NOTCH3-related disease

CADASIL is a genetic cerebral small vessel disease with urgent therapeutic need.

CADASIL is commonly caused by pathogenic variants in the NOTCH3 gene. It affects small blood vessels in the brain and can lead to migraine with aura, strokes, cognitive changes, mood symptoms, and progressive disability.

Research focus

From NOTCH3 biology to testable gene-targeted therapies.

NOTCH3 pathogenic variants provide a precise biological starting point for CADASIL therapeutic research. The project focuses on experimental systems that can test whether candidate interventions change disease-relevant vascular readouts.

This space links software-enabled design, plasmid and vector testing, ASO concepts, and practical translational questions around delivery, safety, and measurable benefit.

People and projects

The NOTCH3 therapeutic testing space.

Dr Favour Felix-Ilemhenbhio leads this area, with student contributions supporting experimental testing of novel therapeutic concepts for NOTCH3-related disease.

Platform

shCREATE

shCREATE is a software platform created by Dr Favour Felix-Ilemhenbhio to support the design of small interfering RNA (siRNA), short hairpin RNA (shRNA), and antisense oligonucleotide (ASO) tools. These approaches can be used to reduce, redirect, or otherwise modulate RNA and protein expression, creating opportunities to test therapeutic ideas in vitro in cell-based systems and in vivo in disease-relevant models.

In practice, siRNA and shRNA can help researchers ask whether lowering a target transcript changes a disease readout, while ASOs can offer a wider experimental space, including knockdown, splice modulation, and allele-focused strategies depending on the biology of the target.

Open shCREATE
MSc Translational Neuroscience

Miles Morris

Contributed toward testing novel lentiviral and AAV plasmids.

MSc Translational Neuroscience

Alanur Ciger

Contributed toward testing antisense oligonucleotide approaches.

Family-facing science

Understanding CADASIL through genetics, symptoms, and therapeutic readiness.

This page brings together what families and collaborators need to understand: the role of NOTCH3, the clinical features of CADASIL, and the research steps needed before a therapy can be responsibly tested.

Future additions can include diagnosis basics, symptom management, family genetics, clinical trial updates, and questions to bring to clinicians.

University of Sheffield Sheffield Institute for Translational Neuroscience National Institute for Health and Care Research Alzheimer's Research UK British Heart Foundation