mTORC1 Inhibitor Rapamycin Inhibits Growth of Cerebral Cavernous Malformation in Adult Mice

BACKGROUND: Cerebral cavernous malformations (CCMs) are vascular malformations that frequently cause stroke. CCMs arise due to loss of function in one of the genes that encode the CCM complex, a negative regulator of MEKK3-KLF2/4 signaling in vascular endothelial cells. Gain-of-function mutations in PIK3CA (encoding the enzymatic subunit of the PI3K (phosphoinositide 3-kinase) pathway associated with cell growth) synergize with CCM gene loss-of-function to generate rapidly growing lesions.

METHODS: We recently developed a model of CCM formation that closely reproduces key events in human CCM formation through inducible CCM loss-of-function and PIK3CA gain-of-function in mature mice. In the present study, we use this model to test the ability of rapamycin, a clinically approved inhibitor of the PI3K effector mTORC1, to treat rapidly growing CCMs.

RESULTS: We show that both intraperitoneal and oral administration of rapamycin arrests CCM growth, reduces perilesional iron deposition, and improves vascular perfusion within CCMs.

CONCLUSIONS: Our findings further establish this adult CCM model as a valuable preclinical model and support clinical testing of rapamycin to treat rapidly growing human CCMs.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Stroke - 54(2023), 11 vom: 01. Nov., Seite 2906-2917

Sprache:

Englisch

Beteiligte Personen:

Li, Lun [VerfasserIn]
Ren, Aileen A [VerfasserIn]
Gao, Siqi [VerfasserIn]
Su, Yourong S [VerfasserIn]
Yang, Jisheng [VerfasserIn]
Bockman, Jenna [VerfasserIn]
Mericko-Ishizuka, Patricia [VerfasserIn]
Griffin, Joanna [VerfasserIn]
Shenkar, Robert [VerfasserIn]
Alcazar, Roberto [VerfasserIn]
Moore, Thomas [VerfasserIn]
Lightle, Rhonda [VerfasserIn]
DeBiasse, Dorothy [VerfasserIn]
Awad, Issam A [VerfasserIn]
Marchuk, Douglas A [VerfasserIn]
Kahn, Mark L [VerfasserIn]
Burkhardt, Jan-Karl [VerfasserIn]

Links:

Volltext

Themen:

Class I Phosphatidylinositol 3-Kinases
EC 2.7.1.-
EC 2.7.1.137
Humans
Journal Article
Mice
Mutation
Perfusion
Phosphatidylinositol 3-Kinases
Sirolimus
Stroke
W36ZG6FT64

Anmerkungen:

Date Completed 27.10.2023

Date Revised 10.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1161/STROKEAHA.123.044108

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362431779