Impact Factor


Front. Pharmacol., 25 September 2012 | http://dx.doi.org/10.3389/fphar.2012.00169

Impairment of interrelated iron- and copper homeostatic mechanisms in brain contributes to the pathogenesis of neurodegenerative disorders

  • 1Section of Neurobiology, Biomedicine Group, Institute of Medicine and Health Technology, Aalborg University, Aalborg, Denmark
  • 2Center for Applied Human Molecular Genetics, Department of Kennedy Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark

Iron and copper are important co-factors for a number of enzymes in the brain, including enzymes involved in neurotransmitter synthesis and myelin formation. Both shortage and an excess of iron or copper will affect the brain. The transport of iron and copper into the brain from the circulation is strictly regulated, and concordantly protective barriers, i.e., the blood-brain barrier (BBB) and the blood-cerebrospinal fluid (CSF) barrier (BCB) have evolved to separate the brain environment from the circulation. The uptake mechanisms of the two metals interact. Both iron deficiency and overload lead to altered copper homeostasis in the brain. Similarly, changes in dietary copper affect the brain iron homeostasis. Moreover, the uptake routes of iron and copper overlap each other which affect the interplay between the concentrations of the two metals in the brain. The divalent metal transporter-1 (DMT1) is involved in the uptake of both iron and copper. Furthermore, copper is an essential co-factor in numerous proteins that are vital for iron homeostasis and affects the binding of iron-response proteins to iron-response elements in the mRNA of the transferrin receptor, DMT1, and ferroportin, all highly involved in iron transport. Iron and copper are mainly taken up at the BBB, but the BCB also plays a vital role in the homeostasis of the two metals, in terms of sequestering, uptake, and efflux of iron and copper from the brain. Inside the brain, iron and copper are taken up by neurons and glia cells that express various transporters.

Keywords: blood-brain barrier, cerebrospinal fluid, copper, homeostasis, iron, neurodegenerative disorders

Citation: Skjørringe T, Møller LB and Moos T (2012) Impairment of Interrelated Iron- and Copper Homeostatic Mechanisms in Brain Contributes to the Pathogenesis of Neurodegenerative Disorders. Front. Pharmacol. 3:169. doi: 10.3389/fphar.2012.00169

Received: 06 June 2012; Accepted: 29 August 2012;
Published online: 25 September 2012.

Edited by:

Fernanda Marques, Universidade do Minho, Portugal

Reviewed by:

Joseph Prohaska, University of Minnesota Medical School Duluth, USA
Michael Garrick, University at Buffalo, USA

Copyright: © 2012 Skjørringe, Møller and Moos. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.

*Correspondence: Torben Moos, Section of Neurobiology, Biomedicine, Institute of Medicine and Health Technology, Aalborg University, Fr. Bajers Vej 3B, 1.216, DK-9220 Aalborg East, Denmark. e-mail: tmoos@hst.aau.dk