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Human Molecular Genetics 2007 16(R2):R115-R123; doi:10.1093/hmg/ddm213
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© The Author 2007. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Polyglutamine diseases: emerging concepts in pathogenesis and therapy

Jieya Shao1,2 and Marc I. Diamond1,2,*

1 Department of Neurology and 2 Department of Cellular and Molecular Pharmacology, UCSF, San Francisco, CA 94143, USA

* To whom correspondence should be addressed at: GH-S572B, 600 16th Street, San Francisco, CA 94143, USA. Tel: +1 4155143646; Fax: +1 4155144112; Email: marc.diamond{at}ucsf.edu

Received June 22, 2007; Revised June 22, 2007; Accepted July 27, 2007

Polyglutamine diseases are a family of neurodegenerative conditions that each derive from a CAG triplet repeat expansion in a specific gene. This produces a pathogenic protein that contains a critically expanded tract of glutamines. These prototypical protein misfolding disorders include Huntington disease, spinobulbar muscular atrophy, dentatorubral-pallidoluysian atrophy and several spinocerebellar ataxias. This article reviews the emerging concepts in pathogenesis and therapy. Key ideas include the role of proteolytic cleavage, the importance of conformational change in the pathogenic proteins, the role of protein aggregation and the importance of transcriptional and metabolic disturbances. The relative role of functional perturbation in a target protein induced by a polyglutamine expansion is also discussed. Therapeutic strategies include counteracting cellular perturbations and direct targeting of polyglutamine protein expression, cleavage or conformation.


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