Copper homeostasis and neurodegenerative diseases

Copper, one of the most prolific transition metals in the body, is required for normal brain physiological activity and allows various functions to work normally through its range of concentrations. Copper homeostasis is meticulously maintained through a complex network of copper-dependent proteins,...

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Main Authors: Yuanyuan Wang, Daidi Li, Kaifei Xu, Guoqing Wang, Feng Zhang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-11-01
Series:Neural Regeneration Research
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Online Access:https://journals.lww.com/10.4103/NRR.NRR-D-24-00642
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author Yuanyuan Wang
Daidi Li
Kaifei Xu
Guoqing Wang
Feng Zhang
author_facet Yuanyuan Wang
Daidi Li
Kaifei Xu
Guoqing Wang
Feng Zhang
author_sort Yuanyuan Wang
collection DOAJ
description Copper, one of the most prolific transition metals in the body, is required for normal brain physiological activity and allows various functions to work normally through its range of concentrations. Copper homeostasis is meticulously maintained through a complex network of copper-dependent proteins, including copper transporters (CTR1 and CTR2), the two copper ion transporters the Cu -transporting ATPase 1 (ATP7A) and Cu-transporting beta (ATP7B), and the three copper chaperones ATOX1, CCS, and COX17. Disruptions in copper homeostasis can lead to either the deficiency or accumulation of copper in brain tissue. Emerging evidence suggests that abnormal copper metabolism or copper binding to various proteins, including ceruloplasmin and metallothionein, is involved in the pathogenesis of neurodegenerative disorders. However, the exact mechanisms underlying these processes are not known. Copper is a potent oxidant that increases reactive oxygen species production and promotes oxidative stress. Elevated reactive oxygen species levels may further compromise mitochondrial integrity and cause mitochondrial dysfunction. Reactive oxygen species serve as key signaling molecules in copper-induced neuroinflammation, with elevated levels activating several critical inflammatory pathways. Additionally, copper can bind aberrantly to several neuronal proteins, including alpha-synuclein, tau, superoxide dismutase 1, and huntingtin, thereby inducing neurotoxicity and ultimately cell death. This study focuses on the latest literature evaluating the role of copper in neurodegenerative diseases, with a particular focus on copper-containing metalloenzymes and copper-binding proteins in the regulation of copper homeostasis and their involvement in neurodegenerative disease pathogenesis. By synthesizing the current findings on the functions of copper in oxidative stress, neuroinflammation, mitochondrial dysfunction, and protein misfolding, we aim to elucidate the mechanisms by which copper contributes to a wide range of hereditary and neuronal disorders, such as Wilson’s disease, Menkes’ disease, Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis, Huntington’s disease, and multiple sclerosis. Potential clinically significant therapeutic targets, including superoxide dismutase 1, D-penicillamine, and 5,7-dichloro-2-[(dimethylamino)methyl]-8-hydroxyquinoline, along with their associated therapeutic agents, are further discussed. Ultimately, we collate evidence that copper homeostasis may function in the underlying etiology of several neurodegenerative diseases and offer novel insights into the potential prevention and treatment of these diseases based on copper homeostasis.
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spelling doaj-art-c4ad8c322a2b488f87dbab7553c1aa162025-01-07T09:49:28ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582025-11-0120113124314310.4103/NRR.NRR-D-24-00642Copper homeostasis and neurodegenerative diseasesYuanyuan WangDaidi LiKaifei XuGuoqing WangFeng ZhangCopper, one of the most prolific transition metals in the body, is required for normal brain physiological activity and allows various functions to work normally through its range of concentrations. Copper homeostasis is meticulously maintained through a complex network of copper-dependent proteins, including copper transporters (CTR1 and CTR2), the two copper ion transporters the Cu -transporting ATPase 1 (ATP7A) and Cu-transporting beta (ATP7B), and the three copper chaperones ATOX1, CCS, and COX17. Disruptions in copper homeostasis can lead to either the deficiency or accumulation of copper in brain tissue. Emerging evidence suggests that abnormal copper metabolism or copper binding to various proteins, including ceruloplasmin and metallothionein, is involved in the pathogenesis of neurodegenerative disorders. However, the exact mechanisms underlying these processes are not known. Copper is a potent oxidant that increases reactive oxygen species production and promotes oxidative stress. Elevated reactive oxygen species levels may further compromise mitochondrial integrity and cause mitochondrial dysfunction. Reactive oxygen species serve as key signaling molecules in copper-induced neuroinflammation, with elevated levels activating several critical inflammatory pathways. Additionally, copper can bind aberrantly to several neuronal proteins, including alpha-synuclein, tau, superoxide dismutase 1, and huntingtin, thereby inducing neurotoxicity and ultimately cell death. This study focuses on the latest literature evaluating the role of copper in neurodegenerative diseases, with a particular focus on copper-containing metalloenzymes and copper-binding proteins in the regulation of copper homeostasis and their involvement in neurodegenerative disease pathogenesis. By synthesizing the current findings on the functions of copper in oxidative stress, neuroinflammation, mitochondrial dysfunction, and protein misfolding, we aim to elucidate the mechanisms by which copper contributes to a wide range of hereditary and neuronal disorders, such as Wilson’s disease, Menkes’ disease, Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis, Huntington’s disease, and multiple sclerosis. Potential clinically significant therapeutic targets, including superoxide dismutase 1, D-penicillamine, and 5,7-dichloro-2-[(dimethylamino)methyl]-8-hydroxyquinoline, along with their associated therapeutic agents, are further discussed. Ultimately, we collate evidence that copper homeostasis may function in the underlying etiology of several neurodegenerative diseases and offer novel insights into the potential prevention and treatment of these diseases based on copper homeostasis.https://journals.lww.com/10.4103/NRR.NRR-D-24-00642alzheimer’s diseaseamyotrophic lateral sclerosis diseasecopper homeostasiscopper toxicityhuntington’s diseasemenkes’ diseasemultiple sclerosisneurodegenerative diseaseparkinson’s diseasewilson’s disease
spellingShingle Yuanyuan Wang
Daidi Li
Kaifei Xu
Guoqing Wang
Feng Zhang
Copper homeostasis and neurodegenerative diseases
Neural Regeneration Research
alzheimer’s disease
amyotrophic lateral sclerosis disease
copper homeostasis
copper toxicity
huntington’s disease
menkes’ disease
multiple sclerosis
neurodegenerative disease
parkinson’s disease
wilson’s disease
title Copper homeostasis and neurodegenerative diseases
title_full Copper homeostasis and neurodegenerative diseases
title_fullStr Copper homeostasis and neurodegenerative diseases
title_full_unstemmed Copper homeostasis and neurodegenerative diseases
title_short Copper homeostasis and neurodegenerative diseases
title_sort copper homeostasis and neurodegenerative diseases
topic alzheimer’s disease
amyotrophic lateral sclerosis disease
copper homeostasis
copper toxicity
huntington’s disease
menkes’ disease
multiple sclerosis
neurodegenerative disease
parkinson’s disease
wilson’s disease
url https://journals.lww.com/10.4103/NRR.NRR-D-24-00642
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AT daidili copperhomeostasisandneurodegenerativediseases
AT kaifeixu copperhomeostasisandneurodegenerativediseases
AT guoqingwang copperhomeostasisandneurodegenerativediseases
AT fengzhang copperhomeostasisandneurodegenerativediseases