Iron, zinc, and multiple sclerosis patients
Abstract
Multiple sclerosis (MS) is a chronic neurodegenerative disease of the central nervous system
(CNS). Metals such as iron (Fe) and zinc (Zn) are believed to play an important role
in MS pathogenesis and progression. Iron is an important element used by different cells
of the body including those of the CNS, for various basic functions. In the brain, iron is a
cofactor for diverse proteins and enzymes involved in the synthesis of neurotransmitters,
mitochondrial respiration, myelin production, and nucleic acid repair. It is also needed
for the proliferation of inflammatory cells, crucial players in MS. Moreover, its involvement
in oxygen transport and glucose metabolism is very well established. Given its association
with diverse functions in the human nervous system, alteration in its metabolism is
accompanied with serious problems and impairments such as neurological disorders
including MS ( Jouini et al., 2021; Knyszynska et al., 2020; Tai et al., 2020).
On the other hand, zinc is an important trace element for all living beings as it is a
cofactor for more than 300 enzymes and proteins including the matrix metalloproteinases
(MMPs) and the myelin basic protein (MBP). It is also abundantly present in the brain
especially in presynaptic vesicles of neurons (Portbury & Adlard, 2017). Zinc levels perturbation
has negative consequences on the nervous and immune system particularly
(Sensi, Granzotto, Siotto, &Squitti, 2018) as high levels of zinc may induce neurotoxicity
(Li, Du, & Ni, 2019) and low levels of zinc are able to promote neurons’ apoptosis (Seth
et al., 2015).
Hence, zinc and iron play crucial roles in the brain’s homeostasis and are crucial for
human health (Bredholt & Frederiksen, 2016; Schweser et al., 2020).
Journal/Conference Information
Vitamins and Minerals in Neurological Disorders,Publisher: Elsevier, ISBN: ISBN 978-0-323-89835-5, Volume: 1, Edition: 1, Year: 2023, Pages Range: 341-355,