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The ectodomain of the Notch3 receptor accumulates within the cerebrovasculature of CADASIL patients
Anne Joutel, Fréderic Andreux, Swann Gaulis, Valérie Domenga, Michaelle Cecillon, Nicole Battail, Nadia Piga, Françoise Chapon, Catherine Godfrain, Elisabeth Tournier-Lasserve
Anne Joutel, Fréderic Andreux, Swann Gaulis, Valérie Domenga, Michaelle Cecillon, Nicole Battail, Nadia Piga, Françoise Chapon, Catherine Godfrain, Elisabeth Tournier-Lasserve
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Article

The ectodomain of the Notch3 receptor accumulates within the cerebrovasculature of CADASIL patients

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Abstract

Mutations in Notch3 cause CADASIL (cerebral autosomal dominant adult onset arteriopathy), which leads to stroke and dementia in humans. CADASIL arteriopathy is characterized by major alterations of vascular smooth muscle cells and the presence of specific granular osmiophilic deposits. Patients carry highly stereotyped mutations that lead to an odd number of cysteine residues within EGF-like repeats of the Notch3 receptor extracellular domain. Such mutations may alter the processing or the trafficking of this receptor, or may favor its oligomerization. In this study, we examined the Notch3 expression pattern in normal tissues and investigated the consequences of mutations on Notch3 expression in transfected cells and CADASIL brains. In normal tissues, Notch3 expression is restricted to vascular smooth muscle cells. Notch3 undergoes a proteolytic cleavage leading to a 210-kDa extracellular fragment and a 97-kDa intracellular fragment. In CADASIL brains, we found evidence of a dramatic and selective accumulation of the 210-kDa Notch3 cleavage product. Notch3 accumulates at the cytoplasmic membrane of vascular smooth muscle cells, in close vicinity to but not within the granular osmiophilic material. These results strongly suggest that CADASIL mutations specifically impair the clearance of the Notch3 ectodomain, but not the cytosolic domain, from the cell surface.

Authors

Anne Joutel, Fréderic Andreux, Swann Gaulis, Valérie Domenga, Michaelle Cecillon, Nicole Battail, Nadia Piga, Françoise Chapon, Catherine Godfrain, Elisabeth Tournier-Lasserve

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Figure 4

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Selective accumulation of the 210-kDa cleavage product in CADASIL patien...
Selective accumulation of the 210-kDa cleavage product in CADASIL patients. (a and b) Western blot analysis of brain extracts from CADASIL and control individuals with antibodies raised against Notch3 extracellular domain. (a) Brain fragments were homogenized and centrifuged at 16,000 g; the resulting pellet and supernatant were adjusted to 1× SDS-Laemmli buffer. Approximately 100 μg of extracts were loaded per lane on a 6% SDS-PAGE gel, and were immunoblotted with the 5E1 antibody. Blots were stained with Ponceau S to confirm that equal amounts of proteins were loaded. Left panel, brain extracts (supernatant and pellet) from CADASIL patient 1 and control individuals 2 and 5. Middle panel, brain extract (pellet) from CADASIL patient 1 and extract from 293T cells transfected with Notch3 cDNA (N3). Right panel, brain extracts (pellet) from CADASIL patients 1, 8, and 9. Position of the 210-kDa Notch3 protein (open arrowhead) detected in CADASIL brain extracts is indicated. The asterisk marks a band of unknown significance (cross-reacting material or, most likely, post-lysis degradation product). (b) Brain extracts from CADASIL patient 1 (pellet) and control individual 2 (pellet), and extracts from 293T cells transfected with Notch3 cDNA (N3) were run on a 6% SDS-PAGE gel and immunoblotted with the 11A1 antibody (left panel) or without primary antibody (–) (right panel). (c) The 97-kDa Notch3 protein is not detected in either CADASIL or control brains. Whole lysates were prepared from brains of CADASIL patient 1 and control individual 5, and from a renal artery of a control subject. Approximately 100 μg of each extract was loaded on a 6% SDS-PAGE gel and immunoblotted with the 5G7 antibody (bottom) and the 5E1 antibody (top). Positions of the 210-kDa and the 97-kDa processing products are indicated (open arrowhead and small arrow, respectively). (d) Western blot analysis of extracts from CADASIL and control arterial tissues. Whole lysates were prepared from mesenteric arteries of CADASIL patient 1 and a renal artery of a control subject. Extracts were resolved on a 6% SDS-PAGE gel and immunoblotted with the 5G7 antibody (right) and the 5E1 antibody (left). The asterisk marks a band of unknown significance (cross-reacting material or, most likely, a post-lysis degradation product). Whole lysates were used in experiments shown in c and d to avoid missing any soluble Notch3 intracellular fragment. (e) Western blot analysis of extracts from CADASIL and control brains and from control arterial tissue under reducing and nonreducing conditions. Extracts from CADASIL and control brains and from a control artery were solubilized in SDS-Laemmli buffer with or without βME and were resolved on a 6% SDS-PAGE gel. Both stacking (bracket) and separating gels were immunoblotted with the 5E1 antibody. Under reducing conditions (βME+), the 210-kDa Notch3 protein is detected in both control artery and CADASIL brain (open arrowhead). Under nonreducing conditions (βME–), no band is detected in the CADASIL brain; a protein of approximately 280 kDa (large open arrow) is detected in the control artery. This protein probably corresponds to the associated extracellular and intracellular domains. Cross-reacting material is caught at the transition between the stacking and separating gels.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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