Evidence map›Paper›PMID 19805914›Full record

ArticleThe Journal of clinical investigation2009

Real-time imaging of de novo arteriovenous malformation in a mouse model of hereditary hemorrhagic telangiectasia.

Sung Ok Park, Mamta Wankhede, Young Jae Lee, Eun-Jung Choi, Naime Fliess, Se-Woon Choe, Seh-Hoon Oh, Glenn Walter, Mohan K Raizada, Brian S Sorg and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04469517 (Influence of Hypoxic Induced Factors in Patients With Hereditary Hemorrhagic Telangiectasia), which is not on this map. Cited by 173 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
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.

NCT04469517 recruitingnot on this mapstarted 2020, after this paper: background citation

Influence of Hypoxic Induced Factors in Patients With Hereditary Hemorrhagic Telangiectasia (HHT)

Typeobservational_patient_registrySponsorUniversity Hospital, EssenRan2020 to 2026Enrolled100ConditionsHereditary Hemorrhagic TelangiectasiaArmshypoxic induced factors
3 · Its place in the literature

Who cites it

173 citing papers in PubMed, 1 synthesis or guideline pooled it, 301 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Towards precision medicine for brain arteriovenous malformations.The Journal of clinical investigation · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Bone morphogenetic protein-9 controls pulmonary vascular growth and remodeling.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  12. Review
  13. Article
  14. Review
  15. Hereditary haemorrhagic telangiectasia.Nature reviews. Disease primers · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

113 more citing papers are in PubMed but not listed here.

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

11 authors at 4 institutions in 3 countries.

Sung Ok ParkDepartment of Physiology and Functional Genomics, College of Medicine, University of Florida, 1376 Mowry Road, Room 456, Gainesville, Florida 32610, USA.
Mamta Wankhede
Young Jae Lee
Eun-Jung Choi
Naime Fliess
Se-Woon Choe
Seh-Hoon Oh
Glenn Walter
Mohan K Raizada
Brian S Sorg
S Paul Oh
Genomics (United Kingdom) · GBUniversity of Florida · USUniversity of Florida Health · USGachon University · KR

Funding

CVD protection mechanisms involving ACE2/Ang-(1-7) axisR01HL056921 · NHLBI · UNIVERSITY OF FLORIDA · PI RAIZADA, MOHAN K. · 1996 to 2015
$9.2M
Role of TGF-beta family signaling in HHT and PPHR01HL064024 · NHLBI · UNIVERSITY OF FLORIDA · PI OH, SUK PAUL · 2000 to 2013
$4.2M
NHLBI NIH HHS HL56921NHLBI NIH HHS HL64024NHLBI NIH HHS R01 HL056921NHLBI NIH HHS R01 HL064024
6 · The paper itself

Abstract

Arteriovenous malformations (AVMs) are vascular anomalies where arteries and veins are directly connected through a complex, tangled web of abnormal arteries and veins instead of a normal capillary network. AVMs in the brain, lung, and visceral organs, including the liver and gastrointestinal tract, result in considerable morbidity and mortality. AVMs are the underlying cause of three major clinical symptoms of a genetic vascular dysplasia termed hereditary hemorrhagic telangiectasia (HHT), which is characterized by recurrent nosebleeds, mucocutaneous telangiectases, and visceral AVMs and caused by mutations in one of several genes, including activin receptor-like kinase 1 (ALK1). It remains unknown why and how selective blood vessels form AVMs, and there have been technical limitations to observing the initial stages of AVM formation. Here we present in vivo evidence that physiological or environmental factors such as wounds in addition to the genetic ablation are required for Alk1-deficient vessels to develop to AVMs in adult mice. Using the dorsal skinfold window chamber system, we have demonstrated for what we believe to be the first time the entire course of AVM formation in subdermal blood vessels by using intravital bright-field images, hyperspectral imaging, fluorescence recordings of direct arterial flow through the AV shunts, and vascular casting techniques. We believe our data provide novel insights into the pathogenetic mechanisms of HHT and potential therapeutic approaches.

Indexed as

Activin Receptors, Type IActivin Receptors, Type IIAnimalsArteriovenous MalformationsBlood VesselsDiagnostic ImagingDisease Models, AnimalFemaleHomeostasisMaleMiceMutationTelangiectasia, Hereditary HemorrhagicActivin Receptors, Type IActivin Receptors, Type IIAcvrl1 protein, mouse

Identifiers

PMID19805914
PMCPMC2769195
OpenAlexW2160489211

What OpenQuestion holds

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Read underepoch 390

Registered trials

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 OpenQuestion graph.