Genetic inactivation of the β1 adrenergic receptor prevents cerebral cavernous malformations in zebrafish

Wenqing Li1, Sara McCurdy1, Miguel A Lopez-Ramirez1

  • 1Department of Medicine, University of California, San Diego, San Diego, United States.

Elife
|February 24, 2025
PubMed

Insights

The beta-1 adrenergic receptor (ADRB1) is crucial in cerebral cavernous malformations (CCMs). Blocking ADRB1 with propranolol or metoprolol significantly reduces CCM lesions in zebrafish, highlighting its therapeutic potential.

Area of Science:

  • Cardiovascular Biology
  • Developmental Biology
  • Pharmacology

Background:

  • Cerebral cavernous malformations (CCMs) are vascular abnormalities.
  • Previous studies indicated propranolol reduces CCMs and prevents embryonic caudal venous plexus (CVP) lesions.
  • Morpholino silencing of the beta-1 adrenergic receptor (ADRB1) prevented embryonic CVP lesions, suggesting ADRB1's role.

Purpose of the Study:

  • To investigate the role of ADRB1 in CCM pathogenesis.
  • To determine if ADRB1 antagonism mediates the therapeutic effects of propranolol on CCMs.

Main Methods:

  • Utilized zebrafish models with inactivated ccm2 to study CCMs and CVP lesions.
  • Examined the effects of genetic knockout of ADRB1 in zebrafish.
  • Administered beta-1 selective antagonists (propranolol, metoprolol) and a heart rate/contractility inhibitor (2,3-BDM).
  • Assessed CVP lesion formation, CCM lesion volume, heart rate, contractility, and blood flow.

Main Results:

  • Zebrafish lacking ADRB1 showed significantly fewer CVP lesions (86% reduction) and reduced CCM lesion volume (87% reduction).
  • Metoprolol treatment mirrored propranolol's effect, reducing CCM lesion volume.
  • ADRB1-deficient zebrafish exhibited reduced heart rate, contractility, and CVP blood flow.
  • Inhibition of heart function and CVP blood flow with 2,3-BDM suppressed CVP lesions.

Conclusions:

  • Genetic and pharmacological evidence supports ADRB1's critical role in CCM pathogenesis.
  • The therapeutic effect of propranolol in CCMs is mediated through antagonism of the beta-1 adrenergic receptor.
  • Targeting ADRB1 represents a potential therapeutic strategy for CCMs.