Antioxidant and Anti-Inflammatory Defenses in Huntington's Disease: Roles of NRF2 and PGC-1α, and Therapeutic

Francesco D'Egidio1, Elvira Qosja2, Fabrizio Ammannito1

  • 1Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

PubMed

Insights

Huntington's disease involves oxidative stress damaging neurons. Antioxidant pathways, regulated by NRF2 and PGC-1α, offer potential therapeutic targets for this neurodegenerative condition.

Area of Science:

  • Neuroscience
  • Genetics
  • Cell Biology

Background:

  • Huntington's disease (HD) is a neurodegenerative disorder caused by CAG triplet expansion in the HTT gene, producing toxic mutant Huntingtin (mHtt).
  • Oxidative stress, characterized by mitochondrial dysfunction, ROS production, and reduced antioxidants, significantly contributes to HD pathogenesis and neuronal cell death.
  • Neuronal cells possess intrinsic antioxidant defense mechanisms involving key regulatory factors.

Purpose of the Study:

  • To review the critical role of oxidative stress in Huntington's disease progression.
  • To explore the involvement and function of nuclear factor erythroid 2-related factor 2 (NRF2) and peroxisome proliferator-activated receptor gamma coactivator-1 α (PGC-1α) in HD-related oxidative stress.
  • To discuss potential antioxidant therapeutic strategies targeting NRF2 and PGC-1α in HD.

Main Methods:

  • Literature review focusing on the molecular mechanisms of oxidative stress in Huntington's disease.
  • Analysis of the roles of NRF2 and PGC-1α in cellular defense against oxidative damage in HD models.
  • Synthesis of current research on therapeutic interventions targeting antioxidant pathways.

Main Results:

  • Mutant Huntingtin (mHtt) exacerbates oxidative stress through mitochondrial dysfunction and impaired antioxidant defenses.
  • NRF2 and PGC-1α are crucial regulators of the cellular antioxidant response, and their dysfunction is implicated in HD.
  • Dysregulation of these pathways contributes to the neurotoxic environment characteristic of Huntington's disease.

Conclusions:

  • Oxidative stress is a central mechanism in Huntington's disease pathogenesis, driven by mHtt toxicity.
  • NRF2 and PGC-1α represent key molecular players in the cellular antioxidant defense against HD.
  • Targeting NRF2 and PGC-1α-mediated antioxidant pathways holds promise for developing novel therapeutic strategies for Huntington's disease.