“…In support of primary muscle defects, motor symptoms were shown to precede the onset of neurological symptoms in a marathon runner with HD (Kosinski et al, 2007). Moreover, a number of studies have demonstrated pathological changes in HD muscle, including metabolic and mitochondrial defects (Lodi et al, 2000;Turner et al, 2007;Mielcarek et al, 2015), atrophy (Ribchester et al, 2004;She et al, 2011;Ehrnhoefer et al, 2014), reduced muscle strength (Busse et al, 2008;Hering et al, 2016), and a reduced expression of genes necessary for normal muscle differentiation (Luthi-Carter et al, 2002;Strand et al, 2005). Additionally, we previously discovered that skeletal muscle from R6/2 transgenic HD mice is hyperexcitable due to decreased currents through chloride (ClC-1) and inwardly rectifying potassium (Kir) channels, which correlated with aberrant mRNA processing and lower levels of mature full-length mRNAs for ClC-1 and Kir channels (Waters et al, 2013).…”