Abstract
It has become increasingly apparent that global manganese (Mn) pollution to air and water is a significant threat to human health. Despite this recognition, research is only beginning to comprehend the detrimental effects of exposure. Mn, while essential, is particularly harmful to the central nervous system, and overexposure is symptomatic of several neurological disorders. At-risk populations have been identified, but it is still unclear whether typical exposure levels have any long-term consequences. Those at an elevated risk have diminished intellectual function, learning and memory, and mental development. While the overall mechanism of toxicity is undetermined, Mn has been found to induce oxidative stress, exacerbate mitochondrial dysfunction, dysregulate autophagy, and promote apoptosis, ultimately enhancing neurodegeneration. Extrapolation of this in vitro and in vivo data to humans is difficult. There is a definite need to correlate epidemiological studies with causative effects. It is imperative that research efforts endure, so threats are appropriately identified and exposure properly regulated.
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References
Aisen P, Leibman A, Zweier J (1978) Stoichiometric and site characteristics of the binding of iron to human transferrin. J Biol Chem 253:1930–1937
Angeli S, Barhydt T, Jacobs R, Killilea DW, Lithgow GJ, Andersen JK (2014) Manganese disturbs metal and protein homeostasis in Caenorhabditis elegans. Metallomics 6:1816–1823
Aschner JL, Aschner M (2005) Nutritional aspects of manganese homeostasis. Mol Asp Med 26:353–362
ATSDR (2012) Toxicological profile for manganese (Draft for Public Comment). U.S. Department of Health and Human Services, Public Service
Bao XL, Yu RJ, Li ZS, Zhang BL (1991) Twenty-item behavioral neurological assessment for normal newborns in 12 cities of China. Chin Med J 104:742–746
Behrens MI et al (2010) Clinical spectrum of Kufor-Rakeb syndrome in the Chilean kindred with ATP13A2 mutations. Mov Disord 25:1929–1937
Bouchard MF, Sauve S, Barbeau B, Legrand M, Brodeur ME, Bouffard T, Limoges E, Bellinger DC, Mergler D (2011) Intellectual impairment in school-age children exposed to manganese from drinking water. Environ Health Perspect 119:138–143
Burdo JR, Menzies SL, Simpson IA, Garrick LM, Garrick MD, Dolan KG, Haile DJ, Beard JL, Connor JR (2001) Distribution of divalent metal transporter 1 and metal transport protein 1 in the normal and Belgrade rat. J Neurosci Res 66:1198–1207
Butterworth RF (2013) Parkinsonism in cirrhosis: pathogenesis and current therapeutic options. Metab Brain Dis 28:261–267
Carvalho CF, Menezes-Filho JA, de Matos VP, Bessa JR, Coelho-Santos J, Viana GF, Argollo N, Abreu N (2014) Elevated airborne manganese and low executive function in school-aged children in Brazil. Neurotoxicology 45:301–308
Chakraborty S, Martinez-Finley E, Caito S, Chen P, Aschner M (2014) CHAPTER 9 manganese, binding, transport and storage of metal ions in biological cells. R Soc Chem 260–281
Chen L, Ding G, Gao Y, Wang P, Shi R, Huang H, Tian Y (2014a) Manganese concentrations in maternal-infant blood and birth weight. Environ Sci Pollut Res Int 21:6170–6175
Chen P, Chakraborty S, Peres TV, Bowman AB, Aschner M (2014) Manganese-induced Neurotoxicity: From C. elegans to Humans. Toxicol Res
Chen P, Parmalee N, Aschner M (2014) Genetic factors and manganese-induced neurotoxicity. Front Genet 5
Chen P, Chakraborty S, Mukhopadhyay S, Lee E, Paoliello MMB, Bowman AB, Aschner M (2015) Manganese homeostasis in the nervous system. J Neurochem 134:601–610
Chung SE, Cheong HK, Ha EH, Kim BN, Ha M, Kim Y, Hong YC, Park H, Oh SY (2015) Maternal blood manganese and early neurodevelopment: the mothers and children’s environmental health (MOCEH) study. Environ Health Perspect 123:717–722
