FB2025_01 , released February 20, 2025
Human Disease Model Report: neurodegeneration with brain iron accumulation 1
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General Information
Name
neurodegeneration with brain iron accumulation 1
FlyBase ID
FBhh0000229
Overview

This report describes neurodegeneration with brain iron accumulation 1 (NBIA1), which is a subtype of neurodegeneration with brain iron accumulation, NBIA1 exhibits autosomal recessive inheritance. The human gene implicated in this disease is PANK2, which is a pantothenate kinase; a mitochondrially-targeted isoform of this gene is a key regulatory enzyme in the biosynthesis of coenzyme A (CoA). There is a high-scoring Drosophila ortholog, fbl, for which classical loss-of-function alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated. The Dmel\fbl gene is also a high-scoring ortholog of PANK1 and PANK3. A related Drosophila gene, CG5828, is a high-scoring ortholog of PANK4. The human PANK2 gene is also associated with HARP syndrome (MIM:607236).

Multiple different UAS constructs of the human Hsap\PANK2 gene have been introduced into flies, including wild-type and variants carrying mutational lesions associated with NBIA1. When the mitochondrially-targeted isoform of the human gene is expressed in all tissues, heterologous rescue (functional complementation) of the loss-of-function phenotypes of Dmel\fbl, is observed. The human PANK3 and PANK4 genes have also been introduced into flies; expression of either these genes partially rescues loss-of-function phenotypes of Dmel\fbl; male sterility is the only phenotype that is not rescued at all.

Variant(s) implicated in human disease tested (as transgenic human gene, PANK2): the G411R (G230R, G521R) variant form, the T418M (T237M, T528M) variant form, and the S241P (S240P, S351P, S60P) variant form have been introduced into flies. By assaying for degree of heterologous rescue, the residual activity of these variants was assessed.

The Drosophila fblgene encodes several isoforms of pantothenate kinase products, one of which localizes to mitochondria and the others to the cytosol (FBrf0209004). Loss-of-function mutants typically die during the pupal stage with a few escapers that eclose and survive several additional days; the rare survivors exhibit impaired locomotion ability, infertility and neurodegeneration in the brain and retina. Pharmaceuticals that enhance pyruvate dehydrogenase (PDH) activity were tested (by feeding) and found to rescue the reduced viability phenotype; see FBhh0001238 for the rationale behind these experiments.

Animals heterozygous for a hypomorphic allele of fbl, were assessed for levels of a number of biologically relevant metals. Surprisingly, no change in iron levels was observed, relative to control animals. However, a significant three-fold increase in total zinc levels was observed. No significant changes in total copper or manganese levels (normally low) were observed.

A single genetic interaction has been described for Dmel\fbl; see the fbl gene report.

[updated Aug. 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: neurodegeneration with brain iron accumulation
Symptoms and phenotype

Neurodegeneration with brain iron accumulation (NBIA) is a genetically heterogeneous disorder characterized by progressive iron accumulation in the basal ganglia and other regions of the brain, resulting in extrapyramidal movements, such as parkinsonism and dystonia. Age at onset, severity, and cognitive involvement are variable (review by Gregory et al., 2009; pubmed:18981035). [from MIM:234200; 2016.03.29]

Specific Disease Summary: neurodegeneration with brain iron accumulation 1
OMIM report

[NEURODEGENERATION WITH BRAIN IRON ACCUMULATION 1; NBIA1](https://omim.org/entry/234200)

Human gene(s) implicated

[PANTOTHENATE KINASE 2; PANK2](https://omim.org/entry/606157)

Symptoms and phenotype

See general description above. Brain iron accumulation-1 (NBIA1) has been classified clinically as 'classic,' 'atypical,' or 'intermediate.' In the classic form, patients present within the first decade of life with rapidly progressing disease and loss of ambulation approximately 15 years later. [from MIM:234200; 2016.04.05]

Genetics

NBIA1 is caused by homozygous or compound heterozygous mutation in the pantothenate kinase-2 gene (PANK2). [from MIM:234200; 2016.04.05]

Cellular phenotype and pathology
Molecular information

Pantothenate Kinase 2 (PANK2) protein is the only member of the pantothenate kinase family to be localized to the mitochondria; it is a key regulatory enzyme in the biosynthesis of coenzyme A (CoA). [from Gene Cards, PANK2; 2016.04.07]

External links
Disease synonyms
classic pantothenate kinase-associated neurodegeneration
Hallervorden-Spatz disease
NBIA1
pantothenate kinase-associated neurodegeneration
PKAN
PKAN neuroaxonal dystrophy, juvenile-onset
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

Many to many: 4 human to 2 Drosophila; additional human orthologous genes are PANK1, PANK3, and PANK4.

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Snapshot
    fumble (fbl) encodes an enzyme that phosphorylates pantothenate (vitamin B5), which is one of the early steps of the Coenzyme A de novo biosynthesis pathway. [Date last reviewed: 2019-03-07]
    Gene Groups / Pathways
    Comments on ortholog(s)

    Higher scoring Drosophila ortholog of human genes PANK1, PANK2, and PANK3; additional orthologous gene in both species (2 Drosophila to 4 human). Dmel\fbl shares 48-63% identity and 63-79% similarity with PANK1, PANK2, and PANK3.

    Orthologs and Alignments from DRSC
    DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
    Other Genes Used: Viral, Bacterial, Synthetic (0)
      Summary of Physical Interactions (1 groups)
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      iclip, reverse transcription pcr
      Alleles Reported to Model Human Disease (Disease Ontology) (8 alleles)
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      Genetic Tools, Stocks and Reagents
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      Contact lab of origin for a reagent not available from a public stock center.
      Bloomington Stock Center Disease Page
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      References (19)