Distúrbio de neurodegeneração com acúmulo de ferro no cérebro (NBIA) de início na idade adulta, caracterizado por anemia, degeneração da retina, diabetes e vários sintomas neurológicos.
Introdução
O que você precisa saber de cara
Distúrbio de neurodegeneração com acúmulo de ferro no cérebro (NBIA) de início na idade adulta, caracterizado por anemia, degeneração da retina, diabetes e vários sintomas neurológicos.
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 25 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 50 características clínicas mais associadas, ordenadas por frequência.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Multifunctional blue, copper-binding (6-7 atoms per molecule) glycoprotein. It has ferroxidase activity oxidizing Fe(2+) to Fe(3+) without releasing radical oxygen species. It is involved in iron transport across the cell membrane (PubMed:16150804). Copper ions provide a large number of enzymatic activites. Oxidizes highly toxic ferrous ions to the ferric state for further incorporation onto apo-transferrins, catalyzes Cu(+) oxidation and promotes the oxidation of biogenic amines such as norepin
Secreted
Aceruloplasminemia
An autosomal recessive disorder of iron metabolism characterized by iron accumulation in the brain as well as visceral organs. Clinical features consist of the triad of retinal degeneration, diabetes mellitus and neurological disturbances.
Variantes genéticas (ClinVar)
317 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
6 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Aceruloplasminemia
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
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1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
2 ensaios clínicos encontrados, 1 ativos.
Publicações mais relevantes
Unexplained Coexisting Injury of the Liver, Pancreas, and Brain.
[Neurodegeneration Associated with Metal Metabolism].
Neurodegeneration with brain iron accumulation (NBIA) comprises a heterogeneous group of inherited neurodegenerative disorders collectively characterized by extrapyramidal movement disorders and abnormal iron accumulation in the nuclei of the deep basal ganglia of the brain. Ten NBIA genes have been identified. Aceruloplasminemia is a type of NBIA associated with copper metabolism. Ceruloplasmin contains 95% of the copper in human serum and plays an important role in iron efflux from mammalian cells. The relationship between ceruloplasmin and neurodegenerative diseases was revealed by a decrease in the serum ceruloplasmin concentration, which is characteristic of hepatolenticular degeneration with copper overload, in patients with Wilson's disease. Serum ceruloplasmin levels are typically decreased in patients with Wilson's disease, Menkes's disease (copper deficiency), and aceruloplasminemia. The molecular pathogenesis underlying different forms of neurodegeneration has provided new insights into the pathways of brain iron and copper metabolism.
Teaching NeuroImage: Clinicoradiologic Clues in Aceruloplasminemia.
Neurodegeneration With Brain Iron Accumulation and Ferroptosis Disorders in Children and Adults: An Imaging Review.
Neurodegeneration with brain iron accumulation (NBIA) refers to a group of rare genetic disorders characterized by abnormal iron deposition in the basal ganglia and brainstem due to impaired iron homeostasis. Disease severity and manifestations vary according to the underlying genetic mutation and age of presentation; however, most subtypes share progressive neurological features such as dystonia, Parkinsonism, spasticity, cognitive decline, and intellectual disability. In this review, we first outline the physiological role of iron in the central nervous system, emphasizing its importance for neurotransmitter synthesis, myelination, and mitochondrial metabolism, and discuss how disruption of homeostatic mechanisms may lead to ferroptosis and neuronal injury. We then explore the role of neuroimaging in the diagnosis of NBIA, with a focus on MRI as the modality of choice. Finally, we provide an overview of the clinical and imaging features of the major NBIA subtypes, highlighting both shared characteristics and distinctive patterns. Covered NBIA include primary disorders of iron metabolism, such as neuroferritinopathy and aceruloplasminemia, and secondary disorders with disrupted iron regulation, including Pantothenate Kinase-Associated Neurodegeneration, Phospholipase A2 Group VI-Associated Neurodegeneration, Mitochondrial Membrane Protein-Associated Neurodegeneration, Beta-Propeller Protein-Associated Neurodegeneration, Fatty Acid Hydroxylase-Associated Neurodegeneration, Coenzyme A Synthetase Protein-Associated Neurodegeneration, Woodhouse-Sakati syndrome, and Kufor-Rakeb Disease. By integrating genetics, pathophysiology, and imaging, this review aims to improve recognition of NBIA and support comprehensive clinical management.
