A
major
advance
in
the
study
of
Huntington’s
disease
(HD)
has
been
development
human
models
employing
induced
pluripotent
stem
cells
(iPSCs)
derived
from
patients
with
HD.
Because
iPSCs
provide
an
unlimited
source
and
can
be
obtained
large
numbers
HD
patients,
they
are
a
uniquely
valuable
tool
for
investigating
mechanisms
discovering
potential
disease-modifying
therapeutics.
Here,
we
summarize
some
important
findings
pathophysiology
that
have
emerged
studies
patient-derived
iPSC
lines.
retain
genome
actual
mutations
patient,
cell
to
investigate
genetic
contributions
disease.
advantages
over
other
models.
While
iPSC-based
technology
erases
epigenetic
marks,
newly
developed
transdifferentiation
methods
now
let
us
factors
control
expression
mutant
huntingtin
(mHTT).
Human
lines
allow
how
endogenous
levels
mHTT
affect
health,
contrast
often
rely
on
overexpressing
protein.
differentiated
into
neurons
disease-related
such
as
astrocytes
different
brain
regions
regional
differences
process,
well
cell-cell
dependencies
involved
HD-associated
neurodegeneration.
They
also
serve
tissue
impact
CAG
repeat
instability,
which
is
neurodegeneration
brain.
powerful
model
system
identify
modifiers
may
onset,
progression,
symptomatology,
providing
novel
molecular
targets
drug
discovery.
The American Journal of Human Genetics,
Год журнала:
2024,
Номер
111(6), С. 1165 - 1183
Опубликована: Май 14, 2024
The
pathological
huntingtin
(HTT)
trinucleotide
repeat
underlying
Huntington
disease
(HD)
continues
to
expand
throughout
life.
Repeat
length
correlates
both
with
earlier
age
at
onset
(AaO)
and
faster
progression,
making
slowing
its
expansion
an
attractive
therapeutic
approach.
Genome-wide
association
studies
have
identified
candidate
variants
associated
altered
AaO
many
found
in
DNA
mismatch
repair
(MMR)-associated
genes.
We
examine
whether
lowering
expression
of
these
genes
affects
the
rate
human
ex
vivo
models
using
HD
iPSCs
iPSC-derived
striatal
medium
spiny
neuron-enriched
cultures.
generated
a
stable
CRISPR
interference
iPSC
line
which
we
can
specifically
efficiently
lower
gene
from
donor
carrying
over
125
CAG
repeats.
Lowering
each
member
MMR
complexes
MutS
(MSH2,
MSH3,
MSH6),
MutL
(MLH1,
PMS1,
PMS2,
MLH3),
LIG1
resulted
characteristic
deficiencies.
Reduced
MSH2,
MLH1
slowed
largest
degree,
while
either
or
MLH3
it
lesser
degree.
These
effects
were
recapitulated
cultures
where
factor
was
lowered.
CRISPRi-mediated
key
levels
feasibly
achievable
by
current
approaches
able
effectively
slow
HTT
tract.
highlight
members
family
as
potential
targets
pathogenic
aim
delay
progression
potentially
other
disorders
exhibiting
somatic
instability.
European Journal of Human Genetics,
Год журнала:
2024,
Номер
32(7), С. 770 - 778
Опубликована: Март 4, 2024
Abstract
Huntington
disease
(HD)
is
a
neurodegenerative
disorder
caused
by
≥36
CAGs
in
the
HTT
gene.
Intermediate
alleles
(IAs)
(27–35
CAGs)
are
not
considered
HD-causing,
but
their
potential
association
with
neurocognitive
symptoms
remains
controversial.
As
somatic
CAG
expansion
influences
HD
onset,
we
hypothesised
that
IAs
somatically
unstable,
and
may
drive
phenotypic
presentation
some
IA
carriers.
We
quantified
expansions
MiSeq
sequencing
blood
DNA
of
164
subjects
191
(symptomatic
control)
carriers,
brain
symptomatic
33
carrier.
also
performed
genotype-phenotype
analysis.
The
phenotype
carriers
was
characterised
motor
(85%),
cognitive
(27%)
and/or
behavioural
(29%)
signs,
late
(58.7
±
18.6
years),
CAG-dependent,
age
at
onset.
displayed
were
age-dependent
DNA,
0.4%
0.01%
molecules
expanding
year,
respectively.
Somatic
+1
+2
detected
individual
CAGs,
highest
frequency
putamen
(10.3%)
lowest
cerebellum
(4.8%).
different
vs.
control
In
conclusion,
show
found
no
HD-like
phenotypes.
It
plausible,
however,
IAs,
close
to
pathological
threshold
predisposing
genetic
background,
could
manifest
symptoms.
The American Journal of Human Genetics,
Год журнала:
2024,
Номер
111(5), С. 913 - 926
Опубликована: Апрель 15, 2024
Expanded
CAG
repeats
in
coding
regions
of
different
genes
are
the
most
common
cause
dominantly
inherited
spinocerebellar
ataxias
(SCAs).
These
unstable
through
germline,
and
larger
lead
to
earlier
onset.
We
measured
somatic
expansion
blood
samples
collected
from
30
SCA1,
50
SCA2,
74
SCA3,
SCA7
individuals
over
a
mean
interval
8.5
years,
along
with
postmortem
tissues
fetal
examine
at
stages
life.
showed
that
mosaicism
increases
time.
Expansion
levels
significantly
among
SCAs
correlate
repeat
lengths.
The
level
is
greater
who
manifest
disease
compared
those
do
not
yet
display
symptoms.
Brain
SCA
have
expansions
blood.
cerebellum
has
lowest
studied
brain
regions,
high
expression
ATXNs
DNA
repair
genes.
