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脑动静脉畸形建模、发病机制及新型治疗靶点

Brain arteriovenous malformation modeling, pathogenesis, and novel therapeutic targets.

作者信息

Chen Wanqiu, Choi Eun-Jung, McDougall Cameron M, Su Hua

机构信息

Center for Cerebrovascular Research, Department of Anesthesia and Perioperative Care, University of California, San Francisco, 1001 Potrero Avenue, Box 1363, San Francisco, CA, 94110, USA.

出版信息

Transl Stroke Res. 2014 Jun;5(3):316-29. doi: 10.1007/s12975-014-0343-0. Epub 2014 Apr 12.

DOI:10.1007/s12975-014-0343-0
PMID:24723256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4081044/
Abstract

Patients harboring brain arteriovenous malformation (bAVM) are at life-threatening risk of rupture and intracranial hemorrhage (ICH). The pathogenesis of bAVM has not been completely understood. Current treatment options are invasive, and ≈ 20 % of patients are not offered interventional therapy because of excessive treatment risk. There are no specific medical therapies to treat bAVMs. The lack of validated animal models has been an obstacle for testing hypotheses of bAVM pathogenesis and testing new therapies. In this review, we summarize bAVM model development and bAVM pathogenesis and potential therapeutic targets that have been identified during model development.

摘要

患有脑动静脉畸形(bAVM)的患者面临破裂和颅内出血(ICH)的危及生命风险。bAVM的发病机制尚未完全明确。目前的治疗方案具有侵入性,约20%的患者因治疗风险过高而未接受介入治疗。目前尚无治疗bAVM的特异性药物疗法。缺乏经过验证的动物模型一直是检验bAVM发病机制假说和测试新疗法的障碍。在本综述中,我们总结了bAVM模型的开发、bAVM的发病机制以及在模型开发过程中确定的潜在治疗靶点。

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本文引用的文献

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Novel brain arteriovenous malformation mouse models for type 1 hereditary hemorrhagic telangiectasia.用于1型遗传性出血性毛细血管扩张症的新型脑动静脉畸形小鼠模型
PLoS One. 2014 Feb 10;9(2):e88511. doi: 10.1371/journal.pone.0088511. eCollection 2014.
2
De novo cerebrovascular malformation in the adult mouse after endothelial Alk1 deletion and angiogenic stimulation.成年小鼠内皮细胞 Alk1 缺失和血管生成刺激后新出现的脑血管畸形。
Stroke. 2014 Mar;45(3):900-2. doi: 10.1161/STROKEAHA.113.003655. Epub 2014 Jan 23.
3
Bone marrow chimeras in the study of experimental stroke.骨髓嵌合体在实验性中风研究中的应用。
Transl Stroke Res. 2012 Sep;3(3):341-7. doi: 10.1007/s12975-012-0169-6. Epub 2012 May 5.
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Inflammation and cerebral aneurysms.炎症与脑动脉瘤。
Transl Stroke Res. 2014 Apr;5(2):190-8. doi: 10.1007/s12975-013-0313-y. Epub 2013 Dec 11.
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Molecular imaging of cerebrovascular lesions.脑血管病变的分子成像
Transl Stroke Res. 2014 Apr;5(2):260-8. doi: 10.1007/s12975-013-0291-0. Epub 2013 Oct 23.
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Tumor necrosis factor-α modulates cerebral aneurysm formation and rupture.肿瘤坏死因子-α调节脑动脉瘤的形成和破裂。
Transl Stroke Res. 2014 Apr;5(2):269-77. doi: 10.1007/s12975-013-0287-9. Epub 2013 Sep 20.
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