Huntingtin (Htt) is a widely expressed protein that causes tissue-specific degeneration when mutated to contain an expanded polyglutamine (poly(Q)) domain. Although Htt is large, 350 kDa, the appearance of amino-terminal fragments of Htt in extracts of postmortem brain tissue from patients with Huntington disease (HD), and the fact that an amino-terminal fragment, Htt exon 1 protein (Httex1p), is sufficient to cause disease in models of HD, points to the importance of the aminoterminal region of Htt in the disease process. The first exon of Htt encodes 17 amino acids followed by a poly(Q) repeat of variable length and culminating with a proline-rich domain of 50 amino acids. Because modifications to this fragment have the potential to directly affect pathogenesis in several ways, we have surveyed this fragment for potential post-translational modifications that might affect Htt behavior and detected several modifications of Httex1p. Here we report that the most prevalent modifications of Httex1p are NH 2 -terminal acetylation and phosphorylation of threonine 3 (pThr-3). We demonstrate that pThr-3 occurs on full-length Htt in vivo, and that this modification affects the aggregation and pathogenic properties of Htt. Thus, therapeutic strategies that modulate these events could in turn affect Htt pathogenesis.Aberrant behavior of mutant Huntingtin protein (Htt), 2 caused by an expansion of the CAG triplet repeat sequence within the first exon of the huntingtin (IT15) gene, results in neurodegeneration and leads to Huntington disease (HD) (1).Full-length Htt protein is 350 kDa in size, but a truncated form of Htt (Httex1p), which includes the expanded polyglutamine region, is sufficient to cause pathology in animal models (2-4). Moreover, an amino-terminal fragment of Htt is detected in nuclear extracts from patient brain and is not detected in control cortex samples (5). In fact, recent studies suggest that production of truncated fragments is essential for disease (6, 7).The first 17 amino acids of Htt, MATLEKLMKAFESLKSF, are highly conserved throughout mammalian evolution (8, 9), suggesting an important function for these residues. It is well established that post-translational modifications of a protein can affect activity state, intracellular localization, turnover rate, and protein-protein interactions. Several modifications of Htt, without the addition of exogenous modifiers, have been identified (10 -18) and implicated in HD (18, 19), but to date, none of these occur within the pathogenic Httex1p fragment. Given that this domain is sufficient to cause HD-like phenotypes, modifications that occur within this pathologic fragment may directly affect either its biophysical properties or its interaction with cellular components that affect pathology. Within the first 17 amino acids of Httex1p, there are several candidate amino acids for post-translational modification. Whereas genetic mutation of the lysines in this region alters HD pathology (20, 21), direct evidence for modifications of the amino-terminal fragm...