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Updated: Feb 12, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
A novel frameshift variant in the CADASIL gene NOTCH3: pathogenic or not?
V Schubert1, B Bender2, M Kinzel3
1Zentrum für Neurologie, Hertie-Institut für Klinische Hirnforschung, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
A novel NOTCH3 frameshift variant was identified in a family without classic CADASIL symptoms. This finding suggests that some NOTCH3 variants may not cause cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy.
Area of Science:
- Genetics
- Neurology
- Vascular Biology
Background:
- Cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy (CADASIL) is the most common monogenic cause of adult-onset ischemic stroke and vascular dementia.
- CADASIL is typically caused by mutations in the NOTCH3 gene, affecting cysteine residues in the Notch3 protein.
- The role of non-canonical NOTCH3 variants, particularly those leading to a hypomorphic Notch3 protein, is debated.
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