Abstract

Mutations in ATP13A2 lead to Kufor-Rakeb syndrome, a parkinsonism with dementia. ATP13A2 belongs to the P-type transport ATPases, a large family of primary active transporters that exert vital cellular functions. However, the cellular function and transported substrate of ATP13A2 remain unknown. To discuss the role of ATP13A2 in neurodegeneration, we first provide a short description of the architecture and transport mechanism of P-type transport ATPases. Then, we briefly highlight key P-type ATPases involved in neuronal disorders such as the copper transporters ATP7A (Menkes disease), ATP7B (Wilson disease), the Na+/K+-ATPases ATP1A2 (familial hemiplegic migraine) and ATP1A3 (rapid-onset dystonia parkinsonism). Finally, we review the recent literature of ATP13A2 and discuss ATP13A2's putative cellular function in the light of what is known concerning the functions of other, better-studied P-type ATPases. We critically review the available data concerning the role of ATP13A2 in heavy metal transport and propose a possible alternative hypothesis that ATP13A2 might be a flippase. As a flippase, ATP13A2 may transport an organic molecule, such as a lipid or a peptide, from one membrane leaflet to the other. A flippase might control local lipid dynamics during vesicle formation and membrane fusion events.

Highlights

  • Neurodegenerative diseases, the fourth leading cause of death in developed countries, are characterized by progressive loss of neurons within the central nervous system leading to motor and cognitive dysfunction

  • We critically review the available data concerning the role of ATP13A2 in heavy metal transport and propose a possible alternative hypothesis that ATP13A2 might be a flippase

  • Whereas wild-type ATP13A2 is localized to late endosomal and lysosomal membranes (Ramirez et al, 2006), the truncating Kufor-Rakeb syndrome (KRS) mutations lead to retention of the protein in the endoplasmic reticulum (ER) resulting in ER stress and proteasomal degradation via the ERassociated degradation pathway (Ugolino et al, 2011)

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Summary

Introduction

Neurodegenerative diseases, the fourth leading cause of death in developed countries, are characterized by progressive loss of neurons within the central nervous system leading to motor and cognitive dysfunction. ATP13A2 is a late endosomal/lysosomal P5-type transport ATPase that is emerging as a critical regulator of lysosomal functions (Ramirez et al, 2006; Usenovic et al, 2012a; Dehay et al, 2012b; Tsunemi and Krainc, 2014). This review will focus on ATP13A2 as an orphan member of the family of P-type transport ATPases.

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