Aceruloplasminemia is a disorder of iron metabolism caused by mutations in
the ceruloplasmin gene. It is characterized by progressive neurodegeneratio
n of the retina, basal ganglia, dentate nucleus and cerebral cortex in asso
ciation with iron accumulation in these tissues. Enzyme activities in the m
itochondrial respiratory chain of the cerebral cortices of two patients wer
e reduced to 62% and 71% for complexes I and IV. Malondialdehyde, a marker
of lipid peroxidation, was three times higher than the control value and wa
s accompanied by increased expression of superoxide dismutase 2 (Mn SOD). T
hese findings suggest that iron-mediated free radicals contribute to the im
pairment of mitochondrial energy metabolism in aceruloplasminemia (C) 2000
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