Exceptional aggressiveness of cerebral cavernous malformation disease associated with PDCD10 mutations
Purpose: The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase–mediated hyperpermeability, a potential therapeutic target, has not been established. Methods: We analyzed PDC...
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Published in | Genetics in medicine Vol. 17; no. 3; pp. 188 - 196 |
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Main Authors | , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Nature Publishing Group US
01.03.2015
Elsevier Limited |
Subjects | |
Online Access | Get full text |
ISSN | 1098-3600 1530-0366 1530-0366 |
DOI | 10.1038/gim.2014.97 |
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Abstract | Purpose:
The phenotypic manifestations of cerebral cavernous malformation disease caused by rare
PDCD10
mutations have not been systematically examined, and a mechanistic link to Rho kinase–mediated hyperpermeability, a potential therapeutic target, has not been established.
Methods:
We analyzed
PDCD10
small interfering RNA–treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with
PDCD10
mutations.
Results:
We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro.
Pdcd10
heterozygous mice have greater lesion burden than other
Ccm
genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with
PDCD10
mutation. Clinical phenotype is exceptionally aggressive compared with the more common
KRIT1
and
CCM2
familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding.
Conclusion:
These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials.
Genet Med
17
3, 188–196. |
---|---|
AbstractList | Purpose: The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase-mediated hyperpermeability, a potential therapeutic target, has not been established. Methods: We analyzed PDCD10 small interfering RNA-treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations. Results: We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding. Conclusion: These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials. Purpose:The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase-mediated hyperpermeability, a potential therapeutic target, has not been established.Methods:We analyzed PDCD10 small interfering RNA-treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations.Results:We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding.Conclusion:These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials.Genet Med 17 3, 188-196. The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase-mediated hyperpermeability, a potential therapeutic target, has not been established. We analyzed PDCD10 small interfering RNA-treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations. We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding. These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials.Genet Med 17 3, 188-196. Purpose: The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase–mediated hyperpermeability, a potential therapeutic target, has not been established. Methods: We analyzed PDCD10 small interfering RNA–treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations. Results: We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding. Conclusion: These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials. Genet Med 17 3, 188–196. The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase-mediated hyperpermeability, a potential therapeutic target, has not been established.PURPOSEThe phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a mechanistic link to Rho kinase-mediated hyperpermeability, a potential therapeutic target, has not been established.We analyzed PDCD10 small interfering RNA-treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations.METHODSWe analyzed PDCD10 small interfering RNA-treated endothelial cells for stress fibers, Rho kinase activity, and permeability. Rho kinase activity was assessed in cerebral cavernous malformation lesions. Brain permeability and cerebral cavernous malformation lesion burden were quantified, and clinical manifestations were assessed in prospectively enrolled subjects with PDCD10 mutations.We determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding.RESULTSWe determined that PDCD10 protein suppresses endothelial stress fibers, Rho kinase activity, and permeability in vitro. Pdcd10 heterozygous mice have greater lesion burden than other Ccm genotypes. We demonstrated robust Rho kinase activity in murine and human cerebral cavernous malformation vasculature and increased brain vascular permeability in humans with PDCD10 mutation. Clinical phenotype is exceptionally aggressive compared with the more common KRIT1 and CCM2 familial and sporadic cerebral cavernous malformation, with greater lesion burden and more frequent hemorrhages earlier in life. We first report other phenotypic features, including scoliosis, cognitive disability, and skin lesions, unrelated to lesion burden or bleeding.These findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials.Genet Med 17 3, 188-196.CONCLUSIONThese findings define a unique cerebral cavernous malformation disease with exceptional aggressiveness, and they inform preclinical therapeutic testing, clinical counseling, and the design of trials.Genet Med 17 3, 188-196. |
Author | McDonald, David A. Zhang, Lingjiao Stockton, Rebecca A. Shi, Changbin Akers, Amy L. Gallione, Carol J. Shenkar, Robert Rebeiz, Tania Min, Wang Lee, Connie Awad, Issam A. Mikati, Abdul Ghani Rorrer, Autumn Gunel, Murat Austin, Cecilia Marchuk, Douglas A. Marcondes de Souza, Jorge |
AuthorAffiliation | 3 Department of Pediatrics, University of California at Los Angeles, Torrance, CA 90502, USA 7 Departments of Neurosurgery and Neurobiology, Yale University, New Haven, CT 06520, USA 2 Department of Neurology, The University of Chicago Medicine, Chicago, IL 60637, USA 6 Angioma Alliance, Norfolk, VA 23510, USA 8 Department of Pathology, Yale University, New Haven, CT 06520, USA 9 Department of Neurosurgery, School of Medicine, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil 4 Department of Molecular Genetics and Microbiology, Duke University, Durham, NC 27710, USA 5 Center for Science, Math and Technology Education, North Carolina Central University, Durham, NC 27707, USA 1 Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine, Chicago, IL 60637, USA |
