Abstract

BackgroundNumerous signaling pathways have been demonstrated experimentally to affect the pathogenesis of cerebral cavernous malformations (CCM), a disease that can be caused by CCM3 deficiency. However, the understanding of the CCM progression is still limited. The objective of the present work was to elucidate the role of CCM3 by RNA-seq screening of CCM3 knockout mice.ResultsWe found that ATPIF1 was decreased in siCCM3-treated Human Umbilical Vein Endothelial Cells (HUVECs), and the overexpression of ATPIF1 attenuated the changes in cell proliferation, adhesion and migration caused by siCCM3. The probable mechanism involved the conserved ATP concentration in mitochondria and the elongated morphology of the organelles. By using the CRISPR-cas9 system, we generated CCM3-KO Endothelial Progenitor Cells (EPCs) and found that the knockout of CCM3 destroyed the morphology of mitochondria, impaired the mitochondrial membrane potential and increased mitophagy. Overexpression of ATPIF1 contributed to the maintenance of normal structure of mitochondria, inhibiting activation of mitophagy and other signaling proteins (e.g., KLF4 and Tie2). The expression of KLF4 returned to normal in CCM3-KO EPCs after 2 days of re-overexpression of CCM3, but not other signaling proteins.ConclusionATPIF1 maintains the normal structure of mitochondria, inhibiting the activation of mitophagy and other signaling pathway in endothelial cells. Loss of CCM3 leads to the destruction of mitochondria and activation of signaling pathways, which can be regulated by KLF4.

Highlights

  • Numerous signaling pathways have been demonstrated experimentally to affect the pathogenesis of cerebral cavernous malformations (CCM), a disease that can be caused by CCM3 deficiency

  • Changes in gene expression in endothelial cells after CCM3 knockdown To comprehensively evaluate the effect of CCM3-ablation in endothelial cells, we compared the levels of mRNAs in endothelial cells of cerebellar microvasculature obtained from wild-type (WT) (Ccm3fl/fl) and Mfsd2a-CreERT2; Ccm3fl/fl (Ccm3ECKO) mice [10]

  • S-oeATPIF1 inhibited PTEN induced putative kinase 1 (PINK1) activation which was caused by CCM3-KO. These results suggest that the short- or long-term loss of CCM3 destroys mitochondria, while overexpression of ATPase inhibitory factor 1 (ATPIF1) preserves the concentration of ATP and maintains the normal elongated morphology of mitochondria

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Summary

Introduction

Numerous signaling pathways have been demonstrated experimentally to affect the pathogenesis of cerebral cavernous malformations (CCM), a disease that can be caused by CCM3 deficiency. The understanding of the CCM progression is still limited. Cerebral cavernous malformations (CCMs) are characterized by enlarged and irregular small blood vessels that lack pericytes and elastic tissue. These vessels have a thin wall, are leaky, and lack sub-endothelial support. Novel pharmacological strategies are needed to treat patients with severe symptomatic disease due to inoperable or multiple lesions, and prevent de novo formation of CCM lesions and disease progression in susceptible individuals [2]

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