This
was
opposite
cortices,
highest
lower
Fetal
cortices
did
show
instability.
study
shows
increasingly
during
life
individuals,
gene-
tissue-specific
patterns.
SUMMARY
Modifiers
of
Huntington’s
disease
(HD)
include
mismatch
repair
(MMR)
genes;
however,
their
underlying
disease-altering
mechanisms
remain
unresolved.
Knockout
(KO)
alleles
for
9
HD
GWAS
modifiers/MMR
genes
were
crossed
to
the
Q140
Huntingtin
(mHtt)
knock-in
mice
probe
such
mechanisms.
Four
KO
strongly
(
Msh3
and
Pms1
)
or
moderately
Msh2
Mlh1
rescue
a
triad
adult-onset,
striatal
medium-spiny-neuron
(MSN)-selective
phenotypes:
somatic
Htt
DNA
CAG-repeat
expansion,
transcriptionopathy,
mHtt
protein
aggregation.
Comparatively,
cortex
also
exhibits
an
analogous,
but
later-onset,
pathogenic
that
is
-dependent.
Remarkably,
Q140/homozygous
Msh3-KO
lacks
visible
aggregates
in
brain,
even
at
advanced
ages
(20-months).
Moreover,
-deficiency
prevents
synaptic
marker
loss,
astrogliosis,
locomotor
impairment
mice.
Purified
MSN
nuclei
exhibit
highly
linear
age-dependent
repeat
expansion
(i.e.
migration),
with
modal-CAG
increasing
+8.8
repeats/month
(R
2
=0.98).
This
rate
reduced
2.3
0.3
heterozygous
homozygous
alleles,
respectively.
Our
study
defines
thresholds
below
which
there
are
no
detectable
nuclear
neuropil
aggregates.
Mild
transcriptionopathy
can
still
occur
stabilized
140-CAG
repeats,
majority
transcriptomic
changes
due
expansion.
analysis
reveals
479
expression
levels
correlated
length
MSNs.
Thus,
our
mechanistically
connects
selective
neuronal
vulnerability
HD,
set
migration
drive
repeat-length
dependent
pathogenesis;
provides
preclinical
platform
targeting
these
suppression
across
brain
regions.
One
Sentence
Summary
genetic
drivers
sequential
cortical
pathogenesis
by
mediating
vulnerable
neurons.
Journal of Evolutionary Biology,
Год журнала:
2022,
Номер
36(2), С. 321 - 336
Опубликована: Окт. 26, 2022
Short
tandem
repeats
(STRs)
are
units
of
1-6
bp
that
repeat
in
a
fashion
DNA.
Along
with
single
nucleotide
polymorphisms
and
large
structural
variations,
they
among
the
major
genomic
variants
underlying
genetic,
likely
phenotypic,
divergence.
STRs
experience
mutation
rates
orders
magnitude
higher
than
other
well-studied
genotypic
variants.
Frequent
copy
number
changes
result
wide
range
alleles,
provide
unique
opportunities
for
modulating
complex
phenotypes
through
variation
length.
While
classical
studies
have
identified
key
roles
individual
STR
loci,
advent
improved
sequencing
technology,
high-quality
genome
assemblies
diverse
species,
bioinformatics
methods
genome-wide
analysis
now
enable
more
systematic
study
across
evolutionary
ranges.
In
this
review,
we
explore
selection
processes
affect
evolution,
how
these
give
rise
to
varying
patterns
both
within
species.
Finally,
review
recent
examples
functional
adaptive
linked
STRs.
Expert Review of Neurotherapeutics,
Год журнала:
2022,
Номер
22(2), С. 101 - 114
Опубликована: Янв. 26, 2022
Spinocerebellar
ataxias
(SCA)
are
a
group
of
rare
neurodegenerative
diseases
that
dramatically
affect
the
lives
affected
individuals
and
their
families.
Despite
having
clear
understanding
SCA's
etiology,
there
no
current
symptomatic
or
neuroprotective
treatments
approved
by
FDA.Research
efforts
have
greatly
expanded
possibilities
for
potential
treatments,
including
both
pharmacological
non-pharmacological
interventions.
Great
attention
is
also
being
given
to
novel
therapeutics
based
in
gene
therapy,
neurostimulation,
molecular
targeting.
This
review
article
will
address
advances
treatment
SCA
what
interventions
on
horizon.SCA
highly
complex
multifaceted
disease
family
with
majority
research
emphasizing
pharmacologic
therapies.
As
pre-clinical
trials
clinical
other
conditions
illuminate
efficacy
modifying
therapies
such
as
AAV-mediated
therapy
ASOs,
addressing
at
pre-symptomatic
stage
increasingly
promising.
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(10), С. 5411 - 5411
Опубликована: Май 12, 2022
Huntington’s
disease
(HD)
is
a
devastating
neurodegenerative
disorder
that
caused
by
an
abnormal
expansion
of
CAG
repeats
in
the
Huntingtin
(HTT)
gene.
Although
main
symptomatology
explained
alterations
at
level
central
nervous
system,
predominantly
affecting
basal
ganglia,
peripheral
component
being
increasingly
acknowledged.
Therefore,
manifestation
complex
and
variable
among
carriers,
introducing
uncertainty
appearance
specific
signs,
age
onset
severity
disease.
The
monogenic
nature
allows
precise
diagnosis,
but
use
biomarkers
with
prognostic
value
still
needed
to
achieve
clinical
management
patients
individual
manner.
In
addition,
we
need
tools
evaluate
patient’s
response
potential
therapeutic
approaches.
this
review,
provide
succinct
summary
most
interesting
molecular
have
been
assessed
patients,
mostly
obtained
from
body
fluids
such
as
cerebrospinal
fluid,
blood
saliva.