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Manganese supplementation enhances cnidarian–dinoflagellate symbiosis under thermal stress
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  • Published: 24 February 2026

Manganese supplementation enhances cnidarian–dinoflagellate symbiosis under thermal stress

  • Hadley England  ORCID: orcid.org/0009-0004-0868-95751,
  • Clinton A. Oakley2,
  • Andrei Herdean  ORCID: orcid.org/0000-0003-2143-02131,
  • David J. Hughes3,
  • Kittikun Songsomboon1,
  • Jennifer L. Matthews  ORCID: orcid.org/0000-0002-2766-86711 &
  • …
  • Emma F. Camp  ORCID: orcid.org/0000-0003-1962-13361 

Communications Biology , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Ecology
  • Photosystem II
  • Proteomics

Abstract

Manganese (Mn) is an essential trace element for all photosynthetic life, playing an integral role in their photosystems, metabolism, and antioxidant activity. For corals, most studies focus on the potential toxicity of Mn at high concentrations (e.g. >700 µg L-1). However, there has been less exploration on beneficial, biologically relevant levels of Mn. Combining promtomics, ICP, and PAM fluorometry, we evaluate how Mn supplementation at increasing concentrations (0.5, 4.8, 11.4, 15.6 µg L-1) alters the physiology and proteome of the model cnidarian, Exaiptasia diaphana, when subjected to ambient (26 ˚C) and elevated (32 ˚C) temperatures. We demonstrate that Mn from 4.8 to 15.6 µg L-1 mitigates thermal stress to E. diaphana, resulting in reduced photochemical damage and symbiont expulsion. Derived photobiology and proteomics data contributes to a mechanistic model for how Mn reduces thermal susceptibility, supporting the viability of Mn additions to enhance the protective capacities of photosynthetic cnidarians during heatwaves.

Data availability

The authors declare that data supporting the findings of this study are available within the paper, Supplementary Materials and Supplementary Data. Proteomics data is available online at https://doi.org/10.5281/zenodo.18398778 under the repository name ‘England et al. 2026 Comms Bio’.

References

  1. Ferrier-Pagès, C., Schoelzke, V., Jaubert, J., Muscatine, L. & Hoegh-Guldberg, O. Response of a scleractinian coral, Stylophora pistillata, to iron and nitrate enrichment. J. Exp. Mar. Biol. Ecol. 259, 249–261 (2001).

    Google Scholar 

  2. Pogoreutz, C. et al. Coral holobiont cues prime Endozoicomonas for a symbiotic lifestyle. ISME J. 16, 1883–1895 (2022).

    Google Scholar 

  3. LaJeunesse, T. C. et al. Systematic Revision of Symbiodiniaceae Highlights the Antiquity and Diversity of Coral Endosymbionts. Curr. Biol. 28, 2570–2580.e6 (2018).

    Google Scholar 

  4. Grima, A. J. et al. Species-specific elementomes for scleractinian coral hosts and their associated Symbiodiniaceae. Coral Reefs 41, 1115–1130 (2022).

    Google Scholar 

  5. Hillyer, K. E. et al. Metabolite profiling of symbiont and host during thermal stress and bleaching in the coral Acropora aspera. Coral Reefs 36, 105–118 (2017).

    Google Scholar 

  6. Matthews, J. L. et al. Partner switching and metabolic flux in a model cnidarian–dinoflagellate symbiosis. Proc. R. Soc. B Biol. Sci. 285, 20182336 (2018).

    Google Scholar 

  7. Ros, M. et al. Unlocking the black-box of inorganic carbon-uptake and utilization strategies among coral endosymbionts (Symbiodiniaceae). Limnol. Oceanogr. 65, 1747–1763 (2020).

    Google Scholar 

  8. Nielsen, D. A., Petrou, K. & Gates, R. D. Coral bleaching from a single cell perspective. ISME J. 12, 1558–1567 (2018).

    Google Scholar 

  9. Yellowlees, D., Rees, T. A. V. & Leggat, W. Metabolic interactions between algal symbionts and invertebrate hosts. Plant Cell Environ. 31, 679–694 (2008).

