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The role of oligodendroglial dysfunction in Huntington's disease

Li, Xinhui ; Li, Shihua ; Li, Xiao Jiang ; Nguyen, Huu Phuc ; Petersen, Asa LU and Pouladi, Mahmoud A. (2025) In Journal of Huntington's disease 14(3). p.270-278
Abstract

Huntington's disease (HD) is a fatal neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric symptoms. Research efforts to understand and treat the disease have historically focused on neuronal pathology, but growing evidence underscores the critical role of oligodendrocytes in its pathogenesis. This review synthesizes recent findings on oligodendroglial dysfunction in HD, showing that white matter abnormalities arise early in disease progression, often preceding gray matter changes and clinical symptoms. Neuroimaging and postmortem studies reveal significant white matter atrophy, myelin breakdown, and impaired oligodendrocyte maturation in both patients and animal models. The myelination response to... (More)

Huntington's disease (HD) is a fatal neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric symptoms. Research efforts to understand and treat the disease have historically focused on neuronal pathology, but growing evidence underscores the critical role of oligodendrocytes in its pathogenesis. This review synthesizes recent findings on oligodendroglial dysfunction in HD, showing that white matter abnormalities arise early in disease progression, often preceding gray matter changes and clinical symptoms. Neuroimaging and postmortem studies reveal significant white matter atrophy, myelin breakdown, and impaired oligodendrocyte maturation in both patients and animal models. The myelination response to environmental factors is also altered in HD, suggesting impaired white matter plasticity in the disease. At the molecular level, mutant huntingtin disrupts oligodendrocyte function through transcriptional dysregulation of myelin genes, epigenetic modifications involving PRC2 and REST, altered lipid metabolism, thiamine pathway dysfunction, and aberrant BDNF signaling. Key oligodendroglial transcriptional regulators such as MYRF and TCF7L2 are compromised in HD, leading to defective myelination and reduced metabolic support for neurons. Recognizing the role of these mechanisms provides potential biomarkers for early detection and therapeutic targets aimed at preserving both neuronal and glial function in HD.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Glia, Huntington's disease, myelination, oligodendrocytes, white matter
in
Journal of Huntington's disease
volume
14
issue
3
pages
9 pages
publisher
SAGE Publications
external identifiers
  • scopus:105013179121
  • pmid:40772422
ISSN
1879-6397
DOI
10.1177/18796397251358017
language
English
LU publication?
yes
id
d1d2fcb9-838b-4f92-805f-ce92d10d60ae
date added to LUP
2025-11-10 14:10:34
date last changed
2025-11-11 03:00:01
@article{d1d2fcb9-838b-4f92-805f-ce92d10d60ae,
  abstract     = {{<p>Huntington's disease (HD) is a fatal neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric symptoms. Research efforts to understand and treat the disease have historically focused on neuronal pathology, but growing evidence underscores the critical role of oligodendrocytes in its pathogenesis. This review synthesizes recent findings on oligodendroglial dysfunction in HD, showing that white matter abnormalities arise early in disease progression, often preceding gray matter changes and clinical symptoms. Neuroimaging and postmortem studies reveal significant white matter atrophy, myelin breakdown, and impaired oligodendrocyte maturation in both patients and animal models. The myelination response to environmental factors is also altered in HD, suggesting impaired white matter plasticity in the disease. At the molecular level, mutant huntingtin disrupts oligodendrocyte function through transcriptional dysregulation of myelin genes, epigenetic modifications involving PRC2 and REST, altered lipid metabolism, thiamine pathway dysfunction, and aberrant BDNF signaling. Key oligodendroglial transcriptional regulators such as MYRF and TCF7L2 are compromised in HD, leading to defective myelination and reduced metabolic support for neurons. Recognizing the role of these mechanisms provides potential biomarkers for early detection and therapeutic targets aimed at preserving both neuronal and glial function in HD.</p>}},
  author       = {{Li, Xinhui and Li, Shihua and Li, Xiao Jiang and Nguyen, Huu Phuc and Petersen, Asa and Pouladi, Mahmoud A.}},
  issn         = {{1879-6397}},
  keywords     = {{Glia; Huntington's disease; myelination; oligodendrocytes; white matter}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{270--278}},
  publisher    = {{SAGE Publications}},
  series       = {{Journal of Huntington's disease}},
  title        = {{The role of oligodendroglial dysfunction in Huntington's disease}},
  url          = {{http://dx.doi.org/10.1177/18796397251358017}},
  doi          = {{10.1177/18796397251358017}},
  volume       = {{14}},
  year         = {{2025}},
}