Uncovering the Mystery of Brain Iron in Chinese Patients with Alzheimer’s

Published on May 22, 2023

Imagine your brain as a vast, intricate machine. Now picture tiny iron particles sprinkled throughout this intricate machinery. In a groundbreaking study, scientists in China have been investigating the levels of these iron particles in the brains of patients with Alzheimer’s disease. By using advanced imaging techniques, they discovered that certain regions of the brain had higher levels of iron in Alzheimer’s patients compared to healthy individuals. They also found that the presence of a specific gene, APOE-ε4, played a role in these differences. This research suggests that understanding how iron levels are related to Alzheimer’s could shed light on the underlying causes of the disease and potentially aid in earlier diagnosis. To delve even deeper into their findings, the scientists looked at the connection between iron levels and neuropsychiatric scales. The results were intriguing, showing an even stronger correlation between iron levels in specific brain regions and cognitive function. This exciting study opens up new avenues for research and may ultimately lead to improved diagnostic methods and interventions for Alzheimer’s patients.

IntroductionWe aimed (i) to explore the diagnostic value of deep gray matter magnetic susceptibility in Alzheimer’s disease (AD) in China and (ii) to analyze its correlation with neuropsychiatric scales. Moreover, we conducted subgroup analysis based on the presence of the APOE-ε4 gene to improve the diagnosis of AD.MethodsFrom the prospective studies of the China Aging and Neurodegenerative Initiative (CANDI), a total of 93 subjects who could undergo complete quantitative magnetic susceptibility imaging and APOE-ε4 gene detection were selected. Differences in quantitative susceptibility mapping (QSM) values between and within groups, including AD patients, individuals with mild cognitive impairment (MCI), and healthy controls (HCs), both APOE-ε4 carriers and non-carriers, were analyzed.ResultsIn primary analysis, the magnetic susceptibility values of the bilateral caudate nucleus and right putamen in the AD group and of the right caudate nucleus in the MCI group were significantly higher than those in the HCs group (P < 0.05). In APOE-ε4 non-carriers, there were significant differences in more regions between the AD, MCI, and HCs groups, such as the left putamen and the right globus pallidus (P < 0.05). In subgroup analysis, the correlation between QSM values in some brain regions and neuropsychiatric scales was even stronger.DiscussionExploration of the correlation between deep gray matter iron levels and AD may provide insight into the pathogenesis of AD and facilitate early diagnosis in elderly Chinese. Further subgroup analysis based on the presence of the APOE-ε4 gene may further improve the diagnostic efficiency and sensitivity.

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