White Angel, McGlone Anna, Gomez-Pastor Rocio
Department of Neuroscience, School of Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
Biomedicines. 2022 Aug 15;10(8):1979. doi: 10.3390/biomedicines10081979.
Huntington's Disease (HD) is a devastating neurodegenerative disorder caused by a CAG trinucleotide repeat expansion in the gene, for which no disease modifying therapies are currently available. Much of the recent research has focused on developing therapies to directly lower HTT expression, and while promising, these therapies have presented several challenges regarding administration and efficacy. Another promising therapeutic approach is the modulation of HTT post-translational modifications (PTMs) that are dysregulated in disease and have shown to play a key role in HTT toxicity. Among all PTMs, modulation of HTT phosphorylation has been proposed as an attractive therapeutic option due to the possibility of orally administering specific kinase effectors. One of the kinases described to participate in HTT phosphorylation is Protein Kinase CK2. CK2 has recently emerged as a target for the treatment of several neurological and psychiatric disorders, although its role in HD remains controversial. While pharmacological studies in vitro inhibiting CK2 resulted in reduced HTT phosphorylation and increased toxicity, genetic approaches in mouse models of HD have provided beneficial effects. In this review we discuss potential therapeutic approaches related to the manipulation of HTT-PTMs with special emphasis on the role of CK2 as a therapeutic target in HD.
亨廷顿舞蹈症(HD)是一种由基因中CAG三核苷酸重复序列扩增引起的毁灭性神经退行性疾病,目前尚无改变疾病进程的治疗方法。最近的许多研究都集中在开发直接降低亨廷顿蛋白(HTT)表达的疗法,虽然这些疗法很有前景,但在给药和疗效方面面临一些挑战。另一种有前景的治疗方法是调节疾病中失调且已证明在HTT毒性中起关键作用的HTT翻译后修饰(PTM)。在所有PTM中,由于有可能口服特定的激酶效应物,调节HTT磷酸化已被提议作为一种有吸引力的治疗选择。已描述参与HTT磷酸化的激酶之一是蛋白激酶CK2。CK2最近已成为治疗几种神经和精神疾病的靶点,尽管其在HD中的作用仍存在争议。虽然体外抑制CK2的药理学研究导致HTT磷酸化减少和毒性增加,但HD小鼠模型中的遗传学方法已显示出有益效果。在这篇综述中,我们讨论了与操纵HTT-PTM相关的潜在治疗方法,特别强调了CK2作为HD治疗靶点的作用。