Hypomorphic NOTCH3 Alleles Do Not Cause CADASIL in Humans

Julie W. Rutten, Elles M. J. Boon, Michael K. Liem, Johannes G. Dauwerse, Margot J. Pont, Ellen Vollebregt, Anneke J. Maat-Kievit, Hendrika B. Ginjaar, Phillis Lakeman, Sjoerd G. van Duinen, Gisela M. Terwindt, Saskia A. J. Lesnik Oberstein

Research output: Contribution to journalArticleAcademicpeer-review

40 Citations (Scopus)

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is caused by stereotyped missense mutations in NOTCH3. Whether these mutations lead to the CADASIL phenotype via a neomorphic effect, or rather by a hypomorphic effect, is subject of debate. Here, we report two novel NOTCH3 mutations, both leading to a premature stop codon with predicted loss of NOTCH3 function. The first mutation, c.307C>T, p.Arg103*, was detected in two brothers aged 50 and 55 years, with a brain MRI and skin biopsy incompatible with CADASIL. The other mutation was found in a 40-year-old CADASIL patient compound heterozygous for a pathogenic NOTCH3 mutation (c.2129A>G, p.Tyr710Cys) and an intragenic frameshift deletion. The deletion was inherited from his father, who did not have the skin biopsy abnormalities seen in CADASIL patients. These individuals with rare NOTCH3 mutations indicate that hypomorphic NOTCH3 alleles do not cause CADASIL
Original languageEnglish
Pages (from-to)1486-1489
JournalHuman mutation
Volume34
Issue number11
DOIs
Publication statusPublished - 2013

Cite this