Trans-Reduction of Cerebral Small Vessel Disease Proteins by Notch-Derived EGF-like Sequences

Naw May Pearl Cartee1,2, Soo Jung Lee1,2, Kelly Z Young1,2,3

  • 1Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.

Insights

A NOTCH3 fragment (NTF2) can alter cysteine redox states in extracellular proteins. This process, particularly affecting mutant NOTCH3, may play a role in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) pathogenesis.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Neuroscience

Background:

  • Cysteine oxidation states regulate extracellular protein function and disease.
  • Mutations in NOTCH3 are linked to cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), affecting vascular smooth muscle cells.
  • Altered NOTCH3 cysteine states are implicated in CADASIL pathophysiology.

Purpose of the Study:

  • To investigate the novel redox-modulating property of the NOTCH3 second EGF-like domain.
  • To determine the effect of this property on NOTCH3 and other extracellular proteins.
  • To explore the role of this mechanism in CADASIL.

Main Methods:

  • Synthesis of NOTCH3 N-terminal fragment 2 (NTF2) peptides.
  • In vitro reduction assays using NTF2 and NOTCH3 ectodomain polypeptides.
  • Analysis of NTF2 interaction with NOTCH3 and other proteins (TSP2, CTSH).
  • Examination of NOTCH3 and cleaved NOTCH3 in CADASIL patient cerebral arteries.

Main Results:

  • NTF2 peptides reduce NOTCH3 ectodomain polypeptides in a dose- and time-dependent manner.
  • NTF2 preferentially reduces EGF-like domains 12-15 of NOTCH3.
  • NTF2 also reduces TSP2 and CTSH and forms complexes with the NOTCH3 ectodomain.
  • CADASIL mutations enhance NOTCH3 susceptibility to NTF2-mediated reduction and trans-reduction.
  • Cleaved NOTCH3 and NTF2 co-localize in cerebral arteries of CADASIL patients.

Conclusions:

  • The NOTCH3 N-terminal fragment 2 possesses intrinsic cysteine redox-modulating activity.
  • This activity, termed protein trans-reduction, targets NOTCH3 and other vascular proteins.
  • Enhanced trans-reduction of mutant NOTCH3 suggests a novel mechanism contributing to CADASIL cerebrovascular pathology.

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