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Drug
News & Perspectives
Vol. 12, No. 6, July 1999
LOOKING AHEAD
While the limited evidence available to date does not support the idea
that neuromelanin is a primary etiological factor in Parkinson's disease, it is likely
that, given the ability of neuromelanin to interact with iron and the fact that iron
levels are increased in the parkinsonian substantia nigra, neuromelanin may play a role in
the progression of the disease.
Significance of Neuromelanin for Neurodegeneration in Parkinson's
Disease
by K.L. Double, P. Riederer and M. Gerlach
Summary
Neuromelanin (NM) is a complex polymer pigment found in
catecholaminergic neurons of the human brain. The structure, formation pathway and
physiological function of NM have not yet been clarified, but interest in this polymer has
been sparked by the suggestion that NM is involved in cell death in Parkinson's disease.
Indeed, the pallor of the parkinsonian substantia nigra is one of the most characteristic
pathological features of this disorder. A direct relationship between the loss of the
dopaminergic substantia nigra cells and their NM content has been reported, while other
work suggests that NM may play a protective function within the cell. Evidence to date
suggests that NM is capable of acting as a protective mechanism within the cell via its
ability to bind a variety of potentially toxic substances, such as exogenous cytotoxins
and heavy metals, and via its ability to inactivate damaging free radicals; on the other
hand, in the presence of increased tissue iron NM appears to potentiate cell damage. This
is particularly relevant because iron is increased in the parkinsonian substantia nigra;
the interaction between the increased tissue iron and NM may result in an increased rate
of free radical production, leading to dopaminergic cell loss. The interaction between
iron and NM within the vulnerable dopaminergic neurons may underlie, at least partially,
the measured increase in indices of oxidative stress in this disorder and may potentiate
the rate of neurodegeneration. © 1999 Prous
Science. All rights reserved.
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