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A Microphysiological HHT-on-a-Chip Platform Recapitulates Patient Vascular Lesions.

Christopher C W Hughes1, Jennifer Fang2, Christopher Hatch3

  • 1University of California, Irvine.

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|July 1, 2024
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Summary
This summary is machine-generated.

This study introduces a novel HHT-on-a-chip model that replicates vascular malformations found in Hereditary Hemorrhagic Telangiectasia (HHT) patients. The model aids in understanding HHT disease and testing new drug therapies.

Keywords:
AVMAlk1Biological SciencesCell BiologyHHTHereditary Hemorrhagic TelangiectasiaMPS systemsarteriovenous malformationfluid shear stressmicrophysiological systemsmicrovasculatureorgan-on-a-chiptelangiectasiavascular malformationvessel-on-a-chip

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Area of Science:

  • Vascular Biology
  • Rare Disease Research
  • Biomedical Engineering

Background:

  • Hereditary Hemorrhagic Telangiectasia (HHT) is a rare genetic disorder causing fragile vascular malformations (VMs).
  • Current understanding of HHT pathogenesis, particularly the role of ACVRL1 mutations, remains incomplete.
  • Limited treatment options exist for HHT patients.

Purpose of the Study:

  • To develop a human cell-based microphysiological model of HHT.
  • To investigate the biological mechanisms underlying HHT-related vascular malformations (VMs).
  • To identify potential therapeutic targets for HHT.

Main Methods:

  • Development of a Vascularized Micro-organ (VMO) platform for HHT modeling (HHT-VMO).
  • Utilized inducible ACVRL1-knockdown in primary human endothelial cells (EC) to control Alk1 expression.
  • Employed single-cell RNA sequencing and chimera experiments to analyze lesion formation.

Main Results:

  • The HHT-VMO model successfully recapitulated patient-specific VMs.
  • Evidence suggests cell non-autonomous effects and microvessel pruning in AVM formation.
  • VEGFR inhibitor pazopanib blocked lesion formation, aligning with clinical observations.

Conclusions:

  • The novel HHT-on-a-chip model provides a faithful platform for studying HHT disease.
  • The model facilitates deeper understanding of HHT pathophysiology, including the roles of Alk1 and PDGFB.
  • This platform can accelerate the discovery and testing of new HHT therapeutics.