Research reveals ‘ticking DNA clock’ behind Huntington’s disease
Feb 28, 2025
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Recent research shifts the understanding of Huntington's disease from toxic protein buildup to a 'ticking DNA clock' that causes rapid neuron death. Innovative technologies like Droplet Single Cell Genomics reveal cell-specific toxicity, providing insights into the disease's fatal effects on brain neurons. The importance of human brain tissue analysis uncovers mechanisms behind selective cell death. New therapies focusing on genetic aspects may pave the way for effective treatments, drawing inspiration from genetics of resilient individuals.
Recent research reveals that the true cause of Huntington's disease lies in the expansion of a gene, not merely toxic protein buildup.
Targeting cellular enzymes responsible for DNA repeat expansion offers new therapeutic avenues for treating Huntington's disease and similar disorders.
Deep dives
Understanding Huntington's Disease
Huntington's disease is a severe genetic disorder that typically manifests in midlife, characterized by involuntary movements, cognitive decline, and ultimately dementia. Patients usually remain symptom-free for several decades but face an inevitable decline once symptoms begin. The disease is driven by a mutation in the Huntington gene, specifically an expansion of the CAG repeat sequence. This mutation leads to the loss of specific neurons impacting movement and cognition, making it crucial to understand why only certain cell types are affected.
New Insights into Disease Mechanisms
Recent research indicates that the harmful CAG repeat expansion accumulates slowly over a person's life, primarily within vulnerable neuron types, but does not result in toxicity until it reaches a certain length, estimated at around 150 repeats. This finding helps explain why individuals with the gene mutation often remain healthy for decades before symptoms appear. The research highlights that the process by which these repeats lengthen is linked to enzymes within the cells that may inadvertently promote this expansion. Understanding this mechanism opens up the possibility of targeting these cellular processes to develop new therapeutic strategies.
Implications for Future Therapies
The prevailing therapeutic strategy has focused on reducing the toxic forms of the Huntington protein, assuming it is the primary culprit in neuron degeneration. However, findings suggest that for most of a neuron’s life, the Huntington gene itself is not harmful, leading to the prospect of therapies aimed at slowing the DNA repeat expansion instead. By targeting the cellular enzymes that facilitate the repeat growth, researchers hope to delay or prevent the onset of symptoms in Huntington's disease. This approach may also benefit a broader range of DNA repeat disorders, suggesting a significant shift in how these conditions are treated moving forward.
Huntington’s disease was long thought to be caused by the slow buildup of a toxic protein, but new research has revealed that it’s actually driven by the expansion of a gene that, at a certain length, triggers quick neuron death.
In this week’s episode of The Top Line, we hear from Steven McCarroll, Ph.D., a Huntington’s disease researcher at the Broad Institute of MIT and Harvard, whose team recently published that research in the journal Cell. McCarroll joins Fierce Biotech’s Darren Incorvaia to dig into the findings, which not only change our understanding of the disease itself, but also open up new avenues for potential treatments.