Increased free radical production may occur in Alzheimer's disease (AD
). In view of the central role of iron in free radical reactions we ha
ve investigated the distribution of non-haem iron in the hippocampal f
ormation in normal control individuals and in patients with AD. In con
trols, non-haem iron was principally associated with glial elements an
d the neuropil, with highest levels in the stratum radiatum/lacunosum,
fimbria, alveus and oriens layers. Except for the subiculum, the pyra
midal cell layers and the granule cell layer showed little or no non-h
aem iron staining. Intensity of staining was in the order of subiculum
much greater than CA2 and adjacent regions of CA3 > CA4 > the remaind
er of CA3 > CA1. In the hippocampus in AD, iron was associated with ce
lls containing neurofibrillary tangles (NET) and was present in glial
cells and neurites of senile plaques (SP). These findings were most pr
onounced in CA1 pyramidal cell layer and subicular complex although no
t all NET or SP were stained. Since the NFT and SP staining for non-ha
em iron appears to be associated with glial cells, the association of
non-haem iron with the pathological stigmata of AD may be a secondary
response of glial cells, in particular microglia, to neuronal damage.