Manganese neurotoxicity: connecting the dots along the continuum of dysfunction

Christopher J Martin1

  • 1Institute of Occupational and Environmental Health, Department of Community Medicine, School of Medicine, West Virginia University, P.O. Box 9190, 3801 Health Sciences Center South, Morgantown, WV 26506-9190, United States. cmartin@hsc.wvu.edu

Neurotoxicology
|December 13, 2005
PubMed

Insights

Manganese exposure can cause neurotoxicity, leading to manganism, subclinical declines, and potentially contributing to Idiopathic Parkinson's Disease (IPD). Further research is needed to understand these manganese-related neurological effects.

Area of Science:

  • Neuroscience
  • Toxicology
  • Environmental Health

Background:

  • Manganese neurotoxicity presents in distinct forms.
  • Historically, manganism (an extrapyramidal syndrome) was recognized after acute, high-level exposure.
  • Manganism is often considered distinct from Idiopathic Parkinson's Disease (IPD).

Purpose of the Study:

  • To review the three described manifestations of manganese neurotoxicity.
  • To discuss the potential role of manganese in the development of IPD.
  • To highlight the need for research into the relationship between these manifestations.

Main Methods:

  • Literature review and synthesis of existing research on manganese neurotoxicity.
  • Comparison of clinical and pathophysiological features of manganism and IPD.
  • Analysis of neuropsychological findings related to manganese exposure.

Main Results:

  • Three key manifestations of manganese neurotoxicity are identified: manganism, subclinical neuropsychological deficits, and a potential role in IPD.
  • Subclinical declines suggest that manganese exposure may exacerbate age-related neurological changes.
  • Emerging evidence suggests manganese exposure may contribute to the development of IPD.

Conclusions:

  • Understanding the spectrum of manganese neurotoxicity is crucial.
  • Further investigation is required to elucidate the link between manganese exposure and IPD.
  • Research priorities should focus on the relationship between the different manganese-induced neurological conditions.

Related Concept Videos

Hepatic Encephalopathy01:29

Hepatic Encephalopathy

DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
Neural Regulation01:37

Neural Regulation

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.