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Originally published In Press as doi:10.1074/jbc.M213176200 on February 11, 2003
J. Biol. Chem., Vol. 278, Issue 20, 18297-18302, May 16, 2003
Loss of Murine
Na+/myo-Inositol Cotransporter Leads
to Brain myo-Inositol Depletion and Central Apnea*
Gerard T.
Berry §,
Shuang
Wu ,
Roberto
Buccafusca ,
Jun
Ren¶,
Linda
W.
Gonzales ,
Philip L.
Ballard ,
Jeffrey A.
Golden**,
Martin J.
Stevens , and
John J.
Greer¶
From the Departments of Pediatrics and
** Pathology, University of Pennsylvania School of
Medicine, Divisions of Human Genetics and Molecular Biology and
Neonatology Research, The Children's Hospital of
Philadelphia, Philadelphia, Pennsylvania 19104, ¶ Department of
Physiology, Division of Neuroscience, University of Alberta, Edmonton,
Alberta T6G 2S2, Canada, and the  Department
of Medicine, Division of Endocrinology and Metabolism, University of
Michigan Medical School, Ann Arbor, Michigan 48109-0354
myo-Inositol (Ins)
and its polyphosphoinositide derivatives that are important in membrane
signaling have long been held to play a special role in brain
metabolism. As polyphosphoinositides turn over rapidly and are
exceptionally abundant in nervous tissue, high Ins levels in the range
of 2-15 mM that have been observed in brain may be
necessary to maintain the rates of phosphoinositide synthesis in
diverse membrane locations within neurons. Cellular concentration
gradients of this magnitude indicate a dependence on active Ins
transport, especially at the time of growth and differentiation. The
Na+/myo-inositol cotransporter
(SMIT1 or SLC5A3) gene is highly expressed prenatally in the central nervous system and placenta. To gain more
insight into brain Ins metabolism, while ascertaining the importance of
SMIT1 as a transporter, we generated mice with a homozygous targeted
deletion of this gene. Newborn SMIT1( / ) animals
have no evidence of SMIT1 mRNA, a 92% reduction in the level of
brain Ins, an 84% reduction in whole body Ins, and expire shortly
after birth due to hypoventilation. Gross pathologic and light
microscopic examinations of each organ, as well as the placenta, of
embryonic day 18.5 fetuses at near term gestation were normal. Based on
[3H]acetate incorporation into phospholipids of lung
tissue explants, immunostaining of lung tissue for surfactant protein
A, B, and C, and electron microscopic examination of alveolar cells,
there was no evidence of abnormal pulmonary surfactant production by type 2 pneumocytes in lung. Although no histologic lesions were detected in the nervous system, electrophysiological studies of the
brainstem pre-Bötzinger respiratory control center demonstrated an abnormal rhythm discharge with periods of central apnea. The cause
of death can be explained by the regulatory defect in brainstem control
of ventilation. This model demonstrates the critical importance of
SMIT1 in the developing nervous system. The high affinity
SMIT1 transporter is responsible for the Ins concentration gradient in the murine fetal-placental unit.
*
This work was supported by grants from the March of Dimes
(to G. T. B.), the American Diabetes Association (to M. J. S.), and
the Canadian Institutes of Health (CIHR) (to J. J. G.). A preliminary
account of this work was initially reported, at least in part, at the
annual meeting of the American Society of Human Genetics in October
1999 in San Francisco, CA.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
§
To whom correspondence should be addressed: Jefferson Medical
College, 1025 Walnut St., Suite 102, Philadelphia, PA 19107-5083. Tel.:
215-955-7806; Fax: 215-955-2868; E-mail:
gerard.berry@jefferson.edu.
Copyright © 2003 by The American Society for Biochemistry and Molecular Biology, Inc.

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Copyright © 2003 by the American Society for Biochemistry and Molecular Biology.
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