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Manganese efflux in Parkinsonism: insights from newly characterized SLC30A10 mutations
Margaret R DeWitt1, Pan Chen, Michael Aschner
1Vanderbilt Center for Molecular Toxicology, Department of Pediatrics, Nashville, TN 37232-8552, USA.
Abstract:
Although manganese (Mn) is required for normal cellular function, overexposure to this metal may cause an extrapyramidal syndrome resembling Parkinson's disease (PD). Notably, high whole-blood Mn levels have been reported in patients with idiopathic PD. Because Mn is both essential at low dose and toxic at higher dose; its transport and homeostasis are tightly regulated. Previously, the only protein known to be operant in cellular Mn export was the iron-regulating transporter, ferroportin (Fpn). The causal role for Mn in PD has yet to be fully understood, but evidence of a familial predisposition to PD associated with Mn toxicity is mounting. A recently discovered mutation in SLC30A10 identified its gene product as putatively involved in Mn efflux. Patients with the SLC30A10 mutation display Parkinsonian-like gate disturbances and hypermanganesemia. This review will address Mn transport proteins, the newly discovered SLC30A10 mutations and their implications to Parkinsonism and Mn regulation.
Insights
Manganese (Mn) overexposure can cause Parkinsonism. A newly discovered SLC30A10 mutation reveals a new pathway for manganese export, offering insights into Parkinson's disease and Mn regulation.
Area of Science:
- Neuroscience
- Toxicology
- Genetics
Background:
- Manganese (Mn) is essential but toxic at high doses, necessitating tight regulation of its transport and homeostasis.
- High whole-blood Mn levels are observed in idiopathic Parkinson's disease (PD) patients, suggesting a link between Mn and PD.
- Ferroportin (Fpn) was previously the sole identified protein involved in cellular Mn export.
Purpose of the Study:
- To review manganese transport proteins.
- To discuss newly discovered SLC30A10 mutations.
- To explore the implications of these findings for Parkinsonism and Mn regulation.
Main Methods:
- Literature review of Mn transport and its role in neurological disorders.
- Analysis of studies investigating ferroportin (Fpn) in Mn homeostasis.
- Examination of research on SLC30A10 mutations and associated clinical phenotypes.
Main Results:
- Evidence suggests familial predisposition to PD linked to Mn toxicity.
- A mutation in SLC30A10 implicates its gene product in Mn efflux.
- Patients with SLC30A10 mutations exhibit Parkinsonian symptoms and hypermanganesemia.
Conclusions:
- SLC30A10 represents a significant protein involved in Mn efflux.
- Understanding Mn transport mechanisms, including SLC30A10, is crucial for elucidating the causal role of Mn in Parkinsonism.
- Further research into Mn regulation and transport proteins may reveal novel therapeutic targets for PD.
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