ABSTRACT. Menkes' kinky hair syndrome is a lethal Xlinked disorder marked by tissue-specific increases in copper content. An animal model of kinky hair syndrome is provided by mice mutant at the X-linked mottled locus. The basic defect is unknown. In order to discriminate among potential etiologies, we asked whether the expression of the mottled mutation causes abnormalities in the metabolism of trace metals other than copper in hemizygous mottled (blotchy) cultured skin fibroblasts, and whether we can differentiate mutant and normal cells according to their response to metal inducers of metallothionein. Blotchy fibroblasts accumulated up to 12 times more "Cu than control (littermate) cells, over time and over a range of 6 4 C~ concentrations. A saturable high affinity component to accumulation over a fixed time interval was revealed in these studies. While uptake kinetics were indistinguishable in mutant and control cells, the patterns of 64Cu exit differed. In both cell types, the rate of release of a rapidly exchangeable fraction of newly acquired 'j4Cu was similar. However, in mutant cells, a larger fraction of recently accumulated 6 4 C~ is retained. In contrast to the results for "CU, accumulation and exit of 65Zn and '09Cd were not distinguishable in mutants and controls. With exposure to either a strong (cadmium) or weaker (zinc) inducer of metallothionein, "CU accumulation was increased in normal cells, while there was no change from the already elevated level of 6 4 C~ accumulation in blotchy cells. In contrast, the effects of metal inducers of metallothionein on 65Zn or '09Cd accumulation in mutant cells were indistinguishable from the effects on controls. The present observations reveal that blotchy fibroblasts exhibit normal accumulation and exit of metals other than copper, and evince a differential response to metallothionein inducers, which response is also limited to the accumulation of copper. When considered together with the larger body of data on the kinky hair syndrome and mottled mutation, we infer that the defect in both species resides in the function of a thionein or other protein specifically binding copper; or in an altered transport system specifically affecting copper. (Pediatr Res 18:1282-1286, 1984