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Calcineurin-NFAT-DSCR1.4 signaling as druggable axis in Gαq-R183Q-driven capillary malformations

Title: Calcineurin-NFAT-DSCR1.4 signaling as druggable axis in Gαq-R183Q-driven capillary malformations
Authors: Xu,Tong; Janssen,Vera; Reinhard,Nathalie R; Sobrevals-Alcaraz, Paula; van Es, Robert M; de Haan,Annett; de Swart,Julian; Wehrens,Martijn; de Kraker,Hannah; Wolkerstorfer,Albert; van der Horst,Chantal M A M; Vos, Harmjan R; Huveneers,Stephan; CMM Groep Burgering; Cancer
Publication Year: 2026
Subject Terms: Calcineurin/metabolism; Capillaries/abnormalities; Endothelial Cells/metabolism; GTP-Binding Protein alpha Subunits; Gq-G11/genetics; Humans; Intracellular Signaling Peptides and Proteins/metabolism; Muscle Proteins/metabolism; NFATC Transcription Factors/metabolism; Signal Transduction/drug effects; Vascular Malformations/genetics; Journal Article
Description: Capillary malformations (CMs) are congenital vascular lesions caused by somatic mutations in the GNAQ gene, most frequently resulting in a p.R183Q substitution in the Gαq protein in endothelial cells. However, the downstream signaling pathways by which Gαq-R183Q impairs vascular function remain poorly defined. To address this, we generated human dermal endothelial cells lacking endogenous Gαq and expressing the Gαq-R183Q mutant. Next, using SILAC-based quantitative proteomics, we mapped the Gαq-R183Q-induced endothelial phosphoproteome. These analyses identified aberrant activation of the Calcineurin-NFAT-DSCR1.4 signaling cascade as a key pathogenic feature. NFAT dysregulation and DSCR1 expression in endothelial cells were confirmed in patient-derived biopsies. Pharmacological inhibition of Calcineurin with tacrolimus partially normalized NFAT signaling in Gαq-R183Q endothelial cells. Strikingly, genetic depletion of DSCR1 in Gαq-R183Q cells fully restored Calcineurin/NFAT signaling and enabled proper endothelial migration and angiogenic sprouting, highlighting DSCR1 as a critical effector of Gαq-R183Q signaling in CMs. These findings reveal a druggable signaling circuit downstream of Gαq-R183Q that may serve as a foundation for future therapies targeting GNAQ-driven vascular malformations, including Sturge-Weber syndrome.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 0969-6970
Relation: https://dspace.library.uu.nl/handle/1874/469393
Availability: https://dspace.library.uu.nl/handle/1874/469393
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.818C82E2
Database: BASE