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Updated: May 28, 2026

Functional Neuroimaging Using Ultrasonic Blood-brain Barrier Disruption and Manganese-enhanced MRI
Published on: July 12, 2012
Role of manganese in neurodegenerative diseases
Aaron B Bowman1, Gunnar F Kwakye, Elena Herrero Hernández
1Department of Neurology, Vanderbilt Kennedy Center, Center for Molecular Toxicology, Vanderbilt University Medical Center, Nashville, TN 37232-8552, United States.
Abstract:
Manganese (Mn) is an essential ubiquitous trace element that is required for normal growth, development and cellular homeostasis. Exposure to high Mn levels causes a clinical disease characterized by extrapyramidal symptom resembling idiopathic Parkinson's disease (IPD). The present review focuses on the role of various transporters in maintaining brain Mn homeostasis along with recent methodological advances in real-time measurements of intracellular Mn levels. We also provide an overview on the role for Mn in IPD, discussing the similarities (and differences) between manganism and IPD, and the relationship between α-synuclein and Mn-related protein aggregation, as well as mitochondrial dysfunction, Mn and PD. Additional sections of the review discuss the link between Mn and Huntington's disease (HD), with emphasis on huntingtin function and the potential role for altered Mn homeostasis and toxicity in HD. We conclude with a brief survey on the potential role of Mn in the etiologies of Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS) and prion disease. Where possible, we discuss the mechanistic commonalities inherent to Mn-induced neurotoxicity and neurodegenerative disorders.
Insights
Manganese (Mn) is vital for health, but excess levels cause Parkinsonism. This review explores Mn transporters, its role in neurodegenerative diseases like Parkinson
Area of Science:
- Neuroscience
- Toxicology
- Biochemistry
Background:
- Manganese (Mn) is an essential trace element crucial for development and homeostasis.
- High Mn exposure can induce extrapyramidal symptoms similar to Parkinson's disease (PD).
- Altered Mn homeostasis is implicated in various neurodegenerative disorders.
Purpose of the Study:
- To review the role of transporters in brain Mn homeostasis.
- To discuss Mn's involvement in idiopathic Parkinson's disease (IPD) and manganism.
- To explore Mn's link to Huntington's disease (HD), Alzheimer's disease (AD), ALS, and prion disease.
Main Methods:
- Literature review focusing on Mn homeostasis, neurodegenerative diseases, and Mn transport.
- Discussion of similarities and differences between manganism and IPD.
- Examination of Mn's role in protein aggregation and mitochondrial dysfunction.
Main Results:
- Transporters play a key role in maintaining brain Mn levels.
- Mn exposure shares mechanistic pathways with IPD, including alpha-synuclein aggregation and mitochondrial dysfunction.
- Altered Mn homeostasis may contribute to HD pathogenesis.
Conclusions:
- Mn homeostasis is critical for preventing neurotoxicity.
- Mn's role in neurodegenerative diseases highlights potential therapeutic targets.
- Further research into Mn's mechanisms in AD, ALS, and prion diseases is warranted.
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