2000
DOI: 10.1172/jci8047
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The ectodomain of the Notch3 receptor accumulates within the cerebrovasculature of CADASIL patients

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Cited by 523 publications
(490 citation statements)
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“…Investigating normal and mutant Notch3 protein expression, Joutel et al (2000) showed that proteolytic processing and distribution in different cell compartments of the mutant form of the protein in vitro are similar than those described in the normal protein. They also observed that in adult human tissues, Notch3 expression is limited to VSMC, whereas in brain vessels of CADASIL patients the extracellular portion of Notch3 (Notch3ECD) accumulates probably in relationship to decreased clearance of the receptor from the cell surface caused by incorrect oligomerisation of the mutant extracellular domain.…”
Section: Do Cadasil Mutations Lead To Loss Of Receptor Function or Acmentioning
confidence: 99%
See 1 more Smart Citation
“…Investigating normal and mutant Notch3 protein expression, Joutel et al (2000) showed that proteolytic processing and distribution in different cell compartments of the mutant form of the protein in vitro are similar than those described in the normal protein. They also observed that in adult human tissues, Notch3 expression is limited to VSMC, whereas in brain vessels of CADASIL patients the extracellular portion of Notch3 (Notch3ECD) accumulates probably in relationship to decreased clearance of the receptor from the cell surface caused by incorrect oligomerisation of the mutant extracellular domain.…”
Section: Do Cadasil Mutations Lead To Loss Of Receptor Function or Acmentioning
confidence: 99%
“…This syndrome is characterised by a predisposition for stroke caused by diffuse angiopathy: the vascular damage, prevalently affecting small cerebral arteries, is situated in the vascular smooth muscle cells (VSMC), which are the only site of expression of the Notch3 gene in human adults (Joutel et al, 2000). Besides progressive degeneration of the VSMC, the vessels walls of CADASIL patients also show accumulation of a material of unknown composition presenting at electron microscope observation as a granular osmiophilic material (GOM) (Baudrimont et al, 1993).…”
Section: The Effects Of Notch Signallingmentioning
confidence: 99%
“…81,85 These findings have directed mechanistic studies to a neomorphic effect ( Figure 2B). A toxic gain-of-function mechanism is supported by the stereotyped nature of CADASIL mutations (see above) and by data showing that CADASIL-mutant NOTCH3 ECD aggregates accumulate in the extracellular space of small arteries, arterioles, and capillaries: First, ultrastructural examination of microvessels from CADASIL patients reveals pathognomonic granular osmiophilic material that locates to the vicinity of vascular smooth muscle cells and is NOTCH3-positive on immunogold labeling; 86 Second, NOTCH3 immunostaining of CADASIL microvessels reveals massive immunoreactivity that is specific for this condition; 87 Third, immunoblotting of brain homogenates as well as homogenates from isolated arteries demonstrates accumulation and aggregation of NOTCH3 ECD ; 86,88 And fourth, aggregation and accumulation of mutant NOTCH3 can be recapitulated in vitro using scanning for intensely fluorescent targets, a confocal method allowing the detection of single-protein particles in solution. When the multimerization behavior of NOTCH3-EGF 1-5 a fragment encompassing the mutational hot spot for disease-associated mutations, was analyzed, mutant NOTCH3 showed a much stronger tendency to self-aggregate than the wild-type protein.…”
Section: Cerebral Autosomal Dominant Arteriopathy With Subcortical Inmentioning
confidence: 97%
“…CADASIL is caused by single missense mutations, or more rarely by small deletions, in the Notch3 gene which encodes Notch3 protein, a member of a conserved transmembrane receptor family (Notch signalling) (27). Notch 3 is mainly expressed in VSMC, though it is claimed to be expressed ubiquitously in adult human tissues (28). The pathogenetic mechanism leading to CADASIL is not yet completely understood.…”
Section: Cadasilmentioning
confidence: 99%