Cerebral cavernous malformations (CCMs) are low-flow, thin-walled vascular conglomerates that arise within the central nervous system and constitute a significant cause of stroke. Experimental evidence indicates that mitochondrial dysfunction contributes to the pathogenesis of CCM, a disease that can be caused by PDCD10 deficiency. However, the specific mechanisms underlying mitochondrial homeostatic imbalance remain unclear. 3-oxoacid CoA-transferase 1 (OXCT1), localized in the mitochondrial matrix, serves as the rate-limiting enzyme of ketone body metabolism. Additionally, it also modulates diverse mitochondrial functions. Although the function of OXCT1 has been implicated in various diseases, its role in the progression of CCM awaits elucidation. Utilizing RNA-seq data from the CRISPR/Cas9-generated PDCD10-knockout endothelial cell line, primary endothelial cells from Pdcd10