2006
DOI: 10.1212/wnl.67.7_suppl_2.s8
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A proposed dual role of neuromelanin in the pathogenesis of Parkinson’s disease

Abstract: In many parkinsonian syndromes, neuromelanin (NM)-containing dopaminergic neurons of the substantia nigra (SN) are selectively targeted by the noxius pathogens. Studies of the constitutional and functional features of human NM allow the formulation of a logical hypothesis on its role in parkinsonian syndromes. In the early stages, NM synthesis and iron-chelating properties may act as a powerful protective mechanism, delaying symptom appearance and/or slowing disease progression. Once these systems have been ex… Show more

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Cited by 101 publications
(83 citation statements)
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“…Moreover, the loss of neuromelanin observed in Parkinson's disease is accompanied by an increase in iron levels in the brain. In agreement with those considerations, a dual role for neuromelanin in the pathogenesis of that disease has been proposed [184]. On the other hand, neuromelanin should been considered as a neuroprotective agent, but it is also a molecule which accumulates a variety of potentially damaging species and also drugs such as amphetamines [185] and MPTP [186], so that this accumulation in the brain can also become a thread for neurodegeneration.…”
Section: Melanin Functionsmentioning
confidence: 88%
“…Moreover, the loss of neuromelanin observed in Parkinson's disease is accompanied by an increase in iron levels in the brain. In agreement with those considerations, a dual role for neuromelanin in the pathogenesis of that disease has been proposed [184]. On the other hand, neuromelanin should been considered as a neuroprotective agent, but it is also a molecule which accumulates a variety of potentially damaging species and also drugs such as amphetamines [185] and MPTP [186], so that this accumulation in the brain can also become a thread for neurodegeneration.…”
Section: Melanin Functionsmentioning
confidence: 88%
“…Additionally, neuromelanin is generally regarded as a powerful antioxidant [64]. However, neuromelanin may become deleterious in Parkinson disease as the disease progresses [65]. If 5-S-L-cysteinyldopamine were an aminotransferase/ oxidase substrate in vivo then formation of the α-keto acid might be a regulatory factor in the formation of neuromelanin and an additional detoxification mechanism.…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence to suggest that neuromelanin acts to reduce potentially toxic iron by chelating iron found in the cytosol of neurons. 59,60 The CSF and brain interstitium probably also contain unbound extracellular iron, which is likely complexed with citrate and taken into cells through a nontransferrin receptor-mediated mechanism. 61 Finally, after the brain uses the iron it has stored, the iron must leave the cell, and the copper-associated protein ceruloplasmin may facilitate cellular release of iron.…”
Section: Iron Transportmentioning
confidence: 99%
“…6 Additionally, iron-associated proteins and receptors are upregulated in the striatum and substantia nigra of patients with PD. 60,94 Increased iron levels are thought to produce free radicals and predispose dopamine striatonigral neurons to oxidative damage. 60,94 -96 Oxidative stress compromises lipid, protein, and DNA molecular integrity, leading to neuronal injury.…”
Section: Parkinson's Diseasementioning
confidence: 99%