Huntington's disease : pathogenic mechanisms and implications for therapeutics /

Huntington's disease (HD) is one of the most common dominantly inherited neurodegenerative disorders, characterized by a clinical trial of movement disorder, cognitive deficits, and psychiatric symptoms.

Bibliographic Details
Uniform Title:Huntington's disease (Yang)
Corporate Author: ScienceDirect (Online service)
Other Authors: Yang, X. William (Editor), Thompson, Leslie M. (Professor) (Editor), Heiman, Myriam (Editor)
Format: eBook
Language:English
Published: London : Academic Press, 2024.
Subjects:
Online Access:Connect to the full text of this electronic book
Table of Contents:
  • Intro
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • Contributors
  • Preface
  • Chapter 1. Huntington's disease: Clinical features, genetic diagnosis, and brain imaging
  • Introduction
  • Clinical course
  • Juvenile Huntington's disease
  • Genetic diagnosis and genetic counseling
  • Imaging
  • Conclusion: Clinical aspects relevant for the development of disease-modifying therapies in Huntington's disease
  • List of abbreviations
  • Chapter 2. Revolutionizing clinical research and communication in Huntington's disease: The Huntington's disease integrated staging system (HD-ISS)
  • Introduction
  • Disease classification, measurement, and staging
  • The development of the HD-ISS
  • Applying the HD-ISS in research: New possibilities
  • Applying the HD-ISS in research: Practical questions
  • Applying the HD-ISS in research: Implications for people with Huntington's disease
  • Conclusion
  • Chapter 3. Huntington's disease genetics: Implications for pathogenesis
  • Description of inheritance
  • Chromosomal mapping of the HD genetic defect and its consequences
  • The HD genetic defect
  • The expanded HTT CAG repeat confers a gain of function
  • HD genotype-phenotype correlation
  • Modifiers of HD onset from human genetics
  • A model for HD pathogenesis from human genetics
  • Underpinnings of the modifier effects
  • Modifiers of other disease landmarks
  • HD diagnostics
  • What is the ultimate cause of neuronal loss?
  • Potential for developing an HD treatment from genetic knowledge
  • Conclusion
  • Chapter 4. The instability of the Huntington's disease CAG repeat mutation
  • Introduction: The critical role of CAG repeat length
  • Intergenerational repeat instability
  • Somatic repeat instability
  • Insights into CAG repeat instability from mouse models
  • Insights from human genetics
  • Conclusions and perspective.
  • Chapter 5. Mechanisms of somatic CAG-repeat expansions in Huntington's disease
  • Introduction
  • Current understanding of somatic repeat instability
  • Slip-out formation
  • Requirement of transcription and transcription-coupled repair for somatic repeat instability
  • Melting unusual structures at the repeat and modulating torsional tension
  • Many nucleases can act on slipped-DNA structures which may impact repeat instability
  • Gap-filling and ligation of the DNA backbone
  • What is still unclear?
  • Conclusion
  • Chapter 6. RNA-mediated pathogenic mechanisms in Huntington's disease
  • Expression of the huntingtin gene
  • Regulation of huntingtin transcription
  • Alternative processing of huntingtin pre-mRNA
  • Nuclear RNA "clusters" and RNA "foci" in HD mouse models and HD patient samples
  • Global aberrant RNA processing in HD
  • RNA-based mechanism of pathogenesis
  • Implications for therapy
  • Chapter 7. Huntingtin protein-protein interactions: From biology to therapeutic targets
  • Introduction
  • Two-hybrid HTT protein interaction mapping efforts
  • Cataloging of HTT interacting partners using (immuno)affinity-based purification approaches
  • Compilation and computational analysis of HTT PPIs from large- and small-scale PPI mapping studies
  • Outlook
  • Chapter 8. Repeat-associated non-AUG (RAN) translation and Huntington's disease: Pathology, mechanistic and therapeutic perspectives
  • Introduction to RAN translation
  • RAN proteins in Huntington's disease
  • RAN and polyGln proteins accumulate in distinct and vulnerable brain regions
  • Animal models of HD and RAN translation
  • RAN protein toxicity
  • Mechanistic focused therapeutics
  • Conclusions
  • Chapter 9. Proteostasis function and dysfunction in Huntington's disease
  • Introduction
  • Impact of mHTT protein on HD pathology and protein aggregation propensity.
