2020
DOI: 10.3233/jhd-200394
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The Neurodevelopmental Hypothesis of Huntington’s Disease

Abstract: The current dogma of HD pathoetiology posits it is a degenerative disease affecting primarily the striatum, caused by a gain of function (toxicity) of the mutant mHTT that kills neurons. However, a growing body of evidence supports an alternative theory in which loss of function may also influence the pathology.This theory is predicated on the notion that HTT is known to be a vital gene for brain development. mHTT is expressed throughout life and could conceivably have deleterious effects on brain development.… Show more

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Cited by 40 publications
(26 citation statements)
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“…The pathophysiology of neurodegenerative diseases is complex, and many possible pathways have been proposed as therapeutic targets to slow down disease progression and preserve neurological functions of the affected individuals. In general, the development of Alzheimer's, Parkinson's and Huntington's diseases is associated with pathological accumulation of specific proteins in vital brain centres responsible for cognition, memory, motor activity and other essential neurological processes [154,155].…”
Section: Ipa Has a Protective Role In Neurodegenerative Disease Modelsmentioning
confidence: 99%
“…The pathophysiology of neurodegenerative diseases is complex, and many possible pathways have been proposed as therapeutic targets to slow down disease progression and preserve neurological functions of the affected individuals. In general, the development of Alzheimer's, Parkinson's and Huntington's diseases is associated with pathological accumulation of specific proteins in vital brain centres responsible for cognition, memory, motor activity and other essential neurological processes [154,155].…”
Section: Ipa Has a Protective Role In Neurodegenerative Disease Modelsmentioning
confidence: 99%
“…In HD patients, mutant huntingtin is expressed throughout life, including during embryogenesis (Saudou and Humbert, 2016). In line with this, the expression of mutant huntingtin has been shown to affect not only adult neuronal function, leading to neurodegeneration, but also neurodevelopment including neuronal differentiation and establishment of connectivity through neurite outgrowth (Conforti et al, 2018;Barnat et al, 2020;van der Plas et al, 2020). Intriguingly, mouse models expressing mutant huntingtin solely during embryonic and early development develop HD-like symptoms (Molero et al, 2016).…”
Section: Huntington's Diseasementioning
confidence: 90%
“…In addition, some symptomatic mice present with anatomical abnormalities reminiscent of human focal cortical dysplasia (Blumcke and others 2011), which could explain the occurrence of epileptic seizures in this genetic mouse model and in children with juvenile HD (Cepeda and others 2019; Cummings and others 2009). These studies provide strong evidence that HD is not only a neurodegenerative disorder but also a disease of faulty neurodevelopment (Barnat and others 2020; Blockx and others 2012; Wiatr and others 2018), particularly expressed in the juvenile form of HD (Tereshchenko and others 2015; van der Plas and others 2020).…”
Section: Abnormal Cortical Brain Development In Hdmentioning
confidence: 91%