1)Morris Z, et al:Incidental findings on brain magnetic resonance imaging:systematic review and meta-analysis. BMJ 339:b3016, 2009
2)Al-Holou WN, et al:Natural history and imaging prevalence of cavernous malformations in children and young adults. J Neurosurg Pediatr 9:198-205, 2012
3)Al-Shahi Salman R, et al;Scottish Audit of Intracranial Vascular Malformations(SAIVMs)collaborators:Untreated clinical course of cerebral cavernous malformations:a prospective, population-based cohort study. Lancet Neurol 11:217-224, 2012
4)Moore SA, et al:Long-term natural history of incidentally discovered cavernous malformations in a single-center cohort. J Neurosurg 120:1188-1192, 2014
5)Horne MA, et al;Cerebral Cavernous Malformations Individual Patient Data Meta-analysis Collaborators:Clinical course of untreated cerebral cavernous malformations:a meta-analysis of individual patient data. Lancet Neurol 15:166-173, 2016
6)Badhiwala JH, et al:Surgical outcomes and natural history of intramedullary spinal cord cavernous malformations:a single-center series and meta-analysis of individual patient data:clinic article. J Neurosurg Spine 21:662-676, 2014
7)Spiegler S, et al:Cerebral cavernous malformations:an update on prevalence, molecular genetic analyses, and genetic counselling. Mol Syndromol 9:60-69, 2018
8)Laberge-le Couteulx S, et al:Truncating mutations in CCM1, encoding KRIT1, cause hereditary cavernous angiomas. Nat Genet 23:189-193, 1999
9)Liquori CL, et al:Mutations in a gene encoding a novel protein containing a phosphotyrosine-binding domain cause type 2 cerebral cavernous malformations. Am J Hum Genet 73:1459-1464, 2003
10)Bergametti F, et al;Société Française de Neurochirurgie:Mutations within the programmed cell death 10 gene cause cerebral cavernous malformations. Am J Hum Genet 76:42-51, 2005
11)Haasdijk RA, et al:Cerebral cavernous malformations:from molecular pathogenesis to genetic counselling and clinical management. Eur J Hum Genet 20:134-140, 2012
12)Riant F, et al:Deep intronic KRIT1 mutation in a family with clinically silent multiple cerebral cavernous malformations. Clin Genet 86:585-588, 2014
13)Spiegler S, et al:First large genomic inversion in familial cerebral cavernous malformation identified by whole genome sequencing. Neurogenetics 19:55-59, 2018
14)Much CD, et al:Novel pathogenic variants in a cassette exon of CCM2 in patients with cerebral cavernous malformations. Front Neurol 10:1219, 2019
15)Sirvente J, et al:Frequency and phenotypes of cutaneous vascular malformations in a consecutive series of 417 patients with familial cerebral cavernous malformations. J Eur Acad Dermatol Venereol 23:1066-1072, 2009
16)Grippaudo FR, et al:Cutaneous venous malformations related to KRIT1 mutation:case report and literature review. J Mol Neurosci 51:442-445, 2013
17)Shenkar R, et al:Exceptional aggressiveness of cerebral cavernous malformation disease associated with PDCD10 mutations. Genet Med 17:188-196, 2015
18)Rinaldi C, et al:Relevance of CCM gene polymorphisms for clinical management of sporadic cerebral cavernous malformations. J Neurol Sci 380:31-37, 2017
19)Riant F, et al:Recent insights into cerebral cavernous malformations:the molecular genetics of CCM. FEBS J 277:1070-1075, 2010
20)McDonald DA, et al:A novel mouse model of cerebral cavernous malformations based on the two-hit mutation hypothesis recapitulates the human disease. Hum Mol Genet 20:211-222, 2011
21)Gault J, et al:Biallelic somatic and germ line CCM1 truncating mutations in a cerebral cavernous malformation lesion. Stroke 36:872-874, 2005
22)Akers AL, et al:Biallelic somatic and germline mutations in cerebral cavernous malformations(CCMs):evidence for a two-hit mechanism of CCM pathogenesis. Hum Mol Genet 18:919-930, 2009