Targeting ferroptosis for neuroprotection: potential therapeutic avenues in neurodegenerative and neuropsychiatric diseases.
Ferroptosis is an iron-dependent programmed cell death that plays an important role in neurodegenerative and neuropsychiatric diseases. In the present study, we have highlighted how different risk factors are involved in the induction of ferroptosis in brain cells. In addition, we also demonstrated how ferroptosis plays an important role in different brain diseases. In our study why we focused and elaborated on the mechanisms of ferroptosis only in brain cells (Neurons, oligodendrocytes, and microglia) because they are particularly vulnerable to such kind of cell death. Additionally, brain cells are more dependent on mitochondrial function, iron regulation, and high levels of polyunsaturated fatty acids (PUFAs) as compared to peripheral body cells. Highlighting ferroptosis is more important because it has demonstrated several important mechanisms of neuronal injury and dysfunction which provides a deep understanding of the etiology of various brain diseases that were not sufficiently described by other programmed cell death pathways. Therefore, it has led to the exploration of new therapeutic strategies against various brain diseases and thus targeting ferroptosis-related proteins opens a new therapeutic window for several incurable brain diseases, and various ferroptosis regulators are now under clinical trials. However, their validation as a preclinical therapeutic agent is needed. Interestingly, here in our study we also summarize the most recent potential therapeutic targets and promising interventions which will provide a beam of light for future therapies against major brain diseases.
Publicações recentes
Unexplained Coexisting Injury of the Liver, Pancreas, and Brain.
Aceruloplasminemia in two sisters: insights from dopaminergic imaging and a splice-site mutation.
💬 OpiniãoNeurodegeneration With Brain Iron Accumulation and Ferroptosis Disorders in Children and Adults: An Imaging Review.
📖 RevisãoTargeting ferroptosis for neuroprotection: potential therapeutic avenues in neurodegenerative and neuropsychiatric diseases.
📖 RevisãoMRI R2* and quantitative susceptibility mapping in brain tissue with extreme iron overload.
📚 EuropePMC140 artigos no totalmostrando 101
Unexplained Coexisting Injury of the Liver, Pancreas, and Brain.
GastroenterologyAceruloplasminemia in two sisters: insights from dopaminergic imaging and a splice-site mutation.
Acta neurologica BelgicaNeurodegeneration With Brain Iron Accumulation and Ferroptosis Disorders in Children and Adults: An Imaging Review.
Journal of neuroimaging : official journal of the American Society of NeuroimagingTargeting ferroptosis for neuroprotection: potential therapeutic avenues in neurodegenerative and neuropsychiatric diseases.
Frontiers in physiologyMRI R2* and quantitative susceptibility mapping in brain tissue with extreme iron overload.
European radiology experimentalA Novel Mutation Related to Aceruloplasminemia with Mild Clinical Findings: A Case Report.
Reports (MDPI)Neurodegeneration with Brain Iron Accumulation.
Advances in experimental medicine and biologyTeaching NeuroImage: Clinicoradiologic Clues in Aceruloplasminemia.
Neurology[Neurodegeneration Associated with Metal Metabolism].
Brain and nerve = Shinkei kenkyu no shinpoRenal involvement in aceruloplasminemia.
Kidney internationalFunctional characterisation of missense ceruloplasmin variants and real-world prevalence assessment of Aceruloplasminemia using population data.
EBioMedicineAceruloplasminemia as a rare hereditary disease: four case reports in a single center.
Proceedings (Baylor University. Medical Center)Ceruloplasmin administration in the preclinical mouse model of aceruloplasminemia reveals a sex-related variation in biodistribution.
Communications biologyReference Values of Ceruloplasmin across the Adult Age Range in a Large Italian Healthy Population.
The journal of applied laboratory medicineNeurodegeneration With Brain Iron Accumulation in a Case of Adult Aceruloplasminemia.
