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Updated: Jan 28, 2026

Whole-brain Segmentation and Change-point Analysis of Anatomical Brain MRI—Application in Premanifest Huntington's Disease
Published on: June 9, 2018
New directions in therapeutics for Huntington disease
Katya T Potkin1,1, Steven G Potkin2,2
1Stony Brook School of Medicine, 101 Nicolls Rd, Stony Brook, NY 11794, USA.
Insights
Huntington disease (HD) is a fatal neurodegenerative disorder caused by a genetic mutation. This review explores emerging therapeutics targeting the underlying pathology of mutant huntingtin protein (mHtt) to combat HD.
Area of Science:
- Neuroscience
- Genetics
- Pharmacology
Background:
- Huntington disease (HD) is an autosomal dominant neurodegenerative disorder characterized by motor, cognitive, and psychiatric decline.
- Pathology involves CAG repeat expansion in the huntingtin gene, leading to mutant huntingtin protein (mHtt) production.
- mHtt causes neurotoxicity, brain atrophy, and aggregate formation, with no approved curative treatments currently available.
Purpose of the Study:
- To review the latest research on promising therapeutics for Huntington disease.
- To explore therapeutic strategies targeting the pathological mechanisms of mHtt.
Main Methods:
- Literature review of recent scientific publications.
- Analysis of studies focusing on novel therapeutic approaches for HD.
Main Results:
- Identification of various therapeutic strategies targeting mHtt production, aggregation, and toxicity.
- Exploration of gene-silencing, protein degradation, and neuroprotective agents.
Conclusions:
- Emerging therapeutics show promise in addressing the core pathology of Huntington disease.
- Further research and clinical trials are necessary to develop effective treatments for HD.
Abstract:
Huntington disease (HD) is an autosomal dominantly inherited neurodegenerative disease that affects motor, cognitive and psychiatric functions, and ultimately leads to death. The pathology of the disease is based on an expansion of CAG repeats in exon 1 of the huntingtin gene on chromosome 4, which produces a mutant huntingtin protein (mHtt). This protein is involved in neurotoxicity and brain atrophy, and can form β-sheets and abnormal mHtt aggregates. Currently, there are no approved effective treatments for HD, although tetrabenazine (Xenazine™) and deutetrabenazine (AUSTEDO™) have been approved for treatment of the motor symptom chorea in HD. This literature review aims to address the latest research on promising therapeutics based on influencing the hypothesized pathological mechanisms.
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