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PMID: 17717039 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Review

Molecular pathogenesis of Wilson and Menkes disease: correlation of mutations with molecular defects and disease phenotypes.

Journal of medical genetics ·Vol. 44 ·No. 11 ·2007-11-00 ·Pages 673-88

de Bie P, Muller P, Wijmenga C, Klomp LW

Abstract

The trace metal copper is essential for a variety of biological processes, but extremely toxic when present in excessive amounts. Therefore, concentrations of this metal in the body are kept under tight control. Central regulators of cellular copper metabolism are the copper-transporting P-type ATPases ATP7A and ATP7B. Mutations in ATP7A or ATP7B disrupt the homeostatic copper balance, resulting in copper deficiency (Menkes disease) or copper overload (Wilson disease), respectively. ATP7A and ATP7B exert their functions in copper transport through a variety of interdependent mechanisms and regulatory events, including their catalytic ATPase activity, copper-induced trafficking, post-translational modifications and protein-protein interactions. This paper reviews the extensive efforts that have been undertaken over the past few years to dissect and characterise these mechanisms, and how these are affected in Menkes and Wilson disease. As both disorders are characterised by an extensive clinical heterogeneity, we will discus how the underlying genetic defects correlate with the molecular functions of ATP7A and ATP7B and with the clinical expression of these disorders.

MeSH Terms
Adenosine Triphosphatases/chemistry,genetics,physiology Adenosine Triphosphate/metabolism Animals Cation Transport Proteins/chemistry,genetics,physiology Copper/metabolism Copper-Transporting ATPases Disease Models, Animal Female Genotype Hepatolenticular Degeneration/genetics,metabolism Humans Male Menkes Kinky Hair Syndrome/genetics,metabolism Mice Mice, Mutant Strains Mutation, Missense Phenotype Protein Interaction Mapping Protein Structure, Tertiary Rats Rats, Inbred LEC Structure-Activity Relationship Zebrafish
Chemicals
Cation Transport Proteins Copper Adenosine Triphosphate Adenosine Triphosphatases ATP7A protein, human ATP7B protein, human Copper-Transporting ATPases
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
de Bie P
Laboratory of Metabolic and Endocrine Diseases, Room KC.02.069.1, Lundlaan 6, 3584 EA Utrecht, The Netherlands.
Muller P
Wijmenga C
Klomp L W J
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Article Info
Journal
Journal of medical genetics
Abbr.
J Med Genet
ISSN
1468-6244
Published
2007-11-00
Epub
2007-00-23
Pages
673-88
Language
English
Region
England
NLM ID
2985087R
PMCID
PMC2752173
Subset
IM
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