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Leblanc GG et al. – Recent findings begin to explain how mutations in VMB genes render vessels vulnerable to rupture when challenged with other inauspicious genetic or environmental factors and have suggested candidate therapeutics. Understanding of the cellular mechanisms of VMB formation and progression in humans has lagged behind that in animal models. New knowledge of lesion biology will spur new translational work. Several well–established clinical and genetic database efforts are already in place, and further progress will be facilitated by collaborative expansion and standardization of these.

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