“…In particular, oxidative stress has been clearly implicated in all the major molecular and cellular alterations related to CCM diseases, including destabilization of endothelial cell-cell junctions, increased β1 integrin activation, reduced cellular ability to maintain a quiescent state, increased vascular permeability, and angiogenic activity (Fraser, 2011, Fukai and Ushio-Fukai, 2011, Goitre et al, 2012, Ushio-Fukai, 2009), suggesting that it may represent a significant triggering factor involved in the initiation and progression of CCM disease. Consistently, CCM proteins have been involved in protecting cells against oxidative stress (Fidalgo et al, 2012, Goitre et al, 2010, Goitre et al, 2014), raising the possibility that CCM lesions may result from an impaired oxidative stress defense in microvascular districts of genetically predisposed subjects, and opening new therapeutic perspectives (Gibson et al, 2015, Goitre et al, 2010, Goitre et al, 2014, Moglia et al, 2015, Moglianetti et al, 2016). …”