Huntingtin Lowering Strategies

Marxreiter, Franz and Stemick, Judith and Kohl, Zacharias (2020) Huntingtin Lowering Strategies. INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 21 (6): 2146. ISSN 1422-0067

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Abstract

Trials using antisense oligonucleotide technology to lower Huntingtin levels in Huntington's disease (HD) are currently ongoing. This progress, taking place only 27 years after the identification of the Huntingtin gene (HTT) in 1993 reflects the enormous development in genetic engineering in the last decades. It is also the result of passionate basic scientific work and large worldwide registry studies that have advanced the understanding of HD. Increased knowledge of the pathophysiology of this autosomal dominantly inherited CAG-repeat expansion mediated neurodegenerative disease has led to the development of several putative treatment strategies, currently under investigation. These strategies span the whole spectrum of potential targets from genome editing via RNA interference to promoting protein degradation. Yet, recent studies revealed the importance of huntingtin RNA in the pathogenesis of the disease. Therefore, huntingtin-lowering by means of RNA interference appears to be a particular promising strategy. As a matter of fact, these approaches have entered, or are on the verge of entering, the clinical trial period. Here, we provide an overview of huntingtin-lowering approaches via DNA or RNA interference in present clinical trials as well as strategies subject to upcoming therapeutic options. We furthermore discuss putative implications for future treatment of HD patients.

Item Type: Article
Uncontrolled Keywords: MUTANT HUNTINGTIN; MESSENGER-RNA; CAG REPEAT; DISEASE; GENE; THERAPY; PROTEIN; ONSET; SUPPRESSION; MODEL; Huntington's Disease; huntingtin-lowering; antisense oligonucleotides; RNA interference; disease modification; Chorea; HD
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Petra Gürster
Date Deposited: 09 Apr 2021 05:06
Last Modified: 09 Apr 2021 05:06
URI: https://pred.uni-regensburg.de/id/eprint/44983

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