Nervenheilkunde 2004; 23(02): 86-89
DOI: 10.1055/s-0038-1626277
Original- und Übersichtsarbeiten - Original and Review Articles
Schattauer GmbH

CADASIL: familiäre Schlaganfälle und subkortikale vaskuläre Demenz

CADASIL: a monogenic condition causing stroke and subcortical ischemic vascular dementia
N. Peters
1   Neurologische Klinik und Poliklinik, Klinikum Großhadern, Ludwig-Maximilians-Universität München
,
M. Dichgans
1   Neurologische Klinik und Poliklinik, Klinikum Großhadern, Ludwig-Maximilians-Universität München
› Author Affiliations
Further Information

Publication History

Publication Date:
19 January 2018 (online)

Zusammenfassung

CADASIL (zerebrale autosomal-dominante Arteriopathie mit subkortikalen Infarkten und Leukenzephalopathie) ist eine autosomal-dominant vererbte Mikroangiopathie, die sich klinisch durch eine Migräne mit Aura, rezidivierende ischämische Episoden und eine vaskuläre Demenz manifestiert. Ursache der Erkrankung sind Mutationen im Notch3-Gen. Diese Arbeit gibt einen Überblick über die molekularen Grundlagen, das Krankheitsbild und den derzeitigen Stand der diagnostischen und therapeutischen Möglichkeiten.

Summary

CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukencephalopathy) is an autosomal dominantly inherited microangiopathy, which is clinically characterized by migraine with aura, recurrent ischemic episodes and progressive cognitive deficits leading to subcortical dementia. This article summarizes current data on the molecular pathogenesis, clinical manifestations and diagnostic tools as well as therapeutic strategies in this condition.

