Publications by authors named "Hegeman I"

Background: To determine whether extremely mild small vessel disease (SVD) phenotypes can occur in variant carriers from Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) pedigrees using clinical, genetic, neuroimaging, and skin biopsy findings.

Methods: Individuals from CADASIL pedigrees fulfilling criteria for extremely mild -associated SVD (mSVD) were selected from the cross-sectional Dutch CADASIL cohort (n=200), enrolled between 2017 and 2020. Brain magnetic resonance imaging were quantitatively assessed for SVD imaging markers.

View Article and Find Full Text PDF

Aims: CADASIL, the most prevalent hereditary cerebral small vessel disease, is caused by cysteine-altering NOTCH3 variants (NOTCH3 ) leading to vascular NOTCH3 protein aggregation. It has recently been shown that variants located in one of NOTCH3 protein epidermal growth-factor like repeat (EGFr) domains 1-6, are associated with a more severe phenotype than variants located in one of the EGFr domains 7-34. The underlying mechanism for this genotype-phenotype correlation is unknown.

View Article and Find Full Text PDF

Systemic lupus erythematosus (SLE) is an auto-immune disease characterized by multi-organ involvement. Although uncommon, central nervous system involvement in SLE, termed neuropsychiatric SLE (NPSLE), is not an exception. Current knowledge on underlying pathogenic mechanisms is incomplete, however, neuroinflammation is thought to play a critical role.

View Article and Find Full Text PDF

Becker muscular dystrophy (BMD) is the milder allelic variant of Duchenne muscular dystrophy, with higher dystrophin levels. To anticipate on results of interventions targeting dystrophin expression it is important to know the natural variation of dystrophin expression between different muscles and over time. Dystrophin was quantified using capillary Western immunoassay (Wes) in the anterior tibial (TA) muscle of 37 BMD patients.

View Article and Find Full Text PDF

TiO channel waveguides were fabricated using a DC sputter deposition process, followed by photolithography and reactive ion etching. A SiO cladding was deposited using evaporation. SEM, TEM and Raman measurements indicate the presence of both an amorphous and a crystalline phase.

View Article and Find Full Text PDF

CADASIL is a vascular protein aggregation disorder caused by cysteine-altering NOTCH3 variants, leading to mid-adult-onset stroke and dementia. Here, we report individuals with a cysteine-altering NOTCH3 variant that induces exon 9 skipping, mimicking therapeutic NOTCH3 cysteine correction. The index came to our attention after a coincidental finding on a commercial screening MRI, revealing white matter hyperintensities.

View Article and Find Full Text PDF
Article Synopsis
  • CADASIL is a disease linked to NOTCH3 that affects small blood vessels in the brain, characterized by GOM deposits in arteries; however, how these deposits form and affect disease progression is not well understood.
  • Researchers studied GOM deposits in genetically modified mice and human patients, discovering that these deposits are dynamic and grow larger and more complex as the mice age, which led to the creation of a new classification system.
  • Despite similarities in GOM stages between mice and humans, the mutant mice didn't develop the most severe GOM seen in patients, highlighting a lack of severe associated brain damage and cognitive deficits, suggesting the need for further research on GOM's role in CADASIL.
View Article and Find Full Text PDF
Article Synopsis
  • CADASIL is a hereditary disease caused by NOTCH3 gene mutations, leading to toxic protein buildup in brain blood vessels, resulting in strokes and dementia, with no current treatment options available.
  • Researchers created a new mouse model by overexpressing a mutated human NOTCH3 gene, resulting in varying RNA levels and significant protein accumulation in brain tissues.
  • The study introduced the 'NOTCH3 score' as a quantitative measure for monitoring protein accumulation, making the mouse model useful for testing potential therapies aimed at managing CADASIL.
View Article and Find Full Text PDF

A simple inductively coupled microcoil has been designed to image tissue samples placed on a microscope slide, samples which can subsequently be stained histologically. As the exact same tissue is used for MRI and histology, the two data sets can be compared without the need for complicated image registration techniques. The design can be integrated into any MRI system using existing commercial hardware.

View Article and Find Full Text PDF

Purpose: SOX1 antibodies are common in small-cell lung carcinoma (SCLC) with and without paraneoplastic syndrome (PNS) and can serve as serological tumor marker. Addition of other antibodies might improve its diagnostic power. We validated an enzyme-linked immunosorbent assay (ELISA) to assess the diagnostic value of serum antibodies in SCLC and Lambert-Eaton myasthenic syndrome (LEMS).

View Article and Find Full Text PDF

The hypothalamic hypocretin (orexin) system plays a central role in the regulation of various functions, including sleep/wake regulation and metabolism. There is a growing interest in hypocretin function in Parkinson's disease (PD), given the high prevalence of non-motor symptoms such as sleep disturbances in this disorder. However, studies measuring CSF hypocretin levels have yielded contradictory results.

View Article and Find Full Text PDF

The ability of changes in the distribution of technetium-99m-hexamethylpropylene amine oxime (99mTc-HMPAO) to reflect physiologic changes in regional cerebral blood flow (rCBF) was evaluated using photic stimulation, a procedure known to increase rCBF in the striate cortex. Seven healthy subjects were injected with 740 MBq 99mTc-HMPAO on two separate days. On one day, the injection was performed following closure of the eyes and patching for 5 min.

View Article and Find Full Text PDF