AuthorAffiliation_xml | – name: 6 Angioma Alliance, Norfolk, VA 23510, USA – name: 3 Department of Pediatrics, University of California at Los Angeles, Torrance, CA 90502, USA – name: 7 Departments of Neurosurgery and Neurobiology, Yale University, New Haven, CT 06520, USA – name: 9 Department of Neurosurgery, School of Medicine, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil – name: 2 Department of Neurology, The University of Chicago Medicine, Chicago, IL 60637, USA – name: 5 Center for Science, Math and Technology Education, North Carolina Central University, Durham, NC 27707, USA – name: 4 Department of Molecular Genetics and Microbiology, Duke University, Durham, NC 27710, USA – name: 8 Department of Pathology, Yale University, New Haven, CT 06520, USA – name: 1 Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine, Chicago, IL 60637, USA |
Author_xml | – sequence: 1 givenname: Robert surname: Shenkar fullname: Shenkar, Robert organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine – sequence: 2 givenname: Changbin surname: Shi fullname: Shi, Changbin organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine – sequence: 3 givenname: Tania surname: Rebeiz fullname: Rebeiz, Tania organization: Department of Neurology, The University of Chicago Medicine – sequence: 4 givenname: Rebecca A. surname: Stockton fullname: Stockton, Rebecca A. organization: Department of Pediatrics, University of California, Los Angeles – sequence: 5 givenname: David A. surname: McDonald fullname: McDonald, David A. organization: Department of Molecular Genetics and Microbiology, Duke University, Center for Science, Math and Technology Education, North Carolina Central University – sequence: 6 givenname: Abdul Ghani surname: Mikati fullname: Mikati, Abdul Ghani organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine – sequence: 7 givenname: Lingjiao surname: Zhang fullname: Zhang, Lingjiao organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine – sequence: 8 givenname: Cecilia surname: Austin fullname: Austin, Cecilia organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine – sequence: 9 givenname: Amy L. surname: Akers fullname: Akers, Amy L. organization: Angioma Alliance – sequence: 10 givenname: Carol J. surname: Gallione fullname: Gallione, Carol J. organization: Department of Molecular Genetics and Microbiology, Duke University – sequence: 11 givenname: Autumn surname: Rorrer fullname: Rorrer, Autumn organization: Department of Molecular Genetics and Microbiology, Duke University – sequence: 12 givenname: Murat surname: Gunel fullname: Gunel, Murat organization: Department of Neurosurgery and Neurobiology, Yale University – sequence: 13 givenname: Wang surname: Min fullname: Min, Wang organization: Department of Pathology, Yale University – sequence: 14 givenname: Jorge surname: Marcondes de Souza fullname: Marcondes de Souza, Jorge organization: Department of Neurosurgery, School of Medicine, Federal University of Rio de Janeiro – sequence: 15 givenname: Connie surname: Lee fullname: Lee, Connie organization: Angioma Alliance – sequence: 16 givenname: Douglas A. surname: Marchuk fullname: Marchuk, Douglas A. organization: Department of Molecular Genetics and Microbiology, Duke University – sequence: 17 givenname: Issam A. surname: Awad fullname: Awad, Issam A. email: iawad@uchicago.edu organization: Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine, Department of Neurology, The University of Chicago Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25122144$$D View this record in MEDLINE/PubMed |
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Copyright | American College of Medical Genetics and Genomics 2015 Copyright Nature Publishing Group Mar 2015 |
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Keywords | cerebral cavernous malformation Rho kinase vascular malformations |
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Snippet | Purpose:
The phenotypic manifestations of cerebral cavernous malformation disease caused by rare
PDCD10
mutations have not been systematically examined, and a... The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a... Purpose:The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a... Purpose: The phenotypic manifestations of cerebral cavernous malformation disease caused by rare PDCD10 mutations have not been systematically examined, and a... |
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SubjectTerms | 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine - analogs & derivatives 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine - pharmacology 631/208/737 692/420/2489/144 692/699/375/1370 Adolescent Adult Animals Apoptosis Regulatory Proteins - genetics Apoptosis Regulatory Proteins - metabolism Biomedicine Carrier Proteins - genetics Cells, Cultured Central Nervous System Neoplasms - enzymology Central Nervous System Neoplasms - genetics Central Nervous System Neoplasms - pathology Child Child, Preschool Disease Models, Animal Hemangioma, Cavernous, Central Nervous System - enzymology Hemangioma, Cavernous, Central Nervous System - genetics Hemangioma, Cavernous, Central Nervous System - pathology Human Genetics Human Umbilical Vein Endothelial Cells Humans Infant Intracellular Signaling Peptides and Proteins - genetics Intracellular Signaling Peptides and Proteins - metabolism Keratin-1 - genetics Laboratory Medicine Membrane Proteins - genetics Membrane Proteins - metabolism Mice Middle Aged Mutation original-research-article Prospective Studies Proto-Oncogene Proteins - genetics Proto-Oncogene Proteins - metabolism rho-Associated Kinases - antagonists & inhibitors rho-Associated Kinases - metabolism Stress Fibers - drug effects Stress Fibers - metabolism Young Adult |
Title | Exceptional aggressiveness of cerebral cavernous malformation disease associated with PDCD10 mutations |
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