“…DAT knockout mice exposed to Mn accumulate significantly less Mn in the striatum compared to WT[50, 232] | Ca channels | Plasma membrane | Voltage-regulated, store-operated Ca 2+ channels as well as ionotropic glutamate receptors also facilitate Mn uptake into the brain | The number of known ion channel diseases (channelopathies) has increased dramatically and include cystic fibrosis, Bartter syndrome and epilepsy | [233, 234] |
Choline transporter | Plasma membrane | Choline uptake was found to be significantly inhibited in the presence of Cd and Mn, but not Cu or Al | Prenatal choline deficiency is associated with increased choline transporter mRNA expression in the septum and hippocampus of rats as a compensatory mechanism for acetylcholine synthesis | [235, 236] |
Citrate transporter | Plasma membrane | Mn citrate represents the major non-protein-bound species of Mn to enter the brain at the BBB. The influx transfer coefficient for Mn citrate was shown to be greater than that of Mn 2 + alone and Tf–Mn 3+
| Defects in SLC25A1, a mitochondrial citrate carrier, were identified to cause combined D-2- and L-2-hydroxyglutaric aciduria | [237, 238] |
Tf/TfR | Tf in plasma and TfR in the membrane of neurons, microglia, astrocytes and the endothelial cells of the BBB | Tf/TfR facilitates Mn 3+ influx into the CNS from the blood stream | Polymorphisms in TfR gene have been correlated with increased risk of age related macular degeneration (AMD) | [57, 237, 239, 240] |
Mn exporters | Fpn | Transmembrane, expressed in the duodenum, liver, spleen, intestine, endothelial cells of the BBB, neurons, oligodendrocytes, astrocytes, choroid plexus and ependymal cells | Increased Fpn expression in HEK293 cells is associated with decreased intracellular Mn concentration and attenuated cytotoxicity | Mutations in Fpn cause type IV hemochromatosis, commonly known as Fpn disease, characterized by Fe accumulation in reticuloendothelial macrophages | [50, 62, 63] |
SLC30A10 | Cell surface-localized. Present in basal ganglia and liver | Mediates Mn efflux from cells | Mutations in SLC30A10 that impair Mn export induce hypermanganesemia, dystonia, and polycythemia with a variable degree of hepatic dysfunction | [22, 23] |
SPCA1 | Mainly in Golgi membrane of keratinocytes, liver and brain | Imports Mn 2+ from the cytosol to the Golgi lumen | Monoallelic mutations in SPCA1 are known to cause Hailey-Hailey disease, a blistering skin disorder. |
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