Evidence map›Paper›PMID 41059649›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2025

RRP12 Variants Are Associated With Autosomal Recessive Brain Calcifications.

Edoardo Monfrini, Paola Rinchetti, Mathieu Anheim, Anna Klingseisen, Ouhaid Lagha-Boukbiza, Zhidong Cen, Dehao Yang, Xinhui Chen, Reza Maroofian, Henry Houlden and 10 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. A Novel Homozygous RRP12 Variant in a Chinese Patient with Early-Onset Cerebellar Ataxia.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. A Novel Frameshift Mutation inBiomedicines · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Edoardo MonfriniDino Ferrari Center, Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0003-4720-9234
Paola RinchettiCenter for Motor Neuron Biology and Diseases, Department of Pathology & Cell Biology and Neurology, Columbia University Irving Medical Center, New York, New York, USA.
Mathieu AnheimNeurology Department, Strasbourg University Hospital, Strasbourg, France.
Anna KlingseisenUK Dementia Research Institute, at University of Edinburgh, Edinburgh, UK.
Ouhaid Lagha-BoukbizaService de Neurologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Zhidong CenDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Dehao YangDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-4129-9761
Xinhui ChenDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0009-0009-9940-9327
Reza MaroofianDepartment of Neuromuscular Diseases, Queen Square, Institute of Neurology, University College London, London, UK.
Henry HouldenDepartment of Neuromuscular Diseases, Queen Square, Institute of Neurology, University College London, London, UK.ORCID https://orcid.org/0000-0002-2866-7777
Gioia CappellettiCenter for Motor Neuron Biology and Diseases, Department of Pathology & Cell Biology and Neurology, Columbia University Irving Medical Center, New York, New York, USA.
Anne-Claire RichardUniv Rouen Normandie, Normandie Univ, Inserm U1245 and CHU Rouen, Department of Genetics, F-76000 Rouen, France.
Olivier QuenezUniv Rouen Normandie, Normandie Univ, Inserm U1245 and CHU Rouen, Department of Genetics, F-76000 Rouen, France.
Camilo ToroNational Institutes of Health, Undiagnosed Diseases Program, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Steven J FruchtThe Marlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, Department of Neurology, NYU Langone Health, New York, New York, USA.
Francesco LottiCenter for Motor Neuron Biology and Diseases, Department of Pathology & Cell Biology and Neurology, Columbia University Irving Medical Center, New York, New York, USA.
Wei LuoDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0001-6951-7698
David HuntUK Dementia Research Institute, at University of Edinburgh, Edinburgh, UK.
Gael NicolasUniv Rouen Normandie, Normandie Univ, Inserm U1245 and CHU Rouen, Department of Genetics, F-76000 Rouen, France.
Giulietta M RiboldiThe Marlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, Department of Neurology, NYU Langone Health, New York, New York, USA.ORCID https://orcid.org/0000-0003-0322-5718

Funding

Early Onset Parkinson’s disease subtypes and pathogenic mechanismsR01NS133742 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Giulietta Maria Riboldi · 2023 to 2026
$2.7M
Conseil Régional de Haute Normandie APERC 2014 no. 2014-19European Union and Région Normandie RIN 2018French National Research Agency ANR-17-CE14-0008-02National Natural Science Foundation of China 82271381National Natural Science Foundation of China 82302081NIH HHS R01 NS133742Science and Technology Program of Zhejiang Province 2024C03100the Medical Research Foundation Connect Immune and UKDRI Edin0011 (Medical Research Council)U.S. Department of Defense PD210038Wellcome Trust 215621_Z_19_Z
6 · The paper itself

Abstract

backgroundPrimary brain calcifications are observed in several inherited diseases due to different pathogenic mechanisms, including the disruption of the neurovascular unit, mitochondrial dysfunction, and impaired nucleic acid metabolism.

objectiveThe aim of the study was to identify a novel genetic cause of brain calcifications in genetically unresolved cases.

methodsExome sequencing data from two unrelated Pakistani patients with generalized dystonia and primary brain calcifications were analyzed. The best candidate gene (ie, RRP12) was then investigated in two large cohorts of patients with brain calcifications from France (n = 111) and China (n = 543). RRP12 loss-of-function phenotype was explored through Western blot and immunocytofluorescence studies on patient-derived fibroblasts and in a knockdown zebrafish model.

resultsA combined approach of exome sequencing and homozygosity mapping allowed the prioritization of a rare homozygous variant in RRP12 (c.1558C>T, p.R520C) in two apparently unrelated Pakistani patients from consanguineous families, presenting with infantile-onset generalized dystonia, spasticity, and widespread brain calcifications. Screening of two large cohorts of patients with unresolved brain calcifications revealed two affected French siblings and one unrelated Chinese individual, each carrying rare, biallelic, missense variants in the RRP12 gene (c.1429G>A, p.E477K and c.2634T>G, p.F878L, respectively). Molecular studies revealed a significant reduction in RRP12 protein and abnormal nucleolar morphology in patient'derived fibroblasts. Consistent with its essential role in RNA metabolism, rrp12 knockdown in zebrafish caused severe developmental delay, crimping, and early lethality.

conclusionsRRP12 is a novel candidate gene for autosomal recessive brain calcifications, possibly associated with a wide clinical spectrum ranging from early-onset severe forms to adult-onset paucisymptomatic presentations. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

BrainBrain DiseasesCalcinosisAdultAnimalsChildChinaExome SequencingFemaleFranceHumansMalePakistanPedigreeZebrafishbrain calcificationsdystoniaPFBCprimary familial brain calcificationRRP12

Identifiers

PMID41059649
PMCPMC13001700

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.