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Publication : Elevated endothelial Sox2 causes lumen disruption and cerebral arteriovenous malformations.

First Author  Yao J Year  2019
Journal  J Clin Invest Volume  129
Issue  8 Pages  3121-3133
PubMed ID  31232700 Mgi Jnum  J:286134
Mgi Id  MGI:6400152 Doi  10.1172/JCI125965
Citation  Yao J, et al. (2019) Elevated endothelial Sox2 causes lumen disruption and cerebral arteriovenous malformations. J Clin Invest 129(8):3121-3133
abstractText  Lumen integrity in vascularization requires fully differentiated endothelial cells (ECs). Here, we report that endothelial-mesenchymal transitions (EndMTs) emerged in ECs of cerebral arteriovenous malformation (AVMs) and caused disruption of the lumen or lumen disorder. We show that excessive Sry-box 2 (Sox2) signaling was responsible for the EndMTs in cerebral AVMs. EC-specific suppression of Sox2 normalized endothelial differentiation and lumen formation and improved the cerebral AVMs. Epigenetic studies showed that induction of Sox2 altered the cerebral-endothelial transcriptional landscape and identified jumonji domain-containing protein 5 (JMJD5) as a direct target of Sox2. Sox2 interacted with JMJD5 to induce EndMTs in cerebral ECs. Furthermore, we utilized a high-throughput system to identify the beta-adrenergic antagonist pronethalol as an inhibitor of Sox2 expression. Treatment with pronethalol stabilized endothelial differentiation and lumen formation, which limited the cerebral AVMs.
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