Movement Disorders (revue)

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Dystonia with Brain Manganese Accumulation Resulting From SLC30A10 Mutations: A New Treatable Disorder

Identifieur interne : 003776 ( Ncbi/Merge ); précédent : 003775; suivant : 003777

Dystonia with Brain Manganese Accumulation Resulting From SLC30A10 Mutations: A New Treatable Disorder

Auteurs : Maria Stamelou [Royaume-Uni] ; Karin Tuschl [Royaume-Uni] ; W K Chong [Royaume-Uni] ; Andrew K. Burroughs [Royaume-Uni] ; Philippa B. Mills [Royaume-Uni] ; Kailash P. Bhatia [Royaume-Uni] ; Peter T. Clayton [Royaume-Uni]

Source :

RBID : PMC:3664426

English descriptors

Abstract

Background

The first gene causing early-onset generalized dystonia with brain manganese accumulation has recently been identified. Mutations in the SLC30A10 gene, encoding a manganese transporter, cause a syndrome of hepatic cirrhosis, dystonia, polycythemia, and hypermanganesemia.

Methods

We present 10-year longitudinal clinical features, MRI data, and treatment response to chelation therapy of the originally described patient with a proven homozygous mutation in SLC30A10.

Results

The patient presented with early-onset generalized dystonia and mild hyperbilirubinemia accompanied by elevated whole-blood manganese levels. T1-sequences in MRI showed hyperintensities in the basal ganglia and cerebellum, characteristic of manganese deposition. Treatment with intravenous disodium calcium edetate led to clinical improvement and reduction of hyperintensities in brain imaging.

Conclusions

We wish to highlight this rare disorder, which, together with Wilson's disease, is the only potentially treatable inherited metal storage disorder to date, that otherwise can be fatal as a result of complications of cirrhosis. © 2012 Movement Disorder Society


Url:
DOI: 10.1002/mds.25138
PubMed: 22926781
PubMed Central: 3664426

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PMC:3664426

Le document en format XML

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<title>Background</title>
<p>The first gene causing early-onset generalized dystonia with brain manganese accumulation has recently been identified. Mutations in the
<italic>SLC30A10</italic>
gene, encoding a manganese transporter, cause a syndrome of hepatic cirrhosis, dystonia, polycythemia, and hypermanganesemia.</p>
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<title>Methods</title>
<p>We present 10-year longitudinal clinical features, MRI data, and treatment response to chelation therapy of the originally described patient with a proven homozygous mutation in
<italic>SLC30A10</italic>
.</p>
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<title>Results</title>
<p>The patient presented with early-onset generalized dystonia and mild hyperbilirubinemia accompanied by elevated whole-blood manganese levels. T1-sequences in MRI showed hyperintensities in the basal ganglia and cerebellum, characteristic of manganese deposition. Treatment with intravenous disodium calcium edetate led to clinical improvement and reduction of hyperintensities in brain imaging.</p>
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<sec>
<title>Conclusions</title>
<p>We wish to highlight this rare disorder, which, together with Wilson's disease, is the only potentially treatable inherited metal storage disorder to date, that otherwise can be fatal as a result of complications of cirrhosis. © 2012 Movement Disorder Society</p>
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<name sortKey="Stamelou, Maria" sort="Stamelou, Maria" uniqKey="Stamelou M" first="Maria" last="Stamelou">Maria Stamelou</name>
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Mutations: A New Treatable Disorder</title>
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<name sortKey="Stamelou, Maria" sort="Stamelou, Maria" uniqKey="Stamelou M" first="Maria" last="Stamelou">Maria Stamelou</name>
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<institution>Department of Radiology, Great Ormond Street Hospital for Children</institution>
<addr-line>London, United Kingdom</addr-line>
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<wicri:regionArea>London</wicri:regionArea>
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<name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name>
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<nlm:aff id="au1">
<institution>Sobell Department of Motor Neuroscience and Movement Disorders, University College London Institute of Neurology</institution>
<addr-line>London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Clayton, Peter T" sort="Clayton, Peter T" uniqKey="Clayton P" first="Peter T" last="Clayton">Peter T. Clayton</name>
<affiliation wicri:level="1">
<nlm:aff id="au2">
<institution>Clinical and Molecular Genetics Unit, University College London Institute of Child Health</institution>
<addr-line>London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London</wicri:regionArea>
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<series>
<title level="j">Movement Disorders</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<date when="2012">2012</date>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>The first gene causing early-onset generalized dystonia with brain manganese accumulation has recently been identified. Mutations in the
<italic>SLC30A10</italic>
gene, encoding a manganese transporter, cause a syndrome of hepatic cirrhosis, dystonia, polycythemia, and hypermanganesemia.</p>
</sec>
<sec>
<title>Methods</title>
<p>We present 10-year longitudinal clinical features, MRI data, and treatment response to chelation therapy of the originally described patient with a proven homozygous mutation in
<italic>SLC30A10</italic>
.</p>
</sec>
<sec>
<title>Results</title>
<p>The patient presented with early-onset generalized dystonia and mild hyperbilirubinemia accompanied by elevated whole-blood manganese levels. T1-sequences in MRI showed hyperintensities in the basal ganglia and cerebellum, characteristic of manganese deposition. Treatment with intravenous disodium calcium edetate led to clinical improvement and reduction of hyperintensities in brain imaging.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>We wish to highlight this rare disorder, which, together with Wilson's disease, is the only potentially treatable inherited metal storage disorder to date, that otherwise can be fatal as a result of complications of cirrhosis. © 2012 Movement Disorder Society</p>
</sec>
</div>
</front>
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<term>Brain (metabolism)</term>
<term>Cation Transport Proteins (genetics)</term>
<term>Chelating Agents (therapeutic use)</term>
<term>Dystonia (drug therapy)</term>
<term>Dystonia (genetics)</term>
<term>Dystonia (pathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Magnetic Resonance Imaging</term>
<term>Manganese (metabolism)</term>
<term>Mutation (genetics)</term>
<term>Pentetic Acid (therapeutic use)</term>
<term>Young Adult</term>
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<term>Cation Transport Proteins</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Dystonia</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Dystonia</term>
<term>Mutation</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Brain</term>
<term>Manganese</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Dystonia</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Chelating Agents</term>
<term>Pentetic Acid</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Magnetic Resonance Imaging</term>
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<div type="abstract" xml:lang="en">The first gene causing early-onset generalized dystonia with brain manganese accumulation has recently been identified. Mutations in the SLC30A10 gene, encoding a manganese transporter, cause a syndrome of hepatic cirrhosis, dystonia, polycythemia, and hypermanganesemia.</div>
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