Why the study?
Cerebral aneurysms are prevalent with poorly understood pathological features, prompting exploration of the role of the Kisspeptin-10/GPR54 neuroendocrine pathway.
Does Kisspeptin-10 prevent the development of cerebral aneurysms in preclinical models?
Does Kisspeptin-10 prevent the development of cerebral aneurysms in preclinical models?
Kisspeptin-10 prevents cerebral aneurysm development by inhibiting Egr-1 expression and subsequent angiogenesis and inflammation via the GPR54 receptor.
KP-10/GPR54 modulation may influence cerebral aneurysm formation; hypothesis-generating and requires prospective trials before any clinical consideration.
Aims Cerebral aneurysms (CAs) are a prevalent brain condition with poorly understood pathological features. The Kisspeptin‐10 (KP‐10)/G protein‐coupled receptor 54 (GPR54) system is a vital neuroendocrine pathway primarily implicated in the regulation of reproductive functions and energy metabolism. This research explores the role of the KP‐10/GPR54 system in CAs. Materials and Methods Serum levels of KP‐10 in CA patients and animal models were assessed using commercial ELISA kits. Mice were divided into five groups: WT, GPR54 −/− , CA, CA + KP‐10, and CA + GPR54 −/− + KP‐10. The CA profiles were evaluated using Verhoeff‐van Gieson staining. Human brain microvascular endothelial cells (HBMVECs) were stimulated with Ang II (10 −7 mol/L) with or without KP‐10 (50, 100 nM). Angiogenic tube formation was then assessed. Results We found that KP‐10 levels were reduced in both CA patients and mouse models. In CA mice, Gpr54 expression in the Circle of Willis (COW) was also decreased. KP‐10 reduced CA size in wild‐type mice, but not in Gpr54 knockout mice. It also reduced matrix metalloproteinase‐9 (MMP‐9), macrophage infiltration, and vascular endothelial growth factor‐A (VEGF‐A) expression, effects that were absent in Gpr54 knockout mice. In vitro, KP‐10 inhibited Ang II‐induced proliferation, angiogenic tube formation, and VEGF‐A expression in HBMVECs by reducing early growth response‐1 (Egr‐1). These effects were abolished when Gpr54 was knocked down, indicating that KP‐10's action is dependent on Gpr54. Conclusion This study shows that KP‐10 binding to Gpr54 inhibits Egr‐1 expression, thereby suppressing MMP‐9 and VEGF‐A, reducing macrophage infiltration and angiogenesis, and preventing cerebral aneurysm development. Thus, the KP‐10/Gpr54 system is a key therapeutic target for the treatment of cerebral aneurysms.
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Yu et al. (2025) studied this question.
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