Iron Build-up in Parkinson’s Disease: A Tale of Two Areas

Published on June 28, 2023

Imagine a bustling town divided into two neighborhoods: the bustling Snigra and the quieter VTA. In Parkinson’s disease (PD), Snigra is usually hit harder than VTA, as if it were the victim of an unruly mob. Scientists have long wondered why this selective harm occurs. In this study, they decided to investigate the role of iron accumulation in the VTA. Using fancy brain scans, they compared 101 PD patients, 35 cases of a sleep disorder called RBD, and 62 healthy individuals. They discovered that both RBD and PD patients had higher iron levels in Snigra compared to those without the conditions. Surprisingly, during early stages of PD, the VTA remained unharmed by this rambunctious iron bunch. However, as PD progressed, iron began to pile up in the VTA, turning it into another casualty of the mayhem. The researchers believe that this new knowledge will help shed light on why certain areas are vulnerable to damage in PD. For those eager minds looking for more details on this captivating research, hop on over to the link below!

IntroductionThe ventral tegmental area (VTA) is less affected compared to substantia nigra pars compacta (SNc) in Parkinson’s disease (PD). This study aimed to quantitatively evaluate iron content in the VTA across different stages of PD in order to help explain the selective loss of dopamine neurons in PD.MethodsQuantitative susceptibility mapping (QSM) data were obtained from 101 PD patients, 35 idiopathic rapid eye movement sleep behavior disorder (RBD) patients, and 62 healthy controls (HCs). The mean QSM values in the VTA and SNc were calculated and compared among the groups.ResultsBoth RBD and PD patients had increased iron values in the bilateral SNc compared with HCs. RBD and PD patients in the Hoehn–Yahr (H & Y) stage 1 did not show elevated iron values in the VTA, while PD patients with more than 1.5 H & Y staging had increased iron values in bilateral VTA compared to HCs.DiscussionThis study shows that there is no increased iron accumulation in the VTA during the prodromal and early clinical stages of PD, but iron deposition increases significantly as the disease becomes more severe.

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