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Abstract
A common missense variant in SLC39A8 is convincingly associated with schizophrenia and several additional phenotypes. Homozygous loss-of-function mutations in SLC39A8 result in undetectable serum manganese (Mn) and a Congenital Disorder of Glycosylation (CDG) due to the exquisite sensitivity of glycosyltransferases to Mn concentration. Here, we identified several Mn-related changes in human carriers of the common SLC39A8 missense allele. Analysis of structural brain MRI scans showed a dose-dependent change in the ratio of T2w to T1w signal in several regions. Comprehensive trace element analysis confirmed a specific reduction of only serum Mn, and plasma protein N-glycome profiling revealed reduced complexity and branching. N-glycome profiling from two individuals with SLC39A8-CDG showed similar but more severe alterations in branching that improved with Mn supplementation, suggesting that the common variant exists on a spectrum of hypofunction with potential for reversibility. Characterizing the functional impact of this variant will enhance our understanding of schizophrenia pathogenesis and identify novel therapeutic targets and biomarkers.
15 Authors
Robert G. Mealer
Bruce G. Jenkins
Chia-Yen Chen
Mark J. Daly
Tian Ge
Sylvain Lehoux
Thorsten Marquardt
Christopher D. Palmer
Julien H. Park
Patrick J. Parsons
Robert Sackstein
Sarah E. Williams
Richard D. Cummings
Edward M. Scolnick
Jordan W. Smoller
Enabling scientific discoveries that improve human health