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Cortical iron reflects severity of Alzheimer's disease
Open accessAbstract
Abnormal iron distribution in the isocortex is increasingly recognized as an in vivo marker for Alzheimer's disease (AD). However, the contribution of iron accumulation to the AD pathology is still poorly understood. In this study, we investigated: 1) frontal cortical iron distribution in AD and normal aging and 2) the relation between iron distribution and degree of AD pathology. We used formalin fixed paraffin embedded frontal cortex from 10 AD patients, 10 elder, 10 middle aged, and 10 young controls and visualized iron with a modified Perl's histochemical procedure. AD and elderly subjects were not different with respect to age and sex distribution. Iron distribution in the frontal cortex was not affected by normal aging but was clearly different between AD and controls. AD showed accumulation of iron in plaques, activated microglia, and, in the most severe cases, in the mid-cortical layers along myelinated fibers. The degree of altered iron accumulations was correlated to the amount of amyloid-β plaques and tau pathology in the same block, as well as to Braak stage (p < 0.001). AD and normal aging show different iron and myelin distribution in frontal cortex. These changes appear to occur after the development of the AD pathological hallmarks. These findings may help the interpretation of high resolution in vivo MRI and suggest the potential of using changes in iron-based MRI contrast to indirectly determine the degree of AD pathology in the frontal cortex.
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Polarization dictates iron handling by inflammatory and alternatively activated macrophages
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BackgroundMethodInfluentialIron deposits in multiple sclerosis and Alzheimer's disease brains
LeVine, S. M. (1997) · Brain Research · doi:10.1016/s0006-8993(97)00470-8 · Cited by 258 · cited 3×
“We did not identify iron accumulation in NFT or NT, and this is in line with most [14, 17, 19], but not all [20], previous reports.”
MethodResultFerritin is a component of the neuritic (senile) plaque in Alzheimer dementia
Grundke, I., Fleming, J. T., Tung, Y. C., Lassmann, H., Iqbal, K., & Joshi, J. G. (1990) · Acta Neuropathologica · doi:10.1007/bf00334497 · Cited by 253 · cited 1×
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BackgroundIdentification of the Endodermal Vacuole as the Iron Storage Compartment in the Arabidopsis Embryo
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Macrophages and CNS remyelination
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BackgroundColocalization of cerebral iron with Amyloid beta in Mild Cognitive Impairment
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“Other MRI studies show susceptibility induced changes in vivo in AD transgenic mice [9–11] and in post mortem human AD brain tissue [12, 13] that”
BackgroundMicroglia Activation and Anti-inflammatory Regulation in Alzheimer’s Disease
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Amyloid plaques in PSAPP mice bind less metal than plaques in human Alzheimer's disease
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Falangola, M. F., Lee, P., Nixon, R. A., Duff, K., & Helpern, J. A. (2005) · Neurochemical Research · doi:10.1007/s11064-004-2442-x · Cited by 122 · cited 1×
“Aβ plaques show iron accumulation [14-20] and it has been suggested that this iron causes the high T2* susceptibility effects [11, 21-23].”
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“Aβ plaques show iron accumulation [14-20] and it has been suggested that this iron causes the high T2* susceptibility effects [11, 21-23].”
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BackgroundMorphometric Analysis of Microglia in Alzheimerʼs Disease
CARPENTER, A. F., CARPENTER, P. W., & MARKESBERY, W. R. (1993) · Journal of Neuropathology and Experimental Neurology · doi:10.1097/00005072-199311000-00007 · Cited by 94
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“Moreover, it is thought that microglia provide the high iron concentrations needed for myelinization and oligodendrocyte differentiation [47, 49, 50].”
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“Aβ plaques show iron accumulation [14-20] and it has been suggested that this iron causes the high T2* susceptibility effects [11, 21-23].”
BackgroundHare, D. J., Raven, E. P., Roberts, B. R., Bogeski, M., Portbury, S. D., McLean, C., Masters, C. L., Connor, J. R., Bush, A. I., Crouch, P. J., et al. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2016.05.057 · Cited by 70
Iron is essential for oligodendrocyte genesis following intraspinal macrophage activation
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“Moreover, it is thought that microglia provide the high iron concentrations needed for myelinization and oligodendrocyte differentiation [47, 49, 50].”
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“Moreover, we found a diffusely increased iron labelling in layer III-V of the frontal cortex of AD patients in a study comparing different histological iron stains [25].”
BackgroundMethodResultInfluentialCortical phase changes in Alzheimer's disease at 7T MRI: A novel imaging marker
van Rooden, S., Versluis, M. J., Liem, M. K., Milles, J., Maier, A. B., Oleksik, A. M., WEBB, A. G., van Buchem, M. A., & van der Grond, J. (2013) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2013.02.002 · Cited by 57 · cited 3×
“Our previous finding of increased cortical phase shift changes as a possible non-invasive clinical biomarker for AD [7] led us to investigate the following questions: 1) Is the pathological substrate of iron based MRI changes in AD cortex limited to iron accumulation in A plaques or is iron also accumulating in other…”
BackgroundResultHare, D. J., George, J. L., Bray, L., Volitakis, I., Vais, A., Ryan, T. M., Cherny, R. A., Bush, A. I., Masters, C. L., Adlard, P. A., et al. (2013) · Journal of Analytical Atomic Spectrometry · doi:10.1039/c3ja50281c · Cited by 54 · cited 1×
“Fixation and storage of tissue in formalin could lead to leakage of iron [38].”
