Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy

ABSTRACT Introduction Cerebral cavernous malformation (CCM) is a type of cerebrovascular abnormality in the central nervous system linked to both germline and somatic genetic mutations. Recent preclinical and clinical studies have shown that various drugs can effectively reduce the burden of CCM les...

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Main Authors: Zhuangzhuang Zhang, Jianwen Deng, Weiping Sun, Zhaoxia Wang
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70223
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author Zhuangzhuang Zhang
Jianwen Deng
Weiping Sun
Zhaoxia Wang
author_facet Zhuangzhuang Zhang
Jianwen Deng
Weiping Sun
Zhaoxia Wang
author_sort Zhuangzhuang Zhang
collection DOAJ
description ABSTRACT Introduction Cerebral cavernous malformation (CCM) is a type of cerebrovascular abnormality in the central nervous system linked to both germline and somatic genetic mutations. Recent preclinical and clinical studies have shown that various drugs can effectively reduce the burden of CCM lesions. Despite significant progress, the mechanisms driving CCM remain incompletely understood, and to date, no drugs have been developed that can cure or prevent CCM. This review aims to explore the genetic mutations, molecular mechanisms, and pharmacological interventions related to CCM. Methods Literatures on the genetic mechanisms and pharmacological treatments of CCM can be searched in PubMed and Web of Science. Results Germline and somatic mutations mediate the onset and development of CCM through several molecular pathways. Medications such as statins, fasudil, rapamycin, and propranolol can alleviate CCM symptoms or hinder its progression by specifically modulating the corresponding targets. Conclusions Understanding the molecular mechanisms underlying CCM offers potential for targeted therapies. Further research into novel mutations and treatment strategies is essential for improving patient outcomes.
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institution Kabale University
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spelling doaj-art-8d02a11735d34ba593ad03325179c9d52025-01-29T13:36:39ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70223Cerebral Cavernous Malformation: From Genetics to PharmacotherapyZhuangzhuang Zhang0Jianwen Deng1Weiping Sun2Zhaoxia Wang3Department of Neurology Peking University First Hospital Beijing ChinaDepartment of Neurology Peking University First Hospital Beijing ChinaDepartment of Neurology Peking University First Hospital Beijing ChinaDepartment of Neurology Peking University First Hospital Beijing ChinaABSTRACT Introduction Cerebral cavernous malformation (CCM) is a type of cerebrovascular abnormality in the central nervous system linked to both germline and somatic genetic mutations. Recent preclinical and clinical studies have shown that various drugs can effectively reduce the burden of CCM lesions. Despite significant progress, the mechanisms driving CCM remain incompletely understood, and to date, no drugs have been developed that can cure or prevent CCM. This review aims to explore the genetic mutations, molecular mechanisms, and pharmacological interventions related to CCM. Methods Literatures on the genetic mechanisms and pharmacological treatments of CCM can be searched in PubMed and Web of Science. Results Germline and somatic mutations mediate the onset and development of CCM through several molecular pathways. Medications such as statins, fasudil, rapamycin, and propranolol can alleviate CCM symptoms or hinder its progression by specifically modulating the corresponding targets. Conclusions Understanding the molecular mechanisms underlying CCM offers potential for targeted therapies. Further research into novel mutations and treatment strategies is essential for improving patient outcomes.https://doi.org/10.1002/brb3.70223cerebral cavernous malformationgermline mutationpharmacotherapysomatic mutation
spellingShingle Zhuangzhuang Zhang
Jianwen Deng
Weiping Sun
Zhaoxia Wang
Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
Brain and Behavior
cerebral cavernous malformation
germline mutation
pharmacotherapy
somatic mutation
title Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
title_full Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
title_fullStr Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
title_full_unstemmed Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
title_short Cerebral Cavernous Malformation: From Genetics to Pharmacotherapy
title_sort cerebral cavernous malformation from genetics to pharmacotherapy
topic cerebral cavernous malformation
germline mutation
pharmacotherapy
somatic mutation
url https://doi.org/10.1002/brb3.70223
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AT weipingsun cerebralcavernousmalformationfromgeneticstopharmacotherapy
AT zhaoxiawang cerebralcavernousmalformationfromgeneticstopharmacotherapy