Abstract

Altered metabolism of biometals in the brain is a key feature of Alzheimer's disease, and biometal interactions with amyloid-β are linked to amyloid plaque formation. Iron-rich aggregates, including evidence for the mixed-valence iron oxide magnetite, are associated with amyloid plaques. To test the hypothesis that increased chemical reduction of iron, as observed in vitro in the presence of aggregating amyloid-β, may occur at sites of amyloid plaque formation in the human brain, the nanoscale distribution and physicochemical states of biometals, particularly iron, were characterised in isolated amyloid plaque cores from human Alzheimer's disease cases using synchrotron X-ray spectromicroscopy. In situ X-ray magnetic circular dichroism revealed the presence of magnetite: a finding supported by ptychographic observation of an iron oxide crystal with the morphology of biogenic magnetite. The exceptional sensitivity and specificity of X-ray spectromicroscopy, combining chemical and magnetic probes, allowed enhanced differentiation of the iron oxides phases present. This facilitated the discovery and speciation of ferrous-rich phases and lower oxidation state phases resembling zero-valent iron as well as magnetite. Sequestered calcium was discovered in two distinct mineral forms suggesting a dynamic process of amyloid plaque calcification in vivo. The range of iron oxidation states present and the direct observation of biogenic magnetite provide unparalleled support for the hypothesis that chemical reduction of iron arises in conjunction with the formation of amyloid plaques. These new findings raise challenging questions about the relative impacts of amyloid-β aggregation, plaque formation, and disrupted metal homeostasis on the oxidative burden observed in Alzheimer's disease.

Highlights

  • Disrupted metal ion homeostasis has been linked to the development and progression of Alzheimer’s disease (AD)

  • Identification of amyloid plaque cores (APC) To confirm the presence and structural arrangement of APC in resin-embedded sections, Congo red staining was performed on 500 nm thick sections obtained from both AD cases

  • The X-ray spectromicroscopy methodology developed in this study enabled characterization of the distribution of organic materials, and precise nanoscale imaging and speciation of inorganic materials in APC

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Summary

Introduction

Disrupted metal ion homeostasis has been linked to the development and progression of Alzheimer’s disease (AD). Calcium is the most abundant metal element in the human brain, and disturbed calcium signalling pathways and elevated intracellular calcium levels have been reported in conjunction with AD pathogenesis.[1,2,3] Transition metals are present at trace levels in comparison to calcium, but they still play many essential roles in normal brain metabolism. Of the transition metals associated with AD pathology, iron is the most abundant in the healthy brain and is critical for normal brain function. Sophisticated regulatory processes are required to maintain homeostasis, trafficking and storage for the many biometals essential to neuronal function.[5] For example, iron is essential in energy production, nerve impulse transduction and neurotransmitter synthesis;[5,6] these roles are enabled through controlled iron valence state changes in vivo, with both ferric

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