Discipline of Neuroscience and Department of Anatomy and Physiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Neurological Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
CNS Neurosci Ther. 2018 Apr;24(4):311-318. doi: 10.1111/cns.12804. Epub 2018 Jan 27.
Huntington's disease (HD) is a late-onset fatal neurodegenerative disease, characterized by progressive movement disorders, psychiatric symptoms, and cognitive impairment. The cytosine-adenine-guanine (CAG) triplet expansion encoding glutamine present in the protein huntingtin (Htt), produces widespread neuronal and glial pathology. Mutant huntingtin (mHtt) nuclear aggregates are the primary cause of cortical and striatal neuron degeneration, neuronal inflammation, apoptosis and eventual cell loss. The precise mechanisms underlying the pathogenesis of neurodegeneration in HD remain poorly understood and HD patients have no current cure. Potassium channels are widely expressed in most cell types. In neurons, they play a crucial role in setting the resting membrane potential, mediating the rapid repolarization phase of the action potential and controlling sub-threshold oscillations of membrane potentials. In glial cells, their major contributions are maintaining the resting membrane potential and buffering extracellular K . Thus, potassium channels have an essential function in both physiological and pathological brain conditions. This review summarizes recent progress on potassium channels involved in the pathology of HD by using different HD mouse models. Exploring the dysfunction of potassium channels in the brain illustrates new approaches for targeting this channel for the treatment of HD.
亨廷顿病(HD)是一种迟发性致命神经退行性疾病,其特征为进行性运动障碍、精神症状和认知障碍。编码谷氨酸的胞嘧啶-腺嘌呤-鸟嘌呤(CAG)三核苷酸重复扩增出的亨廷顿蛋白(Htt)产生广泛的神经元和神经胶质病理学。突变型亨廷顿蛋白(mHtt)核聚集体是皮质和纹状体神经元退化、神经元炎症、细胞凋亡和最终细胞死亡的主要原因。HD 发病机制的精确机制仍知之甚少,目前 HD 患者尚无治愈方法。钾通道广泛存在于大多数细胞类型中。在神经元中,它们在设定静息膜电位、介导动作电位的快速复极化阶段以及控制膜电位的亚阈值振荡方面发挥着关键作用。在神经胶质细胞中,它们的主要贡献是维持静息膜电位和缓冲细胞外 K+。因此,钾通道在生理和病理脑状态中都具有重要功能。本综述通过使用不同的 HD 小鼠模型,总结了钾通道参与 HD 病理学的最新进展。探讨钾通道在大脑中的功能障碍为针对该通道治疗 HD 提供了新的方法。