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Integrative GWAS and snRNA-seq Reveal a Mesenchymal-Like Endothelial Signature in Moyamoya Disease - PubMed

3 hours ago
  • #GWAS
  • #Endothelial cells
  • #Moyamoya disease
  • Moyamoya disease (MMD) has a strong genetic basis, with the rare RNF213 variant (rs112735431) being a major risk factor.
  • A genome-wide association study (GWAS) in Japanese individuals identified a significant signal in the HDAC9-TWIST1 region (P=3.3×10^-14; odds ratio, 1.77).
  • A protective RNF213 missense variant, p.Asn1331Gly (rs8074015), was found to be mutually exclusive with the rs112735431-A allele.
  • Single-nucleus RNA-seq (snRNA-seq) revealed a mesenchymal-like endothelial cell (MEC) population with selective FN1 expression, enriched in MMD.
  • MECs showed mesenchymal pathway activation and a distinct regulatory program compared to canonical endothelial states.
  • The proportion of MECs was significantly higher in MMD (72%) compared to controls (28%).
  • Immunohistochemistry confirmed FN1 expression in endothelial regions of MMD patients.