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Inhibition of Angiopoietin-2 rescues sporadic brain arteriovenous malformations by reducing pericyte loss

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机构: [1]Capital Med Univ, Xuanwu Hosp, Int Neurosci Inst, Dept Neurosurg, Beijing 100053, Peoples R China [2]Peking Univ, Biomed Pioneering Innovat Ctr Biop, Sch Life Sci, Beijing, Peoples R China [3]Peking Univ, Beijing Adv Innovat Ctr Genom ICG, Beijing, Peoples R China [4]Southwest Med Univ, Dept Neurosurg, Affiliated Hosp, Luzhou, Peoples R China [5]Southwest Med Univ, Affiliated Hosp, Sichuan Clin Res Ctr Neurosurg, Luzhou, Peoples R China [6]Hainan Med Univ, Dept Neurosurg, Hainan Gen Hosp, Hainan Affiliated Hosp, Hainan, Peoples R China [7]Second Peoples Hosp Hainan Prov, Dept Neurosurg, Haikou, Hainan, Peoples R China [8]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, 45 Changchun St, Beijing 100053, Peoples R China
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关键词: BRAF Somatic mutation Endothelial cell Pericytes ANGPT-2

摘要:
Brain arteriovenous malformations (bAVMs) are a major cause of hemorrhagic stroke in children and young adults. These lesions are thought to result from somatic KRAS/BRAF mutations in brain endothelial cells (bECs). In this study, we introduce a new bAVM model by inducing a brain endothelial-specific BrafV600E mutation using the Slc1o1c1(BAC)-CreER driver line. The pathological characteristics of this model resemble human bAVMs, including dilated and hyperpermeable vessels, as well as parenchymal hemorrhage. We observed that these lesions showed a typical reduction in pericyte coverage and disruption of the pericyte-endothelial cell connection. Additionally, we found that ANGPT2 levels were significantly increased in the endothelium of bAVM lesions, which may be a critical factor in the pericyte deficits of the malformed vessels. Treatment with an ANGPT2 neutralizing antibody confirmed that blocking ANGPT2 can restore pericyte density in bAVM lesions, improve pericyte coverage around microvessels, enhance tight junction protein coverage related to endothelial cells, and normalize endothelial barrier function. In summary, our findings suggest that increased ANGPT2 expression in endothelial cells with the BrafV600E mutation is a key factor in pericyte deficiencies in bAVMs, highlighting the potential effectiveness of anti-ANGPT2 therapy in treating bAVMs.

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大类 | 1 区 医学
小类 | 2 区 外周血管病
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出版当年[2023]版:
Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Int Neurosci Inst, Dept Neurosurg, Beijing 100053, Peoples R China [4]Southwest Med Univ, Dept Neurosurg, Affiliated Hosp, Luzhou, Peoples R China [5]Southwest Med Univ, Affiliated Hosp, Sichuan Clin Res Ctr Neurosurg, Luzhou, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Int Neurosci Inst, Dept Neurosurg, Beijing 100053, Peoples R China [8]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, 45 Changchun St, Beijing 100053, Peoples R China
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