Metabolic disturbances in plasma as biomarkers for Huntington's disease

Mei-Ling Cheng1, Kuo-Hsuan Chang2, Yih-Ru Wu2

  • 1Healthy Aging Research Center, Chang Gung University, Tao-Yuan, Taiwan; Metabolomics Core Laboratory, Chang Gung University, Tao-Yuan, Taiwan; Department of Biomedical Sciences, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.

Insights

Huntington's disease (HD) involves altered metabolites, including carnitine, amino acids, and phosphatidylcholines. These metabolic changes in plasma and leukocytes suggest disturbed metabolism contributes to HD pathogenesis.

Area of Science:

  • Neuroscience
  • Metabolomics
  • Genetics

Background:

  • Huntington's disease (HD) is a neurodegenerative disorder caused by expanded CAG repeats in the huntingtin gene.
  • HD is characterized by neuronal degeneration in the striatum and cortex.
  • Previous studies suggest metabolite alterations in HD, but a comprehensive plasma metabolomics profile is lacking.

Purpose of the Study:

  • To delineate the plasma metabolomics profile in Huntington's disease (HD).
  • To investigate alterations in phosphatidylcholine metabolism and related enzyme activities in HD.
  • To identify potential metabolic biomarkers for HD pathogenesis and therapeutic targets.

Main Methods:

  • Global metabolomics screening of plasma samples from HD patients and controls.
  • Quantitative analysis of specific metabolites including carnitines, amino acids, and phosphatidylcholines.
  • Examination of key enzyme expression and activity involved in phosphatidylcholine metabolism in leukocytes.

Main Results:

  • Plasma metabolomics successfully distinguished HD patients from controls using metabolites from carnitine, amino acid, and phosphatidylcholine classes.
  • Identified one up-regulated (glycine) and nine down-regulated metabolites in HD patients, including taurine, serotonin, valine, isoleucine, and specific phosphatidylcholine and lysophosphatidylcholine species.
  • Observed down-regulation of PCYT1A and increased phospholipase A2 activity in leukocytes of HD patients.

Conclusions:

  • Disturbed metabolism, particularly in carnitine, amino acid, and phosphatidylcholine pathways, is implicated in Huntington's disease pathogenesis.
  • Metabolic profiling provides insights into the molecular mechanisms underlying HD.
  • These findings offer potential biomarkers and therapeutic targets for Huntington's disease.

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