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Hack RJ, Rutten JW, Person TN, Li J, Khan A, Griessenauer CJ, Abedi V, Lesnik Oberstein SAJ, Zand R. Cysteine-Altering NOTCH3 Variants Are a Risk Factor for Stroke in the Elderly Population. Stroke 2020; 51:3562-3569. [PMID: 33161844 PMCID: PMC7678653 DOI: 10.1161/strokeaha.120.030343] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Supplemental Digital Content is available in the text. Cysteine altering NOTCH3 variants, which have previously been exclusively associated with the rare hereditary small vessel disease cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, have a population frequency of 1:300 worldwide. Using a large population database, and taking genotype as a starting point, we aimed to determine whether individuals harboring a NOTCH3 cysteine altering variant have a higher load of small vessel disease markers on brain magnetic resonance imaging than controls, as well as a higher risk of stroke and cognitive impairment.
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Affiliation(s)
- Remco J Hack
- Department of Clinical Genetics, Leiden University Medical Center, the Netherlands (R.J.H., J.W.R., S.A.J.L.O.)
| | - Julie W Rutten
- Department of Clinical Genetics, Leiden University Medical Center, the Netherlands (R.J.H., J.W.R., S.A.J.L.O.)
| | | | - Jiang Li
- Department of Molecular and Functional Genomics, Geisinger, Danville, PA (J.L., V.A.)
| | - Ayesha Khan
- Neuroscience Institute, Geisinger, Danville, PA (A.K., C.J.G., R.Z.)
| | - Christoph J Griessenauer
- Neuroscience Institute, Geisinger, Danville, PA (A.K., C.J.G., R.Z.).,Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria (C.J.G.). Regeneron Genetics Center, Tarrytown, New York
| | | | - Vida Abedi
- Department of Molecular and Functional Genomics, Geisinger, Danville, PA (J.L., V.A.)
| | - Saskia A J Lesnik Oberstein
- Department of Clinical Genetics, Leiden University Medical Center, the Netherlands (R.J.H., J.W.R., S.A.J.L.O.)
| | - Ramin Zand
- Neuroscience Institute, Geisinger, Danville, PA (A.K., C.J.G., R.Z.)
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