23)Plummer NW, et al:Loss of p53 sensitizes mice with a mutation in Ccm1(KRIT1)to development of cerebral vascular malformations. Am J Pathol 165:1509-1518, 2004
24)McDonald DA, et al:Lesions from patients with sporadic cerebral cavernous malformations harbor somatic mutations in the CCM genes:evidence for a common biochemical pathway for CCM pathogenesis. Hum Mol Genet 23:4357-4370, 2014
25)Hong T, et al:Somatic MAP3K3 and PIK3CA mutations in sporadic cerebral and spinal cord cavernous malformations. Brain 114:2648-2658, 2021
26)Ren AA, et al:PIK3CA and CCM mutations fuel cavernomas through a cancer-like mechanism. Nature 594:271-276, 2021
27)Weng J, et al:Somatic MAP3K3 mutation defines a subclass of cerebral cavernous malformation. Am J Hum Genet 108:942-950, 2021
28)Choquet H, et al ;Brain Vascular Malformation Consortium(BVMC)Study:Polymorphisms in inflammatory and immune response genes associated with cerebral cavernous malformation type 1 severity. Cerebrovasc Dis 38:433-440, 2014
29)Günel M, et al:A founder mutation as a cause of cerebral cavernous malformation in Hispanic Americans. N Eng J Med 334:946-951, 1996
30)Zawistowski JS, et al:CCM1 and CCM2 protein interactions in cell signaling:implications for cerebral cavernous malformations pathogenesis. Hum Mol Genet 14:2521-2531, 2005
31)Voss K, et al:CCM3 interacts with CCM2 indicating common pathogenesis for cerebral cavernous malformations. Neurogenetics 8:249-256, 2007
32)Mably JD, et al:santa and valentine pattern concentric growth of cardiac myocardium in the zebrafish. Development 133:3139-3146, 2006
33)Hogan BM, et al:ccm1 cell autonomously regulates endothelial cellular morphogenesis and vascular tubulogenesis in zebrafish. Hum Mol Genet 17:2424-2432, 2008
34)Kleaveland B, et al:Regulation of cardiovascular development and integrity by the heart of glass-cerebral cavernous malformation protein pathway. Nat Med 15:169-176, 2009
35)Boulday G, et al:Tissue-specific conditional CCM2 knockout mice establish the essential role of endothelial CCM2 in angiogenesis:implications for human cerebral cavernous malformations. Dis Model Mech 2:168-177, 2009
36)Zhou Z, et al:The cerebral cavernous malformation pathway controls cardiac development via regulation of endocardial MEKK3 signaling and KLF expression. Dev Cell 32:168-180, 2015
37)Deng Y, et al:MEKK3 is required for endothelium function but is not essential for tumor growth and angiogenesis. Am J Physiol Cell Physiol 293:C1404-1411, 2007
38)Steed E, et al:klf2a couples mechanotransduction and zebrafish valve morphogenesis through fibronectin synthesis. Nat Commun 7:11646, 2016
39)Goddard LM, et al:Hemodynamic forces sculpt developing heart valves through a KLF2-WNT9B paracrine signaling axis. Dev Cell 43:274-289. e5, 2017
40)Wang X, et al:Structural insights into the molecular recognition between cerebral cavernous malformation 2 and mitogen-activated protein kinase kinase kinase 3. Structure 23:1087-1096, 2015
41)Fisher OS, et al:Structure and vascular function of MEKK3-cerebral cavernous malformations 2 complex. Nat Commun 6:7937, 2015
42)Zhou Z, et al:Cerebral cavernous malformations arise from endothelial gain of MEKK3-KLF2/4 signalling. Nature 532:122-126, 2016
43)Cuttano R, et al:KLF4 is a key determinant in the development and progression of cerebral cavernous malformations. EMBO Mol Med 8:6-24, 2016
44)Whitehead KJ, et al:The cerebral cavernous malformation signaling pathway promotes vascular integrity via Rho GTPases. Nat Med 15:177-184, 2009
45)Wójciak-Stothard B, et al:Rho and Rac but not Cdc42 regulate endothelial cell permeability. J Cell Sci 114(Pt 7):1343-1355, 2001
46)Bayless KJ, Davis GE:Microtubule depolymerization rapidly collapses capillary tube networks in vitro and angiogenic vessels in vivo through the small GTPase Rho. J Biol Chem 279:11686-11695, 2004
