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Updated: Jul 16, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Drug targeting of dysregulated transcription in Huntington's disease
Aleksey G Kazantsev1, Steven M Hersch
1Harvard Medical School, MassGeneral Institute for Neurodegenerative Disease, Massachusetts General Hospital, Charlestown, MA 02129-4404, USA. akazantsev@partners.org
Insights
Huntington's disease (HD) involves widespread transcriptional dysregulation due to mutant huntingtin protein interactions. Current research reviews therapeutic strategies targeting these complex transcriptional pathways for HD treatment.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Huntington's disease (HD) is characterized by significant transcriptional dysregulation.
- The underlying cause involves aberrant protein-protein interactions between mutant huntingtin and transcription factors.
- Identifying key transcriptional regulators in HD remains a challenge due to the widespread changes in RNA transcripts.
Purpose of the Study:
- To review recent therapeutic advances targeting transcriptional deregulation in Huntington's disease.
- To discuss potential drug discovery strategies for altered transcriptional pathways in HD.
Main Methods:
- Review of current scientific literature on Huntington's disease therapeutics.
- Analysis of challenges and opportunities in targeting transcriptional dysregulation.
Main Results:
- Transcriptional dysregulation is a hallmark of HD, stemming from mutant huntingtin's interactions.
- Developing targeted therapeutics is complex due to numerous altered RNA transcripts and non-conventional drug targets.
- Progress has been made in developing therapies that address transcriptional alterations in HD.
Conclusions:
- Targeting transcriptional deregulation offers a promising avenue for Huntington's disease therapeutics.
- Further research into drug discovery strategies is needed to overcome challenges in targeting complex protein-protein interactions and widespread transcriptomic changes.
Abstract:
Transcriptional dysregulation in Huntington's disease (HD) is a well documented and broadly studied phenomenon. Its basis appears to be in huntingtin's aberrant protein-protein interactions with a variety of transcription factors. The development of therapeutics targeting altered transcription, however, faces serious challenges. No single transcriptional regulator has emerged as a primary actor in HD. The levels of literally hundreds of RNA transcripts are altered in affected cells and it is uncertain which are most relevant. The protein-protein interactions of mutant huntingtin with transcriptional factors do not constitute conventional and easy targets for drug molecules. Nevertheless, potential therapeutic advances, targeting transcriptional deregulation in HD, have been made in recent years. In this chapter we review current progress in this area of therapeutic development. We also discuss possible drug discovery strategies targeting altered transcriptional pathways.
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