“…Although the genetic cause of MJD, abnormal CAG expansion in ATXN3, has been clearly defined for many years (Takiyama et al, 1993;Kawaguchi et al, 1994), the pathogenesis mechanisms of MJD have not been fully elucidated. To date, several different pathways have been identified to be involved in the pathogenesis of MJD: RNA toxicity (Nalavade et al, 2013), abnormal protein aggregation (Seidel et al, 2012), dysregulation of transcription (Raposo et al, 2015), proteolytic cleavage (Weber et al, 2017), post-translational modification (Wan et al, 2018), mitochondrial dysfunction (Ramos et al, 2015), calcium signaling dysregulation (Chen et al, 2008), and damage of neuronal homeostasis (Cunha-Santos et al, 2016). NPY, widely expressed in the central nervous system (CNS), has been implicated in neurogenesis and neuroprotection, playing a crucial role in maintaining neuronal homeostasis (Vezzani et al, 1999).…”