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Workshop Reports

 

          Hereditary Disease
          Foundation
         
         
          Why Do Polyglutamine Proteins Enter and
          Leave the Nucleus?
         
         
          June 28 and 29, 1998
          New York, New York
         
          Prepared by Ai Yamamoto
                          
                                            Hereditary Disease Foundation
  Why Do Polyglutamine Expansions Enter and Leave the Nucleus?
                      June 28 and 29, 1998
                       New York, New York
                               
                          Participants


Stephen Adam
Assistant Professor
Department of Cell and Molecular Biology
Northwestern University
MD W129
303 East Chicago Avenue
Chicago, Illinois 60611

GÅnter Blobel
John D. Rockefeller, Jr. Professor
Investigator, HHMI
Laboratory of Cell Biology
Howard Hughes Medical Institute
Rockefeller University
1230 York Avenue
New York, New York 10021

Marian DiFiglia
Associate Professor HMS, MGH
Department of Neurology
Massachusetts General Hospital
Neuroscience Center
149 13th Street, 6th Floor
Charlestown, Massachusetts 02129

Paul Ferrigno
Postdoctoral Fellow
Department of Biological Chemistry and
Molecular Pharmacology
Harvard Medical School
Dana Farber Cancer Institute
Boston, Massachusetts 02115

Kenneth H. Fischbeck
Chief, Neurogenetic Branch, NINDS
Neurogenetics Branch
NINDS, NIH
10/3B14, 10 Center Drive
MSC 1250
Bethesda, Maryland 20892-1250
Michael E. Greenberg
Professor of Neurology and Neurobiology
Department of Neuroscience
Children's Hospital
Harvard University
Enders 260
300 Longwood Avenue
Boston, Massachusetts 02115

John Hanover
Chief, LCBB, NIDDK, NIH
Laboratory of Cell Biochemistry and Biology
NIDDKD
National Institutes of Health
Building 8, Room 402
8 Center Drive, MSC 0850
Bethesda, Maryland 20892-0850

Cynthia McMurray
Associate Professor
Department of Pharmacology
Mayo Clinic and Foundation
Rochester, Minnesota 55905

Mary Shannon Moore
Assistant Professor
Department of Cell Biology
Baylor College of Medicine
One Baylor Plaza
Houston, Texas 77030

Sara Nakielny
Postdoctoral Fellow
Howard Hughes Medical Institute
University of Pennsylvania School of Medicine
328 Clinical Research Building
415 Curie Boulevard
Philadelphia, Pennsylvania 19104-6148

Michael Rout
Assistant Professor, Head of Laboratory
Rockefeller University
1230 York Avenue
New York, New York 10021

Ethan Signer
Executive Director, Cure HD Initiative
Hereditary Disease Foundation
1427 7th Street, Suite 2
Santa Monica, California 90401
Professor of Biology Emeritus
Massachusetts Institute of Technology
Room 68-150
Cambridge, Massachusetts 02139

Robert H. Singer
Professor and Director, Institute for Molecular
Medicine
Department of Anatomy and Structural Biology
Department of Cell Biology
Albert Einstein College of Medicine
Golding Building, Room 601
Bronx, New York 10461

Carsten Strubing
Postdoctoral Fellow
Department of Neurobiology
Harvard Medical School
Children's Hospital of Boston
Room 1309 Enders Building, P.O. Box EN-306
320 Longwood Avenue
Boston, Massachusetts 02115

Allan Tobin
Scientific Director
Hereditary Disease Foundation
1427 7th Street, Suite 2
Santa Monica, California 90401
Eleanor Leslie Endowed Chair in Neuroscience
Director, Brain Research Institute
University of California Los Angeles
73-369 Center for the Health Sciences
Los Angeles, California 90095-1761

Nancy Wexler
President
Hereditary Disease Foundation
1427 7th Street, Suite 2
Santa Monica, California 90401
Higgins Professor of Neuropsychology
Departments of Neurology and Psychiatry
College of Physicians and Surgeons
Columbia University
722 West 168th Street, Box 58
New York, New York  10032

Ai Yamamoto
Predoctoral Graduate Student
Center for Neurobiology and Behavior
College of Physicians and Surgeons
Columbia University
722 West 168th Street
New York, New York 10032

