This report describes infantile parkinsonism-dystonia (PKDYS); PKDYS exhibits autosomal recessive inheritance. The human gene implicated in this disease is SLC6A3, which encodes a dopamine transporter that effects reuptake of the neurotransmitter at presynaptic terminals (a sodium:neurotransmitter symporter). There is a single orthologous dopamine transporter in Drosophila, DAT, for which classical loss-of-function alleles, RNAi targeting constructs, and alleles caused by insertional mutagenesis have been generated. Dmel\DAT is also orthologous to second gene in human, SLC6A2, which acts as a sodium:neurotransmitter symporter for norepinephrine in human. The role of SLC6A3 in development of ADHD and autism has also been investigated in flies (see FBhh0000654 and FBhh0000652).
Multiple different UAS constructs of the human Hsap\SLC6A3 gene have been introduced into flies, including wild-type SLC6A3 and genes carrying mutational lesions. Heterologous rescue (functional complementation) is observed: expression of wild-type SLC6A3 in dopaminergic neurons is able to rescue the hyperactive phenotype of a Dmel\DAT loss-of-function allele. Variant(s) implicated in human disease tested (as transgenic human gene, SLC6A3): the R85L, V158F, L224P, G327R, L368Q, and P554L variant forms have been introduced into flies; these variants are implicated (or possibly implicated) in PKDYS.
Phenotypes of the original loss-of-function mutation of Dmel\DAT (DATfmn) include hyperactivity, sleep-defective phenotypes and locomotor-behavior-defective phenotypes. In this DAT mutant background, variant forms of the human gene fail to rescue the hyperactivity and sleep-defective phenotypes. The ability of pharmacological interventions to rescue phenotypes of the variant forms has been assessed; results differ for the different variants, as do lethal or detrimental effects of drug administration.
[updated Mar. 2020 by FlyBase; FBrf0222196]
[PARKINSONISM-DYSTONIA 1, INFANTILE-ONSET; PKDYS1](https://omim.org/entry/613135)
[SOLUTE CARRIER FAMILY 6 (NEUROTRANSMITTER TRANSPORTER, DOPAMINE), MEMBER 3; SLC6A3](https://omim.org/entry/126455)
Infantile parkinsonism-dystonia is a complex motor neurologic disorder with onset in infancy. Affected individuals show hyperkinesia with orolingual and limb dyskinesia, dystonia, and chorea, or hypokinesia with parkinsonian features, such as bradykinesia, rigidity, and tremor. Other features may include axial hypotonia, pyramidal tract signs, and eye movement abnormalities. Cognitive function appears to be less severely affected. Many patients are misdiagnosed as having cerebral palsy; most patients die in the teenage years (review by Kurian et al., 2011; pubmed:21777827). [from MIM:613135; 2018.02.28]
Infantile parkinsonism-dystonia (PKDYS) is caused by homozygous or compound heterozygous mutation in the SLC6A3 gene. [from MIM:613135; 2018.02.28]
A family of integral membrane proteins, multiple members of the solute carrier family 6 (SLC6) are amine transporters that terminate the action of specific amine neurotransmitters by high affinity sodium-dependent reuptake into presynaptic terminals (described as sodium:neurotransmitter symporters). SLC6A3 is a dopamine transporter (DAT) and is widely distributed throughout the brain in areas of dopaminergic activity, including the striatum and substantia nigra. [Gene Cards, SLC6A3; 2018.02.28]
An increased ratio of homovanillic acid (HVA) to 5-hydroxyindoleacetic acid (5-HIAA) is observed in cerebrospinal fluid, which represents an increase in dopamine metabolites (review by Kurian et al., 2011; pubmed:21777827). [from MIM:613135; 2018.02.28]
Many to one: 2 human to 1 Drosophila; the human genes are SLC6A3 and SLC6A2; multiple less closely related genes exist in both species.
Many to one: 2 human to 1 Drosophila; the human genes are SLC6A3 and SLC6A2; multiple less closely related genes exist in both species.
Moderate- to high-scoring ortholog of human SLC6A3 (human dopamine transporter) and SLC6A2 (human norepinephrine transporter) (1 Drosophila to 2 human); multiple less closely related genes exist in both species. Dmel\DAT shares 52-56% identity and 68-72% similarity with human SLC6A2 and SLC6A3.