NOTCH1

🔍 Overview

NOTCH1 encodes a transmembrane receptor involved in cell-cell communication. Upon ligand binding (e.g., Jagged, Delta), NOTCH1 undergoes cleavage, releasing the Notch intracellular domain (NICD), which translocates to the nucleus and regulates gene transcription.

⚠️ Dual Role in Cancer

NOTCH1 can act as either:

  • An oncogene (e.g., T-cell acute lymphoblastic leukemia)
  • A tumor suppressor (e.g., squamous cell carcinomas)

📊 Prevalence

Cancer TypeNOTCH1 RoleMutation Frequency
T-ALLOncogene~50–60%
Chronic lymphocytic leukemia (CLL)Oncogene~10–15%
Squamous cell skin cancerTumor suppressor~40–60%
Head and neck SCCTumor suppressor~15–20%
Esophageal SCCTumor suppressor~10–20%

⚙️ Mechanism

  • Activating mutations → Constitutively active NICD → continuous gene transcription → proliferation (e.g., in T-ALL)
  • Loss-of-function mutations → Disrupted differentiation → tumorigenesis (e.g., in skin cancer)

💊 Therapeutic Implications

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