Evidence map›Paper›PMID 41300153›Full record

ReviewBrain sciences2025

Characterizing the Microenvironment of Cerebral Arteriovenous Malformations to Test Novel Treatment Modalities.

Kavin Wazhi, Fred C Lam, Santosh Guru, Yusuke S Hori, Deyaldeen AbuReesh, Lorelei Shoemaker, David J Park, Steven D Chang

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kavin WazhiDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Fred C LamDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Santosh GuruDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Yusuke S HoriDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Deyaldeen AbuReeshDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Lorelei ShoemakerDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
David J ParkDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-9858-2592
Steven D ChangDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain arteriovenous malformations (bAVMs) consist of a tangled nidus of abnormal dilated vessels characterized by direct connections between arteries and veins that lack an intervening capillary bed, creating a high-to-low flow pressure system that is predisposed to spontaneous hemorrhage with significant associated neurologic morbidity and mortality. Treatment options for bAVMs include the following: surgical resection, intravascular embolization to obliterate blood flow through the AVM, and radiosurgery. Understanding the molecular mechanisms of bAVM formation and factors that predispose it to hemorrhage can lead to novel treatments that can improve the prognosis for patients. This review summarizes emerging insights into the complex and dynamic molecular mechanisms of bAVMs. Dysregulation in key VEGF, TGF-β/BMP9/10-ENG-ALK1-SMAD4, Notch, and MAPK/ERK signaling pathways drive abnormal angiogenesis in both syndromic and sporadic forms, with KRAS/BRAF/MAPK21 mutations specifically linked to the latter. Advances in bAVM-induced animal models have corroborated many of the genetic profiles found in humans, and they continue to provide novel insights into bAVM mechanisms. Collectively, these mechanistic findings are guiding translational advances, with targeted therapies and liquid biopsy approaches emerging as avenues for precision treatment and improved patient outcomes.

Indexed as

animal modelsbrain arteriovenous malformationsembolizationneurosurgeryorganoidsradiosurgery

Identifiers

PMID41300153
PMCPMC12650072

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.