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Human Molecular Genetics Advance Access originally published online on March 1, 2007
Human Molecular Genetics 2007 16(8):982-992; doi:10.1093/hmg/ddm042
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© The Author 2007. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The archetypal R90C CADASIL–NOTCH3 mutation retains NOTCH3 function in vivo

Marie Monet1,2, Valérie Domenga1,2, Barbara Lemaire1,2, Céline Souilhol3, Francina Langa4, Charles Babinet3, Thomas Gridley5, Elisabeth Tournier-Lasserve1,2,6, Michel Cohen-Tannoudji3 and Anne Joutel1,2,6,*

1 INSERM U740, 2 Université Paris 7-Denis Diderot, Faculté de Médecine, Site Lariboisière, 10 av de Verdun, Paris F-75010, France, 3 CNRS, URA 2578, Unité de Génétique Fonctionelle de la souris, 4 Centre d'Ingénierie Génétique Murine, Institut Pasteur, Paris F-75724, France, 5 The Jackson Laboratory, Bar Harbor, Maine 04609, USA and 6 AP-HP, Groupe hospitalier LARIBOISIERE-FERNAND-WIDAL, Groupement hospitalier-universitaire Nord, Laboratoire de Génétique, Paris F-75010, France

* To whom correspondence should be addressed at: Tel: +33 144897750; Fax: +33 144897755; Email: joutel{at}paris7.jussieu.fr

Received November 15, 2006; Accepted February 25, 2007

Cerebral Autosomal Dominant Arteriopathy with Subcortical infarcts and Leukoencephalopathy (CADASIL) is the most prominent known cause of inherited stroke and vascular dementia in human adult. The disease gene, NOTCH3, encodes a transmembrane receptor primarily expressed in arterial smooth muscle cells (SMC). Pathogenic mutations lead to an odd number of cysteine residues within the NOTCH3 extracellular domain (NOTCH3ECD), and are associated with progressive accumulation of NOTCH3ECD at the SMC plasma membrane. The murine homolog, Notch3, is dispensable for viability but required post-natally for the elaboration and maintenance of arteries. How CADASIL-associated mutations impact NOTCH3 function remains a fundamental, yet unresolved issue. Particularly, whether NOTCH3ECD accumulation may titrate the ligand and inhibit the normal pathway is unknown. Herein, using genetic analyses in the mouse, we assessed the functional significance of an archetypal CADASIL-associated mutation (R90C), in vivo, in brain arteries. We show that transgenic mouse lines expressing either the wild-type human NOTCH3 or the mutant R90C human NOTCH3, at comparable and physiological levels, can rescue the arterial defects of Notch3–/– mice to similar degrees. In vivo assessment of NOTCH3/RBP-Jk activity provides evidence that the mutant NOTCH3 protein exhibits normal level of activity in brain arteries. Remarkably, the mutant NOTCH3 protein remains functional and does not exhibit dominant negative interfering activity, even when NOTCH3ECD accumulates. Collectively, these data suggest a model that invokes novel pathogenic roles for the mutant NOTCH3 protein rather than compromised NOTCH3 function as the primary determinant of the CADASIL arteriopathy.


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