Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency

ABSTRACT Importance Transient neonatal zinc deficiency (TNZD) occurs in breastfed infants due to abnormally low breast milk zinc levels. Mutations in the solute carrier family 30 member 2 (SLC30A2) gene, which encodes the zinc transporter ZNT2, cause low zinc concentration in breast milk. Objective...

Full description

Bibliographic Details
Main Authors: Taichiro Muto, Yuriko Kawase, Kaori Aiba, Miyuki Okuma, Naoya Itsumura, Shuangyu Luo, Namino Ogawa, Tokuji Tsuji, Taiho Kambe
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Pediatric Investigation
Subjects:
Online Access:https://doi.org/10.1002/ped4.12366
_version_ 1797866082787131392
author Taichiro Muto
Yuriko Kawase
Kaori Aiba
Miyuki Okuma
Naoya Itsumura
Shuangyu Luo
Namino Ogawa
Tokuji Tsuji
Taiho Kambe
author_facet Taichiro Muto
Yuriko Kawase
Kaori Aiba
Miyuki Okuma
Naoya Itsumura
Shuangyu Luo
Namino Ogawa
Tokuji Tsuji
Taiho Kambe
author_sort Taichiro Muto
collection DOAJ
description ABSTRACT Importance Transient neonatal zinc deficiency (TNZD) occurs in breastfed infants due to abnormally low breast milk zinc levels. Mutations in the solute carrier family 30 member 2 (SLC30A2) gene, which encodes the zinc transporter ZNT2, cause low zinc concentration in breast milk. Objective This study aimed to provide further insights into TNZD pathophysiology. Methods SLC30A2 sequencing was performed in three unrelated Japanese mothers, whose infants developed TNZD due to low‐zinc milk consumption. The effects of the identified mutations were examined using cell‐based assays and luciferase reporter analysis. Results Novel SLC30A2 mutations were identified in each mother. One harbored a heterozygous missense mutation in the ZNT2 zinc‐binding site, which resulted in defective zinc transport. The other two mothers exhibited multiple heterozygous mutations in the SLC30A2 promoter, the first mutations in the SLC30A2 regulatory region reported to date. Interpretation This report provides new genetic insights into TNZD pathogenesis in breastfed infants.
first_indexed 2024-04-09T23:18:21Z
format Article
id doaj.art-3c063150a0c64edc8fec9f6331a5588e
institution Directory Open Access Journal
issn 2574-2272
language English
last_indexed 2024-04-09T23:18:21Z
publishDate 2023-03-01
publisher Wiley
record_format Article
series Pediatric Investigation
spelling doaj.art-3c063150a0c64edc8fec9f6331a5588e2023-03-22T04:45:12ZengWileyPediatric Investigation2574-22722023-03-017161210.1002/ped4.12366Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiencyTaichiro Muto0Yuriko Kawase1Kaori Aiba2Miyuki Okuma3Naoya Itsumura4Shuangyu Luo5Namino Ogawa6Tokuji Tsuji7Taiho Kambe8Department of Pediatrics Aichi Medical University Hospital Nagakute JapanDepartment of Dermatology Toshiba Central Hospital Tokyo JapanDepartment of Pediatrics Toyohashi Municipal Hospital Toyohashi JapanDepartment of Pediatrics Toshiba Central Hospital Tokyo JapanDepartment of Applied Molecular Biology, Division of Integrated Life Science Graduate School of Biostudies Kyoto University Kyoto JapanDepartment of Applied Molecular Biology, Division of Integrated Life Science Graduate School of Biostudies Kyoto University Kyoto JapanDepartment of Applied Molecular Biology, Division of Integrated Life Science Graduate School of Biostudies Kyoto University Kyoto JapanDepartment of Applied Molecular Biology, Division of Integrated Life Science Graduate School of Biostudies Kyoto University Kyoto JapanDepartment of Applied Molecular Biology, Division of Integrated Life Science Graduate School of Biostudies Kyoto University Kyoto JapanABSTRACT Importance Transient neonatal zinc deficiency (TNZD) occurs in breastfed infants due to abnormally low breast milk zinc levels. Mutations in the solute carrier family 30 member 2 (SLC30A2) gene, which encodes the zinc transporter ZNT2, cause low zinc concentration in breast milk. Objective This study aimed to provide further insights into TNZD pathophysiology. Methods SLC30A2 sequencing was performed in three unrelated Japanese mothers, whose infants developed TNZD due to low‐zinc milk consumption. The effects of the identified mutations were examined using cell‐based assays and luciferase reporter analysis. Results Novel SLC30A2 mutations were identified in each mother. One harbored a heterozygous missense mutation in the ZNT2 zinc‐binding site, which resulted in defective zinc transport. The other two mothers exhibited multiple heterozygous mutations in the SLC30A2 promoter, the first mutations in the SLC30A2 regulatory region reported to date. Interpretation This report provides new genetic insights into TNZD pathogenesis in breastfed infants.https://doi.org/10.1002/ped4.12366DermatologyBreastfeedingTransient neonatal zinc deficiency (TNZD)Low‐zinc breast milkSLC30A2/ZNT2Promoter
spellingShingle Taichiro Muto
Yuriko Kawase
Kaori Aiba
Miyuki Okuma
Naoya Itsumura
Shuangyu Luo
Namino Ogawa
Tokuji Tsuji
Taiho Kambe
Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
Pediatric Investigation
Dermatology
Breastfeeding
Transient neonatal zinc deficiency (TNZD)
Low‐zinc breast milk
SLC30A2/ZNT2
Promoter
title Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
title_full Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
title_fullStr Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
title_full_unstemmed Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
title_short Novel SLC30A2 mutations in the pathogenesis of transient neonatal zinc deficiency
title_sort novel slc30a2 mutations in the pathogenesis of transient neonatal zinc deficiency
topic Dermatology
Breastfeeding
Transient neonatal zinc deficiency (TNZD)
Low‐zinc breast milk
SLC30A2/ZNT2
Promoter
url https://doi.org/10.1002/ped4.12366
work_keys_str_mv AT taichiromuto novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT yurikokawase novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT kaoriaiba novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT miyukiokuma novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT naoyaitsumura novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT shuangyuluo novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT naminoogawa novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT tokujitsuji novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency
AT taihokambe novelslc30a2mutationsinthepathogenesisoftransientneonatalzincdeficiency