Article
Selective vulnerability of cerebral vasculature to NOTCH3 variants in small vessel disease and rescue by phosphodiesterase-5 inhibitor.
Science advances - 3 Apr 2026
Zhao Xiangjun, Yu Chaowen, Adamson Antony, Zhao Aite, Zhou Huiyu, Sharma Pankaj, Wang Tao
Abstract excerpt
NOTCH3 variants cause CADASIL (cerebral autosomal dominant arteriopathy and subcortical infarcts and leukoencephalopathy), the most common monogenetic form of small vessel disease (SVD) and vascular dementia (VaD). The molecular mechanisms driving CADASIL pathogenesis remain poorly understood, and no specific treatments are currently available. NOTCH3 is mainly expressed in vascular smooth muscle cells (VSMCs)...
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