Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Letter
  • Published:

A novel pantothenate kinase gene (PANK2) is defective in Hallervorden-Spatz syndrome

Abstract

Hallervorden-Spatz syndrome (HSS) is an autosomal recessive neurodegenerative disorder associated with iron accumulation in the brain. Clinical features include extrapyramidal dysfunction, onset in childhood, and a relentlessly progressive course1. Histologic study reveals iron deposits in the basal ganglia2. In this respect, HSS may serve as a model for complex neurodegenerative diseases, such as Parkinson disease3, Alzheimer disease4, Huntington disease5 and human immunodeficiency virus (HIV) encephalopathy6, in which pathologic accumulation of iron in the brain is also observed. Thus, understanding the biochemical defect in HSS may provide key insights into the regulation of iron metabolism and its perturbation in this and other neurodegenerative diseases. Here we show that HSS is caused by a defect in a novel pantothenate kinase gene and propose a mechanism for oxidative stress in the pathophysiology of the disease.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Localization of the HSS gene region.
Figure 2: Sequence of PANK2 and comparison with other eukaryotic pantothenate kinase genes.
Figure 3: Expression and function of PANK2.

Similar content being viewed by others

References

  1. Dooling, E.C., Schoene, W.C. & Richardson, E.P. Jr. Hallervorden-Spatz syndrome. Arch. Neurol. 30, 70–83 (1974).

    Article  CAS  Google Scholar 

  2. Swaiman, K.F. Hallervorden-Spatz syndrome and brain iron metabolism. Arch. Neurol. 48, 1285–1293 (1991).

    Article  CAS  Google Scholar 

  3. Sofic, E.,. et al. Increased iron III and total iron content in postmortem substantia nigra in parkinsonian brain. J. Neural Trans. 74, 199–205 (1988).

    Article  CAS  Google Scholar 

  4. Connor, J.R., Snyder, B.S., Beard, J.L., Fine, R.E. & Mufson, E.J. Regional distribution of iron and iron regulatory proteins in the brain in aging and Alzheimer's disease. J. Neurosci. Res. 31, 327–335 (1992).

    Article  CAS  Google Scholar 

  5. Dexter, D.T.,. et al. Alterations in the levels of iron, ferritin and other trace metals in Parkinson's disease and other neurodegenerative diseases affecting basal ganglia. Brain 114, 1953–1975 (1991).

    Article  Google Scholar 

  6. Miszkziel, K.A.,. et al. The measurement of R-2, R-2-* and R-2′ in HIV-infected patients using the prime sequence as a measure of brain iron deposition. Magn. Reson. Imaging 15, 1113–1119 (1997).

    Article  Google Scholar 

  7. Angelini, L.,. et al. Hallervorden-Spatz disease: clinical and MRI study of 11 cases diagnosed in life. J. Neurol. 239, 417–425 (1992).

    Article  CAS  Google Scholar 

  8. Taylor, T.D.,. et al. Homozygosity mapping of Hallervorden-Spatz syndrome to chromosome 20p12.3–p13. Nature Genet. 14, 479–481 (1996).

    Article  CAS  Google Scholar 

  9. Rock, C.O., Calder, R.B., Karim, M.A. & Jackowski, S. Pantothenate kinase regulation of the intracellular concentration of coenzyme A. J. Biol. Chem. 275, 1377–1383 (2000).

    Article  CAS  Google Scholar 

  10. Coppeto, J.R. & Lessell, S. A familial syndrome of dystonia, blepharospasm, and pigmentary retinopathy. Neurology 40, 1359–1363 (1990).

    Article  CAS  Google Scholar 

  11. Gravel, R.A.,. et al. Mutations participating in interallelic complementation in propionic acidemia. Am. J. Hum. Genet. 55, 51–58 (1994).

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Yun, M.,. et al. Structural basis for the feedback regulation of Escherichia coli pantothenate kinase by coenzyme A. J. Biol. Chem. 275, 28093–28099 (2000).

    CAS  PubMed  Google Scholar 

  13. Blackwood, E.M.,. et al. Functional analysis of the AUG- and CUG-initiated forms of the c-Myc protein. Mol. Biol. Cell 5, 597–609 (1994).

    Article  CAS  Google Scholar 

  14. Kozak, M. The scanning model for translation: an update. J. Cell Biol. 108, 229–241 (1989).

    Article  CAS  Google Scholar 

  15. Kozak, M. Downstream secondary structure facilitates recognition of initiator codons by eukaryotic ribosomes. Proc. Natl. Acad. Sci. USA 87, 8301–8305 (1990).

    Article  CAS  Google Scholar 

  16. Afshar, K., Gonczy, P., DiNardo, S. & Wasserman, S.A. fumble encodes a pantothenate kinase homolog required for proper mitosis and meiosis in Drosophila melanogaster. Genetics 157, 1267–1276 (2001).

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Karim, M.A., Valentine, V.A. & Jackowski, S. Human pantothenate kinase 1 ( PANK1 ) gene: Characterization of the cDNAs, structural organization and mapping of the locus to chromosome 10q23.2-23.31. Am. J. Hum. Genet. 67, A984 (2000).

    Google Scholar 

  18. Abiko, Y. Investigations on pantothenic acid and its related compounds. IX. Biochemical studies. 4. Separation and substrate specificity of pantothenate kinase and phosphopantothenoylcysteine synthetase. J. Biochem. (Tokyo) 61, 290–299 (1967).

