PUBLICATION

Inactivating mutations in MFSD2A, required for omega-3 fatty acid transport in brain, cause a lethal microcephaly syndrome

Authors
Guemez-Gamboa, A., Nguyen, L.N., Yang, H., Zaki, M.S., Kara, M., Ben-Omran, T., Akizu, N., Rosti, R.O., Rosti, B., Scott, E., Schroth, J., Copeland, B., Vaux, K.K., Cazenave-Gassiot, A., Quek, D.Q., Wong, B.H., Tan, B.C., Wenk, M.R., Gunel, M., Gabriel, S., Chi, N.C., Silver, D.L., Gleeson, J.G.
ID
ZDB-PUB-150526-2
Date
2015
Source
Nature Genetics   47(7): 809-13 (Journal)
Registered Authors
Yang, Hongbo
Keywords
none
MeSH Terms
  • Adolescent
  • Animals
  • Biological Transport
  • Blood-Brain Barrier/metabolism
  • Brain/metabolism*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Consanguinity
  • Fatty Acids, Omega-3/metabolism*
  • Female
  • Genes, Lethal
  • Genetic Association Studies
  • HEK293 Cells
  • Humans
  • Infant
  • Male
  • Mice, Knockout
  • Microcephaly/genetics*
  • Mutation, Missense
  • Syndrome
  • Tumor Suppressor Proteins/genetics*
  • Zebrafish
PubMed
26005868 Full text @ Nat. Genet.
Abstract
Docosahexanoic acid (DHA) is the most abundant omega-3 fatty acid in brain, and, although it is considered essential, deficiency has not been linked to disease. Despite the large mass of DHA in phospholipids, the brain does not synthesize it. DHA is imported across the blood-brain barrier (BBB) through the major facilitator superfamily domain-containing 2a (MFSD2A) protein. MFSD2A transports DHA as well as other fatty acids in the form of lysophosphatidylcholine (LPC). We identify two families displaying MFSD2A mutations in conserved residues. Affected individuals exhibited a lethal microcephaly syndrome linked to inadequate uptake of LPC lipids. The MFSD2A mutations impaired transport activity in a cell-based assay. Moreover, when expressed in mfsd2aa-morphant zebrafish, mutants failed to rescue microcephaly, BBB breakdown and lethality. Our results establish a link between transport of DHA and LPCs by MFSD2A and human brain growth and function, presenting the first evidence of monogenic disease related to transport of DHA in humans.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping