PDGF, pericytes and the pathogenesis of idiopathic basal ganglia calcification (IBGC)

Brain Pathol. 2014 Jul;24(4):387-95. doi: 10.1111/bpa.12158.

Abstract

Platelet-derived growth factors (PDGFs) are important mitogens for various types of mesenchymal cells, and as such, they exert critical functions during organogenesis in mammalian embryonic and early postnatal development. Increased or ectopic PDGF activity may also cause or contribute to diseases such as cancer and tissue fibrosis. Until recently, no loss-of-function (LOF) mutations in PDGF or PDGF receptor genes were reported as causally linked to a human disease. This changed in 2013 when reports appeared on presumed LOF mutations in the genes encoding PDGF-B and its receptor PDGF receptor-beta (PDGF-Rβ) in familial idiopathic basal ganglia calcification (IBGC), a brain disease characterized by anatomically localized calcifications in or near the blood microvessels. Here, we review PDGF-B and PDGF-Rβ biology with special reference to their functions in brain-blood vessel development, pericyte recruitment and the regulation of the blood-brain barrier. We also discuss various scenarios for IBGC pathogenesis suggested by observations in patients and genetically engineered animal models of the disease.

Keywords: Pericytes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Basal Ganglia Diseases / genetics
  • Basal Ganglia Diseases / pathology
  • Basal Ganglia Diseases / physiopathology*
  • Blood-Brain Barrier / pathology
  • Blood-Brain Barrier / physiopathology
  • Calcinosis / genetics
  • Calcinosis / pathology
  • Calcinosis / physiopathology*
  • Humans
  • Neurodegenerative Diseases / genetics
  • Neurodegenerative Diseases / pathology
  • Neurodegenerative Diseases / physiopathology*
  • Pericytes / pathology
  • Pericytes / physiology*
  • Platelet-Derived Growth Factor / metabolism*

Substances

  • Platelet-Derived Growth Factor

Supplementary concepts

  • Fahr's disease