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Neurochem Res. 2007 Apr 28; [Epub ahead of print]Disturbance of Iron
 Metabolism as a Contributing Factor to SN Hyperechogenicity in
 Parkinson's Disease: Implications for Idiopathic and Monogenetic
 Forms.Berg D.
 Hertie Institute of Clinical Brain Research, University of Tubingen,
 Hoppe-Seyler-Strasse 3, 72076, Tubingen, Germany, daniela.berg@uni-
 tuebingen.de.

A number of investigations have provided evidence for a central role
 of iron in the pathogenesis of Parkinson's disease (PD). Recently it
 could be demonstrated that iron related changes of the substantia
 nigra may be one important factor contributing to the
 hyperechogenicity typicall visualized by transcranial sonography in
 idiopathic PD. Moreover, also patients with monogenetically caused PD
 show this hyperechogenicity, although to a lesser extent. According to
 numerous findings and experiments it seems plausible that iron also
 contributes to the pathophysiological cascades in the monogenetic
 forms of PD. Therefore, it is not only essential to acknowledge the
 pivotal role of iron for PD, but also to enhance the effort in finding
 therapeutic strategies to prevent the impact of iron on
 neurodegenerative processes. Moreover, early detection of subjects at
 risk is essential for the application of therapeutic strategies at a
 stage at which neuroprotection is still possible.

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