The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression

Abstract The irreversible degeneration of dopamine neurons induced by α-synuclein (α-syn) aggregation in the substantia nigra is the central pathological feature of Parkinson's disease (PD). Neuroimaging and pathological autopsy studies consistently confirm significant iron accumulation in the...

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Main Authors: Yan Chen, Xixi Luo, Yukun Yin, Elizabeth Rosalind Thomas, Kezhi Liu, Wenjun Wang, Xiang Li
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Molecular Medicine
Subjects:
Online Access:https://doi.org/10.1186/s10020-025-01208-3
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author Yan Chen
Xixi Luo
Yukun Yin
Elizabeth Rosalind Thomas
Kezhi Liu
Wenjun Wang
Xiang Li
author_facet Yan Chen
Xixi Luo
Yukun Yin
Elizabeth Rosalind Thomas
Kezhi Liu
Wenjun Wang
Xiang Li
author_sort Yan Chen
collection DOAJ
description Abstract The irreversible degeneration of dopamine neurons induced by α-synuclein (α-syn) aggregation in the substantia nigra is the central pathological feature of Parkinson's disease (PD). Neuroimaging and pathological autopsy studies consistently confirm significant iron accumulation in the brain of PD patients, suggesting a critical role for iron in disease progression. Current research has established that iron overload induces ferroptosis in dopaminergic neurons, evidence indicates that the impact of iron on PD pathology extends beyond ferroptosis. Iron also plays a regulatory role in modulating α-syn, affecting its aggregation, spatial conformation, post-translational modifications, and mRNA stability. Iron-induced α-syn aggregation can contribute to dopaminergic neurodegeneration through additional mechanisms, potentially creating a feedback loop in which α-syn further enhances iron accumulation, thus perpetuating a vicious cycle of neurotoxicity. Given α-syn’s intrinsically disordered structure, targeting iron metabolism presents a promising therapeutic strategy for PD. Therefore, the development of iron chelators, alone or in combination with other therapeutic drugs, may offer a beneficial approach to alleviating PD symptoms and slowing disease progression.
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spelling doaj-art-2a8e31d792ba4501b8c51967fecf0ee42025-08-20T02:30:23ZengBMCMolecular Medicine1528-36582025-04-0131111210.1186/s10020-025-01208-3The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progressionYan Chen0Xixi Luo1Yukun Yin2Elizabeth Rosalind Thomas3Kezhi Liu4Wenjun Wang5Xiang Li6Department of Psychiatry, The Affiliated Zigong Hospital, Zigong Mental Health Center, Zigong Institute of Brain Science, Southwest Medical UniversityDepartment of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Southwest Medical UniversityDepartment of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Southwest Medical UniversityDepartment of Medical Microbiology, PGIMERDepartment of Psychiatry, The Affiliated Zigong Hospital, Zigong Mental Health Center, Zigong Institute of Brain Science, Southwest Medical UniversityDepartment of Psychiatry, The Affiliated Zigong Hospital, Zigong Mental Health Center, Zigong Institute of Brain Science, Southwest Medical UniversityDepartment of Psychiatry, The Affiliated Zigong Hospital, Zigong Mental Health Center, Zigong Institute of Brain Science, Southwest Medical UniversityAbstract The irreversible degeneration of dopamine neurons induced by α-synuclein (α-syn) aggregation in the substantia nigra is the central pathological feature of Parkinson's disease (PD). Neuroimaging and pathological autopsy studies consistently confirm significant iron accumulation in the brain of PD patients, suggesting a critical role for iron in disease progression. Current research has established that iron overload induces ferroptosis in dopaminergic neurons, evidence indicates that the impact of iron on PD pathology extends beyond ferroptosis. Iron also plays a regulatory role in modulating α-syn, affecting its aggregation, spatial conformation, post-translational modifications, and mRNA stability. Iron-induced α-syn aggregation can contribute to dopaminergic neurodegeneration through additional mechanisms, potentially creating a feedback loop in which α-syn further enhances iron accumulation, thus perpetuating a vicious cycle of neurotoxicity. Given α-syn’s intrinsically disordered structure, targeting iron metabolism presents a promising therapeutic strategy for PD. Therefore, the development of iron chelators, alone or in combination with other therapeutic drugs, may offer a beneficial approach to alleviating PD symptoms and slowing disease progression.https://doi.org/10.1186/s10020-025-01208-3Parkinson's diseaseα-synucleinFerroptosisIron
spellingShingle Yan Chen
Xixi Luo
Yukun Yin
Elizabeth Rosalind Thomas
Kezhi Liu
Wenjun Wang
Xiang Li
The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
Molecular Medicine
Parkinson's disease
α-synuclein
Ferroptosis
Iron
title The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
title_full The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
title_fullStr The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
title_full_unstemmed The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
title_short The interplay of iron, oxidative stress, and α-synuclein in Parkinson’s disease progression
title_sort interplay of iron oxidative stress and α synuclein in parkinson s disease progression
topic Parkinson's disease
α-synuclein
Ferroptosis
Iron
url https://doi.org/10.1186/s10020-025-01208-3
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