NM_000435.3(NOTCH3):c.1732C>T (p.Arg578Cys) AND none provided

Clinical significance:Likely pathogenic (Last evaluated: Aug 27, 2019)

Review status:1 star out of maximum of 4 stars

criteria provided, single submitter

Based on:
1 submission [Details]
Record status:

Allele description [Variation Report for NM_000435.3(NOTCH3):c.1732C>T (p.Arg578Cys)]

NM_000435.3(NOTCH3):c.1732C>T (p.Arg578Cys)

NOTCH3:notch receptor 3 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
Genomic location:
Preferred name:
NM_000435.3(NOTCH3):c.1732C>T (p.Arg578Cys)
  • NC_000019.10:g.15187213G>A
  • NG_009819.1:g.18769C>T
  • NM_000435.3:c.1732C>TMANE SELECT
  • NP_000426.2:p.Arg578Cys
  • NC_000019.9:g.15298024G>A
Protein change:
dbSNP: rs769773673
NCBI 1000 Genomes Browser:
Molecular consequence:
  • NM_000435.3:c.1732C>T - missense variant - [Sequence Ontology: SO:0001583]


none provided
MedGen: CN235283

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
SCV001472173ARUP Laboratories, Molecular Genetics and Genomics,ARUP Laboratoriescriteria provided, single submitter
Likely pathogenic
(Aug 27, 2019)
germlineclinical testing

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Details of each submission

From ARUP Laboratories, Molecular Genetics and Genomics,ARUP Laboratories, SCV001472173.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testingnot provided


The NOTCH3 c.1732C>T; p.Arg578Cys variant (rs769773673) is reported in the literature in multiple individuals affected with CADASIL (Choi 2006, Joutel 1996, Liem 2008, Tikka 2009). In one family, this variant was found in two mildly affected sibilings, one homozygous and one heterozygous, and was absent from an unaffected sibling (Liem 2008). Additionally, this variant has been observed in a neuropathogically normal individual from an elderly control cohort with Alzheimer’s disease (Sassi 2018), suggesting this variant may exhibit incomplete penetrance. This variant is found in the general population with a low overall allele frequency of 0.004% (10/250688 alleles) in the Genome Aggregation Database. The arginine at codon 578 is highly conserved, it occurs in the fourteenth EGF-like domain, and computational analyses (SIFT, PolyPhen-2) predict that this variant is deleterious. Most pathogenic NOTCH3 variants occur in exons 2-24 and either create or destroy a cysteine residue within an EGF-like domain (Rutten 2014), and thus the p.Arg578Cys variant is consistent with the predominant mechanism of disease in NOTCH3. Based on available information, this variant is considered to be likely pathogenic. References: Choi JC et al. Intracerebral hemorrhages in CADASIL. Neurology. 2006 Dec 12;67(11):2042-4. Joutel A et al. Notch3 mutations in CADASIL, a hereditary adult-onset condition causing stroke and dementia. Nature. 1996 Oct 24;383(6602):707-10. Liem MK et al. Homozygosity for a NOTCH3 mutation in a 65-year-old CADASIL patient with mild symptoms: a family report. J Neurol. 2008 Dec;255(12):1978-80. Rutten JW et al. Interpretation of NOTCH3 mutations in the diagnosis of CADASIL. Expert Rev Mol Diagn. 2014 Jun;14(5):593-603. Sassi C et al. Mendelian adult-onset leukodystrophy genes in Alzheimer's disease: critical influence of CSF1R and NOTCH3. Neurobiol Aging. 2018 Jun;66:179.e17-179.e29. Tikka S et al. Congruence between NOTCH3 mutations and GOM in 131 CADASIL patients. Brain. 2009 Apr;132(Pt 4):933-9.

OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Oct 6, 2021

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