CureusElectroconvulsive Therapy in Managing Intractable Psychosis in Hereditary Aceruloplasminemia-Associated Neurodegeneration: A Case Report.
Journal of the Academy of Consultation-Liaison PsychiatrySimultaneous Occurrence of Wilson's Disease, Autoimmune Hepatitis, and Hereditary Hemochromatosis: A Diagnostic Challenge.
Middle East journal of digestive diseasesA Revised Classification of Primary Iron Overload Syndromes.
Journal of clinical and translational hepatologyDiagnosing aceruloplasminemia: navigating through red herrings.
Annals of hematologyAceruloplasminemia: Unique Clinical and MRI Findings in a Patient with a Novel Frameshift Mutation.
Movement disorders clinical practiceNew orphan disease therapies from the proteome of industrial plasma processing waste- a treatment for aceruloplasminemia.
Communications biologyAceruloplasminemia with Novel Mutation, with IgG4 Related Pachymeningitis - Occam's Razor or Hickam's Dictum?
Annals of Indian Academy of NeurologyLipid dysmetabolism in ceruloplasmin-deficient mice revealed both in vivo and ex vivo by MRI, MRS and NMR analyses.
FEBS open bioA Turkish Patient with Aceruloplasminemia Found to Have a Novel Pathogenic Variant Presenting with High Ferritin Level and Microcytic Anemia.
Turkish journal of haematology : official journal of Turkish Society of HaematologyCeruloplasmin-Deficient Mice Show Dysregulation of Lipid Metabolism in Liver and Adipose Tissue Reduced by a Protein Replacement.
International journal of molecular sciencesCeruloplasmin-deficient mice show changes in PTM profiles of proteins involved in messenger RNA processing and neuronal projections and synaptic processes.
Journal of neurochemistryAceruloplasminemia presenting with microcytic anemia in a Turkish boy due to a novel pathogenic variant.
Pediatric hematology and oncologyBrain iron accumulation on MRI revealing aceruloplasminemia: a rare cause of simultaneous brain and systemic iron overload.
BJR case reportsCase report: Huppke-Brendel syndrome in an adult, mistaken for and treated as Wilson disease for 25 years.
Frontiers in neurologyCongenital Atypical Microcytic Anemia Accompanied by Hyposideremia and Iron Overload.
Mediterranean journal of hematology and infectious diseasesLong-Term Neuroradiological and Clinical Evaluation of NBIA Patients Treated with a Deferiprone Based Iron-Chelation Therapy.
Journal of clinical medicineGeneration of a human induced pluripotent stem cell line NTUHi002-A from a patient with aceruloplasminemia harboring a homozygous splicing mutation c.607+1 delG in CP gene.
Stem cell researchCerebral Iron Deposition in Neurodegeneration.
BiomoleculesAceruloplasminemia exhibits typical MRI findings.
Acta neurologica BelgicaA New Pathogenic Missense Variant in a Consanguineous North-African Family Responsible for a Highly Variable Aceruloplasminemia Phenotype: A Case-Report.
Frontiers in neuroscienceNeuroimaging Pearls from the MDS Congress Video Challenge. Part 1: Genetic Disorders.
Movement disorders clinical practiceA case of senile-onset progressive hemiballism and cognitive decline with diffuse brain iron accumulations.
Parkinsonism & related disordersDementia as a core clinical feature of a patient with aceruloplasminemia.
Clinical case reportsMolecular Functions of Ceruloplasmin in Metabolic Disease Pathology.
Diabetes, metabolic syndrome and obesity : targets and therapyMR imaging for the quantitative assessment of brain iron in aceruloplasminemia: A postmortem validation study.
NeuroImageNovel ceruloplasmin gene mutation causing aceruloplasminemia with diabetes in a Chinese woman: a case report.
Annals of palliative medicineOff-resonance saturation as an MRI method to quantify mineral- iron in the post-mortem brain.
Magnetic resonance in medicineAceruloplasminemia: a multimodal imaging study in an Italian family with a novel mutation.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyProduction of Recombinant Human Ceruloplasmin: Improvements and Perspectives.
