A NOTCH2 pathogenic variant alters the osteoblast and vascular cell transcriptome of mouse femurs

Ernesto Canalis1, Lauren Schilling2, Emily Denker2

  • 1Department of Orthopaedic Surgery, United States of America; Department of Medicine, United States of America; UConn Musculoskeletal Institute, UConn Health, Farmington, CT, 06030, United States of America.

Bone
|April 26, 2026
PubMed

Insights

A novel NOTCH2 gene variant causes skeletal fragility by altering bone and blood vessel cell development. This study reveals decreased osteogenic and vascular cells in mice with the NOTCH2 variant, impacting Notch signaling.

Area of Science:

  • Genetics and Molecular Biology
  • Skeletal Biology
  • Transcriptomics

Background:

  • Pathogenic NOTCH2 variants can cause significant health issues due to altered Notch signaling.
  • A novel NOTCH2 variant (4006G>C) is linked to reduced Notch signaling and skeletal fragility.
  • Understanding the molecular mechanisms underlying this variant's effects is crucial.

Purpose of the Study:

  • To investigate the transcriptomic changes in femoral bone cells from mice with a novel NOTCH2 variant.
  • To identify specific cell populations affected by the NOTCH2 variant.
  • To elucidate the impact of the NOTCH2 variant on gene transcription in osteogenic and vascular cells.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of murine femoral bone cells.
  • Microfluidic partitioning using Chromium X technology for gene expression analysis.
  • Uniform Manifold Approximation and Projection (UMAP) for cell clustering and identification.
  • scVelo pipeline for analyzing nascent transcripts and transcriptional dynamics.

Main Results:

  • Identification of 15 distinct cell clusters, including osteogenic and vascular cells.
  • Significant reduction (35-55%) in osteogenic and vascular cell populations in Notch2em1Ecan mice compared to controls.
  • Decreased expression of Hes1, a downstream target of Notch signaling, in Notch2em1Ecan cells.
  • Suppressed transcriptional velocity in vascular and osteogenic clusters of Notch2em1Ecan mice, indicating reduced gene transcription.

Conclusions:

  • A novel deleterious NOTCH2 variant significantly impacts the transcriptome of adult mouse femurs.
  • The variant leads to a marked decrease in osteogenic and vascular cell populations.
  • Reduced Notch signaling and impaired gene transcription in key cell types contribute to skeletal fragility associated with this NOTCH2 variant.

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