Abstract

Parkinson's disease (PD) is a neurodegenerative disorder of the central nervous system with a clinically heterogeneous presentation that includes progressive loss of dopaminergic (DA) neurons in the substantia nigra. A minority of PD cases are familial and are caused by mutations in single genes. Most cases, however, are idiopathic PD, a complex multifactorial disorder with environmental and genetic contributors to etiology. Here, we first briefly summarize published evidence that among environmental contributors is dietary deficiency of magnesium. We then review genetic data suggesting that mutations in genes encoding two proteins contributing to cellular magnesium homeostasis confer risk for PD or other Parkinsonian conditions. First, the gene encoding magnesium transporter SLC41A1 is, among others, a candidate for the causative gene in the PARK16 locus where variation is associated with risk for idiopathic Parkinsonian disease. Studies of the function of SLC41A1 in animal models are needed to test whether this protein has a role in maintenance of dopaminergic neurons. Second, in a small study, a hypomorphic variant of TRPM7, a magnesium-permeable channel, was over-represented in cases of amyotrophic lateral sclerosis/ Parkinson dementia complex versus controls from the same ethnic group. Although this association was not detected in a second study, in zebrafish Trpm7 is necessary for terminal differentiation and reduction of toxin-sensitivity in dopaminergic neurons. Overall, epidemiological results support the possibility that mutations in genes relevant to magnesium homeostasis would alter PD risk, but deeper genetic analyses of PD patients are necessary to confirm whether SLC41A1 and TRPM7 are among such genes.

Highlights

  • Magnesium levels are lower than normal in brains of Parkinson’s disease (PD) patients and animal models of PD

  • Histology revealed that whereas the number of precursors expressing Dopamine transporter is normal in trpm[7] mutants, only about half of the normal number of TH-positive neurons are present in mutants[50]. These results indicate that in zebrafish Trpm[7] is necessary for terminal differentiation of at least a subset of dopaminergic neurons

  • Future studies in animal models may answer questions including: Why are dopaminergic neurons compromised to a greater degree than other cell types by a given variant of SLC41A1 or Transient receptor potential melastatin-like 7 (TRPM7)? Do both loss and gainof-function variants of SLC41A1 disrupt the dopaminergic system, as indicated by human genetic studies? What is the connection between TRPM7 function, magnesium homeostasis, and the physiology and development of dopamine neurons? In this context, does TRPM7’s kinase domain contribute, beyond modulating the sensitivity of the channel to inhibition by internal magnesium37? TRPM7 may contribute to maintaining ion homeostasis in intracellular vesicles, including synaptic vesicles[51], and defects in vesicle trafficking are proposed to play a major role in PD52

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Summary

Introduction

Magnesium levels are lower than normal in brains of PD patients and animal models of PD. In two other studies of similar scale magnesium levels were not significantly lower in the CSF5 or brain tissue[6] of PD patients versus controls, consistent with variable pathogenic mechanisms among cases of PD .

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Conclusion
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