Reducing Hypermuscularization of the Transitional Segment Between Arterioles and Capillaries Protects Against Spontaneous Intracerebral Hemorrhage

Julien Ratelade, Nicholas R. Klug, Damiano Lombardi, Monara Kaelle Servulo Cruz Angelim, Fabrice Dabertrand, Valérie Domenga‐Denier, Rustam Al‐Shahi Salman, Colin Smith, Jean-Frédéric Gerbeau, Mark T. Nelson,

Circulation · 2020 · 60 citations · 38 references

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Abstract

Our results suggest that hypermuscularization of the TS, through increased Notch3 activity, is involved in the occurrence of ICH in <i>Col4a1</i> mutant mice, by raising the intravascular pressure in the upstream feeding arteriole and promoting its rupture at the site of SMC loss. Our human data indicate that these 2 mutually reinforcing vascular defects may represent a general mechanism of deep ICH.

References

38