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5CZX is the NRR (negative regulatory region) of the neurogenic locus notch homolog protein 3 encoded by the NOTCH3 gene. It's composed of (LNRs respectively ,, and ) and a composed by and .^[1]

There are 4 notch receptors in mammals, all of which are transmembrane proteins and notch signalling regulates a very diverse set of biological functions; The most commun is the cell lineage determination. Therefore, changes in the activity of these receptors is associated with various benign and malignant diseases as T-ALL (T-lineage acute lymphoblastic leukemia). T-ALL is characterized by the uncontrolled proliferation of T-cell lymphoblasts in the blood, the brown marrow and the tissues.

Function

NOTCH family : The NOTCH family encodes transmembrane receptor proteins that are involved in cell fate determination during development. In the drosophila ^[2] adult midgut, intestinal stem cells (ISCs) produce two types of daughter cells, the nutrient-absorbing enterocytes (ECs) and secretory enteroendocrine (ee) cells. Notch signalling between intestinal stem cells and their daughter cells guides cell specification. ISCs with elevated levels of the Notch Delta ligand more primarily activate the Notch signalling pathway in daughter cells and cause them to become ECs. However, ISCs having low levels of Notch Delta ligand direct daughter cells to become ee cells. The NOTCH gene family in humans ^[3] has a link with the Drosophila Notch gene. Members of the NOTCH gene family encode transmembrane receptor proteins that are useful to determine the cell fate during development.

5CZX : 5CZX receives a signal and transmits it in the cell to initiate a change in cell activity.It can also used in the neuron fate commitment, artery morphogenesis or the regulation of NOTCH signaling pathway

Disease

It is well understood that the Notch receptors play an important role in cancer development in mammals. These oncogenic mechanisms of the Notch receptors are dependant on its intracelluclar signaling. Therefore, in order to understand how the cancer develops due to these receptors, it is necessary to understand the Notch pathway. As an example, the target genes in the pathway of NOTCH3 or other subtypes of the Notch receptors are expressed by a variety of translocation, post-translational modifications and activation of ligands associated to it. Following translation, Furin-like convertase modifies the Notch receptor by proteolytic cleavage at site 1 (S1) and transported to the cell surface held together by the heterodimerization (HD) domain. The Notch receptor on the signal‐receiving cell binds to a ligand on the cell surface of a neighboring signal‐sending cell, causing it to get activated. This binding causes a change in the conformation of the receptor. , present within the negative regulatory region (NRR) domain, is thus exposed for cleavage by a disintegrin and metalloprotease (ADAM). Notch cleavage at S2 generates the membrane‐anchored Notch extracellular truncation (NEXT) fragment, a substrate for the γ‐secretase complex. Thus, the Notch receptor is cleaved by the γ-secretase complex. Following γ-secretase cleavage, the intracellular domain (ICD) of NOTCH3 translocates to the nucleus where it interacts with the DNA-binding factor RBPJ and co-activators of the mastermind-like (MAML) family to form a transcriptional activation complex. ^[4]

NRR mutations act by destabilizing or completely unfolding the HD domain, relaxing the interface that protects the S2 site. These mutations associated with the HD domain in the NRR domain lead to increased Notch signaling by way increased expression of the target gene that leads to abnormal levels of the ICD of Notch. These abnormally high levels of ICD of the Notch receptors are understood to be the cause of the development of several different human cancers.^[1] Activating mutations of two different regions of NOTCH1 were present in >50% of T-cell acute lymphoblastic leukemia (T-ALL). Abnormally high amounts of NOTCH3 were reported to be in approximately 10–25% of ovarian adenocarcinomas. NOTCH3 mutations have also been reported in around 1% of head and neck squamous carcinomas, ovarian cancers, and lung adenocarcinoma. ^[1]

Further research on the NOTCH3 activation is key to providing a way forward to identify the different human cancers that could potentially respond to therapy based on NOTCH3-selective inhibitory antibodies.^[1] Furthermore, the development of well-characterized diagnostic reagents and biomarkers tests related to the Notch pathway is essential to fully deciphering the complex role of Notch receptors in cancer, thereby promoting more successful trials of similar Notch pathway inhibitors as a plausible treatment for cancer patients.^[5]

Relevance

The Notch signaling pathway regulates cell-cell interaction, embryogenesis as well as various other biological functions in adult tissues. It is a highly conserved pathway. Its relevance and clinical significance lie in the mutations in the Notch gene that have been identified in an extensive range of cancers in mammals. These mutations can change the activity of the pathway rendering it capable of causing various diseases depending on the sub-type of the Notch receptor and more importantly, causing it to play an oncogenic or tumor-suppressive role.^[5]

The Notch signaling pathway has been studied comprehensively and various aspects of this pathway are very well known. Despite this, it is essential to study the pathway further, so as to understand the role it plays in cancer development and explore novel treatment strategies focusing on the Notch pathway.

Structural highlights

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