Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations

  1. Wenqing Li
  2. Virginia Tran
  3. Iftach Shaked
  4. Belinda Xue
  5. Thomas Moore
  6. Rhonda Lightle
  7. David Kleinfeld
  8. Issam A Awad
  9. Mark H Ginsberg  Is a corresponding author
  1. University of California, San Diego, United States
  2. University of Chicago, United States

Abstract

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 over-expression 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.

Data availability

Raw Phenotype counts have been provided in figures and and figure legends.

Article and author information

Author details

  1. Wenqing Li

    Medicine, University of California, San Diego, La Jolla, United States
    Competing interests
    The authors declare that no competing interests exist.
  2. Virginia Tran

    Department of Medicine, University of California, San Diego, La Jolla, United States
    Competing interests
    The authors declare that no competing interests exist.
  3. Iftach Shaked

    Department of Physics, University of California, San Diego, San Diego, United States
    Competing interests
    The authors declare that no competing interests exist.
  4. Belinda Xue

    Department of Medicine, University of California, San Diego, San Diego, United States
    Competing interests
    The authors declare that no competing interests exist.
  5. Thomas Moore

    Surgery, University of Chicago, Chicago, United States
    Competing interests
    The authors declare that no competing interests exist.
  6. Rhonda Lightle

    Surgery, University of Chicago, Chicago, United States
    Competing interests
    The authors declare that no competing interests exist.
  7. David Kleinfeld

    Department of Physics, University of California, San Diego, San Diego, United States
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0001-9797-4722
  8. Issam A Awad

    Surgery, University of Chicago, Chicago, United States
    Competing interests
    The authors declare that no competing interests exist.
  9. Mark H Ginsberg

    Department of Medicine, University of California, San Diego, La Jolla, United States
    For correspondence
    mhginsberg@ucsd.edu
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-5685-5417

Funding

National Heart, Lung, and Blood Institute (HL 139947)

  • Mark H Ginsberg

National Institutes of Health (NS 92521)

  • Thomas Moore
  • Rhonda Lightle
  • Issam A Awad
  • Mark H Ginsberg

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Reviewing Editor

  1. Elisabetta Dejana, FIRC Institute of Molecular Oncology Foundationtion (IFOM), Italy

Ethics

Animal experimentation: This study was performed in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. All of the animals were handled according to approved institutional animal care and use committee (IACUC) protocols (#S14135 ) of the University of California San Diego.

Version history

  1. Received: August 15, 2020
  2. Accepted: May 19, 2021
  3. Accepted Manuscript published: May 20, 2021 (version 1)
  4. Version of Record published: June 3, 2021 (version 2)
  5. Version of Record updated: June 30, 2021 (version 3)

Copyright

© 2021, Li et al.

This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.

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  1. Wenqing Li
  2. Virginia Tran
  3. Iftach Shaked
  4. Belinda Xue
  5. Thomas Moore
  6. Rhonda Lightle
  7. David Kleinfeld
  8. Issam A Awad
  9. Mark H Ginsberg
(2021)
Abortive intussusceptive angiogenesis causes multi-cavernous vascular malformations
eLife 10:e62155.
https://doi.org/10.7554/eLife.62155

Share this article

https://doi.org/10.7554/eLife.62155

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