    Google Scholar 

  10. Suggett, D. J. & Smith, D. J. Coral bleaching patterns are the outcome of complex biological and environmental networking. Glob. Change Biol. 26, 68–79 (2020).

    Google Scholar 

  11. Rädecker, N. et al. Heat stress destabilizes symbiotic nutrient cycling in corals. Proc. Natl. Acad. Sci. 118, e2022653118 (2021).

    Google Scholar 

  12. Hughes, T. P. et al. Global warming and recurrent mass bleaching of corals. Nature 543, 373–377H (2017).

    Google Scholar 

  13. Montalbetti, E. et al. Manganese Benefits Heat-Stressed Corals at the Cellular Level. Front. Mar. Sci. https://doi.org/10.3389/fmars.2021.681119 (2021)

  14. Biscéré, T., Ferrier-Pagès, C., Gilbert, A., Pichler, T. & Houlbrèque, F. Evidence for mitigation of coral bleaching by manganese. Sci. Rep. Nat. Publ. Group 8, 1–10 (2018).

    Google Scholar 

  15. Camp, E. F. et al. Micronutrient content drives elementome variability amongst the Symbiodiniaceae. BMC Plant Biol. 22, 184 (2022).

    Google Scholar 

  16. Reich, H. G., Camp, E. F., Roger, L. M. & Putnam, H. M. The trace metal economy of the coral holobiont: supplies, demands and exchanges. Biol. Rev. 98, 623–642 (2023).

    Google Scholar 

  17. Balaguer, J., Koch, F., Hassler, C. & Trimborn, S. Iron and manganese co-limit the growth of two phytoplankton groups dominant at two locations of the Drake Passage. Commun. Biol. 5, 1–12 (2022).

    Google Scholar 

  18. Browning, T. J., Achterberg, E. P., Engel, A. & Mawji, E. Manganese co-limitation of phytoplankton growth and major nutrient drawdown in the Southern Ocean. Nat. Commun. 12, 884 (2021).

    Google Scholar 

  19. Holley, A. K., Bakthavatchalu, V., Velez-Roman, J. M. & St. Clair, D. K. Manganese Superoxide Dismutase: Guardian of the Powerhouse. Int. J. Mol. Sci. 12, 7114–7162 (2011).

    Google Scholar 

  20. Schmidt, S. B. et al. Photosystem II Functionality in Barley Responds Dynamically to Changes in Leaf Manganese Status. Front. Plant Sci. 7, 1772 (2016).

  21. Banci, L. Structural properties of peroxidases. J. Biotechnol. 53, 253–263 (1997).

    Google Scholar 

  22. Wilcox, S. K. et al. Rational Design of a Functional Metalloenzyme:  Introduction of a Site for Manganese Binding and Oxidation into a Heme Peroxidase. Biochemistry 37, 16853–16862 (1998).

    Google Scholar 

  23. Dykens, J. A. & Shick, J. M. Oxygen production by endosymbiotic algae controls superoxide dismutase activity in their animal host. Nature 297, 579–580 (1982).

    Google Scholar 

  24. Grasso, L. C. et al. Microarray analysis identifies candidate genes for key roles in coral development. BMC Genomics 9, 540 (2008).

    Google Scholar 

  25. Golding, L. A. et al. Acute and chronic toxicity of manganese to tropical adult coral (Acropora millepora) to support the derivation of marine manganese water quality guideline values. Mar. Pollut. Bull. 194, 115242 (2023).

    Google Scholar 

  26. Morley, N. H., Burton, J. D., Tankere, S. P. C. & Martin, J.-M. Distribution and behaviour of some dissolved trace metals in the western Mediterranean Sea. Deep Sea Res. Part II Top. Stud. Oceanogr. 44, 675–691 (1997).

    Google Scholar 

  27. Srichandan, S. et al. Distribution of trace metals in surface seawater and zooplankton of the Bay of Bengal, off Rushikulya estuary, East Coast of India. Mar. Pollut. Bull. 111, 468–475 (2016).

    Google Scholar 

  28. S, R. R. et al. Heavy Metal Contamination and Risk Assessment in the Marine Environment of Arabian Sea, along the Southwest Coast of India. Am. J. Chem. 2, 191–208 (2012).

