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Published on: January 2, 2018
Hypomorphic NOTCH3 alleles do not cause CADASIL in humans
Julie W Rutten1, Elles M J Boon, Michael K Liem
1Department of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands; Department of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Rare NOTCH3 mutations causing loss of function do not lead to Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). This suggests hypomorphic NOTCH3 alleles are not the cause of CADASIL.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Background:
- Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a genetic condition linked to NOTCH3 gene mutations.
- The exact mechanism by which NOTCH3 mutations cause CADASIL, whether through neomorphic (new function) or hypomorphic (reduced function) effects, is debated.
Observation:
- This study identified two novel NOTCH3 mutations predicted to result in a loss of protein function.
- One mutation (c.307C>T, p.Arg103*) was found in individuals without CADASIL, despite presenting with neurological symptoms.
- Another mutation, a frameshift deletion, was identified in a CADASIL patient and inherited from a father who did not exhibit CADASIL-related skin abnormalities.
Findings:
- The identified mutations lead to premature stop codons, indicating a complete loss of NOTCH3 function.
- Individuals with these loss-of-function mutations did not develop the characteristic features of CADASIL.
- These findings challenge the hypothesis that hypomorphic NOTCH3 alleles are sufficient to cause CADASIL.
Implications:
- The results strongly suggest that CADASIL is not caused by hypomorphic NOTCH3 alleles.
- This research clarifies the pathogenetic mechanisms underlying CADASIL, focusing on specific types of NOTCH3 dysfunction.
- Understanding these genetic underpinnings is crucial for accurate diagnosis and potential therapeutic strategies for CADASIL and related cerebrovascular disorders.
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