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From: "Dr. Jeffrey Tosk" <[log in to unmask]>
Subject: Hallervorden-Spatz
 
I n response to JR Breman's comments....Iron is not the agent responsible
for the dark color of the substantia nigra....the pigment neuromelanin is
responsible .  Neuromelanin is a polymer of dopamine.  It is related to the
melanin that colors hair, skin and eyes.  At these sites melanin is well
known to protect these tissues against the damaging effects of light.  Much
of my research in PD it focused on understanding the structure of NM in PD.
As many of you know, NM is all be depleated in the parkinsonian nigra.  The
nigra in PD appears bleached clean and clear.  The relationship between NM
and iron is very interesting.  Neuromelanin binds incredable quantities of
iron and other metal ions.  In Hallervorden-Spatz the iron lost from other
midbrain sites probably is chelated by the nigral melanin.  It is
interesting that the nigra and other midbrans structures contains more iron
(per gram tissue) then does liver - the major site for iron storage.  In any
case when the levels of free and melanin-bound iron build up, a series of
nasty oxidation reactions place this area under great stress....a
simple>model (very simple) would be to say that it's like  "rusting" of the
midbrain.  Aside from surgical or direct examination, magnetic resonance
imaging (mri) is very helpful for studies of brain iron and brain iron
overload in PD and HS disease.  The appearance of the nigra is rather dark,
as is the globus in a so called T2-weighted mri of these structures.
Interestingly, neuromelanin adds somewhat to the mri of the nigra since it
is in fact a "stable" free radical and can interact with the iron (also free
radical-like since it contains unpaired electrons).  These circumstances
make the detailed study of NM a natural in PD research.  You may also be
interested to know that  MPTP of frozen addict fame targets the nigra via a
very strong binding with neuromelanin.....interesting stuff, I think.
Unfortunatly using this sort of information to study HS wont get one real
far....the role of NM and iron are not (yet) paradigms in HS research.
 
Jeffrey Tosk, Ph.D. ([log in to unmask])