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Published on: February 27, 2018
Pharmacologic approaches to the treatment of Huntington's disease
Charles S Venuto1, Andrew McGarry, Qing Ma
1Center for Human Experimental Therapeutics, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Insights
Huntington's disease (HD) treatments are limited, with current options focusing on symptom management for motor and mood disorders. Research is ongoing for novel therapies to address cognitive decline and disease progression in this inherited neurodegenerative condition.
Area of Science:
- Neuroscience
- Genetics
- Pharmacology
Background:
- Huntington's disease (HD) is an inherited, progressive neurodegenerative disorder.
- Key features include chorea, cognitive impairment, and behavioral disturbances.
- Current treatment options for HD are limited, with a paucity of approved therapeutic interventions.
Purpose of the Study:
- To review common pharmacologic treatments for Huntington's disease (HD).
- To discuss data on suboptimal agents tested for HD.
- To survey treatments currently under investigation for HD.
Main Methods:
- Review of existing literature on pharmacologic treatments for HD.
- Analysis of clinical trial data and case reports for various agents.
- Survey of ongoing research and investigational therapies.
Main Results:
- Symptomatic treatment is primarily limited to antidopaminergic agents for motor dysfunction and antidepressants for mood disorders.
- Treatment for cognitive dysfunction in HD remains largely unaddressed.
- Over 80 agents across various classes have been investigated, with varying degrees of success or limitations.
Conclusions:
- Effective disease-modifying treatments for Huntington's disease are still needed.
- Current pharmacologic strategies offer symptomatic relief but do not halt disease progression.
- Ongoing research targets diverse mechanisms to improve outcomes for HD patients.
Abstract:
Huntington's disease (HD) is an inherited, progressive neurodegenerative disorder characterized by chorea, cognitive impairment, and behavioral disturbances. Despite advances in diagnosis and improved understanding of HD, treatment remains difficult due to challenging symptoms and a paucity of approved therapeutic interventions. Nonpharmacologic and pharmacologic strategies have been evaluated; regarding the latter, over 80 agents of various classes have been investigated in clinical trials or examined in case reports. Symptomatic treatment, however, is generally confined to antidopaminergic agents for motor dysfunction and antidepressants for mood disorders, while treatment for cognitive dysfunction remains vacant. Several different mechanisms to modify symptoms and disease progression have been targeted in clinical trials. This article reviews some of the more common pharmacologic treatments used for HD, discusses data regarding suboptimal agents that have been tested, and surveys treatments under investigation.
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