  • Therapeutic opportunities
  • Conclusion and future directions
  • Chapter 13. Pathophysiology of synapses and circuits in Huntington disease
  • Clinical and genetic features of HD
  • Cortical-basal ganglia-thalamic-cortical loops regulate movement and are modulated by dopamine
  • Neuropathology
  • Measurable subclinical changes precede definitive motor diagnosis
  • Animal models of HD facilitate investigating brain changes before overt clinical diagnosis
  • Striatal microcircuit synapses
  • Synaptic alterations in basal ganglia nuclei downstream of striatal SPN
  • Neuronal excitability
  • Input-specific plasticity: Long-term potentiation and depression
  • Homeostatic plasticity
  • Altered corticostriatal and thalamostriatal connectivity in HD
  • Cortex motor and sensory function
  • Cortex reward pathways
  • Targeting synaptic and circuit changes to advance therapeutics in Huntington disease
  • Chapter 14. The role of glial pathology in Huntington's disease
  • The role of glial progenitor cells in HD pathogenesis
  • Astrocytic dysfunction in HD
  • The effects of HD pathology on oligodendrocytes and myelin
  • Synopsis
  • Chapter 15. Systems biology study of Huntington's disease
  • Introduction
  • Transcriptomic profiling of HD mice
  • Insights from transcriptomic studies of HD mouse models
  • Mechanisms implicated in striatal transcriptinopathy in HD
  • Epigenomic dysregulation in HD mice
  • Application of systems biology to study HD perturbations
  • Database of HD experimental data
  • Conclusions and perspectives
  • Chapter 16. Unbiased genome-wide approaches to identify vulnerability factors in Huntington's disease
  • Yeast model screening studies
  • Invertebrate model screening studies
  • Mammalian cell screening studies
  • Mammalian in vivo screening
  • Future directions.
  • Chapter 17. Striatal neuronal models of Huntington's disease via direct conversion: Modeling age-dependent disease phenotypes
  • MicroRNA-mediated conversion of human fibroblasts to neurons
  • Age maintenance in directly reprogrammed neurons
  • Recapitulation of adult-onset neuropathology of Huntington's disease using miRNAs-mediated reprogrammed neurons
  • Modeling disease-stage progression of Huntington's disease
  • Conclusion
  • Chapter 18. Genetic mouse models to explore Huntington's disease mechanisms and therapeutic strategies
  • Transgenic mHTT N-terminal fragment mouse models of HD
  • Full-length mHTT knock-in mouse models
  • Full-length human HTT transgenic models
  • Conclusions and perspectives
  • Chapter 19. Huntington's disease: From large animal models to HD gene therapy
  • Introduction to Huntington's disease neuropathology
  • Treatment of large animal models of HD
  • Conclusions
  • Chapter 20. Deep learning and deep phenotyping of HD iPSCs: Applications to study biology and test therapeutics
  • Background: Complexity in biology
  • A brief introduction to AI
  • Applications of DL to biology
  • Impact
  • Chapter 21. The promise of an underappreciated therapeutic target: Sleep and circadian rhythm dysfunction in Huntington's disease
  • Sleep disturbance in Huntington's disease: The evidence
  • Sleep disturbance in Huntington's disease: Preclinical models
  • Which comes first, HD or sleep dysfunction, and does it matter?
  • Circadian-based interventions in preclinical models
  • Pharmacological interventions
  • Conclusions
  • Chapter 22. Huntingtin lowering therapeutics
  • DNA oligonucleotides
  • Oligonucleotides that use RNA interference
  • siRNA oligonucleotides as therapeutic agents in HD
  • Gene editing to lower or correct mutant huntingtin mRNA or protein
  • AAV gene delivery for Huntington's disease: Background.