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Neuroendocrine and neurotrophic signaling in Huntington’s disease: Implications for pathogenic mechanisms and treatment strategies
Journal article   Open access   Peer reviewed

Neuroendocrine and neurotrophic signaling in Huntington’s disease: Implications for pathogenic mechanisms and treatment strategies

Danielle M. Bartlett, Travis M. Cruickshank, Anthony J. Hannan, Peter R. Eastwood, Alpar S. Lazar and Mel R. Ziman
Neuroscience and biobehavioral reviews, Vol.71, pp.444-454
2016
PMID: 27637496
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Published (Version of Record)CC BY-NC-ND V4.0 Open Access

Abstract

Brain-derived neurotrophic factor (BDNF) Circadian rhythm Hypothalamic-pituitary-adrenal (HPA) axis Hypothalamus Sleep Suprachiasmatic nucleus (SCN)
Huntington’s disease (HD) is a fatal neurodegenerative disease caused by an extended polyglutamine tract in the huntingtin protein. Circadian, sleep and hypothalamic-pituitary-adrenal (HPA) axis disturbances are observed in HD as early as 15 years before clinical disease onset. Disturbances in these key processes result in increased cortisol and altered melatonin release which may negatively impact on brain-derived neurotrophic factor (BDNF) expression and contribute to documented neuropathological and clinical disease features. This review describes the normal interactions between neurotrophic factors, the HPA-axis and circadian rhythm, as indicated by levels of BDNF, cortisol and melatonin, and the alterations in these intricately balanced networks in HD. We also discuss the implications of these alterations on the neurobiology of HD and the potential to result in hypothalamic, circadian, and sleep pathologies. Measurable alterations in these pathways provide targets that, if treated early, may reduce degeneration of brain structures. We therefore focus here on the means by which multidisciplinary therapy could be utilised as a non-pharmaceutical approach to restore the balance of these pathways.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.52 Neurodegenerative Diseases
1.52.951 Huntington's and Ataxias
Web Of Science research areas
Behavioral Sciences
Neurosciences
ESI research areas
Neuroscience & Behavior
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