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Updated: Jul 4, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Mechanisms of neurodegeneration in Huntington's disease
Joana M Gil1, Ana Cristina Rego
1Island Medical Program, Division of Medical Sciences, University of Victoria, Victoria, BC, Canada.
Insights
Huntington's disease (HD) stems from expanded CAG repeats in the huntingtin gene, causing neuronal death. Understanding HD pathogenesis mechanisms is key to developing effective treatments for this neurodegenerative disorder.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Huntington's disease (HD) is a neurodegenerative disorder caused by cytosine-adenine-guanine (CAG) repeat expansion in the huntingtin gene.
- This genetic mutation leads to neuronal loss in the striatum and cortex and the formation of mutant huntingtin inclusions.
- Huntingtin protein dysfunction involves loss-of-function and toxic gain-of-function mechanisms, disrupting critical cellular pathways.
Purpose of the Study:
- To review the complex mechanisms contributing to Huntington's disease pathogenesis.
- To provide a comprehensive overview of the molecular and cellular disruptions in HD.
- To highlight the need for a deeper understanding to identify novel therapeutic targets.
Main Methods:
- Literature review of scientific articles on Huntington's disease.
- Analysis of genetic, molecular, and cellular mechanisms implicated in HD.
- Synthesis of information on protein trafficking, signaling, transcriptional regulation, and cell death pathways.
Main Results:
- CAG repeat expansion in the huntingtin gene is the primary cause of HD.
- Multiple cellular dysfunctions, including excitotoxicity, metabolic impairment, and oxidative stress, contribute to neurodegeneration.
- Both loss of normal huntingtin function and toxic gain of mutant huntingtin function play roles in disease progression.
Conclusions:
- Huntington's disease pathogenesis involves a complex interplay of genetic and cellular factors.
- A thorough understanding of these mechanisms is crucial for developing effective therapeutic strategies.
- Further research into HD pathogenesis will facilitate the discovery of treatments for this incurable neurodegenerative disease.
Abstract:
Huntington's disease (HD) is caused by an expansion of cytosine-adenine-guanine (CAG) repeats in the huntingtin gene, which leads to neuronal loss in the striatum and cortex and to the appearance of neuronal intranuclear inclusions of mutant huntingtin. Huntingtin plays a role in protein trafficking, vesicle transport, postsynaptic signaling, transcriptional regulation, and apoptosis. Thus, a loss of function of the normal protein and a toxic gain of function of the mutant huntingtin contribute to the disruption of multiple intracellular pathways. Furthermore, excitotoxicity, dopamine toxicity, metabolic impairment, mitochondrial dysfunction, oxidative stress, apoptosis, and autophagy have been implicated in the progressive degeneration observed in HD. Nevertheless, despite the efforts of a multidisciplinary scientific community, there is no cure for this devastating neurodegenerative disorder. This review presents an overview of the mechanisms that may contribute for HD pathogenesis. Ultimately, a better understanding of these mechanisms will lead to the development of more effective therapeutic targets.
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