Title

Common and distinctive pathogenetic features of arteriovenous malformations in hereditary hemorrhagic telangiectasia 1 and hereditary hemorrhagic telangiectasia 2 animal models - Brief report

Document Type

Article

Abstract

© 2014 American Heart Association, Inc. Objective - Hereditary hemorrhagic telangiectasia is a genetic disorder characterized by visceral and mucocutaneous arteriovenous malformations (AVMs). Clinically indistinguishable hereditary hemorrhagic telangiectasia 1 and hereditary hemorrhagic telangiectasia 2 are caused by mutations in ENG and ALK1, respectively. In this study, we have compared the development of visceral and mucocutaneous AVMs in adult stages between Eng- and Alk1-inducible knockout (iKO) models.Approach and Results - Eng or Alk1 were deleted from either vascular endothelial cells (ECs) or smooth muscle cells in adult stages using Scl-CreER and Myh11-CreER lines, respectively. Latex perfusion and intravital spectral imaging in a dorsal skinfold window chamber system were used to visualize remodeling vasculature during AVM formation. Global Eng deletion resulted in lethality with visceral AVMs and wound-induced skin AVMs. Deletion of Alk1 or Eng in ECs, but not in smooth muscle cells, resulted in wound-induced skin AVMs. Visceral AVMs were observed in EC-specific Alk1- iKO but not in Eng-iKO. Intravital spectral imaging revealed that Eng-iKO model exhibited more dynamic processes for AVM development when compared with Alk1-iKO model.Conclusions - Both Alk1- and Eng-deficient models require a secondary insult, such as wounding, and ECs are the primary cell type responsible for the pathogenesis. However, Alk1 but not Eng deletion in ECs results in visceral AVMs.

Keywords

Alk1 protein, mouse, Arteriovenous malformations, Endoglin protein, mouse, Endothelial cells, Myocytes, smooth muscle, Telangiectasia, hereditary hemorrhagic

Publication Date

1-1-2014

Publication Title

Arteriosclerosis, Thrombosis, and Vascular Biology

ISSN

10795642

E-ISSN

15244636

Volume

34

Issue

10

First Page

2232

Last Page

2236

PubMed ID

25082229

Digital Object Identifier (DOI)

10.1161/ATVBAHA.114.303984

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