International journal of molecular sciencesA novel ceruloplasmin mutation identified in a Chinese patient and clinical spectrum of aceruloplasminemia patients.
Metabolic brain diseaseASYMPTOMATIC OCULAR MANIFESTATIONS OF ACERULOPLASMINEMIA IN TWO ADULT WHITE SIBLINGS: A MULTIMODAL IMAGING APPROACH.
Retinal cases & brief reportsQuantification of different iron forms in the aceruloplasminemia brain to explore iron-related neurodegeneration.
NeuroImage. ClinicalAceruloplasminemia: A Case Report and Review of a Rare and Misunderstood Disorder of Iron Accumulation.
CureusAceruloplasminemia Presenting with Asymmetric Chorea Due to a Novel Frameshift Mutation.
Movement disorders clinical practiceSeizures in Hereditary Aceruloplasminemia.
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques[Aceruloplasminemia, a rare condition not to be overlooked].
La Revue de medecine interneEffects of iron chelation therapy on the clinical course of aceruloplasminemia: an analysis of aggregated case reports.
Orphanet journal of rare diseasesNew mutation of the ceruloplasmin gene in the case of a neurologically asymptomatic patient with microcytic anaemia, obesity and supposed Wilson's disease.
BMC gastroenterologyInherited iron overload disorders.
Translational gastroenterology and hepatologyDeferasirox Might Be Effective for Microcytic Anemia and Neurological Symptoms Associated with Aceruloplasminemia: A Case Report and Review of the Literature.
Internal medicine (Tokyo, Japan)Genetic and Clinical Heterogeneity in Thirteen New Cases with Aceruloplasminemia. Atypical Anemia as a Clue for an Early Diagnosis.
International journal of molecular sciencesIntracranial iron distribution and quantification in aceruloplasminemia: A case study.
Magnetic resonance imagingDifferent cortical excitability profiles in hereditary brain iron and copper accumulation.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyCeruloplasmin deficiency does not induce macrophagic iron overload: lessons from a new rat model of hereditary aceruloplasminemia.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyHepcidin and its therapeutic potential in neurodegenerative disorders.
Medicinal research reviewsABSENCE OF MACULAR DEGENERATION IN A PATIENT WITH ACERULOPLASMINEMIA.
Retina (Philadelphia, Pa.)Aceruloplasminemia: A Severe Neurodegenerative Disorder Deserving an Early Diagnosis.
Frontiers in neuroscienceClinical relevance of heterozygosis for aceruloplasminemia.
American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric GeneticsAceruloplasminemia: Neurodegeneration with brain iron accumulation associated with psychosis.
Journal of inherited metabolic diseaseAceruloplasminemia: Waiting for an Efficient Therapy.
Frontiers in neuroscienceInherited Disorders of Iron Overload.
Frontiers in nutritionPotential Treatment of Retinal Diseases with Iron Chelators.
Pharmaceuticals (Basel, Switzerland)[Aceruloplasminemia : Diagnosis and treatment of a rare disease].
Der NervenarztPathophysiology and classification of iron overload diseases; update 2018.
Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguineInborn errors of metabolism associated with hyperglycaemic ketoacidosis and diabetes mellitus: narrative review.
Sudanese journal of paediatricsRare anemias due to genetic iron metabolism defects.
Mutation research. Reviews in mutation researchEndocrine disorders and the cerebellum: from neurodevelopmental injury to late-onset ataxia.
Handbook of clinical neurologyThe interactions between iron and copper in genetic iron overload syndromes and primary copper toxicoses in Japan.
Hepatology research : the official journal of the Japan Society of HepatologyDoes Ceruloplasmin Defend Against Neurodegenerative Diseases?
Current neuropharmacologyAceruloplasminemia with Abnormal Compound Heterozygous Mutations Developed Neurological Dysfunction during Phlebotomy Therapy.
Internal medicine (Tokyo, Japan)Aceruloplasminemia and putaminal cavitation.
Parkinsonism & related disordersPhenotypic heterogeneity in seven Italian cases of aceruloplasminemia.
Parkinsonism & related disordersPancytopenia and Myelodysplastic Changes in Aceruloplasminemia: A Case with a Novel Pathogenic Variant in the Ceruloplasmin Gene.
