NOTCH3 Gene: Structure, Function, and Clinical Significance

A comprehensive guide to the NOTCH3 gene, its protein product, associated diseases, and mutation spectrum.

Gene Information Card

Symbol NOTCH3
Full Name Notch receptor 3
Gene Type Protein coding
Chromosomal Location 19p13.12
NCBI Gene ID 4854 ncbi.nlm.nih.gov/gene/4854
Ensembl ID ENSG00000074181
UniProt ID Q9UM47
OMIM ID 600276
HGNC ID 7883
Aliases CADASIL, CASIL, IMF2

Description

The NOTCH3 gene encodes a member of the Notch family of transmembrane receptors. It plays a critical role in cell fate determination, vascular smooth muscle cell maturation, and arterial development. Mutations in NOTCH3 are primarily associated with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), a hereditary small vessel disease leading to stroke and dementia.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) Missense mutations leading to gain or loss of cysteine residues in EGF-like domains, causing aberrant Notch3 signaling and accumulation of the protein in vascular smooth muscle cells. ClinVar, OMIM
Lacunar Stroke NOTCH3 mutations predispose to small vessel occlusion and lacunar infarcts, often as part of CADASIL. ClinVar, PubMed
Vascular Dementia Progressive degeneration of cerebral small vessels due to NOTCH3 dysfunction contributes to cognitive decline. OMIM, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Artery 12.5 High
Smooth Muscle 10.2 High
Brain 5.1 Medium
Heart 4.3 Medium
Liver 1.2 Low
Cell Line Expression
Cell Line nTPM Notes
Primary Vascular Smooth Muscle Cells 15.0 High expression; key site of CADASIL pathology
Endothelial Cells 8.5 Moderate expression
HEK293 2.0 Low endogenous expression; used for transfection studies
SH-SY5Y (Neuroblastoma) 3.5 Moderate expression; neuronal model
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1630T>C (p.Cys544Arg) Missense Common in CADASIL cohorts Disrupts disulfide bond in EGF-like domain, leading to protein aggregation
c.268C>T (p.Arg90Cys) Missense Reported in CADASIL Cysteine alteration; aberrant Notch3 signaling
c.397C>T (p.Arg133Cys) Missense Pathogenic Loss of cysteine; protein misfolding
c.458C>T (p.Pro153Leu) Missense Rare Potential gain-of-function; altered receptor activity
Mutation functional classification

Loss of Function (LOF)

Complete loss of NOTCH3 function is not typically observed in CADASIL; however, some missense mutations may impair signaling.

Gain of Function (GOF)

Most CADASIL mutations are considered gain-of-function, leading to abnormal protein accumulation and toxicity in vascular smooth muscle cells.

Dominant Negative (DN)

Some mutations may exert dominant-negative effects by interfering with wild-type NOTCH3 signaling, though evidence is limited.

Gene Ontology (GO)

• Notch binding • Calcium ion binding
• Receptor activity • Signal transduction
• Cell differentiation • Vascular smooth muscle cell differentiation

Pathways

Notch signaling pathway
Cardiovascular development
Regulation of cell fate

Protein Summary

The NOTCH3 protein is a single-pass transmembrane receptor with 34 EGF-like repeats in its extracellular domain. It undergoes proteolytic cleavage upon ligand binding, releasing the intracellular domain to regulate gene transcription. In the vasculature, NOTCH3 is essential for arterial specification and smooth muscle cell survival. Mutations, particularly those affecting cysteine residues, lead to protein misfolding and aggregation, causing CADASIL.

Related Products

Product name Cat.No. Species Gene ID
NOTCH3 Knockout HEK293 Cell Line EDJ-KQ437 Human 4854 Details Get a Quote
NOTCH3 Knockout HeLa Cell Line EDJ-KQ18002 Human 4854 Details Get a Quote
NOTCH3 Knockout A-549 Cell Line EDJ-KQ18737 Human 4854 Details Get a Quote
NOTCH3 Knockout HCT 116 Cell Line EDJ-KQ18738 Human 4854 Details Get a Quote
NOTCH3 Knockout Huh-7 Cell Line EDJ-KZ369 Human 4854 Details Get a Quote
NOTCH3 (p.R182H) Point Mutation in HAP1 Cell Line EDC03565 Human 4854 Details Get a Quote
NOTCH3 (c.1192+15A>G )Point Mutation in HAP1 Cell Line EDC03564 Human 4854 Details Get a Quote
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