Emerging roles for cholesterol in Huntington's disease
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Updated: May 30, 2026

Enrichment of Mammalian Tissues and Xenopus Oocytes with Cholesterol
Published on: March 25, 2020
Marta Valenza1, Elena Cattaneo
1Department of Pharmacological Sciences and Centre for Stem Cell Research, Università degli Studi di Milano, Milan, Italy.
Insights
Alterations in cholesterol homeostasis are linked to Huntington's disease (HD). The huntingtin protein may regulate cholesterol biosynthesis, offering potential therapeutic targets for HD treatment.
Area of Science:
- Neurodegenerative diseases
- Cholesterol metabolism
- Huntington's disease pathogenesis
Background:
- Emerging evidence links cholesterol homeostasis disruptions to Huntington's disease (HD).
- Cholesterol alterations are observed in HD cell and animal models, but underlying mechanisms remain unclear.
- It is undetermined if cholesterol changes are a cause or consequence of HD pathogenesis.
Purpose of the Study:
- To review current research on cholesterol perturbations in Huntington's disease.
- To discuss potential mechanisms linking cholesterol homeostasis to HD.
- To explore the role of huntingtin protein in cholesterol biosynthesis.
Main Methods:
- Literature review of studies investigating cholesterol in HD models.
- Analysis of findings on cholesterol content and metabolism in HD.
- Discussion of the potential role of huntingtin protein in cholesterol regulation.
Main Results:
- Huntingtin protein may play a role in regulating cholesterol biosynthesis.
- Observed cholesterol alterations in HD models require further mechanistic investigation.
- The precise involvement of cholesterol homeostasis in HD pathogenesis is still under investigation.
Conclusions:
- Understanding cholesterol's role in HD pathophysiology is crucial.
- Investigating huntingtin protein's function in cholesterol metabolism may reveal therapeutic strategies.
- Targeting cholesterol pathways could offer new treatment avenues for Huntington's disease.
Abstract:
Recent findings suggest that alterations in cholesterol homeostasis might be associated with Huntington's disease (HD). Although alterations in cholesterol content have been detected in cell models and several rodent models of HD, it is currently unclear what the potential mechanisms underlying cholesterol perturbations are. Furthermore, it remains to be determined whether these observed changes in cholesterol homeostasis are involved in the pathogenesis of HD or occur as a secondary event. In this review, we provide an overview of current studies that have begun to address these issues and discuss recent findings suggesting that normal huntingtin protein might participate in regulating cholesterol biosynthesis. A better understanding of how alterations in cholesterol levels contribute to the pathophysiology of HD is likely to have significant therapeutic implications for the treatment of this debilitating neurodegenerative disorder.
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