47)Stockton RA, et al:Cerebral cavernous malformations proteins inhibit Rho kinase to stabilize vascular integrity. J Exp Med 207:881-896, 2010
48)Glading A, et al:KRIT-1/CCM1 is a Rap1 effector that regulates endothelial cell cell junctions. J Cell Biol 179:247-254, 2007
49)McDonald DA, et al:Fasudil decreases lesion burden in a murine model of cerebral cavernous malformation disease. Stroke 43:571-574, 2012
50)Girard R, et al:Plasma biomarkers of inflammation and angiogenesis predict cerebral cavernous malformation symptomatic hemorrhage or lesional growth. Circ Res 122:1716-1721, 2018
51)Lyne SB, et al:Biomarkers of cavernous angioma with symptomatic hemorrhage. JCI Insight 4:e128577, 2019
52)Girard R, et al:A roadmap for developing plasma diagnostic and prognostic biomarkers of cerebral cavernous angioma with symptomatic hemorrhage(CASH). Neurosurgery 88:686-697, 2021
53)DiStefano PV, Glading AJ:VEGF signalling enhances lesion burden in KRIT1 deficient mice. J Cell Mol Med 24:632-639, 2020
54)Huang Q, et al:Differential regulation of interleukin 1 receptor and Toll-like receptor signaling by MEKK3. Nat Immunol 5:98-103, 2004
55)Tang AT, et al:Endothelial TLR4 and the microbiome drive cerebral cavernous malformations. Nature 545:305-310, 2017
56)Tang AT, et al:Distinct cellular roles for PDCD10 define a gut-brain axis in cerebral cavernous malformation. Sci Transl Med 11:eaaw3521, 2019
57)Lopez-Ramirez MA, et al:Cerebral cavernous malformations form an anticoagulant vascular domain in humans and mice. Blood 133:193-204, 2019
58)Lopez-Ramirez MA, et al:Thrombospondin1(TSP1)replacement prevents cerebral cavernous malformations. J Exp Med 214:3331-3346, 2017
59)Koskimäki J, et al:Comprehensive transcriptome analysis of cerebral cavernous malformation across multiple species and genotypes. JCI Insight 4:e126167, 2019
60)Maddaluno L, et al:EndMT contributes to the onset and progression of cerebral cavernous malformations. Nature 498:492-496, 2013
61)Wüstehube J, et al:Cerebral cavernous malformation protein CCM1 inhibits sprouting angiogenesis by activating DELTA-NOTCH signaling. Proc Natl Acad Sci USA 107:12640-12645, 2010
62)Bravi L, et al:Sulindac metabolites decrease cerebrovascular malformations in CCM3-knockout mice. Proc Natl Acad Sci USA 112:8421-8426, 2015
63)Akers A, et al:Synopsis of guidelines for the clinical management of cerebral cavernous malformations:consensus recommendations based on systematic literature review by the angioma alliance scientific advisory board clinical experts panel. Neurosurgery 80:665-680, 2017
64)Al-Shahi Salman R, et al;Angioma Alliance Scientific Advisory Board:Hemorrhage from cavernous malformations of the brain:definition and reporting standards. Angioma Alliance Scientific Advisory Board. Stroke 39:3222-3230, 2008
65)Polster SP, et al:Atorvastatin Treatment of Cavernous Angiomas with Symptomatic Hemorrhage Exploratory Proof of Concept(AT CASH EPOC)Trial. Neurosurgery 85:843-853, 2019
66)Lanfranconi S, et al;Treat-CCM Investigators:Propranolol for familial cerebral cavernous malformation(Treat_CCM):study protocol for a randomized controlled pilot trial. Trials 21:401, 2020
67)Nohria A, et al:Statins inhibit Rho kinase activity in patients with atherosclerosis. Atherosclerosis 205:517-521, 2009
68)Léauté-Labrèze C, et al:A randomized, controlled trial of oral propranolol in infantile hemangioma. N Engl J Med 372:735-746, 2015
69)Li W, et al:Propranolol inhibits cavernous vascular malformations by β1 adrenergic receptor antagonism in animal models. J Clin Invest 131:e144893, 2021
70)Choi JP, et al:Ponatinib(AP24534)inhibits MEKK3-KLF signaling and prevents formation and progression of cerebral cavernous malformations. Sci Adv 4:eaau0731, 2018
71)Shenkar R, et al:RhoA kinase inhibition with fasudil versus simvastatin in murine models of cerebral cavernous nalformations. Stroke 48:187-194, 2017