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Mutations in SLC39A14 disrupt manganese homeostasis and cause childhood-onset parkinsonism-dystonia

  • Karin Tuschl
  • , Esther Meyer
  • , Leonardo E Valdivia
  • , Ningning Zhao
  • , Chris Dadswell
  • , Alaa Abdul-Sada
  • , Christina Y Hung
  • , Michael A Simpson
  • , W K Chong
  • , Thomas S Jacques
  • , Randy L Woltjer
  • , Simon Eaton
  • , Allison Gregory
  • , Lynn Sanford
  • , Eleanna Kara
  • , Henry Houlden
  • , Stephan M Cuno
  • , Holger Prokisch
  • , Lorella Valletta
  • , Valeria Tiranti
  • Rasha Younis, Eamonn R Maher, John Spencer, Ania Straatman-Iwanowska, Paul Gissen, Laila A M Selim, Guillem Pintos-Morell, Wifredo Coroleu-Lletget, Shekeeb S Mohammad, Sangeetha Yoganathan, Russell C Dale, Maya Thomas, Jason Rihel, Olaf A Bodamer, Caroline A Enns, Susan J Hayflick, Peter T Clayton, Philippa B Mills, Manju A Kurian, Stephen W Wilson
  • University College London
  • Oregon Health &Sciences University
  • University of Sussex
  • Boston Children's Hospital and Harvard Medical School
  • King's College London
  • Great Ormond Street Hospital NHS Foundation Trust
  • UCL Institute of Child Health and Department of Histopathology
  • Oregon Health and Science University
  • Rheinische Friedrich-Wilhelms-Universität Bonn
  • Foundation Neurological Institute 'C. Besta'
  • University of Birmingham
  • Cairo University Children's Hospital
  • Germans Trias i Pujol University Hospital
  • University of Sydney
  • Christian Medical College Hospital

Research output: Contribution to journal › Article › peer-review

280   Link opens in a new tab Citations (SciVal)

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 languageEnglish
Article number11601
JournalNature Communications
Volume7
DOIs
Publication statusPublished - 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

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