Department of Medical and Molecular Genetics, King’s College London, London, UK.
J Clin Invest. 2011 Aug;121(8):3306-19. doi: 10.1172/JCI57413. Epub 2011 Jul 25.
Huntington disease (HD) is a devastating neurodegenerative disorder for which there are no disease-modifying treatments. Previous studies have proposed that activation of the heat shock response (HSR) via the transcription factor heat shock factor 1 (HSF1) may be of therapeutic benefit. However, the effect of disease progression on the HSR and the therapeutic potential of this pathway are currently unknown. Here, we used a brain-penetrating HSP90 inhibitor and physiological, molecular, and behavioral readouts to demonstrate that pharmacological activation of HSF1 improves huntingtin aggregate load, motor performance, and other HD-related phenotypes in the R6/2 mouse model of HD. However, the beneficial effects of this treatment were transient and diminished with disease progression. Molecular analyses to understand the transient nature of these effects revealed altered chromatin architecture, reduced HSF1 binding, and impaired HSR accompanied disease progression in both the R6/2 transgenic and HdhQ150 knockin mouse models of HD. Taken together, our findings reveal that the HSR, a major inducible regulator of protein homeostasis and longevity, is disrupted in HD. Consequently, pharmacological induction of HSF1 as a therapeutic approach to HD is more complex than was previously anticipated.
亨廷顿病(HD)是一种破坏性的神经退行性疾病,目前尚无治疗方法。先前的研究表明,通过转录因子热休克因子 1(HSF1)激活热休克反应(HSR)可能具有治疗益处。然而,疾病进展对 HSR 的影响以及该途径的治疗潜力目前尚不清楚。在这里,我们使用了一种脑穿透 HSP90 抑制剂以及生理、分子和行为读数,证明了通过药物激活 HSF1 可以改善 R6/2 型 HD 小鼠模型中的亨廷顿蛋白聚集体负荷、运动性能和其他与 HD 相关的表型。然而,这种治疗的有益效果是短暂的,并随着疾病的进展而减弱。为了了解这些影响的短暂性质,我们进行了分子分析,结果表明在 R6/2 转基因和 HdhQ150 敲入 HD 小鼠模型中,随着疾病的进展,染色质结构发生改变,HSF1 结合减少,HSR 受损。总之,我们的发现表明,HSR 是蛋白质动态平衡和长寿的主要诱导调节剂,在 HD 中被破坏。因此,HSF1 的药物诱导作为治疗 HD 的一种方法比以前预期的要复杂。