Brain Iron Regulation refers to the highly controlled homeostatic mechanisms governing the uptake, storage, and utilization of iron within the central nervous system. Iron is an essential cofactor for numerous enzymatic processes, including neurotransmitter synthesis and myelination, yet its excess is profoundly neurotoxic due to the generation of reactive oxygen species. Precise regulation is paramount for maintaining neuronal integrity and optimal cognitive function across the lifespan.
Origin
The concept stems from neuroscience and metal metabolism research, recognizing the brain’s unique susceptibility to both iron deficiency and iron overload, distinct from systemic iron status. The discovery of specific iron transporters and storage proteins, such as transferrin and ferritin, within the blood-brain barrier elucidated the mechanisms of cerebral iron sequestration. Clinical relevance is highlighted in neurodegenerative conditions and cognitive decline linked to dysregulated iron distribution.
Mechanism
Iron import into the brain is primarily mediated by transferrin receptors, while intracellular iron is sequestered by ferritin, preventing oxidative damage. The regulatory protein hepcidin, a key systemic iron regulator, has a limited direct role in the brain, underscoring the CNS’s autonomous control over its iron levels. Hormones, including estrogens, can influence the expression of iron-related proteins, suggesting an endocrine modulation of this vital neurobiological process.
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