSH), advanced oxidation protein products (AOPP), ferric reducing ability of plasma (FRAP) and vitamin C) as well as inflammatory markers (NTPDases, ecto-5'-nucleotidase, adenosine deaminase (ADA), ischemic-modified albumin (IMA) and myeloperoxidase). Iron levels were lower in PD patients, whereas there was no difference in ferritin and transferrin. Oxidative stress (TBARS and AOPP) and inflammatory markers (NTPDases, IMA, and myeloperoxidase) were significantly higher in PD, while antioxidants FRAP, vitamin C, and non-protein thiols were significantly lower in PD. The enzymes SOD, CAT, and ecto-5'-nucleotidase were not different among the groups, although NOx and ADA levels were significantly higher in the controls. Our data corroborate the idea that ROS/RNS production and neuroinflammation may dysregulate iron homeostasis and collaborate to reduce the periphery levels of this ion, contributing to alterations observed in the pathophysiology of PD.
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Serum MDA levels are elevated in PD patients (n = 40) compared with control subjects (n = 46), as measured by TBARS assay.
“| PD | Serum | Control subjects (n = 46) vs. PD patients (n = 40) | TBARS assay | Elevated MDA levels in PD patients | [185] |”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [185]
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Serum Iron Levels and the Risk of Parkinson Disease: A Mendelian Randomization Study
Pichler, I., Del Greco M., F., Gögele, M., Lill, C. M., Bertram, L., Do, C. B., Eriksson, N., Foroud, T., Myers, R. H., PD GWAS Consortium, et al. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001462 · Cited by 173 · cited 4× · see citing works
“Previous studies suggest that altered iron homeostasis may be involved with PD pathogenesis, where lower levels of serum iron were found in individuals who developed the disease [3, 4].”
BackgroundInfluentialBlood donations, iron stores, and risk of Parkinson's disease
Logroscino, G., Chen, H., Wing, A., & Ascherio, A. (2006) · Movement Disorders · doi:10.1002/mds.20826 · Cited by 38 · see citing works
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- Authors
- Medeiros, M. S., Schumacher-Schuh, A., Cardoso, A. M., Bochi, G. V., Baldissarelli, J., Kegler, A., Santana, D., Chaves, C. M. M. B. S., Schetinger, M. R. C., Moresco, R. N., Rieder, C. R. M., & Fighera, M. R.
- Affiliations
- Universidade Federal de Santa Maria (BR)
- Corresponding author
- Fighera, Michele Rechia
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-01-11
- Volume
- 11
- Issue
- 1
- Pages
- e0146129
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4709097
- OpenAlex
- W2233096610
- Cited by
- 131
- References
- 4
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 7 · 2023: 16 · 2022: 12 · 2021: 16 · 2020: 15 · 2019: 12 · 2018: 18 · 2017: 19 · 2016: 3
- FWCI
- 13.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (2011-9)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Keywords
- Parkinson's disease, iron dyshomeostasis, oxidative stress, nitrosative stress, neuroinflammation, peripheral biomarkers, serum iron, ferritin, transferrin, lipid peroxidation, advanced oxidation protein products, antioxidant capacity, ischemia-modified albumin, myeloperoxidase, adenosine deaminase, dopaminergic neuron loss
- MeSH terms
- Adenosine Deaminase, Adenosine Triphosphatases, Aged, Ascorbic Acid, Catalase, Female, Ferritins, Humans, Iron, Male, Middle Aged, Peroxidase, Oxidation-Reduction, Parkinson Disease, Sulfhydryl Compounds, Superoxide Dismutase, Transferrin, Biomarkers, 5'-Nucleotidase, Case-Control Studies, Reactive Oxygen Species, Thiobarbituric Acid Reactive Substances, Oxidative Stress, Reactive Nitrogen Species, Dopaminergic Neurons, Advanced Oxidation Protein Products, Pars Compacta
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