Claus Henn B, Ettinger AS, Schwartz J, Tellez-Rojo MM, Lamadrid-Figueroa H, Hernandez-Avila M, Schnaas L, Amarasiriwardena C, Bellinger DC, Hu H, Wright RO (2010) Early postnatal blood manganese levels and children’s neurodevelopment. Epidemiology 21:433–439
Davis CD, Zech L, Greger JL (1993) Manganese metabolism in rats: an improved methodology for assessing gut endogenous losses. Exp Biol Med 202:103–108
de Bie RM, Gladstone RM, Strafella AP, Ko J-H, Lang AE (2007) Manganese-induced Parkinsonism associated with methcathinone (Ephedrone) abuse. Arch Neurol 64:886–889
Di Fonzo A et al (2007) ATP13A2 missense mutations in juvenile parkinsonism and young onset Parkinson disease. Neurology 68:1557–1562
Donaldson J, McGregor D, LaBella F (1982) Manganese neurotoxicity: a model for free radical mediated neurodegeneration? Can J Physiol Pharmacol 60:1398–1405
Donovan A, Lima CA, Pinkus JL, Pinkus GS, Zon LI, Robine S, Andrews NC (2005) The iron exporter ferroportin/Slc40a1 is essential for iron homeostasis. Cell Metab 1:191–200
Fernsebner K, Zorn J, Kanawati B, Walker A, Michalke B (2014) Manganese leads to an increase in markers of oxidative stress as well as to a shift in the ratio of Fe(ii)/(iii) in rat brain tissue. Metallomics 6:921–931
Fitsanakis VA, Zhang N, Avison MJ, Erikson KM, Gore JC, Aschner M (2011) Changes in dietary iron exacerbate regional brain manganese accumulation as determined by magnetic resonance imaging. Toxicol Sci Off J Soc Toxicol 120:146–153
Garrick MD, Singleton ST, Vargas F, Kuo H, Zhao L, KNÖPFEL M, Davidson T, Costa M, Paradkar P, Roth JA (2006) DMT1: which metals does it transport? Biol Res 39:79–85
Gavin CE, Gunter KK, Gunter TE (1990) Manganese and calcium efflux kinetics in brain mitochondria. Relevance to manganese toxicity. Biochem J 266:329–334
Gavin CE, Gunter KK, Gunter TE (1999) Manganese and calcium transport in mitochondria: implications for manganese toxicity. Neurotoxicology 20:445–453
Genter MB, Kendig EL, Knutson MD (2009) Uptake of materials from the nasal cavity into the blood and brain. Ann N Y Acad Sci 1170:623–628
Gitler AD, Chesi A, Geddie ML, Strathearn KE, Hamamichi S, Hill KJ, Caldwell KA, Caldwell GA, Cooper AA, Rochet JC, Lindquist S (2009) Alpha-synuclein is part of a diverse and highly conserved interaction network that includes PARK9 and manganese toxicity. Nat Genet 41:308–315
Graham DG (1978) Oxidative pathways for catecholamines in the genesis of neuromelanin and cytotoxic quinones. Mol Pharmacol 14:633–643
Guan H, Wang M, Li X, Piao F, Li Q, Xu L, Kitamura F, Yokoyama K (2014) Manganese concentrations in maternal and umbilical cord blood: related to birth size and environmental factors. Eur J Pub Health 24:150–157
Gunier RB, Arora M, Jerrett M, Bradman A, Harley KG, Mora AM, Kogut K, Hubbard A, Austin C, Holland N, Eskenazi B (2015) Manganese in teeth and neurodevelopment in young Mexican-American children. Environ Res 142:688–695
Gunter TE, Gerstner B, Gunter KK, Malecki J, Gelein R, Valentine WM, Aschner M, Yule DI (2013) Manganese transport via the transferrin mechanism. NeuroToxicology 34:118–127
Hafeman D, Factor-Litvak P, Cheng Z, van Geen A, Ahsan H (2007) Association between manganese exposure through drinking water and infant mortality in Bangladesh. Environ Health Perspect 115:1107–1112
Haynes EN, Sucharew H, Kuhnell P, Alden J, Barnas M, Wright RO, Parsons PJ, Aldous KM, Praamsma ML, Beidler C, Dietrich KN (2015) Manganese exposure and neurocognitive outcomes in rural school-age children: the communities actively researching exposure study (Ohio, USA). Environ Health Perspect 123:1066–1071
Hirata Y, Adachi K, Kiuchi K (1998) Activation of JNK pathway and induction of apoptosis by manganese in PC12 cells. J Neurochem 71:1607–1615