                                                               
 Overview
 
 Huntington's Disease (HD) is an autosomal dominant, almost fully penetrant,
 neurodegenerative disorder characterized by movement dysfunction, cognitive decline
 and psychological disturbances (1,2). On a genetic level, patients afflicted with HD all
 share an expanded trinucleotide repeat mutation in a gene of unknown function (3).
 Studies over the past two years have demonstrated that this mutation is sufficient to
 cause aggregation of the protein as well as a striking change in its intracellular
 localization from exclusively cytosolic to nuclear (4,5,6,7). In both human tissue and
 transgenic animal models of this and other trinucleotide expansion diseases,
 intranuclear inclusions have thus been characterized. The question remains, are the
 inclusion bodies the cause of the pathology associated with HD? The workshop
 sponsored by the Hereditary Disease Foundation entitled, "Why Do Polyglutamine
 Expansions Enter and Leave the Nucleus?" held at the Cornell Club in New York
 (June 28-29, 1998) concentrated on this question and two others: Are the expanded
 polyaminoacids being actively or passively transported into the nucleus? In addition, is
 there a means by which we can target the nuclear transport such that a therapeutic
 strategy can be formulated?
 
 
 Introduction
 
 We were fortunate to have an extraordinary couple, Liz and Bob Regan, come to
 speak to the participants to open the meeting. Liz was diagnosed with HD 10 years
 ago, at the age of 31,  the only one of her 5 siblings to be diagnosed. Liz's father, from
 whom she inherited the HD gene, had represented a pharmaceutical firm as a
 salesman. He was one of the first people in the newly created Terrence Cardinal
 Cooke Health Center's HD Unit, where he recently passed away from the disease. Liz
 worked as a schoolteacher before her diagnosis. She and Bob have two children of
 their own. The participants were extraordinarily moved by the wisdom, vivacity and
 courage of this indomitable couple. They gained a first hand knowledge of the disease
 and its family dynamic.
 
 HD belongs to a family of triplet repeat expansion diseases including spinocerebellar
 ataxia diseases (SCA) 1, 2, 3 (Machado Joseph's Disease), 6 and 7; dentatorubral
 pallidolysian atrophy (DRPLA); and spinobulbar muscular atrophy (SBMA). The
 pathology of these diseases were described by Kenneth Fischbeck (National
 Institute of Health) and summarized in Table 1 (For review see 8,9). These diseases
 are all dominant gain-of-function diseases caused by polyQ expansions in distinct
 gene products. It is likely that the mechanism underlying the pathogenesis of these
 diseases are in common with HD.
 
 The mutation involved in HD was characterized in 1993 as an unstable
 polyglutamine (polyQ) expansion found in exon 1 of the 67 exon-containing gene, IT15
 (3). As explained by Marian DiFiglia (Massachusetts General Hospital,
 Massachusetts), the normal polyQ expansion ranges from 6 to about 34 units, while
 the mutation is about 37 polyQs and above. As it is an autosomal dominant disease,
 only one mutated allele is necessary for the disease phenotype to occur. The age of
 onset of HD has been correlated with the length of the expansion such that the longer
 the expansion, the earlier onset (10). While the majority of adult-onset disorders have
 a polyQ range of 40 to 55 CAG units, the more severe juvenile onset disorder has a
 range of 70 units or more.
 
 The function of the 350 kDa protein encoded by IT15, huntingtin, is unknown.
 Sucrose gradient analysis of the protein reveals that it is associated to the cytosolic
 and membrane bound fractions of brain tissue (11) and the clathrin-coated vesicle
 (trans-Golgi) fraction in fibroblasts (Marian DiFiglia). Studies show that huntingtin
 associates with proteins involved in vesicle membranes and microtubules (12),
 implying that it may be involved in vesicle trafficking. An important role during
 embryogenesis has been suggested by the creation of IT15 null mutants by several
 groups (13,14,15). Animals that do not express this gene die early in development.
 Huntingtin is ubiquitously expressed, showing no particular enrichment in the brain or
 caudate nucleus. On a cellular level, in the adult brain, it has an exclusively
 cytoplasmic expression and is found in the cell body, in axon terminals and in
 dendrites in all brain regions (16,17). Nuclear localization of wildtype huntingtin is seen
 in some cultured cells.
 
 The elongation of the polyQ expansion results in an altered intracellular
 localization of the huntingtin protein. The exclusively cytoplasmic distribution changes
 to include an intranuclear accumulation. Further, intranuclear and cytoplasmic
 aggregations of the mutant proteins have been identified. The incidence of
 intranuclear aggregate formation is also correlated to the length of the polyQ. In
 juvenile onset disorder cases, 38 to 52% of the cortical neurons examined were
 positive, while adult-onset cortical neurons demonstrated only 3 to 6% (Marian
 DiFiglia).
 
 
 Aggregate Composition: Is huntingtin truncated?
 
