Abstract
Although manganese is an essential trace metal, little is known about its transport and homeostatic regulation. Here we have identified a cohort of patients with a novel autosomal recessive manganese transporter defect caused by mutations in SLC39A14. Excessive accumulation of manganese in these patients results in rapidly progressive childhood-onset parkinsonism-dystonia with distinctive brain magnetic resonance imaging appearances and neurodegenerative features on post-mortem examination. We show that mutations in SLC39A14 impair manganese transport in vitro and lead to manganese dyshomeostasis and altered locomotor activity in zebrafish with CRISPR-induced slc39a14 null mutations. Chelation with disodium calcium edetate lowers blood manganese levels in patients and can lead to striking clinical improvement. Our results demonstrate that SLC39A14 functions as a pivotal manganese transporter in vertebrates.
Original language | English |
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Article number | 11601 |
Journal | Nature Communications |
Volume | 7 |
DOIs | |
Publication status | Published - 27 May 2016 |
Keywords
- Adolescent
- Animals
- Cation Transport Proteins/genetics
- Child
- Child, Preschool
- Dystonic Disorders/genetics
- Female
- Genetic Predisposition to Disease/genetics
- HEK293 Cells
- Homeostasis
- Humans
- Male
- Manganese/blood
- Mutation
- Parkinsonian Disorders/genetics
- Pedigree
- Young Adult
- Zebrafish/embryology