Abstract
The results of many modern studies show the significance of the role of changes in iron metabolism and its increased accumulation in the pathogenesis of neurodegenerative and demyelinating diseases. Determining the role of iron metabolism and the characteristics of its distribution in strategically important areas of the brain in diseases of the nervous system is important from a diagnostic point of view, since it can help determine the rate of disease progression and, accordingly, correction of therapy. The article presents modern literature data describing the main disorders of iron metabolism in the structure of the pathogenesis of neurodegenerative diseases (Alzheimer’s disease and Parkinson’s disease), and demyelinating diseases, in particular, multiple sclerosis. Attention is drawn to the role of changes in iron metabolism in the pathogenesis of the process of regulated cell death, ferroptosis, accompanied by depletion of intracellular glutathione, decreased activity of the enzyme glutathione peroxidase-4 and the subsequent process of lipid peroxidation caused by a decrease in the protective antioxidant system of cells and the accumulation of reactive oxygen species. Attention is drawn to the role of the Fenton reaction in the accumulation of free radicals, the oxidation of iron and, as a consequence, its excessive deposition in brain structures. Information is provided on the features of the pathogenesis of neuronal iron accumulation, modern diagnostic capabilities for assessing iron content in strategically important areas of the brain using various methods, and the possibility of various options for therapeutic treatment of these conditions is considered. Attention is drawn to the patterns of iron distribution in normal brain structures depending on age, as well as in the specified nosologies. Data are presented on the connection between an increase in the amount of iron content in brain cells and the severity of clinical manifestations of diseases. Attention is drawn to the relationship between the progression of disease severity and the increase in metal content in the cells of strategically significant areas of the brain. When writing the article, modern materials and meta-analyses were used, containing the results of a significant number of studies devoted to the problem considered in this review.