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Human Molecular Genetics Advance Access first published online on July 21, 2005
This version published online on August 2, 2005

Human Molecular Genetics, doi:10.1093/hmg/ddi256
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© The Author 2005. Published by Oxford University Press. All rights reserved
Received April 28, 2005
Revised July 14, 2005
Accepted July 14, 2005

Article

CCM1 and CCM2 protein interactions in cell signaling: implications for cerebral cavernous malformations pathogenesis

Jon S. Zawistowski 1, Lisa Stalheim 2, Mark T. Uhlik 2, Amy N. Abell 2, Brooke B. Ancrile 1, Gary L. Johnson 2, and Douglas A. Marchuk 1*

1 Department of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, North Carolina 27710, USA
2 Department of Pharmacology and the Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599-7365, USA

* To whom correspondence should be addressed.
Douglas A. Marchuk, E-mail: march004{at}mc.duke.edu


   Abstract

Cerebral cavernous malformations (CCM) are sporadically acquired or inherited vascular lesions of the central nervous system consisting of clusters of dilated thin-walled blood vessels which predispose individuals to seizures and stroke. Familial CCM is caused by mutations in KRIT1 (CCM1) or in malcavernin (CCM2), the murine ortholog of which was concurrently characterized as osmosensing scaffold for MEKK3 (OSM). The roles of the CCM proteins in the pathogenesis of the disorder remain largely unknown. Here we use co-immunoprecipitation, FRET, and subcellular localization strategies to show that the CCM1 gene product, KRIT1, interacts with the CCM2 gene product, malcavernin/OSM. Analogous to the established interactions of CCM1 and {beta}1 integrin with ICAP1, the CCM1/CCM2 association is dependent upon the phosphotyrosine binding (PTB) domain of CCM2. A familial CCM2 missense mutation abrogates the CCM1/CCM2 interaction, suggesting that loss of this interaction may be critical in CCM pathogenesis. CCM2 and ICAP1 bound to CCM1 via their respective PTB domains differentially influence the subcellular localization of CCM1. Furthermore, we expand upon the established involvement of CCM2 in the p38 MAPK signaling module by demonstrating that CCM1 associates with CCM2 and MEKK3 in a ternary complex. These data indicate that the genetic heterogeneity observed in familial cerebral cavernous malformations may reflect mutation of different molecular members of a coordinated signaling complex.


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