Characterization of the integrin alpha v beta3 in arteriovenous malformations and cavernous malformations.

Characterization of the integrin alpha v beta3 in arteriovenous malformations and cavernous malformations.
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动静脉畸形和海绵状血管瘤中整合素 α v beta3 的表征。

DOI:
10.1159/000086123
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发表时间:
2005
期刊:
Cerebrovascular diseases (Basel, Switzerland)
影响因子:
--
通讯作者:
Guccione,Samira
Guccione,Samira
中科院分区:
--
文献类型:
--
作者:
Lim,Michael;Haddix,Terri;Harsh,GriffithR;Vogel,Hannes;Steinberg,GaryK;Guccione,Samira

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BackgroundAlpha V beta 3 (αvβ3) is an integrin specifically expressed on the endothelial cells of central nervous system (CNS) neoplasms. However, no data exist on the expression of αvβ3 in vascular malformations of the CNS. In this study, we investigate the expression of αvβ3 in arteriovenous malformations (AVMs) and cavernous malformations (CMs).MethodFrozen samples of AVMs from 12 patients and CMs from 5 patients were obtained intraoperatively. Once the final pathology had been confirmed, immunohistochemistry was performed using an antibody to the integrin αvβ3. The αvβ3 expression pattern was graded according to the percentage of positively staining vessels.ResultsTen of 12 AVMs demonstrated αvβ3 immunopositivity. Six of these 10 AVMs had moderate or strong staining. Most notably, 5 of the 6 moderate or strongly staining AVMs came from patients 22 years of age or younger. Four of these 6 AVMs had previously been embolized. None of the cavernous malformations demonstrated αvβ3 immunopositivity.Discussionαvβ3 may contribute to the formation of AVMs in younger patients. αvβ3 may also provide a potential therapeutic target. The lack of αvβ3 expression in cavernous malformations, despite their high vascular densities, suggests that the pathophysiology of their formation differs from that of AVMs.