Evidence map›Paper›PMID 38652538›Full record

ArticleJCI insight2024

Hepatic HIF2 is a key determinant of manganese excess and polycythemia in SLC30A10 deficiency.

Milankumar Prajapati, Jared Z Zhang, Lauren Chiu, Grace S Chong, Courtney J Mercadante, Heather L Kowalski, Bradley Delaney, Jessica A Anderson, Shuling Guo, Mariam Aghajan and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Overlaps in mammalian iron and manganese homeostasis: recent advances.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  5. Article
  6. Removal of Toxic Metabolites-Chelation: Manganese Disorders.Journal of inherited metabolic disease · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Milankumar PrajapatiDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Jared Z ZhangDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Lauren ChiuDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Grace S ChongDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Courtney J MercadanteDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Heather L KowalskiDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Bradley DelaneyDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Jessica A AndersonDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Shuling GuoIonis Pharmaceuticals, Inc., Carlsbad, California, USA.
Mariam AghajanIonis Pharmaceuticals, Inc., Carlsbad, California, USA.
Thomas B BartnikasDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Brown University · USIonis Pharmaceuticals (United States) · US

Funding

UTERINE NK CELL HOMING FROM THE PERIPHERAL CIRCULATIONP20RR018728 · NCRR · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PADBURY, JAMES F · 2003 to 2011
$16.7M
TRAINING IN ENVIRONMENTAL PATHOLOGYT32ES007272 · NIEHS · BROWN UNIVERSITY · PI ZHITKOVICH, ANATOLY · 1992 to 2021
$7.5M
Center for Cancer Signaling NetworksP30GM103410 · NIGMS · BROWN UNIVERSITY · PI ATWOOD, WALTER J · 2012 to 2015
$4.3M
Molecular Basis of Mammalian Manganese HomeostasisR01DK110049 · NIDDK · BROWN UNIVERSITY · PI BARTNIKAS, THOMAS BENEDICT · 2016 to 2025
$3.6M
Predoctoral Training Program in Trans-Disciplinary Pharmacological SciencesT32GM077995 · NIGMS · BROWN UNIVERSITY · PI OANCEA, ELENA · 2010 to 2020
$1.7M
CENTER FOR CANCER SIGNALING NETWORKSP30RR031153 · NCRR · BROWN UNIVERSITY · PI ATWOOD, WALTER J · 2011 to 2011
$1.1M
Regulation of mammalian iron homeostasis by iron and transferrinR00DK084122 · NIDDK · BROWN UNIVERSITY · PI BARTNIKAS, THOMAS BENEDICT · 2013 to 2015
$722k
Regulation of mammalian iron homeostasis by iron and transferrinK99DK084122 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI BARTNIKAS, THOMAS BENEDICT · 2009 to 2010
$265k
The role of manganese absorption in an inherited disease of manganese excessF31DK117524 · NIDDK · BROWN UNIVERSITY · PI MERCADANTE, COURTNEY J. · 2018 to 2019
$73k
NCRR NIH HHS P20 RR018728NCRR NIH HHS P30 RR031153NIDDK NIH HHS F31 DK117524NIDDK NIH HHS K99 DK084122NIDDK NIH HHS R00 DK084122NIDDK NIH HHS R01 DK110049NIEHS NIH HHS T32 ES007272NIGMS NIH HHS P30 GM103410NIGMS NIH HHS T32 GM077995
6 · The paper itself

Abstract

Manganese is an essential yet potentially toxic metal. Initially reported in 2012, mutations in SLC30A10 are the first known inherited cause of manganese excess. SLC30A10 is an apical membrane protein that exports manganese from hepatocytes into bile and from enterocytes into the lumen of the gastrointestinal tract. SLC30A10 deficiency results in impaired gastrointestinal manganese excretion, leading to manganese excess, neurologic deficits, liver cirrhosis, polycythemia, and erythropoietin excess. Neurologic and liver disease are attributed to manganese toxicity. Polycythemia is attributed to erythropoietin excess. The goal of this study was to determine the basis of erythropoietin excess in SLC30A10 deficiency. Here, we demonstrate that transcription factors hypoxia-inducible factor 1a (Hif1a) and 2a (Hif2a), key mediators of the cellular response to hypoxia, are both upregulated in livers of Slc30a10-deficient mice. Hepatic Hif2a deficiency corrected erythropoietin expression and polycythemia and attenuated aberrant hepatic gene expression in Slc30a10-deficient mice, while hepatic Hif1a deficiency had no discernible impact. Hepatic Hif2a deficiency also attenuated manganese excess, though the underlying cause of this is not clear at this time. Overall, our results indicate that hepatic HIF2 is a key determinant of pathophysiology in SLC30A10 deficiency and expand our understanding of the contribution of HIFs to human disease.

Indexed as

Basic Helix-Loop-Helix ProteinsHypoxia-Inducible Factor 1, alpha SubunitLiverManganesePolycythemiaAnimalsCation Transport ProteinsEndothelial PAS Domain-Containing Protein 1ErythropoietinHepatocytesHumansMaleMiceMice, KnockoutBasic Helix-Loop-Helix ProteinsCation Transport ProteinsEndothelial PAS Domain-Containing Protein 1ErythropoietinHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitManganeseGenetic diseasesGeneticsHepatologyMonogenic diseases

Identifiers

PMID38652538
PMCPMC11141921
OpenAlexW4395050555

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.