Huang E, Ong WY, Connor JR (2004) Distribution of divalent metal transporter-1 in the monkey basal ganglia. Neuroscience 128:487–496
Leitch S, Feng M, Muend S, Braiterman LT, Hubbard AL, Rao R (2011) Vesicular distribution of secretory pathway Ca(2)+-ATPase isoform 1 and a role in manganese detoxification in liver-derived polarized cells. Biometals Int J Role Metal Ions Biol Biochem Med 24:159–170
Leyva-Illades D, Chen P, Zogzas CE, Hutchens S, Mercado JM, Swaim CD, Morrisett RA, Bowman AB, Aschner M, Mukhopadhyay S (2014) SLC30A10 is a cell surface-localized manganese efflux transporter, and parkinsonism-causing mutations block its intracellular trafficking and efflux activity. J Neurosci 34:14079–14095
Madejczyk MS, Ballatori N (2012a) The iron transporter ferroportin can also function as a manganese exporter. Biochim Biophys Acta 1818:651–657
Madejczyk MS, Ballatori N (2012b) The iron transporter ferroportin can also function as a manganese exporter. Biochim Biophys Acta Biomembr 1818:651–657
Malecki EA (2001) Manganese toxicity is associated with mitochondrial dysfunction and DNA fragmentation in rat primary striatal neurons. Brain Res Bull 55:225–228
Menezes-Filho JA, Novaes Cde O, Moreira JC, Sarcinelli PN, Mergler D (2011) Elevated manganese and cognitive performance in school-aged children and their mothers. Environ Res 111:156–163
Migheli R, Godani C, Sciola L, Delogu MR, Serra PA, Zangani D, De Natale G, Miele E, Desole MS (1999) Enhancing effect of manganese on L‐DOPA‐induced apoptosis in PC12 cells. J Neurochem 73:1155–1163
Moos T, Morgan E (2000) Transferrin and transferrin receptor function in brain barrier systems. Cell Mol Neurobiol 20:77–95
Mukhopadhyay S, Linstedt AD (2011) Identification of a gain-of-function mutation in a Golgi P-type ATPase that enhances Mn2+ efflux and protects against toxicity. Proc Natl Acad Sci U S A 108:858–863
Mukhopadhyay S, Bachert C, Smith DR, Linstedt AD (2010) Manganese-induced trafficking and turnover of the cis-Golgi glycoprotein GPP130. Mol Biol Cell 21:1282–1292
O’Neal SL, Zheng W (2015) Manganese toxicity upon overexposure: a decade in review. Curr Environ Health Rep 2:315–328
Oulhote Y, Mergler D, Barbeau B, Bellinger DC, Bouffard T, Brodeur ME, Saint-Amour D, Legrand M, Sauve S, Bouchard MF (2014) Neurobehavioral function in school-age children exposed to manganese in drinking water. Environ Health Perspect 122:1343–1350
Quadri M, Federico A, Zhao T, Breedveld Guido J, Battisti C, Delnooz C, Severijnen L-A, Di Toro Mammarella L, Mignarri A, Monti L, Sanna A, Lu P, Punzo F, Cossu G, Willemsen R, Rasi F, Oostra Ben A, van de Warrenburg Bart P, Bonifati V (2012) Mutations in SLC30A10 cause parkinsonism and dystonia with hypermanganesemia, polycythemia, and chronic liver disease. Am J Hum Genet 90:467–477
Reaney S, Smith D (2005) Manganese oxidation state mediates toxicity in PC12 cells. Toxicol Appl Pharmacol 205:271–281
Rink SM, Ardoino G, Queirolo EI, Cicariello D, Manay N, Kordas K (2014) Associations between hair manganese levels and cognitive, language, and motor development in preschool children from Montevideo, Uruguay. Arch Environ Occup Health 69:46–54
Riojas-Rodriguez H, Solis-Vivanco R, Schilmann A, Montes S, Rodriguez S, Rios C, Rodriguez-Agudelo Y (2010) Intellectual function in Mexican children living in a mining area and environmentally exposed to manganese. Environ Health Perspect 118:1465–1470
Roth JA, Feng L, Walowitz J, Browne RW (2000) Manganese‐induced rat pheochromocytoma (PC12) cell death is independent of caspase activation. J Neurosci Res 61:162–171
Roth JA, Horbinski C, Higgins D, Lein P, Garrick MD (2002) Mechanisms of manganese-induced rat pheochromocytoma (PC12) cell death and cell differentiation. NeuroToxicology 23:147–157
Schrantz N, Blanchard DA, Mitenne F, Auffredou M-T, Vazquez A, Leca G (1999) Manganese induces apoptosis of human B cells: caspase-dependent cell death blocked by bcl-2. Cell Death Differ 6:445–453
