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From the Institute for Ageing and Health (A.E.O., J.A.E.), Medical Toxicology Research Centre (C.M.M.), Wolfson Unit of Clinical Pharmacology, and Department of Neurology (M.E.), Newcastle University, Newcastle upon Tyne, Tyne and Wear, Institute of Science and Technology in Medicine (J.F.C., J.D.), School of Postgraduate Medicine, Keele University, Staffordshire, and Centre for Electron Optical Studies (G.L., H.R.P.), University of Bath, UK. Dr. Elstner's current address is Department of Neurology, Ludwig Maximilians University, Munich, Germany.
Address correspondence and reprint requests to Dr Morris, Medical Toxicology Research Centre, Wolfson Unit of Clinical Pharmacology, Newcastle University, Claremont Place, Newcastle upon Tyne, NE2 4AA, UK c.m.morris{at}ncl.ac.uk
Objective: Evidence suggests that abnormal iron metabolism is associated with Parkinson disease (PD), with raised iron levels found in pathologically affected areas in PD. It is unknown if this elevated iron is actually associated with neurons or reactive glia, and we therefore addressed this issue by determining if raised iron was present in single dopaminergic neurons.
Methods: We used unfixed frozen sections from postmortem tissue of PD patients and elderly normal individuals to avoid metal contamination and translocation. Levels of iron and other elements were measured using sensitive and specific wavelength dispersive electron probe x-ray microanalysis coupled with cathodoluminescence spectroscopy in individual substantia nigra dopaminergic neurons.
Results: We identified raised intraneuronal iron in single defined substantia nigra neurons in PD (mean neuronal iron 2,838 vs 1,611, p < 0.0001) but not in other movement disorders such as Huntington disease. These findings were unrelated to the density of remaining neurons.
Conclusions: Primary changes in neuronal iron could lead to neurodegeneration in Parkinson disease.
Received April 24, 2006. Accepted in final form January 26, 2007.
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