Abstract

Mutations in the SLC20A2-gene encoding the inorganic phosphate (Pi) transporter PiT2 can explain approximately 40 % of the familial cases of the rare neurodegenerative disorder primary familial brain calcification (Fahr’s disease). The disease characteristic, cerebrovascular-associated calcifications, is also present in Slc20a2-knockout (KO) mice. Little is known about the specific role(s) of PiT2 in the brain. Recent in vitro studies, however, suggest a role in regulation of the [Pi] in cerebrospinal fluid (CSF). We here show that Slc20a2-KO mice indeed have a high CSF [Pi] in agreement with a role of PiT2 in Pi export from the CSF. The implications in relation to disease mechanism are discussed.

Highlights

  • Primary familial brain calcification (PFBC), formerly Fahr’s disease, is a rare autosomal dominantly inherited neurodegenerative disorder with neuropsychiatric and motor symptoms

  • The localizations were confirmed on sections of rat lateral choroid plexus (ChP) [34]. These results suggest that PiT2 plays a major role in maintaining the low [Pi] in the cerebrospinal fluid (CSF) by exporting Pi from the CSF to the blood

  • To address whether Slc20a2-KO mice have an elevated [Pi] in the CSF, we measured the [Pi] in CSF and blood drawn from 3-week-old Slc20a2-KO mice and WT litter mates

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Summary

Introduction

Primary familial brain calcification (PFBC), formerly Fahr’s disease, is a rare autosomal dominantly inherited neurodegenerative disorder with neuropsychiatric and motor symptoms. It is characterized by calcifications in the basal ganglia and other brain regions. In vitro studies show that exposure of vascular smooth muscle cells to hyperphosphatemic conditions leads to trans-differentiation to a mineralizing cell-type [22]. Based on studies of vascular smooth muscle cells, a key step in the Pi-induced calcification process is deregulated expression of type III NaPi symporters, which besides SLC20A2 comprise the highly related SLC20A1 [24]. Individuals with PFBC do, not show elevated serum [Pi] [1, 5, 25], and the function and role of PiT2 in relation to PFBC are not known

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