    Google Scholar 

  29. Summer, K., Reichelt-Brushett, A. & Howe, P. Toxicity of manganese to various life stages of selected marine cnidarian species. Ecotoxicol. Environ. Saf. 167, 83–94 (2019).

    Google Scholar 

  30. England, H. et al. Timing and method of manganese supplementation effects thermal resilience of Acropora millepora. BioMetals https://doi.org/10.1007/s10534-025-00774-7 (2025).

  31. Dungan, A. M. et al. Exaiptasia diaphana from the great barrier reef: a valuable resource for coral symbiosis research. Symbiosis 80, 195–206 (2020).

    Google Scholar 

  32. Matthews, J. L. et al. Menthol-induced bleaching rapidly and effectively provides experimental aposymbiotic sea anemones (Aiptasia sp.) for symbiosis investigations. J. Exp. Biol. 219, 306–310 (2016).

    Google Scholar 

  33. Matthews, J. L. et al. Optimal nutrient exchange and immune responses operate in partner specificity in the cnidarian-dinoflagellate symbiosis. Proc. Natl. Acad. Sci. 114, 13194–13199 (2017).

    Google Scholar 

  34. Baumgarten, S. et al. The genome of Aiptasia, a sea anemone model for coral symbiosis. Proc. Natl. Acad. Sci. 112, 11893–11898 (2015).

    Google Scholar 

  35. Lehnert, E. M., Burriesci, M. S. & Pringle, J. R. Developing the anemone Aiptasia as a tractable model for cnidarian-dinoflagellate symbiosis: the transcriptome of aposymbiotic A. pallida. BMC Genomics 13, 271 (2012).

    Google Scholar 

  36. Sproles, A. E. et al. Proteomics quantifies protein expression changes in a model cnidarian colonised by a thermally tolerant but suboptimal symbiont. ISME J. 13, 2334–2345 (2019).

    Google Scholar 

  37. Rädecker, N. et al. Using Aiptasia as a Model to Study Metabolic Interactions in Cnidarian-Symbiodinium Symbioses. Front. Physiol. 9, 214 (2018).

  38. Ferrier-Pagès, C., Sauzéat, L. & Balter, V. Coral bleaching is linked to the capacity of the animal host to supply essential metals to the symbionts. Glob. Change Biol. 24, 3145–3157 (2018).

    Google Scholar 

  39. Fujise, L. et al. Moderate Thermal Stress Causes Active and Immediate Expulsion of Photosynthetically Damaged Zooxanthellae (Symbiodinium) from Corals. PLOS ONE 9, e114321 (2014).

    Google Scholar 

  40. Dasgupta, J., Ananyev, G. M. & Dismukes, G. C. Photoassembly of the Water-Oxidizing Complex in Photosystem II. Coord. Chem. Rev. 252, 347–360 (2008).

    Google Scholar 

  41. de Bang, T. C. et al. A laser ablation ICP-MS based method for multiplexed immunoblot analysis: applications to manganese-dependent protein dynamics of photosystem II in barley (Hordeum vulgare L.). Plant J. 83, 555–565 (2015).

    Google Scholar 

  42. Smythers, A. L. et al. Excess manganese increases photosynthetic activity via enhanced reducing center and antenna plasticity in Chlorella vulgaris. Sci. Rep. Nat. Publ. Group 13, 11301 (2023).

    Google Scholar 

  43. Allakhverdiev, S. I. et al. Heat stress: an overview of molecular responses in photosynthesis. Photosynth. Res. 98, 541–550 (2008).

    Google Scholar 

  44. Mathur, S., Agrawal, D. & Jajoo, A. Photosynthesis: Response to high temperature stress. J. Photochem. Photobiol. B 137, 116–126 (2014).

    Google Scholar 

  45. Iyagbaye, L., Reichelt-Brushett, A. & Benkendorff, K. Manganese uptake and partitioning between the tissue of the anemone host Exaiptasia pallida and Symbiodinium spp., including assessment of stress and recovery. Chemosphere 295, 133895 (2022).

    Google Scholar 

  46. Oakley, C. A., Newson, G. I., Peng, L. & Davy, S. K. The Symbiodinium Proteome Response to Thermal and Nutrient Stresses. Plant Cell Physiol. 64, 433–447 (2023).

