RASA1 deficiency aggravates the lesion burden of cerebral cavernous malformations via the Ras/Raf/MAPK pathway

Yuwen Wang1,2, Ziyu Xiong1,2, Qile Ye3

  • 1Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Iscience
|August 20, 2026
PubMed

Insights

RASA1 deficiency worsens cerebral cavernous malformations (CCMs) by activating the Ras/Raf/MAPK pathway, increasing endothelial proliferation, and altering cell metabolism. Ras inhibition offers a potential therapeutic strategy for these vascular lesions.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Genetics

Background:

  • Cerebral cavernous malformations (CCMs) are cerebrovascular lesions linked to genetic factors impacting endothelial cells.
  • Endothelial signaling pathways, particularly Ras signaling, are implicated in CCM development.

Purpose of the Study:

  • To investigate the role of RASA1 deficiency in modifying CCM progression.
  • To elucidate the molecular mechanisms by which RASA1 affects endothelial cells in CCMs.
  • To evaluate the therapeutic potential of targeting Ras signaling in CCMs.

Main Methods:

  • Bioinformatic analyses
  • hCMEC/D3 endothelial cell models (knockdown and rescue)
  • Seahorse metabolic profiling
  • Ras-GTP pull-down assays
  • PDCD10-deficient mouse model with endothelial Rasa1 knockdown

Main Results:

  • RASA1 deficiency promoted endothelial proliferation and reduced ZO-1 expression.
  • Metabolic profiling revealed a shift from oxidative phosphorylation to glycolysis.
  • Ras/Raf/MAPK signaling pathway was activated by RASA1 deficiency.
  • In vitro and in vivo studies showed that RASA1 rescue or Ras inhibition (RMC-7977) partially reversed abnormalities and reduced lesion severity.

Conclusions:

  • RASA1 deficiency exacerbates CCM-like pathology via Ras/Raf/MAPK pathway activation.
  • Targeting the Ras pathway presents a potential therapeutic avenue for specific CCM subtypes.
  • Further research into Ras-targeted strategies for genetically defined CCMs is warranted.

Related Concept Videos

MAPK Signaling Cascades01:07

MAPK Signaling Cascades

Mitogen-activated protein kinase, or MAPK pathway, activates three sequential kinases to regulate cellular responses such as proliferation, differentiation, survival, and apoptosis. The canonical MAPK pathway starts with a mitogen or growth factor binding to an RTK. The activated RTKs stimulate Ras, which recruits Raf or MAP3 Kinase (MAPKKK), the first kinase of the MAPK signaling cascade. Raf further phosphorylates and activates MEK or MAP2 Kinases (MAPKK), which in turn phosphorylates MAP...
The Ras Gene02:38

The Ras Gene

The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a superfamily...
Small GTPases - Ras and Rho01:24

Small GTPases - Ras and Rho

Ras and Rho are small monomeric GTPases that act downstream of receptor tyrosine kinase (RTK) and regulate various cellular processes. These GTPases switch between active and inactive states by binding to guanine nucleotides.
Three regulatory proteins control their activity:
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...