“…Functional analysis using a Notch-sensitive luciferase reporter assay has shown that leucine to proline point mutations in the HD domain lead to increased activity. 3 At least 10 of the 13 different HD domain mutations detected in our cohort are likely to result in an altered conformation, either through insertion of a proline residue, or loss or gain of amino acids. Conversely, the C-terminal PEST domain is an important negative regulatory site required for ICN degradation, and loss of this region also leads to increased activity in the Notch-sensitive reporter assay, probably through stabilization of ICN.…”