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Updated: Feb 22, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Role of Phosphodiesterases in Huntington's Disease
Francesca R Fusco1, Emanuela Paldino2
1Neuroanatomy Laboratory, Santa Lucia Foundation, Rome, 06501703061, Italy. f.fusco@hsantalucia.it.
Insights
Cyclic nucleotide phosphodiesterase (PDE) inhibitors show promise for treating Huntington's disease (HD). These drugs may protect against neurodegeneration by boosting cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF) levels.
Area of Science:
- Neuroscience
- Genetics
- Pharmacology
Background:
- Huntington's disease (HD) is a rare, inherited neurodegenerative disorder caused by a genetic mutation in the huntingtin protein, leading to CAG/polyglutamine expansion.
- Mutant huntingtin impairs crucial transcription factors, including cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF), contributing to HD pathology.
- Current therapeutic strategies for HD focus on addressing CREB dysfunction and BDNF deficiency.
Purpose of the Study:
- To summarize evidence supporting cyclic nucleotide phosphodiesterase (PDE) inhibitors as a therapeutic approach for Huntington's disease.
- To explore the underlying mechanisms of action for PDE inhibitors in mitigating HD-related neurodegeneration.
Main Methods:
- Review of studies investigating the effects of PDE inhibitors in transgenic mouse models of HD.
- Analysis of how PDE inhibitors modulate protein levels of CREB and BDNF in the striatum and cortex.
Main Results:
- Cyclic nucleotide phosphodiesterase (PDE) inhibitors (specifically PDE4, 5, and 10) demonstrated neuroprotective effects in HD mouse models.
- These inhibitors were found to positively modulate cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF) protein levels in affected brain regions.
- PDE inhibitors reduced striatal and cortical degeneration in HD models.
Conclusions:
- PDE inhibitors represent a promising therapeutic avenue for Huntington's disease.
- The neuroprotective effects are attributed to the ability of PDE inhibitors to restore CREB and BDNF signaling pathways.
- Further research into PDE inhibitors could lead to novel treatments for HD.
Abstract:
Huntington's disease (HD) is an autosomal-dominant rare inherited neurodegenerative disease characterized by a wide variety of symptoms encompassing movement, cognition and behaviour. The cause of the disease is a genetic mutation in the huntingtin protein. The mutation leads to an unstable CAG expansion, translated into a polyglutamine domain within the disease protein. Indeed, huntingtin has a CAG/polyglutamine expansion in the range of 6-39 units in normal individuals, whereas it reaches 39-180 units in HD patients. Mutant huntingtin interacts with and impairs the function of a number of transcription factors. Indeed, the expression and function of cAMP response element-binding protein (CREB) and the brain-derived neurotrophic factor (BDNF) are severely affected in HD. Drugs targeting CREB loss of function and BDNF decrease have been considered as powerful tools to treat HD. Recently, cyclic nucleotide phosphodiesterase (PDE) inhibitors have been shown to reduce striatal and cortical degeneration in transgenic mouse model of HD. The neuroprotective effect is due to the competency of PDE4, 5 and 10 inhibitors to positively modulate CREB and BDNF protein levels, both in striatum and cortex in HD models. In this chapter, we will summarize the data supporting the use of PDE inhibitors as a therapeutic approach to fight HD, deepening the possible mechanisms of action underlying these effects.
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