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Updated: Nov 17, 2025

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Mutations in the SLC34A2 gene are associated with pulmonary alveolar microlithiasis
Huqun1, Shinyu Izumi, Hitoshi Miyazawa
1Departments of Respiratory Medicine, Pathology, and Chest Surgery, Saitama Medical University, Saitama, Japan.
Rationale:
Pulmonary alveolar microlithiasis is an autosomal recessive disorder in which microliths are formed in the alveolar space.
Objectives:
To identify the responsible gene that causes pulmonary alveolar microlithiasis.
Methods:
By means of a genomewide single-nucleotide polymorphism analysis using DNA from three patients, we have narrowed the region in which the candidate gene is located. From this region, we have identified a gene that has mutations in all patients with pulmonary alveolar microlithiasis.
Measurements And Main Results:
We identified a candidate gene, SLC34A2, that encodes a type IIb sodium phosphate cotransporter and that is mutated in six of six patients investigated. SLC34A2 is specifically expressed in type II alveolar cells, and the mutations abolished the normal gene function.
Conclusion:
Mutations in the SLC34A2 gene that abolish normal gene function cause pulmonary alveolar microlithiasis.
Insights
Mutations in the SLC34A2 gene cause pulmonary alveolar microlithiasis, a rare genetic disorder. This gene encodes a sodium phosphate cotransporter crucial for lung function.
Area of Science:
- Genetics
- Pulmonology
- Molecular Biology
Background:
- Pulmonary alveolar microlithiasis is a rare autosomal recessive disorder.
- Characterized by the formation of microliths within the alveolar spaces of the lungs.
Purpose of the Study:
- To identify the specific gene responsible for causing pulmonary alveolar microlithiasis.
- To understand the genetic basis of this rare lung disease.
Main Methods:
- Genome-wide single-nucleotide polymorphism (SNP) analysis was performed using DNA from affected patients.
- Candidate gene identification involved analyzing a narrowed genomic region containing potential disease-causing genes.
Main Results:
- The SLC34A2 gene, encoding a type IIb sodium phosphate cotransporter, was identified as the candidate gene.
- Mutations in SLC34A2 were found in all investigated patients with pulmonary alveolar microlithiasis.
- SLC34A2 is specifically expressed in type II alveolar cells, and identified mutations impaired its normal function.
Conclusions:
- Mutations in the SLC34A2 gene are the cause of pulmonary alveolar microlithiasis.
- The identified mutations abolish the normal function of the sodium phosphate cotransporter, leading to the disease.
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