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...

Descripción completa

Detalles Bibliográficos
Autores: Bugallo-Casal, A., Muiño, Elena|||0000-0001-5839-7328, Bravo, S.B., Hervella, P., Arias-Rivas, S., Rodríguez-Yáñez, M., Vara-León, E., Quintas-Rey, R., Pérez-Gayol, L., Maisterra-Santos, Olga, Pizarro Gonzálvez, Jesús|||0000-0002-5808-9293, Martorell-Riera, M.R., Vives-Bauzá, C., Fernández Cadenas, Israel|||0000-0003-4821-2363, Castillo, J., Campos, Francisco|||0000-0001-8665-1039
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:321084
Acceso en línea:https://ddd.uab.cat/record/321084
https://dx.doi.org/urn:doi:10.1007/s12017-025-08840-6
Access Level:acceso abierto
Palabra clave:NOTCH3 variant position
CADASIL
Disease modeling
Human iPSCs
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 affects 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 affects the cell phenotype and protein profile 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 profiles were tested in the established six hiPSCs lines. Cell analysis revealed that the NOTCH3 variants did not limit the cell reprogramming efficiency. 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.