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Issue 1012 coverRedox-Active Metals in Neurological Disorders Volume 1012 published March 2004
Ann. N.Y. Acad. Sci. 1012: 282–298 (2004). doi: 10.1196/annals.1306.023
Copyright © 2004 by the New York Academy of Sciences
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Articles by JOHNSON, M. A.
Articles by HAYFLICK, S. J.
Mitochondrial Localization of Human PANK2 and Hypotheses of Secondary Iron Accumulation in Pantothenate Kinase-Associated Neurodegeneration

MONIQUE A. JOHNSONa, YIEN MING KUOb, SHAWN K. WESTAWAYa, SUSAN M. PARKERa, KATHERINE H. L. CHINGa, JANE GITSCHIERb AND SUSAN J. HAYFLICKa,c

aDepartment of Molecular and Medical Genetics, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA
bHoward Hughes Medical Institute and Departments of Medicine and Pediatrics, University of California, San Francisco, California, USA
cDepartments of Pediatrics and Neurology, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA

Address for correspondence: Susan J. Hayflick, Department of Molecular and Medical Genetics, School of Medicine, Oregon Health and Science University, Portland, OR 97239. Voice: 503-494-6866; fax: 503-494-4411. hayflick{at}ohsu.ed
Ann N.Y. Acad. Sci. 1012: 282-298 (2004).

Mutations in the pantothenate kinase 2 gene (PANK2) lead to pantothenate kinase-associated neurodegeneration (PKAN, formerly Hallervorden-Spatz syndrome). This neurodegenerative disorder is characterized by iron accumulation in the basal ganglia. Pantothenate kinase is the first enzyme in the biosynthesis of coenzyme A from pantothenate (vitamin B5). PANK2, one of four human pantothenate kinase genes, is uniquely predicted to be targeted to mitochondria. We demonstrate mitochondrial localization of PANK2 and speculate on mechanisms of secondary iron accumulation in PKAN. Furthermore, PANK2 uses an unconventional translational start codon, CUG, which is polymorphic in the general population. The variant sequence, CAG (allele frequency: 0.05), leads to skipping of the mitochondrial targeting signal and cytosolic localization of PANK2. This common variant may cause mitochondrial dysfunction and impart susceptibility to late-onset neurodegenerative disorders with brain iron accumulation, including Parkinson's disease.

Key Words: pantothenate kinase • PKAN • Hallervorden-Spatz syndrome • mitochondrial localization • CoA • brain iron




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