    Article  CAS  Google Scholar 

  19. Winzeler, E.A.,. et al. Functional characterization of the S. cerevisiae genome by gene deletion and parallel analysis. Science 285, 901–906 (1999).

    Article  CAS  Google Scholar 

  20. Calder, R.B.,. et al. Cloning and characterization of a eukaryotic pantothenate kinase gene (panK) from Aspergillus nidulans. J. Biol. Chem. 274, 2014–2020 (1999).

    Article  CAS  Google Scholar 

  21. Vallari, D.S. & Rock, C.O. Isolation and characterization of temperature-sensitive pantothenate kinase (coaA) mutants of Escherichia coli. J. Bacteriol. 169, 5795–5800 (1987).

    Article  CAS  Google Scholar 

  22. Hill, J.M. & Switzer, R.C. III . The regional distribution and cellular localization of iron in the rat brain. Neuroscience 11, 595–603 (1984).

    Article  CAS  Google Scholar 

  23. Perry, T.L.,. et al. Hallervorden-Spatz disease: cysteine accumulation and cysteine dioxygenase deficiency in the globus pallidus. Ann. Neurol. 18, 482–489 (1985).

    Article  CAS  Google Scholar 

  24. Yoon, S.J., Koh, Y.H., Floyd, R.A. & Park, J.W. Copper, zinc superoxide dismutase enhances DNA damage and mutagenicity induced by cysteine/iron. Mutat. Res. 448, 97–104 (2000).

    Article  CAS  Google Scholar 

  25. Park, B.E., Netsky, M.G. & Betsill, W.L. Jr . Pathogenesis of pigment and spheroid formation in Hallervorden-Spatz syndrome and related disorders. Neurology 25, 1172–1178 (1975).

    Article  CAS  Google Scholar 

  26. Tripathi, R.C., Tripathi, B.J., Bauserman, S.C. & Park, J.K. Clinicopathologic correlation and pathogenesis of ocular and central nervous system manifestations in Hallervorden-Spatz syndrome. Acta Neuropathol. 83, 113–119 (1992).

    Article  CAS  Google Scholar 

  27. Searle, A.J. & Willson, R.L. Stimulation of microsomal lipid peroxidation by iron and cysteine. Characterization and the role of free radicals. Biochem. J. 212, 549–554 (1983).

    Article  CAS  Google Scholar 

  28. Yang, E.Y., Campbell, A. & Bondy, S.C. Configuration of thiols dictates their ability to promote iron-induced reactive oxygen species generation. Redox. Rep. 5, 371–375 (2000).

    Article  CAS  Google Scholar 

  29. Heafield, M.T.,. et al. Plasma cysteine and sulphate levels in patients with motor neurone, Parkinson's and Alzheimer's disease. Neurosci. Lett. 110, 216–220 (1990).

    Article  CAS  Google Scholar 

  30. Shevell, M. Racial hygiene, active euthanasia, and Julius Hallervorden [see comments]. Neurology 42, 2214–2219 (1992).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to the many individuals, families and clinicians (J.P. Harpey, M. Shevell, M. Piñeda, G. Kurlemann, J. Coppeto, J. Jankovic, S. Davis, H. Hattori, K. Sethi, M. Pandolfo, L. Angelini, N. Nardocci, A. Malandrini, J. Penzien, G. Mortier, M. Hoeltzenbein, J.A.Urtizberea, M.A.M. Salih, D. Buckley, C. Haenggeli, A. Bottani, B. Beinlich, J. Østergaard, S. Bundey, F. Stogbauer, K. Nørgaard Hansen, J. Guimarães, C. Yalcinkaya, A. Feigenbaum, Z. Liptai, J. Carlo, P. Blasco, A. Zimmerman, R. Cilio, E. Bertini, G. Worley, U. Thyen, J. Molineuvo, M. Melis, G. Cossu, J. Menkes, K. Hollódy, A. Barrett, S. Simpson, C. Schrander-Stumpel, H. Chaabouni, R. Gatti, H. Topaloglu, M. Nigro, F. Hisama, N.R.M. Buist, B. Ben-Ze'ev, A. Macaya, B. Korf, P. Heydemann, S. Abbs, R. Robinson, L. Shinobu, E. Dooling, P. Wheeler, P. Rosman, W. Wasiewski, P. Castelnau, P. Evrard, R. Haslam, M. Filocamo, M. Karwacki, T. Kmieæ, S. Frucht, T. Konishi, M. Regina Reyes, M. Al-Mateen, K. Weidenheim, M. Delgado, S. Johnsen, S. Golembowski, W. Ondo, S. Bohlega, R. Bustamante, O. Fernandez, M. Wiznitzer, H. Morgan, I. Butler, T. Babb, D. Sanderson, M. Williams, C. Harding, R. Steiner, S. Toor, E. Thompson, J. MacKenzie, J. Clyman and D. Fornoff) who contributed to this study. We thank T. Taylor, H. Payami, M. Litt, A. Malone, S. Bae, M. Gunthorpe, H. Consencgo, E. Stewart, S. Packman, the Oregon Health and Science University MMI Sequencing Core, and the Hallervorden–Spatz Syndrome Association. This work was supported by a grant from the National Eye Institute and the Sandler Neurogenetics Center at the University of California, San Francisco. J.G. is an investigator with the Howard Hughes Medical Institute.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan J. Hayflick.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhou, B., Westaway, S., Levinson, B. et al. A novel pantothenate kinase gene (PANK2) is defective in Hallervorden-Spatz syndrome. Nat Genet 28, 345–349 (2001). https://doi.org/10.1038/ng572

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ng572

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing