Sahar Youssef Al-Okbi
Hoda Bakr Mabrok
Enas Sabry K Al-Siedy
Rasha Salah Mohamed
Asmaa Abdelmohsen Ramadan

Introduction: Parkinson’s disease (PD) is a neurodegenerative disease with a prevalence of ۱% in the elderly worldwide. The aim of the research is to study the interrelationship of iron status, the immune system including inflammatory cytokines, brain divalent metal transporter ۱ (DMT۱), and dopamine receptors D۱ (DRD۱) in a PD rat model. The potential protective effects of grape seed and green coffee bean ethanol extracts and quercetin were also studied. Methods: Phenolic and flavonoid contents of grape seed and green coffee bean and in vitro free radicals scavenging activities of the extracts and quercetin were determined. Male rats were divided into five groups. Group ۱ served as normal control (NC), group ۲ represented Parkinsonian control (PC). Groups ۳, ۴, and ۵ were the test groups treated by daily oral green coffee bean, grape seed extracts, and quercetin, respectively. PD was induced by rotenone in groups ۲ to ۵. Brain oxidative stress, DMT۱, and DRD۱ expressions, and histopathology were assessed. Parameters of the immune system, represented by plasma interferon-gamma (IFNγ) and CD۴, and brain tumor necrosis factor-alpha (TNF-α) along with iron status were also determined. Results: Phenolic and flavonoid contents of green coffee bean were high compared to grape seed (P < ۰.۰۵). Quercetin experienced the highest in-vitro free radicals scavenging activities. Iron deficiency anemia, together with elevated IFNγ, TNF-α, DMT۱ expressions, and brain malondialdehyde (MDA) were demonstrated in PC compared to NC (P < ۰.۰۵). Also, reduction in CD۴ and brain reduced-glutathione (GSH) (P < ۰.۰۵) were noticed in PC with brain histopathological alterations. Different treatments showed variable improvements in the majority of parameters (P < ۰.۰۵) and brain histopathology. Conclusion: Iron deficiency anemia might result from cytokine elevation in PD. Reduced DRD۱ and altered immune system including cytokines together with increased brain DMT۱ might induce neurodegeneration in PD. Different treatments showed variable neuroprotective effects through modulation of inflammation, oxidative stress, immune system, iron status, DMT۱, and DRD۱.