 The composition of the aggregates is still unclear. The difficulty of isolating and
 dissociating the highly insoluble "rocks" has greatly complicated the issue.
 Ultrastructural analysis reveals that they are a heterogeneous mixture of filaments and
 fibrils (18). Studies using antibodies that recognize different portions of the huntingtin
 protein demonstrate that only the N-terminal portion of the protein proximal to the
 polyQ is present in the aggregates (Marian DiFiglia). Antibodies closer to the C-
 terminal end of the protein do not recognize the aggregates, though there presence or
 absence is not yet clear. Putative caspase-3 cleavage sites have also been identified
 along the huntingtin protein, further indicating the possible involvement of a truncated
 huntingtin (19).
 
  Transgenic animals demonstrate that a truncated form of the protein that
 contains an expanded polyQ region is sufficient to form aggregates. One such
 transgenic, the BatesR6/2 mice, express exon 1 of the human HD gene with a polyQ
 of 115 to 152 units, under the control of the HD gene promoter (20). In neurons of
 these animals, nuclear inclusions similar to those in humans have been found, albeit
 in more widespread regions. The incidence of cytoplasmic inclusions is, however,
 minimal. These mice exhibit a progressive phenotype including a gradual irregular
 gait, a decrease in body weight, a resting tremor, stereotypic grooming and seizures.
 Curiously, unlike human HD, neuronal loss and reactive gliosis in the striatum are
 absent.
 
  Studies using clonal striatal cell lines indicate that the HD protein involved in
 cytoplasmic and nuclear aggregates differ. Cells were transfected with a partial or full
 length cDNA of huntingtin with an N-terminal FLAG tag and C-terminal GFP tag
 (Marian DiFiglia). Most nuclear inclusions were FLAG positive while very few were
 GFP positive. This is in contrast to the cytoplasmic aggregates that were positive for
 both. Mary Shannon Moore (Baylor College, Texas) suggested that perhaps
 cleavage precedes nuclear import. This was supported by Dr. DiFiglia's finding that
 caspase-3 inhibition decreased the number of neurons with intranuclear aggregates.
 
 
 Nuclear Aggregates, Nuclear Localization and Cell Death: Cell Culture Studies.
 
 The toxicity of nuclear aggregates on neurons was addressed in three cell culture
 studies by Marian DiFiglia (Massachusetts General Hospital), Michael Greenberg
 (Harvard University, Massachusetts) and Cynthia McMurray (Mayo Clinic,
 Minnesota). The results are summarized in Table 2. Although different constructs and
 repeat lengths were used, both full length and truncated constructions carrying the
 mutated polyQ expansion lengths formed aggregates in the cytoplasm and/or nucleus.
 Several other interesting observations were also disclosed. The previously described
 clonal striatal cell line study conducted by Dr. DiFiglia demonstrated that one caspase
 inhibitor decreased by half the number of nuclear aggregates. Despite this decrease,
 however, the survival of the neurons was not affected. The use of another caspase
 inhibitor, on the other hand, had no effect on the number of aggregates formed; yet,
 the rate of survival of the neurons was increased.
 
  Michael Greenberg described experiments conducted on primary cultures of
 rat striatum and hippocampus. In 20% of the striatal neurons, intranuclear aggregates
 were seen. Only some glia demonstrated perinuclear aggregates. The number of
 intranuclear aggregates peaked 6 days post-transfection. Interestingly, cell death
 occurred at day 9, when the number of aggregates began to decrease. Moreover, the
 mutant construct was toxic only for the met-enkephalin-positive striatal neurons, the
 neurons that preferentially die in HD. The other striatal neurons as well as
 hippocampal neurons were not affected. This nuclear aggregate formation and cell
 death was reversed when the construct contained a nuclear export sequence (NES).
 Further, the use of leptomycin B, an inhibitor of nuclear export, reversed this finding,
 and led to the formation of intranuclear aggregates despite the NES. In this study, the
 nuclear localization of the mutant construct appears to be important for cell death.
 However, this cell death may not be caused by the aggregates themselves, but the
 inability of the cells to further sequester the fragments into the inert aggregate.
 
