NOTCH3 Variant Position Affects the Phenotype at the Pluripotent Stem Cell Level in CADASIL

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is the most common genetic form of stroke. It is caused by a cysteine-altering variant in one of the 34 epidermal growth factor-like repeat (EGFr) domains of Notch3. NOTCH3 pathogenic variants in EGF...

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Detalles Bibliográficos
Autores: Bugallo-Casal, Ana, Muiño, Elena, Bravo, Susana B, Hervella, Pablo, Arias-Rivas, Susana, Rodríguez-Yáñez, Manuel, Vara-León, Enrique, Quintas-Rey, Rita, Pérez-Gayol, Lara, Maisterra-Santos, Olga, Pizarro-González, Jesús, Martorell-Riera, María Rosa, Vives-Bauza, Cristofol, Fernández-Cadenas, Israel, Castillo, José, Campos, Francisco
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/24514
Acceso en línea:https://hdl.handle.net/20.500.13003/24514
Access Level:acceso abierto
Palabra clave:CADASIL
Human iPSCs
Disease modeling
NOTCH3 variant position
Proteomic analysis
Stem cells
Descripción
Sumario:Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is the most common genetic form of stroke. It is caused by a cysteine-altering variant in one of the 34 epidermal growth factor-like repeat (EGFr) domains of Notch3. NOTCH3 pathogenic variants in EGFr 1–6 are associated with high disease severity, whereas those in EGFr 7–34 are associated with late stroke onset and increased survival. However, whether and how the position of the NOTCH3 variant directly afects the disease severity remains unclear. In this study, we aimed to generate human induced pluripotent stem cells (hiPSCs) from patients with CADASIL with EGFr 1–6 and 7–34 pathogenic variants to evaluate whether the NOTCH3 position afects the cell phenotype and protein profle of the generated hiPSCs lines. Six hiPSCs lines were generated: two from patients with CADASIL with EGFr 1–6 pathogenic variants, two from patients with EGFr 7–34 variants, and two from controls. Notch3 aggregation and protein profles were tested in the established six hiPSCs lines. Cell analysis revealed that the NOTCH3 variants did not limit the cell reprogramming efciency. However, EGFr 1–6 variant position was associated with increased accumulation of Notch3 protein in pluripotent stem cells and proteomic changes related with cytoplasmic reorganization mechanisms. In conclusion, our analysis of hiPSCs derived from patients with CADASIL support the clinical association between the NOTCH3 variant position and severity of CADASIL.