First published online March 1, 2004
Development 131, 606e (2004)
© The Company of Biologists Limited
A rush of blood to the brain
Haemorrhagic stroke, which occurs when a blood vessel bursts within the
brain, is frequently associated with intracranial vascular malformations. On
p. 1437, Whitehead et
al. turn the developmental spotlight onto one such malformation - cerebral
cavernous malformation (CCM). Human CCM is characterised by enlarged,
thin-walled vascular structures in the central nervous system and has been
linked to loss-of-function mutations in the CCM1 locus. Whitehead and
colleagues report that the earliest defects in Ccm1-/-
mouse embryos (seen at E8.5) are vascular; in particular, the precursor
vessels of the brain become dilated. These defects are reminiscent of human
CCMs and are associated with disruption of arterial specification. Consistent
with this, expression of Notch4, a marker of arterial specification,
is downregulated in the arterioles of people with CCM1 mutations.
Thus, CCM may result from defects in arterial specification and the authors
suggest that the same may be true for other vascular malformations.
Related articles in Development:
- Ccm1 is required for arterial morphogenesis: implications for the etiology of human cavernous malformations
- Kevin J. Whitehead, Nicholas W. Plummer, Jennifer A. Adams, Douglas A. Marchuk, and Dean Y. Li
Development 2004 131: 1437-1448.
[Abstract]
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