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Updated: Jun 5, 2026

Assessing Iron Deposition in the Brains of 5xFAD Mice by Perls'/DAB Staining
Published on: May 23, 2025
Ceruloplasmin/Transferrin ratio changes in Alzheimer's disease
Rosanna Squitti1, Carlo Salustri, Mariacristina Siotto
1Department of Neuroscience, AFaR-Fatebenefratelli Hospital, 00186 Rome, Italy.
Systemic iron metabolism alterations, including increased ceruloplasmin/transferrin ratios, are linked to Alzheimer's disease (AD). These changes correlate with disease severity and brain atrophy, suggesting a broader role for systemic iron in AD pathogenesis.
Area of Science:
- Neuroscience
- Biochemistry
- Gerontology
Background:
- The relationship between iron and Alzheimer's disease (AD) is primarily studied through local iron accumulation in the brain.
- Systemic iron metabolism has not been extensively investigated in the context of AD.
Purpose of the Study:
- To investigate systemic variations in iron metabolism markers in Alzheimer's disease patients.
- To explore the correlation between these systemic markers and AD severity and brain atrophy.
Main Methods:
- Serum levels of iron, ceruloplasmin, and transferrin were measured.
- Transferrin saturation and ceruloplasmin to transferrin ratio (Cp/Tf) were calculated.
- Correlations with peroxide levels, MMSE scores, and medial temporal lobe atrophy were analyzed.
Main Results:
- Alzheimer's disease patients showed increased Cp/Tf ratios and transferrin saturation.
- Cp/Tf ratios positively correlated with peroxide levels and negatively with serum iron.
- Elevated ceruloplasmin, peroxides, and Cp/Tf inversely correlated with Mini-Mental State Examination (MMSE) scores.
- Medial temporal lobe atrophy correlated positively with Cp/Tf and negatively with serum iron.
Conclusions:
- Systemic iron alterations are associated with Alzheimer's disease.
- Findings suggest that local brain iron accumulation in AD should be considered within the context of broader systemic iron dysregulation.
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