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Published on: June 15, 2020
Vascular Anomalies Caused by Abnormal Signaling within Endothelial Cells: Targets for Novel Therapies
Ha-Long Nguyen1, Laurence M Boon1,2, Miikka Vikkula1,2
1Laboratory of Human Molecular Genetics, de Duve Institute, University of Louvain (UCL), Brussels, Belgium.
Abstract:
Vascular anomalies arise as a consequence of improper development and maintenance of the vasculature. Our knowledge on the pathophysiological bases of vascular anomalies has skyrocketed during the past 5 years. It is becoming clear that common intracellular signaling pathways are often activated by mutations, causing endothelial cell dysfunction. These mutations cause hyperactivation of two major intracellular signaling pathways that may be controlled by inhibitors developed for cancer treatment. Although we do not know yet all the downstream effects, it has become evident that normalization of the abnormal signaling is an interesting target for therapy. This is a major paradigm change, as developmental malformations were considered to be inert to any molecular treatment.
Insights
Recent advances reveal that vascular anomalies stem from faulty signaling pathways. Targeting these pathways with cancer-derived inhibitors offers a new therapeutic approach for these developmental conditions.
Area of Science:
- Vascular biology and developmental biology.
- Molecular genetics and cell signaling.
- Oncology and therapeutic development.
Background:
- Vascular anomalies result from errors in blood vessel development and upkeep.
- Recent research highlights the role of intracellular signaling pathways in these anomalies.
- Endothelial cell dysfunction is a key feature, often driven by genetic mutations.
Purpose of the Study:
- To summarize recent breakthroughs in understanding the pathophysiology of vascular anomalies.
- To explore the potential of targeting hyperactivated signaling pathways for therapeutic intervention.
- To highlight a paradigm shift in treating developmental malformations.
Main Methods:
- Review of current literature on vascular anomaly pathogenesis.
- Analysis of the role of common intracellular signaling pathways.
- Investigation into the applicability of existing cancer therapeutics.
Main Results:
- Mutations frequently activate specific intracellular signaling pathways, leading to endothelial cell dysfunction.
- Two major signaling pathways are consistently hyperactivated in vascular anomalies.
- These pathways show promise for targeted therapy using molecular inhibitors.
Conclusions:
- Normalization of aberrant signaling pathways is a viable therapeutic strategy for vascular anomalies.
- This represents a significant shift from viewing developmental malformations as untreatable.
- Inhibitors developed for cancer treatment may be repurposed for vascular anomaly therapy.
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