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Published on: April 4, 2018
[Japanese CADASIL case with limited dementia who had the Notch 3 R141C mutation]
Kenichi Ishibashi1, Takaho Murata, Yukio Miki
1Department of Neurosurgery, Graduate School of Medicine, Osaka City University.
Insights
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a rare genetic disorder. This study presents a Japanese CADASIL case with the Notch 3 R141C mutation, showing limited dementia, and discusses Notch 3 mutation site-pathogenesis links.
Area of Science:
- Genetics and Neurology
Background:
- Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a rare hereditary cerebrovascular disorder.
- It is caused by point mutations in the Notch 3 gene, leading to transient ischemic attacks (TIAs), strokes, and vascular dementia.
Observation:
- A Japanese patient with CADASIL presented with limited cognitive decline.
- This patient was found to have the specific Notch 3 R141C mutation.
Findings:
- The study details a unique CADASIL case with the Notch 3 R141C mutation and mild dementia.
- This case provides insights into the genotype-phenotype correlation in CADASIL.
Implications:
- Understanding the relationship between Notch 3 mutation sites and disease pathogenesis is crucial for CADASIL.
- Further research on this specific mutation may inform diagnostic and therapeutic strategies for CADASIL patients.
Abstract:
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a rare hereditary disease characterized by recurrent transient ischemic attacks (TIA) and strokes, and vascular dementia caused by point mutations of the Notch 3 gene. Here, we report a Japanese CADASIL case who displayed limited dementia and had the Notch 3 R141C mutation. The relationship between pathogenesis and the mutation site in Notch 3 is discussed based on the case presented here.
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