 
  • Literatur

  • 1 Artavanis-Tsakonas S, Rand M, Lake RJ. Notch signaling: cell fate control and signal integration in development. Science 1999; 284 5415 770-6.
  • 2 Auer DP, Putz B, Gossl C, Elbel G, Gasser T, Dichgans M. Differential lesion patterns in CADASIL and sporadic subcortical arteriosclerotic encephalopathy: MR imaging study with statistical parametric groupcomparison. Radiology 2001; 218 (02) 443-51.
  • 3 Bergmann M, Ebke M, Yuan Y, Brück W, Mugler M, Schwendemann G. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL): a morphologic study of a german family. Acta Neuropathol 1996; 92: 341-50.
  • 4 Campos AH, Wang W, Pollman MJ, Gibbons GH. Determinants of Notch-3 receptor expression and signaling in vascular smooth muscle cells: implications in cell-cycle regulation. Circ Res 2002; 91 (11) 999-1006.
  • 5 Chabriat H, Levy C, Taillia H, Iba-Zizen MT, Vahedi K, Joutel A, Tournier-Lasserve E, Bousser MG. Patterns of MRI lesions in CADASIL. Neurology 1998; 51 (02) 452-7.
  • 6 Chabriat H, Mrissa R, Levy C, Vahedi K, Taillia H, Iba-Zizen MT, Joutel A, Tournier-Lasserve E, Bousser MG. Brain stem MRI signal abnormalities in CADASIL. Stroke 1999; 30 (02) 457-9.
  • 7 Chabriat H, Vahedi K, Iba-Zizen MT, Joutel A, Nibbio A, Nagy TG, Krebs MO, Julien J, Dubois B, Ducrocq X. et al. Clinical spectrum of CADASIL: a study of 7 families. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy. Lancet 1995; 346 8980 934-9.
  • 8 Dichgans M, Holtmannspötter M, Herzog J, Peters N, Bergmann M, Yousry TA. Cerebral microbleeds in CADASIL: a gradient-echo magnetic resonance imaging and autopsy study. Stroke 2002; 33 (01) 67-71.
  • 9 Dichgans M, Ludwig H, Muller-Hocker J, Messerschmidt A, Gasser T. Small in-frame deletions and missense mutations in CADASIL: 3D models predict misfolding of Notch3 EGF-like repeat domains. Eur J Hum Genet 2000; 08 (04) 280-5.
  • 10 Dichgans M, Mayer M, Uttner I, Bruning R, Muller-Hocker J, Rungger G, Ebke M, Klockgether T, Gasser T. The phenotypic spectrum of CADASIL: clinical findings in 102 cases. Ann Neurol 1998; 44 (05) 731-9.
  • 11 Dichgans M. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy: phenotypic and mutational spectrum. J Neurol Sci 2002; 203-204: 77-80.
  • 12 Ebke M, Dichgans M, Bergmann M, Voelter HU, Rieger P, Gasser T, Schwendemann G. CADASIL: skin biopsy allows diagnosis in early stages. Acta Neurol Scand 1997; 95 (06) 351-7.
  • 13 Joutel A, Andreux F, Gaulis S, Domenga V, Cecillon M, Battail N, Piga N, Chapon F, Godfrain C, Tournier-Lasserve E. The ectodomain of the Notch3 receptor accumulates within the cerebrovasculature of CADASIL patients. J Clin Invest 2000; 105 (05) 597-605.
  • 14 Joutel A, Corpechot C, Ducros A, Vahedi K, Chabriat H, Mouton P, Alamowitch S, Domenga V, Cecillion M, Marechal E, Maciazek J, Vayssiere C, Cruaud C, Cabanis EA, Ruchoux MM, Weissenbach J, Bach JF, Bousser MG, Tournier-Lasserve E. Notch3 mutations in CADASIL, a hereditary adult-onset condition causing stroke and dementia. Nature 1996; 383 6602 707-10.
  • 15 Joutel A, Dodick D, Parisi JE, Cecillon M, Tournier-Lasserve E, Bousser MG. De novo mutation in the Notch3 gene causing CADASIL. Ann Neurol 2000; 47 (03) 388-91.
  • 16 Joutel A, Vahedi K, Corpechot C, Troesch A, Chabriat H, Vayssiere C, Cruaud C, Maciazek J, Weissenbach J, Bousser MG, Bach JF, Tournier-Lasserve E. Strong clustering and stereotyped nature of Notch3 mutations in CADASIL patients. Lancet 1997; 350 9090 1511-5.
  • 17 Karlstrom H, Beatus P, Dannaeus K, Chapman G, Lendahl U, Lundkvist J. A CADASIL-mutated Notch 3 receptor exhibits impaired intracellular trafficking and maturation but normal ligand-induced signaling. Proc Natl Acad Sci USA 2002; 99 (26) 17119-24.
  • 18 Lesnik SAOberstein, Jukema J, Van Duinen SG, Macfarlane PW, van Houwelingen HC, Breuning MH, Ferrari MD, Haan J. Myocardial infarction in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). Medicine (Baltimore) 2003; 82 (04) 251-6.
  • 19 Lesnik SAOberstein, van dem RBoom, van Buchem MA, van Houwelingen HC, Bakker E, Vollebregt E, Ferrari MD, Breuning MH, Haan J. Dutch CADASIL Research Group. Cerebral microbleeds in CADASIL. Neurology 2001; 57 (06) 1066-70.
  • 20 Markus HS, Martin R, Simpson MA, Dong YB, Ali N, Crosby AH, Powell JF. Diagnostic strategies in CADASIL. Neurology 2002; 59 (08) 1134-8.
  • 21 O’Sullivan M, Jarosz J, Martin RJ, Deasy N, Powell JF, Markus HS. MRI hyperintensities of the temporal lobe and external capsule in patients with CADASIL. Neurology 2001; 56 (05) 628-34.
  • 22 Rocca MA, Filippi M, Herzog J, Sormani MP, Dichgans M, Yousry TA. A magnetic resonance imaging study of the cervical cord of patients with CADASIL. Neurology 2001; 56 (10) 1392-4.
  • 23 Ruchoux MM, Chabriat H, Bousser MG, Baudrimont M, Tournier-Lasserve E. Presence of ultrastructural arterial lesions in muscle and skin vessels of patients with CADASIL. Stroke 1994; 25: 2291-2.
  • 24 Schröder M, Selhaus B, Jörg J. Identification of the characteristic vascular changes in a sural nerve biopsy of a case with cerebral autosomal dominant arteriopathy with subcorticalinfarcts and leukoencephalopathy (CADASIL). Acta Neuropathol 1995; 89: 116-21.
  • 25 Sonninen V, Savontaus M. Hereditary multi-infarct dementia. Eur Neurol 1987; 27 (04) 209-15.
  • 26 Tournier-Lasserve E, Iba-Zizen M, Romero N, Bousser MG. Autosomal dominant syndrome with strokelike episodes and leukoencephalopathy. Stroke 1991; 22 (10) 1297-302.
  • 27 Tournier-Lasserve E, Joutel A, Melki J, Weissenbach J, Lathrop GM, Chabriat H, Mas JL, Cabanis EA, Baudrimont M, Maciazek J. et al. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy maps to chromosome 19q12. Nat Genet 1993; 03 (03) 256-9.
  • 28 Wang W, Campos A, Prince CZ, Mou Y, Pollman MJ. Coordinate Notch3-hairy-related transcription factor pathway regulation in response to arterial injury. Mediator role of platelet-derived growth factor and ERK. J Biol Chem 2002; 277 (26) 23165-71.