Transcriptomics of intracranial aneurysms : current state and opportunities in flow diversion

Over the last 2 decades, the field of transcriptomics has emerged as a major subdiscipline in biology. Transcriptomic techniques have been used by many groups over this time to better understand intracranial aneurysm development, rupture, and treatment. However, only a few studies have applied transcriptomics to understand the mechanisms behind flow diversion (FD) specifically, despite its increasing importance in the neurointerventional armamentarium. FD is an increasingly safe and effective treatment option for intracranial aneurysms. However, the clinical understanding and use of FD has far outpaced the understanding of the underlying mechanisms. To make FD more predictable, clinically efficacious, and safe, it is important to understand the biological mechanisms at play that lead to successful and unsuccessful FD. In this review, the authors focus on the current understanding of FD biology, the recent advances in transcriptomics, and what future studies could be performed to deepen the understanding of FD. They propose the new concept of the FD microenvironment to be studied, which may unlock a deeper biological understanding. This review provides the background for prospective studies into the development of targeted aneurysm therapy, whether by modified devices or by medical adjuncts.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Journal of neurosurgery - (2023) vom: 17. Nov., Seite 1-9

Sprache:

Englisch

Beteiligte Personen:

Srinivasan, Visish M [VerfasserIn]
Shekhtman, Oleg [VerfasserIn]
Kandregula, Sandeep [VerfasserIn]
Mannam, Sneha Sai [VerfasserIn]
Yu, Ling Fai Charles [VerfasserIn]
Kan, Peter [VerfasserIn]

Links:

Volltext

Themen:

Aneurysm
Cerebrovascular
Flow diversion
Gene expression
Journal Article
RNA seqencing
Transcriptome
Vascular disorders

Anmerkungen:

Date Revised 17.11.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.3171/2023.9.JNS23565

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364680423