Seo YA, Li Y, Wessling-Resnick M (2013) Iron depletion increases manganese uptake and potentiates apoptosis through ER stress. NeuroToxicology 38:67–73
Sikk K, Taba P, Haldre S, Bergquist J, Nyholm D, Askmark H, Danfors T, Sörensen J, Thurfjell L, Raininko R (2010) Clinical, neuroimaging and neurophysiological features in addicts with manganese‐ephedrone exposure. Acta Neurol Scand 121:237–243
Smith EA, Newland P, Bestwick KG, Ahmed N (2012) Increased whole blood manganese concentrations observed in children with iron deficiency anaemia. J Trace Elem Med Biol Organ Soc Miner Trace Elem
Spangler AH, Spangler JG (2009) Groundwater manganese and infant mortality rate by county in North Carolina: an ecological analysis. Ecohealth 6:596–600
Stamelou M, Tuschl K, Chong WK, Burroughs AK, Mills PB, Bhatia KP, Clayton PT (2012) Dystonia with brain manganese accumulation resulting from SLC30A10 mutations: a new treatable disorder. Mov Disord 27:1317–1322
Takser L, Mergler D, Hellier G, Sahuquillo J, Huel G (2003) Manganese, monoamine metabolite levels at birth, and child psychomotor development. Neurotoxicology 24:667–674
Tan J, Zhang T, Jiang L, Chi J, Hu D, Pan Q, Wang D, Zhang Z (2011) Regulation of intracellular manganese homeostasis by Kufor-Rakeb syndrome-associated ATP13A2 protein. J Biol Chem 286:29654–29662
Ton VK, Mandal D, Vahadji C, Rao R (2002) Functional expression in yeast of the human secretory pathway Ca(2+), Mn(2+)-ATPase defective in Hailey-Hailey disease. J Biol Chem 277:6422–6427
Torres-Agustin R, Rodriguez-Agudelo Y, Schilmann A, Solis-Vivanco R, Montes S, Riojas-Rodriguez H, Cortez-Lugo M, Rios C (2013) Effect of environmental manganese exposure on verbal learning and memory in Mexican children. Environ Res 121:39–44
Tuschl K, Clayton PT, Gospe SM Jr, Gulab S, Ibrahim S, Singhi P, Aulakh R, Ribeiro RT, Barsottini OG, Zaki MS, Del Rosario ML, Dyack S, Price V, Rideout A, Gordon K, Wevers RA, Chong WK, Mills PB (2012) Syndrome of hepatic cirrhosis, dystonia, polycythemia, and hypermanganesemia caused by mutations in SLC30A10, a manganese transporter in man. Am J Hum Genet 90:457–466
Tuschl K, Mills PB, Clayton PT (2013) Manganese and the brain. Int Rev Neurobiol 110:277–312
Williams K, Wilson MA, Bressler J (2000) Regulation and developmental expression of the divalent metal-ion transporter in the rat brain. Cell Mol Biol (Noisy-le-Grand) 46:563–571
Yin Z, Jiang H, Lee ES, Ni M, Erikson KM, Milatovic D, Bowman AB, Aschner M (2010) Ferroportin is a manganese-responsive protein that decreases manganese cytotoxicity and accumulation. J Neurochem 112:1190–1198
Yu X, Cao L, Yu X (2013) Elevated cord serum manganese level is associated with a neonatal high ponderal index. Environ Res 121:79–83
Yu XD, Zhang J, Yan CH, Shen XM (2014) Prenatal exposure to manganese at environment relevant level and neonatal neurobehavioral development. Environ Res 133:232–238
Zhang J, Cao R, Cai T, Aschner M, Zhao F, Yao T, Chen Y, Cao Z, Luo W, Chen J (2013) The role of autophagy dysregulation in manganese-induced dopaminergic neurodegeneration. Neurotox Res 24:478–490
Zota AR, Ettinger AS, Bouchard M, Amarasiriwardena CJ, Schwartz J, Hu H, Wright RO (2009) Maternal blood manganese levels and infant birth weight. Epidemiology 20:367–373
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Pan Chen and Megan Culbreth contributed equally to this work.
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Chen, P., Culbreth, M. & Aschner, M. Exposure, epidemiology, and mechanism of the environmental toxicant manganese. Environ Sci Pollut Res 23, 13802–13810 (2016). https://doi.org/10.1007/s11356-016-6687-0
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DOI: https://doi.org/10.1007/s11356-016-6687-0