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Meadowcroft, M. D., Connor, J. R., & Yang, Q. X. (2015) · Frontiers in Neuroscience · doi:10.3389/fnins.2015.00255 · Cited by 51 · cited 2×
“In addition to iron, other metals like copper, zinc, magnesium and aluminium have been shown in plaques and have also been implicated in AD and plaque pathogenesis [18, 35-37].”
BackgroundCerebral Amyloidosis: Postmortem Detection with Human 7.0-T MR Imaging System
van Rooden, S., Maat–Schieman, M. L. C., Nabuurs, R. J. A., van der Weerd, L., van Duijn, S., van Duinen, S. G., Natté, R., van Buchem, M. A., & van der Grond, J. (2009) · Radiology · doi:10.1148/radiol.2533090490 · Cited by 49
HFE gene variants, iron, and lipids: a novel connection in Alzheimer’s disease
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BackgroundA novel approach to quantify different iron forms in ex-vivo human brain tissue
Kumar, P., Bulk, M., WEBB, A. G., van der Weerd, L., Oosterkamp, T. H., Huber, M., & Bossoni, L. (2016) · Scientific Reports · doi:10.1038/srep38916 · Cited by 40
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“AD-related iron accumulation in other tissue compartments than Aβ plaques is also suggested by the presence of diffuse MRI hypointensities in postmortem AD cortex [19, 24], but the pathologic substrate of these diffuse MRI hypointensities is not known.”
BackgroundResultInfluentialSelf-citation
Research works printed but not linked: 1
- Torsten, 2008, Implementing aClass of Permutation Tests: The coin Package, J Stat Softw, 28, 1
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Metal Toxicity Links to Alzheimer's Disease and Neuroinflammation
Huat, T. J., Camats‐Perna, J., Newcombe, E. A., Valmas, N., Kitazawa, M., & Medeiros, R. (2019) · Journal of Molecular Biology · doi:10.1016/j.jmb.2019.01.018 · Cited by 501
Current understanding of metal ions in the pathogenesis of Alzheimer’s disease
Wang, L., Yin, Y.-L., Liu, X.-Z., Shen, P., Zheng, Y.-G., Lan, X.-R., Lu, C.-B., & Wang, J.-Z. (2020) · Translational Neurodegeneration · doi:10.1186/s40035-020-00189-z · Cited by 454
“An increased iron level is correlated with the amount of Aβ plaques and tau pathologies, and iron increases Aβ toxicity by impeding the ordered aggregation of Aβ [31].”
BackgroundBrain iron is associated with accelerated cognitive decline in people with Alzheimer pathology
Ayton, S., Wang, Y., Diouf, I., Schneider, J. A., Brockman, J. D., Morris, M. C., & Bush, A. I. (2019) · Molecular Psychiatry · doi:10.1038/s41380-019-0375-7 · Cited by 372
The essential elements of Alzheimer’s disease
Lei, P., Ayton, S., & Bush, A. I. (2020) · Journal of Biological Chemistry · doi:10.1074/jbc.rev120.008207 · Cited by 344
Iron and Alzheimer’s Disease: From Pathogenesis to Therapeutic Implications
Liu, J., Fan, Y., Yang, Z., Wang, Z., & Guo, C. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00632 · Cited by 289
Metadata
- Authors
- van Duijn, S., Bulk, M., van Duinen, S. G., Nabuurs, R. J. A., van Buchem, M. A., van der Weerd, L., & Natté, R.
- Affiliations
- Department of Pathology, Leiden University Medical Centre, Leiden, The Netherlands
- Leiden University Medical Center (NL)
- Department of Radiology, Leiden University Medical Centre, Leiden, The Netherlands
- Corresponding author
- Natté, Remco
- Venue
- Journal of Alzheimer s Disease
- Publisher
- SAGE Publications
- Published
- 2017-11-07
- Volume
- 60
- Issue
- 4
- Pages
- 1533-1545
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC5676973
- OpenAlex
- W2765714249
- Cited by
- 172
- References
- 66
- Citations by year
- 2026: 18 · 2025: 14 · 2024: 24 · 2023: 17 · 2022: 28 · 2021: 22 · 2020: 15 · 2019: 20 · 2018: 13 · 2017: 1
- FWCI
- 9.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Alzheimer s Disease (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- FP7 People: Marie-Curie Actions (612360, FP7-PEOPLE-2013-IAPP, FP7-PEOPLE-2013)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- Alzheimer's disease
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Aging, Alzheimer Disease, Female, Frontal Lobe, Humans, Immunohistochemistry, Iron, Male, Middle Aged, Myelin Sheath, Severity of Illness Index, tau Proteins, Young Adult, Plaque, Amyloid
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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