Abstract
Arteriovenous malformations occur when abnormalities of vascular patterning result in the flow of blood from arteries to veins without an intervening capillary bed. Recent work has revealed the importance of the Notch and TGF-β signaling pathways in vascular patterning. Specifically, Notch signaling has an increasingly apparent role in arterial specification and suppression of branching, whereas TGF-β is implicated in vascular smooth muscle development and remodeling under angiogenic stimuli. These physiologic roles, consequently, have implicated both pathways in the pathogenesis of arteriovenous malformation. In this review, we summarize the studies of endothelial signaling that contribute to arteriovenous malformation and the roles of genes implicated in their pathogenesis. We further discuss how endothelial signaling may contribute to vascular smooth muscle development and how knowledge of signaling pathways may provide us targets for medical therapy in these vascular lesions.
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Acknowledgments
We would like to thank Yong Deng (Yale University) for discussion. This review was supported in part by NIH Grants 1RO1HL111504-01 (A.E.), HL084619 (M.S.), the Edward N. and Della L Thome Memorial Foundation (A.E.), INSERM (B.L., A.E.), the Howard Hughes Medical Institute Medical Research Fellowship (D.A.) and the Leducq Foundation Transatlantic Network Grant (B.L., A.E., M.S.).
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Atri, D., Larrivée, B., Eichmann, A. et al. Endothelial signaling and the molecular basis of arteriovenous malformation. Cell. Mol. Life Sci. 71, 867–883 (2014). https://doi.org/10.1007/s00018-013-1475-1
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DOI: https://doi.org/10.1007/s00018-013-1475-1