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The Connection Between Oxidative Stress, Mitochondrial Dysfunction, Iron Metabolism and Microglia in Multiple
Simonida Delic1, Svetlana Miletic Drakulic2, Milos Stepovic1
1Department of Anatomy, Faculty of Medical Sciences Kragujevac, University of Kragujevac, 34000 Kragujevac, Serbia.
Abstract:
In recent years, in the pathogenesis of multiple sclerosis, emphasis has been placed on mitochondrial processes that influence the onset of the disease. Oxidative stress would be one of the consequences of mitochondrial dysfunction, and its impact on brain tissue is well described. Microglia, as a brain macrophage, have an important function in removing unwanted metabolites, as well as iron, which is an amplifier of oxidative stress. There are novelties in terms of the connection between these processes, which have redirected research more towards the process of neurodegeneration itself, so that the emphasis is no longer on neuroinflammation, which would initiate the pathological process itself and still exist in the vicinity of lesions with reduced intensity. The aim of this review is to summarize the current knowledge from the literature regarding oxidative stress, mitochondrial dysfunction and iron metabolism and how microglia are involved in these processes in multiple sclerosis.
Insights
Mitochondrial dysfunction and iron metabolism in microglia are key in multiple sclerosis pathogenesis. This review highlights their roles in oxidative stress and neurodegeneration, shifting focus from neuroinflammation.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Mitochondrial dysfunction is increasingly implicated in multiple sclerosis (MS) pathogenesis.
- Oxidative stress, a consequence of mitochondrial dysfunction, significantly impacts brain tissue in MS.
- Microglia, the brain's immune cells, play a crucial role in clearing metabolites and iron, a known amplifier of oxidative stress.
Purpose of the Study:
- To review current literature on oxidative stress, mitochondrial dysfunction, and iron metabolism in MS.
- To elucidate the specific involvement of microglia in these interconnected processes within the context of MS.
Main Methods:
- Literature review of recent studies on multiple sclerosis pathogenesis.
- Analysis of research focusing on mitochondrial function, oxidative stress markers, and iron homeostasis.
- Examination of microglial roles in metabolite and iron clearance in neurodegenerative diseases.
Main Results:
- Emerging evidence links mitochondrial dysfunction and altered iron metabolism to MS.
- Microglial activity in iron handling and metabolic clearance is critical.
- Research focus is shifting towards neurodegeneration driven by these factors, rather than solely neuroinflammation.
Conclusions:
- Oxidative stress, mitochondrial dysfunction, and iron metabolism are central to MS pathogenesis.
- Microglia are key players mediating these processes and influencing neurodegeneration.
- Understanding these mechanisms offers new therapeutic avenues for multiple sclerosis.
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