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Vertebrate Vascular Development |
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My laboratory uses zebrafish as a model system to understand the genetic and environmental pathways that shape the developing vertebrate vasculature. Specifically, we are interested in elucidating mechanisms by which congenital arteriovenous malformations (AVMs) form. An AVM is a direct connection between an artery and a vein. In the absence of intervening capillaries, the vein receives blood at very high pressure, which leads to vessel enlargement and weakening. In the United States, the prevalence of brain AVMs is estimated at 0.1 to 0.2% of the population; in approximately one-quarter of these individuals, these lesions will lead to hemorrhagic stroke. AVMs can also form in other organs such as the lung, liver, and gastrointestinal tract, with complications ranging from minor bleeding to ischemic stroke. While it is generally accepted that AVMs form during embryogenesis, the mechanisms by which they form are not understood. The embryonic and genetic accessibility of the zebrafish embryo allows us to literally watch AVMs form in real time, and to elucidate genetic and environmental pathways associated with their formation.
By dynamically evaluating AVM formation in live mutant zebrafish embryos, we have uncovered two mechanisms by which embryonic AVMs can form: retention of normally transient venous sprouts that give rise to nascent arteries, and flow-induced arterial enlargement and subsequent fusion with an adjacent vein.