Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations

Mosaic inactivation of CCM2 in humans causes cerebral cavernous malformations (CCMs) containing adjacent dilated blood-filled multi-cavernous lesions. We used CRISPR-Cas9 mutagenesis to induce mosaic inactivation of zebrafish ccm2 resulting in a novel lethal multi-cavernous lesion in the embryonic c...

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Main Authors: Wenqing Li, Virginia Tran, Iftach Shaked, Belinda Xue, Thomas Moore, Rhonda Lightle, David Kleinfeld, Issam A Awad, Mark H Ginsberg
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2021-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/62155
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author Wenqing Li
Virginia Tran
Iftach Shaked
Belinda Xue
Thomas Moore
Rhonda Lightle
David Kleinfeld
Issam A Awad
Mark H Ginsberg
author_facet Wenqing Li
Virginia Tran
Iftach Shaked
Belinda Xue
Thomas Moore
Rhonda Lightle
David Kleinfeld
Issam A Awad
Mark H Ginsberg
author_sort Wenqing Li
collection DOAJ
description Mosaic inactivation of CCM2 in humans causes cerebral cavernous malformations (CCMs) containing adjacent dilated blood-filled multi-cavernous lesions. We used CRISPR-Cas9 mutagenesis to induce mosaic inactivation of zebrafish ccm2 resulting in a novel lethal multi-cavernous lesion in the embryonic caudal venous plexus (CVP) caused by obstruction of blood flow by intraluminal pillars. These pillars mimic those that mediate intussusceptive angiogenesis; however, in contrast to the normal process, the pillars failed to fuse to split the pre-existing vessel in two. Abortive intussusceptive angiogenesis stemmed from mosaic inactivation of ccm2 leading to patchy klf2a overexpression and resultant aberrant flow signaling. Surviving adult fish manifested histologically typical hemorrhagic CCM. Formation of mammalian CCM requires the flow-regulated transcription factor KLF2; fish CCM and the embryonic CVP lesion failed to form in klf2a null fish indicating a common pathogenesis with the mammalian lesion. These studies describe a zebrafish CCM model and establish a mechanism that can explain the formation of characteristic multi-cavernous lesions.
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spelling doaj.art-85d99cab3cea493b919621e96939fdf12022-12-22T03:52:07ZengeLife Sciences Publications LtdeLife2050-084X2021-05-011010.7554/eLife.62155Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformationsWenqing Li0Virginia Tran1Iftach Shaked2Belinda Xue3Thomas Moore4Rhonda Lightle5David Kleinfeld6https://orcid.org/0000-0001-9797-4722Issam A Awad7Mark H Ginsberg8https://orcid.org/0000-0002-5685-5417Department of Medicine, University of California, San Diego, La Jolla, United StatesDepartment of Medicine, University of California, San Diego, La Jolla, United StatesDepartment of Physics, University of California, San Diego, La Jolla, United StatesDepartment of Medicine, University of California, San Diego, La Jolla, United StatesNeurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago School of Medicine and Biological Sciences, Chicago, United StatesNeurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago School of Medicine and Biological Sciences, Chicago, United StatesDepartment of Physics, University of California, San Diego, La Jolla, United States; Section of Neurobiology, University of California San Diego, La Jolla, United StatesNeurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago School of Medicine and Biological Sciences, Chicago, United StatesDepartment of Medicine, University of California, San Diego, La Jolla, United StatesMosaic inactivation of CCM2 in humans causes cerebral cavernous malformations (CCMs) containing adjacent dilated blood-filled multi-cavernous lesions. We used CRISPR-Cas9 mutagenesis to induce mosaic inactivation of zebrafish ccm2 resulting in a novel lethal multi-cavernous lesion in the embryonic caudal venous plexus (CVP) caused by obstruction of blood flow by intraluminal pillars. These pillars mimic those that mediate intussusceptive angiogenesis; however, in contrast to the normal process, the pillars failed to fuse to split the pre-existing vessel in two. Abortive intussusceptive angiogenesis stemmed from mosaic inactivation of ccm2 leading to patchy klf2a overexpression and resultant aberrant flow signaling. Surviving adult fish manifested histologically typical hemorrhagic CCM. Formation of mammalian CCM requires the flow-regulated transcription factor KLF2; fish CCM and the embryonic CVP lesion failed to form in klf2a null fish indicating a common pathogenesis with the mammalian lesion. These studies describe a zebrafish CCM model and establish a mechanism that can explain the formation of characteristic multi-cavernous lesions.https://elifesciences.org/articles/62155cerebral cavernous malformationsblood flow signalingangiogenesis
spellingShingle Wenqing Li
Virginia Tran
Iftach Shaked
Belinda Xue
Thomas Moore
Rhonda Lightle
David Kleinfeld
Issam A Awad
Mark H Ginsberg
Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
eLife
cerebral cavernous malformations
blood flow signaling
angiogenesis
title Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
title_full Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
title_fullStr Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
title_full_unstemmed Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
title_short Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
title_sort abortive intussusceptive angiogenesis causes multi cavernous vascular malformations
topic cerebral cavernous malformations
blood flow signaling
angiogenesis
url https://elifesciences.org/articles/62155
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