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Updated: Jul 18, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Multiple pathways contribute to the pathogenesis of Huntington disease
1Department of Human Genetics, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322, USA. shihual@genetics.emory.edu
Insights
Huntington disease (HD) involves a polyglutamine (polyQ) expansion in huntingtin (htt) protein, leading to neurodegeneration. Mutant htt affects multiple cellular pathways, and understanding these is key for effective HD therapies.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Huntington disease (HD) is a neurodegenerative disorder caused by polyglutamine (polyQ) expansion in the huntingtin (htt) protein.
- PolyQ expansions are implicated in eight other inherited neurodegenerative disorders, each with distinct neuropathology.
- Despite identified genetic defects, the precise pathogenesis of polyQ diseases remains unclear.
Purpose of the Study:
- This review focuses on Huntington disease pathogenesis.
- It outlines the effects of mutant huntingtin (htt) within the cell nucleus and neuronal processes.
- It explores the role of cell-cell interactions in HD pathology.
Main Methods:
- Review of existing literature on Huntington disease.
- Analysis of mutant huntingtin (htt) expression, localization, and protein interactions.
- Examination of cellular and molecular mechanisms underlying HD pathology.
Main Results:
- Mutant huntingtin (htt) is widely expressed and localized in various cellular compartments.
- Mutant htt interacts with numerous proteins, suggesting engagement of multiple pathogenic pathways.
- Cell-cell interactions play a role in the progression of HD pathology.
Conclusions:
- The pathogenesis of Huntington disease (HD) is complex, involving multiple pathways affected by mutant huntingtin (htt).
- Understanding the diverse effects of mutant htt, including its nuclear and extranuclear actions and role in cell interactions, is crucial.
- Elucidating these pathways is essential for developing targeted and effective therapies for HD.
Abstract:
Huntington disease (HD) is caused by expansion of a polyglutamine (polyQ) domain in the protein known as huntingtin (htt), and the disease is characterized by selective neurodegeneration. Expansion of the polyQ domain is not exclusive to HD, but occurs in eight other inherited neurodegenerative disorders that show distinct neuropathology. Yet in spite of the clear genetic defects and associated neurodegeneration seen with all the polyQ diseases, their pathogenesis remains elusive. The present review focuses on HD, outlining the effects of mutant htt in the nucleus and neuronal processes as well as the role of cell-cell interactions in HD pathology. The widespread expression and localization of mutant htt and its interactions with a variety of proteins suggest that mutant htt engages multiple pathogenic pathways. Understanding these pathways will help us to elucidate the pathogenesis of HD and to target therapies effectively.
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