A whole exome sequencing study of a Korean proband with idiopathic basal ganglia calcification and its daughter

Medicine (Baltimore). 2018 Oct;97(42):e12918. doi: 10.1097/MD.0000000000012918.

Abstract

Idiopathic basal ganglia calcification (IBGC) is characterized by brain calcification and a wide variety of neurological and psychiatric symptoms. In families displaying an autosomal dominant inheritance pattern, three causative genes have been identified: SLC20A2, PDGFRB, and very recently, PDGFB. While in clinical practice sporadic presentation of IBGC is frequent, well-documented reports of true sporadic occurrences are rare. We report a case of a 61-year-old woman who presented with depressive and dystonic symptoms revealing IBGC. Her 41-year-old daughter was healthy. In the proband, we identified 4 mutations in PDGFB, and 1 exonic mutation in SLC20A2, all of which were absent in the daughter. These mutations may result in a loss-of-function of PDGF-B or SLC20A2, which has been shown to cause IBGC in humans and disrupts the blood-brain barrier in mice resulting in brain calcification. Herein, we present the occurrence of a sporadic patient of IBGC and its causative mutations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Basal Ganglia Diseases / genetics*
  • Calcinosis / genetics*
  • Exome Sequencing
  • Exons / genetics
  • Female
  • Genes, sis / genetics
  • Humans
  • Mice
  • Middle Aged
  • Mutation / genetics
  • Nuclear Family
  • Pedigree
  • Receptor, Platelet-Derived Growth Factor beta / genetics
  • Republic of Korea
  • Sodium-Phosphate Cotransporter Proteins, Type III / genetics

Substances

  • SLC20A2 protein, human
  • Sodium-Phosphate Cotransporter Proteins, Type III
  • PDGFRB protein, human
  • Receptor, Platelet-Derived Growth Factor beta