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Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
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Neuroinflammatory Proteins in Huntington's Disease: Insights into Mechanisms, Diagnosis, and Therapeutic Implications
Xinhui Li1, Huichun Tong1,2, Shuying Xu1
1Guangdong Key Laboratory of Non-Human Primate Research, Key Laboratory of CNS Regeneration (Ministry of Education), Guangdong-Hongkong-Macau Institute of CNS Regeneration, Jinan University, Guangzhou 510632, China.
Insights
Huntington's disease (HD) involves neuroinflammation driven by immune cells like microglia and astrocytes. Targeting inflammation offers promising therapeutic potential for this genetic neurodegenerative disorder.
Area of Science:
- Neuroscience
- Immunology
- Genetics
Background:
- Huntington's disease (HD) is a hereditary neurodegenerative disorder linked to CAG repeat expansion in the huntingtin gene (HTT).
- Neuroinflammation, involving glial cells, is an early pathological hallmark in HD and other neurodegenerative diseases (NDDs).
- The specific role and therapeutic implications of inflammation in HD remain less explored compared to other NDDs.
Purpose of the Study:
- To review the evidence for neuroinflammation in Huntington's disease.
- To highlight the roles of glial cells and the peripheral immune system in HD pathogenesis.
- To discuss the therapeutic potential of targeting inflammation in HD.
Main Methods:
- Review of scientific literature on HD, neuroinflammation, and immunology.
- Analysis of data from HD animal models and human patient tissues.
- Synthesis of recent findings on immune system involvement in HD.
Main Results:
- Elevated inflammatory proteins and cellular markers are consistently observed in HD models and patients.
- Microglia, astrocytes, and oligodendrocytes play critical roles in mediating HD neuroinflammation.
- Emerging evidence points to the involvement of the peripheral immune system in HD.
Conclusions:
- Neuroinflammation is a significant factor in Huntington's disease progression.
- Targeting inflammation, alongside other therapies and personalized approaches, shows promise for HD treatment.
- Further research into immunomodulatory strategies and biomarkers is warranted for HD diagnosis and therapy.
Abstract:
Huntington's disease (HD) is a hereditary neurodegenerative disorder caused by a CAG tract expansion in the huntingtin gene (HTT). HD is characterized by involuntary movements, cognitive decline, and behavioral changes. Pathologically, patients with HD show selective striatal neuronal vulnerability at the early disease stage, although the mutant protein is ubiquitously expressed. Activation of the immune system and glial cell-mediated neuroinflammatory responses are early pathological features and have been found in all neurodegenerative diseases (NDDs), including HD. However, the role of inflammation in HD, as well as its therapeutic significance, has been less extensively studied compared to other NDDs. This review highlights the significantly elevated levels of inflammatory proteins and cellular markers observed in various HD animal models and HD patient tissues, emphasizing the critical roles of microglia, astrocytes, and oligodendrocytes in mediating neuroinflammation in HD. Moreover, it expands on recent discoveries related to the peripheral immune system's involvement in HD. Although current immunomodulatory treatments and inflammatory biomarkers for adjunctive diagnosis in HD are limited, targeting inflammation in combination with other therapies, along with comprehensive personalized treatment approaches, shows promising therapeutic potential.
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