A role for altered iron metabolism in the pathogenesis of Alzheimer's
disease has been suggested by several reports associating the cardinal
neuropathologic lesions with markers of free radical-induced damage a
nd redox-active iron. We hypothesized that the abnormal distribution o
f iron in Alzheimer brain might result from alterations in iron regula
tory proteins (IRP) such as IRP-1 and IRP-2, the main control elements
of cellular iron homeostasis. Here, we report that while IRP-1 is pre
sent at similar levels in both Alzheimer and control brain tissue, IRP
-2 shows striking differences and is associated with intraneuronal les
ions, including neurofibrillary tangles, senile plaque neurites and ne
uropil threads. Since IRP-2 colocalizes with redox-active iron, our re
sults suggest that alterations in IRP-2 might be directly linked to im
paired iron homeostasis in Alzheimer's disease. (C) 1998 Elsevier Scie
nce B.V.