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.
基金:
National Natural Science Foundation of China (No. 82220108010, 82330038, 82122020,82201439, 82101369), Beijing Municipal Education Commission (BPHR20220113), Beijing Physician Scientist Training Project (BJPSTP-2024-26) and Hainan Science and Technology Project(ZDYF2021SHFZ111).
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Tu Tianqi,Zhang Shikun,Li Jingwei,et al.Inhibition of Angiopoietin-2 rescues sporadic brain arteriovenous malformations by reducing pericyte loss[J].ANGIOGENESIS.2025,28(1):doi:10.1007/s10456-024-09957-1.
APA:
Tu, Tianqi,Zhang, Shikun,Li, Jingwei,Jiang, Chendan,Ren, Jian...&Yu, Jiaxing.(2025).Inhibition of Angiopoietin-2 rescues sporadic brain arteriovenous malformations by reducing pericyte loss.ANGIOGENESIS,28,(1)
MLA:
Tu, Tianqi,et al."Inhibition of Angiopoietin-2 rescues sporadic brain arteriovenous malformations by reducing pericyte loss".ANGIOGENESIS 28..1(2025)