Evidence map›Paper›PMID 34180415›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Upregulation of Local Hepcidin Contributes to Iron Accumulation in Alzheimer's Disease Brains.

Suman Chaudhary, Ajay Ashok, Dallas McDonald, Aaron S Wise, Alexander E Kritikos, Neil A Rana, Clifford V Harding, Neena Singh

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Suman ChaudharyDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Ajay AshokDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Dallas McDonaldDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Aaron S WiseDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Alexander E KritikosDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Neil A RanaDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Clifford V HardingDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Neena SinghDepartment of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Case Western Reserve University · US

Funding

The iron modulatory function of prion protein and prion disordersR01NS092145 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI SINGH, NEENA · 2015 to 2019
$2.4M
Local hepcidin in the anterior segment: Physiological and pathological implicationsR21EY032694 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI SINGH, NEENA · 2022 to 2023
$443k
Modulation of brain iron by local hepcidin in prion disordersR21NS125228 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI SINGH, NEENA · 2021 to 2021
$443k
NEI NIH HHS R21 EY032694NINDS NIH HHS R01 NS092145NINDS NIH HHS R21 NS125228
6 · The paper itself

Abstract

backgroundAccumulation of iron is a consistent feature of Alzheimer's disease (AD) brains. The underlying cause, however, remains debatable.

objectiveTo explore whether local hepcidin synthesized by brain cells contributes to iron accumulation in AD brains.

methodsBrain tissue from the cingulate cortex of 33 cases of AD pre-assigned to Braak stage I-VI, 6 cases of non-dementia, and 15 cases of non-AD dementia were analyzed for transcriptional upregulation of hepcidin by RT-qPCR and RT-PCR. Change in the expression of ferritin, ferroportin (Fpn), microglial activation marker Iba1, IL-6, and TGFβ2 was determined by western blotting. Total tissue iron was determined by colorimetry.

resultsSignificant transcriptional upregulation of hepcidin was observed in Braak stage III-VI relative to Braak stage I and II, non-AD dementia, and non-dementia samples. Ferritin was increased in Braak stage V, and a significant increase in tissue iron was evident in Braak stage III-VI. The expression of Iba1 and IL-6 was also increased in Braak stage III-VI relative to Braak stage I and II and non-AD dementia samples. Amyloid-β plaques were absent in most Braak stage I and II samples, and present in Braak stage III-VI samples with few exceptions.

conclusionThese observations suggest that upregulation of brain hepcidin is mediated by IL-6, a known transcriptional activator of hepcidin. The consequent downregulation of Fpn on neuronal and other cells results in accumulation of iron in AD brains. The increase in hepcidin is disease-specific, and increases with disease progression, implicating AD-specific pathology in the accumulation of iron.

Indexed as

Up-RegulationAgedAlzheimer DiseaseAnti-Infective AgentsAutopsyBrainFemaleFerritinsHepcidinsHumansInterleukin-6MaleReverse Transcriptase Polymerase Chain ReactionAnti-Infective AgentsFerritinsHepcidinsInterleukin-6Alzheimer’s diseaseferritinhepcidinIL-6ironoxidative stress

Identifiers

PMID34180415
PMCPMC8384696
OpenAlexW3174125159

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.