Striatal infusion of cholesterol promotes dose-dependent behavioral benefits and exerts disease-modifying effects in

Giulia Birolini1,2, Marta Valenza1,2, Eleonora Di Paolo1,2

  • 1Department of Biosciences, University of Milan, Milan, Italy.

EMBO Molecular Medicine
|September 22, 2020
PubMed

Insights

Directly infusing cholesterol into the brain improved cognitive function and motor deficits in Huntington

Area of Science:

  • Neuroscience
  • Biochemistry
  • Genetics

Background:

  • Huntington's disease (HD) involves reduced cholesterol biosynthesis, particularly in the striatum, even before symptom onset.
  • Systemic cholesterol nanoparticle delivery showed promise in improving synaptic and cognitive function in HD mouse models.

Purpose of the Study:

  • To determine an optimal treatment regimen for cholesterol delivery to the HD brain.
  • To investigate the mechanistic basis of exogenous cholesterol's therapeutic effects in HD.

Main Methods:

  • Osmotic mini-pumps were used to deliver escalating doses of cholesterol directly into the striatum of HD mice.
  • Cognitive function, motor deficits, synaptic transmission, and mutant Huntingtin levels were assessed.

Main Results:

  • All tested cholesterol doses prevented cognitive decline in HD mice.
  • Motor defect amelioration was dependent on the cholesterol dose administered.
  • Synaptic transmission, both excitatory and inhibitory, showed recovery in striatal medium spiny neurons.
  • Endogenous cholesterol synthesis and clearance of mutant Huntingtin aggregates were enhanced.

Conclusions:

  • Direct striatal cholesterol infusion demonstrates a dose-dependent, disease-modifying effect in Huntington's disease models.
  • This approach holds therapeutic potential for managing Huntington's disease by restoring cholesterol homeostasis and mitigating pathology.