Toxic accumulation of divalent metals, especially iron and/or manganese, are frequently discussed aetiological factors in a variety of neurodegenerative diseases, including
Alzheimer's disease,
Parkinson's disease,
amyotrophic lateral sclerosis, and
multiple sclerosis. DMT1 may be the major transporter of manganese across the
blood brain barrier and expression of this protein in the nasal epithelium provides a route for direct absorption of metals into the brain. DMT1 expression in the brain may increase with age, increasing susceptibility to metal induced pathologies. DMT1 expression is found to be increased in the
substantia nigra of Parkinson's patients and in the ventral mesencephalon of animal models intoxicated with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (
MPTP) - a neurotoxin widely used experimentally to produce Parkinsonian symptoms. The DMT1 encoding gene SLC11A2 is located on the long arm of chromosome 12 (12q13) close to susceptibility regions for Alzheimer's disease and
restless legs syndrome. The C allele of
SNP rs407135 on the DMT1 encoding gene SLC11A2 is associated with shorter disease duration in cases of spinal onset
amyotrophic lateral sclerosis, and is implicated in Alzheimer's disease onset in males as well. Finally, variant alleles on several SLC11A2 SNPs are associated with iron anemia, a risk factor for manganese intoxication and restless legs syndrome. == References ==