This Is MS Multiple Sclerosis Community: Knowledge & Support

Iron stores and cerebral veins in MS studied by susceptibility weighted imaging.
Haacke EM, Garbern J, Miao Y, Habib C, Liu M.

Department of Radiology, Wayne State University, Detroit, MI, USA2 Department of Radiology, the First Affiliated Hospital, Dalian Medical University, Dalian, China - nmrimaging@aol.com.

AIM: In this paper, we seek to determine whether the iron deposition as seen by susceptibility weighted imaging (SWI) in the basal ganglia and thalamus of patients with multiple sclerosis is greater than the iron content measured in normal subjects (individuals unaffected by multiple sclerosis). As increased iron content may result from increased venous pressure, such information would add credence to the concept of Zamboni et al (1) that MS is caused by chronic cerebrospinal venous insufficiency. METHODS: Fourteen MS patients were recruited for this study with a mean age of 38 years ranging from 19 to 66 year-old. A velocity compensated 3D gradient echo sequence was used to generate SW images with a high sensitivity to iron content. We evaluated iron in the following structures: substantia nigra, red nucleus, globus pallidus, putamen, caudate nucleus, thalamus and pulvinar thalamus. Each structure was broken into two parts, a high iron content region and a low iron content region. The measured values were compared to previously established baseline iron content in these structures as a function of age. RESULTS: Twelve of fourteen patients had an increase in iron above normal levels and with a particular pattern of iron deposition in the medial venous drainage system that was associated with the confluence of the veins draining that structure. CONCLUSION: Iron may serve as a biomarker of venous vascular damage in multiple sclerosis. The backward iron accumulation pattern seen in the basal ganglia and thalamus of most MS patients is consistent with the hypothesis of venous hypertension.

PMID: 20351671 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/20351671

http://www.ansci.cornell.edu/plants/tox ... /iron.html

This study is stating that the venous congestion, created by CCSVI, might be depositing iron in the brain. It is related to the veins affected by blockage down river. Nothing about iron toxicity initiating these changes. This is about how blocked veins create reflux and microvascular deposits in brain tissue....don't want readers to be confused. Iron is essential for brain health. You cannot make myelin without iron. But iron deposited in brain tissue, caused by venous reflux, is not good. CCSVI is NOT due to iron overload.

I've just written to Dr. Haacke and asked him to explain..I'm sure he can clear this up, since it was his study.
cheer

_________________
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
dual stents placed 5/09
CCSVI in MS

Venous Hypertension I read. Maybe this is why at Hamilton workshop this
was hinted at.
High blood meds, exercise anyone?

Venous hypertension is different than simple hypertension, mangio. It isn't related to arterial output, but rather it is caused by slowed venous drainage creating a backflow and congestion. You can have low blood pressure and venous hypertension. Dr. Haacke has promised me he's going to write something up for all of us, explaining what this study means- and what it doesn't mean-
cheer

_________________
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
dual stents placed 5/09
CCSVI in MS

okay look forward for that info

Cheer-
Do you need to have reflux to have venous hypertension?

OK...this is from Dr. Mark Haacke, one of the authors of the paper. He has taken the time to explain what "iron" means in his study-



Thanks, Dr. Haacke- for taking time out to comment on this study. He says it this iron may represent 3 different types of iron in the brain.
1. "oligodendrocyte ferritin after macrophage activity"- oligos make up the myelin sheath, and when the macrophages are cleaning up foreign material in the brain (in this theory foreign material could include viral, bacterial, plasmic cells breaking thru the BBB- is deposited due to CCSVI reflux. This activates the macrophages) They errantly go after the oligos while they're cleaning up the other mess. The dying oligos leave a ferritin trail.

2. "iron from blood products"- iron is a natural part of our blood, and the CCSVI process may be breaking the blood brain barrier and leaving plasmic particles in brain tissue...kind of like footprints in the snow.

3. some combo of these...again, iron leaves a footprint, saying "heme was here!"

This is not about iron overload or stray sources of iron in the brain. An anemic person could have CCSVI and iron in their brains. Or someone with normal iron panels, like my husband, could still have CCSVI.

I hope this helps explain the situation.

Bretzke-In the legs, reflux tends to be from valves or clotting issues making reflux, also May Thurner, which is stenosis- this creates venous hypertension-


cheer

_________________
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
dual stents placed 5/09
CCSVI in MS

That's great, cheer. Thanks for sharing that assessment from Dr. Haacke.

thanks for all the information on this...I am always straining my (iron-loaded?) brain trying to understand the finer details...

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"However, the truth in science ultimately emerges, although sometimes it takes a very long time," Arthur Silverstein, Autoimmunity: A History of the Early Struggle for Recognition

Thanks Cheer. Great info...