    Google Scholar 

  47. Crystal Structure of the Oxygen-Evolving Complex of Photosystem II | Inorganic Chemistry. https://pubs-acs-org.ezproxy.lib.uts.edu.au/doi/full/10.1021/ic701835r.

  48. Guerrero, F. et al. A High Redox Potential Form of Cytochrome c550 in Photosystem II from Thermosynechococcus elongatus*. J. Biol. Chem. 286, 5985–5994 (2011).

    Google Scholar 

  49. Roncel, M., Kirilovsky, D., Guerrero, F., Serrano, A. & Ortega, J. M. Photosynthetic cytochrome c550. Biochim. Biophys. Acta 1817, 1152–1163 (2012).

    Google Scholar 

  50. Nishiyama, Y., Los, D. A., Hayashi, H. & Murata, N. Thermal protection of the oxygen-evolving machinery by PsbU, an extrinsic protein of photosystem II, in Synechococcus species PCC 7002. Plant Physiol. 115, 1473–1480 (1997).

    Google Scholar 

  51. Nishiyama, Y., Los, D. A. & Murata, N. PsbU, a protein associated with photosystem II, is required for the acquisition of cellular thermotolerance in Synechococcus species PCC 7002. Plant Physiol. 120, 301 (1999).

    Google Scholar 

  52. Roose, J. L., Frankel, L. K., Mummadisetti, M. P. & Bricker, T. M. The extrinsic proteins of photosystem II: update. Planta Int. J. Plant Biol. 243, 889–908 (2016).

    Google Scholar 

  53. Nagao, R. et al. Binding and Functional Properties of Five Extrinsic Proteins in Oxygen-evolving Photosystem II from a Marine Centric Diatom, Chaetoceros gracilis. J. Biol. Chem. 285, 29191–29199 (2010).

    Google Scholar 

  54. Chen, M.-C., Cheng, Y.-M., Sung, P.-J., Kuo, C.-E. & Fang, L.-S. Molecular identification of Rab7 (ApRab7) in Aiptasia pulchella and its exclusion from phagosomes harboring zooxanthellae. Biochem. Biophys. Res. Commun. 308, 586–595 (2003).

    Google Scholar 

  55. Fitt, W. K. & Trench, R. K. Endocytosis of the symbiotic dinoflagellate Symbiodinium microadriaticum freudenthal by endodermal cells of the scyphistomae of Cassiopeia xamachana and resistance of the algae to host digestion. J. Cell Sci. 64, 195–212 (1983).

    Google Scholar 

  56. Krueger, T. et al. Differential coral bleaching—Contrasting the activity and response of enzymatic antioxidants in symbiotic partners under thermal stress. Comp. Biochem. Physiol. A. Mol. Integr. Physiol. 190, 15–25 (2015).

    Google Scholar 

  57. Mukherjee, A. Role of DnaK-DnaJ Proteins in PSII Repair. Plant Physiol. 182, 1804–1805 (2020).

    Google Scholar 

  58. Xu, H.-F. et al. Dehydration-Induced DnaK2 Chaperone Is Involved in PSII Repair of a Desiccation-Tolerant Cyanobacterium1. Plant Physiol. 182, 1991–2005 (2020).

    Google Scholar 

  59. Takahashi, S., Nakamura, T., Sakamizu, M., van Woesik, R. & Yamasaki, H. Repair Machinery of Symbiotic Photosynthesis as the Primary Target of Heat Stress for Reef-Building Corals. Plant Cell Physiol. 45, 251–255 (2004).

    Google Scholar 

  60. Yan, Y. et al. HSP90.2 promotes CO2 assimilation rate, grain weight and yield in wheat. Plant Biotechnol. J. 21, 1229–1239 (2023).

    Google Scholar 

  61. Schlotheuber, M. et al. High temporal resolution of hydrogen peroxide (H2O2) dynamics during heat stress does not support a causative role in coral bleaching. Coral Reefs 43, 119–133 (2024).

    Google Scholar 

  62. Wang, L. et al. The Metabolism of Reactive Oxygen Species and Their Effects on Lipid Biosynthesis of Microalgae. Int. J. Mol. Sci. 24, 11041 (2023).