Internal medicine (Tokyo, Japan)Current state of knowledge in Chorea-Acanthocytosis as core Neuroacanthocytosis syndrome.
European journal of medical geneticsCeruloplasmin replacement therapy ameliorates neurological symptoms in a preclinical model of aceruloplasminemia.
EMBO molecular medicineExtending the aceruloplasminemia phenotype: NBIA on imaging and acanthocytosis, yet only minor neurological findings.
Journal of the neurological sciencesThe Resection of Thyroid Cancer Was Associated with the Resolution of Hyporesponsiveness to an Erythropoiesis-stimulating Agent in a Hemodialysis Patient with Aceruloplasminemia.
Internal medicine (Tokyo, Japan)Radiological Findings of Two Sisters with Aceruloplasminemia Presenting with Chorea.
Clinical neuroradiologyNew insights in the neurological phenotype of aceruloplasminemia in Caucasian patients.
Parkinsonism & related disordersIs aceruloplasminemia treatable? Combining iron chelation and fresh-frozen plasma treatment.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyA diagnostic approach for neurodegeneration with brain iron accumulation: clinical features, genetics and brain imaging.
Arquivos de neuro-psiquiatriaNeurodegeneration With Brain Iron Accumulation (NBIA) Syndromes Presenting With Late-Onset Craniocervical Dystonia: An Illustrative Case Series.
Movement disorders clinical practiceAceruloplasminemia With Positive Ceruloplasm Gene Mutation.
JAMA ophthalmologyCoexistence of Copper in the Iron-Rich Particles of Aceruloplasminemia Brain.
Biological trace element researchAceruloplasminemia With Psychomotor Excitement and Neurological Sign Was Improved by Minocycline (Case Report).
MedicineIron chelation in the treatment of neurodegenerative diseases.
Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS)Clinical Heterogeneity of Atypical Pantothenate Kinase-Associated Neurodegeneration in Koreans.
Journal of movement disordersDoes aceruloplasminemia modulate iron phenotype in thalassemia intermedia?
Blood cells, molecules & diseasesIron metabolism and related genetic diseases: A cleared land, keeping mysteries.
Journal of hepatologyCopper Accumulates in Hemosiderins in Livers of Patients with Iron Overload Syndromes.
Journal of clinical and translational hepatologyIron chelation therapy to prevent the manifestations of aceruloplasminemia.
NeurologyCD1 Mouse Retina Is Shielded From Iron Overload Caused by a High Iron Diet.
Investigative ophthalmology & visual scienceMovement disorders and brain iron overload in a new subtype of aceruloplasminemia.
Parkinsonism & related disordersIron-induced Local Complement Component 3 (C3) Up-regulation via Non-canonical Transforming Growth Factor (TGF)-β Signaling in the Retinal Pigment Epithelium.
The Journal of biological chemistryAceruloplasminemia presents as Type 1 diabetes in non-obese adults: a detailed case series.
Diabetic medicine : a journal of the British Diabetic AssociationAtypical case of Wilson's disease with psychotic onset, low 24 hour urine copper and the absence of Kayser-Fleischer rings.
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Unexplained Coexisting Injury of the Liver, Pancreas, and Brain.
- [Neurodegeneration Associated with Metal Metabolism].
- Teaching NeuroImage: Clinicoradiologic Clues in Aceruloplasminemia.
- Neurodegeneration With Brain Iron Accumulation and Ferroptosis Disorders in Children and Adults: An Imaging Review.Journal of neuroimaging : official journal of the American Society of Neuroimaging· 2025· PMID 41320772mais citado
- Targeting ferroptosis for neuroprotection: potential therapeutic avenues in neurodegenerative and neuropsychiatric diseases.
- Aceruloplasminemia in two sisters: insights from dopaminergic imaging and a splice-site mutation.
- MRI R2* and quantitative susceptibility mapping in brain tissue with extreme iron overload.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:48818(Orphanet)
- OMIM OMIM:604290(OMIM)
- MONDO:0011426(MONDO)
- GARD:9499(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q337604(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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