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Erschienen in: NeuroMolecular Medicine 4/2019

04.05.2019 | Review Paper

Intracranial Aneurysms: Pathology, Genetics, and Molecular Mechanisms

verfasst von: Zhen Xu, Yan-Ning Rui, John P. Hagan, Dong H. Kim

Erschienen in: NeuroMolecular Medicine | Ausgabe 4/2019

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Abstract

Intracranial aneurysms (IA) are local dilatations in cerebral arteries that predominantly affect the circle of Willis. Occurring in approximately 2–5% of adults, these weakened areas are susceptible to rupture, leading to subarachnoid hemorrhage (SAH), a type of hemorrhagic stroke. Due to its early age of onset and poor prognosis, SAH accounts for > 25% of years lost for all stroke victims under the age of 65. In this review, we describe the cerebrovascular pathology associated with intracranial aneurysms. To understand IA genetics, we summarize syndromes with elevated incidence, genome-wide association studies (GWAS), whole exome studies on IA-affected families, and recent research that established definitive roles for Thsd1 (Thrombospondin Type 1 Domain Containing Protein 1) and Sox17 (SRY-box 17) in IA using genetically engineered mouse models. Lastly, we discuss the underlying molecular mechanisms of IA, including defects in vascular endothelial and smooth muscle cells caused by dysfunction in mechanotransduction, Thsd1/FAK (Focal Adhesion Kinase) signaling, and the Transforming Growth Factor β (TGF-β) pathway. As illustrated by THSD1 research, cell adhesion may play a significant role in IA.
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Metadaten
Titel
Intracranial Aneurysms: Pathology, Genetics, and Molecular Mechanisms
verfasst von
Zhen Xu
Yan-Ning Rui
John P. Hagan
Dong H. Kim
Publikationsdatum
04.05.2019
Verlag
Springer US
Erschienen in
NeuroMolecular Medicine / Ausgabe 4/2019
Print ISSN: 1535-1084
Elektronische ISSN: 1559-1174
DOI
https://doi.org/10.1007/s12017-019-08537-7

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NeuroMolecular Medicine 4/2019 Zur Ausgabe

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Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

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