    Google Scholar 

  63. Tolleter, D. et al. Coral Bleaching Independent of Photosynthetic Activity. Curr. Biol. 23, 1782–1786 (2013).

    Google Scholar 

  64. Dungan, A. M., Maire, J., Perez-Gonzalez, A., Blackall, L. L. & van Oppen, M. J. H. Lack of evidence for the oxidative stress theory of bleaching in the sea anemone, Exaiptasia diaphana, under elevated temperature. Coral Reefs 41, 1161–1172 (2022).

    Google Scholar 

  65. Diamant, S., Azem, A., Weiss, C. & Goloubinoff, P. Increased Efficiency of GroE-assisted Protein Folding by Manganese Ions. J. Biol. Chem. 270, 28387–28391 (1995).

    Google Scholar 

  66. Diamant, S., Azem, A., Weiss, C. & Goloubinoff, P. Effect of free and ATP-bound magnesium and manganese ions on the ATPase activity of chaperonin GroEL14. Biochemistry 34, 273–277 (1995).

    Google Scholar 

  67. Chen, P., Bornhorst, J. & Aschner, M. Manganese metabolism in humans. Front. Biosci. Landmark Ed. 23, 1655–1679 (2018).

    Google Scholar 

  68. Tsednee, M. et al. Manganese co-localizes with calcium and phosphorus in Chlamydomonas acidocalcisomes and is mobilized in manganese-deficient conditions. J. Biol. Chem. 294, 17626–17641 (2019).

    Google Scholar 

  69. Wisniewski, J. R., Zougman, A., Nagaraj, N. & Mann, M. Universal sample preparation method for proteome analysis. Nat. Methods 6, 359–362 (2009).

    Google Scholar 

  70. Parkinson, J. E. et al. Gene Expression Variation Resolves Species and Individual Strains among Coral-Associated Dinoflagellates within the Genus Symbiodinium. Genome Biol. Evol. 8, 665–680 (2016).

    Google Scholar 

  71. Ritchie, M. E. et al. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res. 43, e47 (2015).

    Google Scholar 

  72. Törönen, P., Medlar, A. & Holm, L. PANNZER2: a rapid functional annotation web server. Nucleic Acids Res. 46, W84–W88 (2018).

    Google Scholar 

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Acknowledgements

Funding of this work was supported from a Philanthropic Donation of David and Susan Rockefeller to E.F.C. and via a CORDAP Coral Accelerator Program (CAP) 2022, project 1184:Super Supplement – Boosting Coral Resilience through Nutritional Subsidies awarded to E.F.C. and J.L.M.

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Authors and Affiliations

  1. University of Technology Sydney, Climate Change Cluster, Ultimo, NSW, Australia

    Hadley England, Andrei Herdean, Kittikun Songsomboon, Jennifer L. Matthews & Emma F. Camp

  2. Victoria University of Wellington, Wellington, NSW, New Zealand

    Clinton A. Oakley

  3. National Sea Simulator, Australian Institute of Marine Science, Townsville, QLD, Australia

    David J. Hughes

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  1. Hadley England
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  2. Clinton A. Oakley
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Contributions

H.E. and E.F.C. conceived the project with input from D.H., J.L.M. and A.H. H.E. conducted the experiment. H.E. and C.O. undertook the proteomics analysis. K.S. conducted Top GO analysis. E.F.C., J.L.M., and A.H. supervised the project. H.E. and E.F.C. led the writing, with input and editing from all. E.F.C. acquired the funding and administered the project.

Corresponding authors

Correspondence to Hadley England or Emma F. Camp.

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Communications Biology thanks Jin Zhou, Victor H. Beltrán and the other, anonymous, reviewers for their contribution to the peer review of this work. Primary Handling Editors: Linn Hoffmann and Mengtan Xing.

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England, H., Oakley, C.A., Herdean, A. et al. Manganese supplementation enhances cnidarian–dinoflagellate symbiosis under thermal stress. Commun Biol (2026). https://doi.org/10.1038/s42003-026-09748-y

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  • Received: 13 June 2025

  • Accepted: 13 February 2026

  • Published: 24 February 2026

  • DOI: https://doi.org/10.1038/s42003-026-09748-y

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