A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles

We herein report the finding of a 62-year-old male, who developed dysarthria and dysphagia, with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy- (CADASIL-) like cerebral lesions. He also suffered from slowly progressive renal failure with the findings of g...

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Main Authors: Kuniyuki Nakamura, Tetsuro Ago, Akihiro Tsuchimoto, Nozomi Noda, Asako Nakamura, Toshiharu Ninomiya, Takeshi Uchiumi, Kazuhiko Tsuruya, Masahiro Kamouchi, Hiroaki Ooboshi, Takanari Kitazono
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2015/431461
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author Kuniyuki Nakamura
Tetsuro Ago
Akihiro Tsuchimoto
Nozomi Noda
Asako Nakamura
Toshiharu Ninomiya
Takeshi Uchiumi
Kazuhiko Tsuruya
Masahiro Kamouchi
Hiroaki Ooboshi
Takanari Kitazono
author_facet Kuniyuki Nakamura
Tetsuro Ago
Akihiro Tsuchimoto
Nozomi Noda
Asako Nakamura
Toshiharu Ninomiya
Takeshi Uchiumi
Kazuhiko Tsuruya
Masahiro Kamouchi
Hiroaki Ooboshi
Takanari Kitazono
author_sort Kuniyuki Nakamura
collection DOAJ
description We herein report the finding of a 62-year-old male, who developed dysarthria and dysphagia, with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy- (CADASIL-) like cerebral lesions. He also suffered from slowly progressive renal failure with the findings of granular deposits similar to electron-dense granular osmiophilic material in the renal arterioles. We found a novel heterozygous missense mutation of the NOTCH3 gene, c.4039G>C in exon 24, resulting in a p.Gly1347Arg substitution in its extracellular domain. The noncysteine substitution may underlie the pathogenesis of white matter lesions in the brain and of the chronic renal failure in the present case.
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institution Kabale University
issn 2090-6668
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-cfc9c707205b4d649e0f37b13cf3067a2025-02-03T01:11:39ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/431461431461A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal ArteriolesKuniyuki Nakamura0Tetsuro Ago1Akihiro Tsuchimoto2Nozomi Noda3Asako Nakamura4Toshiharu Ninomiya5Takeshi Uchiumi6Kazuhiko Tsuruya7Masahiro Kamouchi8Hiroaki Ooboshi9Takanari Kitazono10Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Chemistry and Laboratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Chemistry and Laboratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Internal Medicine, Fukuoka Dental College Medical and Dental Hospital, Fukuoka 814-0193, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanWe herein report the finding of a 62-year-old male, who developed dysarthria and dysphagia, with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy- (CADASIL-) like cerebral lesions. He also suffered from slowly progressive renal failure with the findings of granular deposits similar to electron-dense granular osmiophilic material in the renal arterioles. We found a novel heterozygous missense mutation of the NOTCH3 gene, c.4039G>C in exon 24, resulting in a p.Gly1347Arg substitution in its extracellular domain. The noncysteine substitution may underlie the pathogenesis of white matter lesions in the brain and of the chronic renal failure in the present case.http://dx.doi.org/10.1155/2015/431461
spellingShingle Kuniyuki Nakamura
Tetsuro Ago
Akihiro Tsuchimoto
Nozomi Noda
Asako Nakamura
Toshiharu Ninomiya
Takeshi Uchiumi
Kazuhiko Tsuruya
Masahiro Kamouchi
Hiroaki Ooboshi
Takanari Kitazono
A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
Case Reports in Neurological Medicine
title A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
title_full A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
title_fullStr A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
title_full_unstemmed A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
title_short A CADASIL-Like Case with a Novel Noncysteine Mutation of the NOTCH3 Gene and Granular Deposits in the Renal Arterioles
title_sort cadasil like case with a novel noncysteine mutation of the notch3 gene and granular deposits in the renal arterioles
url http://dx.doi.org/10.1155/2015/431461
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