“…[25][26][27] The perturbation of heme (and hence iron) metabolism is observed in the AD brain, which manifests itself as heme deciency symptoms such as lower levels of heme a (26%), a possible compensatory increase in heme b (250%), mitochondrial complex IV dysfunction, unregulated iron accumulation, over expression of heme oxygenase, biliverdin reductase A, ferrochelatase, elevated levels of heme degradation products like bilirubin etc. 4,22,[27][28][29][30][31] Apart from the brain, changes in the iron and heme homeostasis are also observed in the blood of AD patients in the form of lowering of haemoglobin and peripheral iron levels as well as identication of anaemia, which is common in elderly individuals, as a risk factor for the disease. [32][33][34] All these ndings are suggestive of a link between the heme regulatory pathway and AD.…”