  These findings however, differed from the findings presented by Cynthia
 McMurray. Using primary culture of dorsal root ganglion (DRG) cells and studies from
 dividing cells, a truncated fragment with a polyQ expansion of 82 units with a GFP
 marker was expressed. Aggregation was monitored using time-lapse video allowing
 the living cells to be viewed in situ. Despite the use of a truncated mutant fragment,
 intranuclear inclusions were not seen. Instead, perinuclear and diffuse cytoplasmic
 staining was observed. A full length fragment was also studied in a neuroblastoma cell
 line. 12-hours after transfection, diffuse cytoplasmic GFP was detected, but none in
 the nucleus. After 48-hours nuclear inclusions were detected, however at this time the
 cells already were compromised and dying. The cell death observed in all cases was
 largely apoptotic. Another point that was unlike Dr. Greenberg's study was that the
 addition of a NES had no effect on cell survival. Dr. McMurray concluded that nuclear
 inclusions are not required for cell death, although inclusions forming in the nucleus
 are undoubtedly not good for the cell.
 
 
 The contrasts in the studies are difficult to interpret since the experimental designs of
 each were distinct on many points. For example, the cell types used in each studied
 differed. The study that did not see nuclear inclusions used DRG cells. It is therefore
 difficult to interpret whether this is a cell dependent phenomenon or not. Kenneth
 Fischbeck mentioned that in his SBMA model, in which the polyQ is found on the
 androgen receptor, non-neuronal cells can have nuclear inclusions. The most striking
 contrast between the latter two studies was the differential effect on cell survival of the
 NES. Stephen Adam (Northwestern Medical University, Illinois) cautioned that the
 NES data should be interpreted with care. He explained that a forced interaction with
 the nuclear transport machinery could have a chaperone effect on the fragment,
 increasing the solubility of the fragment and/or allowing more efficient degradation by
 proteasomes. Another caution was stated by John Hanover (National Institute of
 Health) in regards to GFP, whose over-expression may itself be contributing to the
 aggregation phenotype observed. Michael Rout (Rockefeller University, New York)
 summarized the general consensus by stating that it is crucial to resolve the apparent
 discrepancies between these two latter studies to determine if nuclear HD is
 associated with disease pathology. Ethan Signer (MIT, Massachusetts) suggested
 that Drs. Greenberg and McMurray can conduct an exchange of constructs and/or
 cell systems to see if the respective results can be repeated. GÅnter Blobel
 (Rockefeller University, New York) suggested that the Drosophila system designed
 by Nancy Bonini and colleagues might resolve this discrepancy.
 
  The common thread in all three studies appeared to be the separation between
 nuclear inclusion formation and cell death. Dr. DiFiglia's study showed that despite a
 decrease in nuclear aggregates after caspase-3 inhibition, cell survival was not
 changed. Dr. Greenberg's work showed that cell death occurred when the number of
 aggregates was decreasing and not at the maximum level. Paul Ferrigno (Harvard
 University, Massachusetts) ventured that perhaps if the aggregates are going away
 before cell death, that it might imply that early stage patients have more inclusions
 than at end stage. Finally, Dr. McMurray demonstrated that nuclear localization may
 not be required at all. Instead, she proposes that cytoplasmic aggregation may be the
 key, and that cell death is likely due to progressive sequestration of cellular proteins,
 thus causing progressive damage to normal cell function. Stephen Adam suggested
 that transglutaminases might be one of these sequestered proteins. If so, then the
 intracellular localization of the aggregates might not be critical.
 
 
 Passive vs. Active Transport into the Nucleus.
 
 Dr. McMurray also presented a study determining the exclusion limits of different cell
 types ranging from cardiac myocytes, which allow up to 30 kDa proteins to passively
 diffuse, to the DRG, which allow up to 70 kDa. Mary Shannon Moore added that on
 average, 45 kDa is the size exclusion limit for a nucleus. Stephen Adam noted that
 due to the small size and insolubility of the polyQ fragment, the appearance of the
 nuclear aggregates is likely due to diffusion of the protein fragment into the nucleus
 and spontaneous aggregation. Based on the presented data, he felt that there was no
 evidence for direct transport of the mutant protein into the nucleus.
 
 Michael Rout indicated that by using a simple well-characterized system such
 as yeast (Saccharomyces) it might be possible to distinguish between the pathology
 and cell biology of the disease. He explained further that it would require the
 construction of stable cell lines which can inducibly express mutant or normal HD, or
 polyglutamine tracts fused to a variety of control or reporter proteins. Should it be
 shown that nuclear transport is required, then a yeast system would be one of the
 fastest ways of determining the method of transport. Another system that might be
 used is the digitonin system (Stephen Adam). This in vitro system consists of a
 permeabilized plasma membrane while the nuclear membrane is maintained intact.
 Through addition of cystolic factors, an energy source and a reporter construct with a
 nuclear localization sequence (NLS), to track nuclear accumulation, one could
 determine if htt is actively transported. GÅnter Blobel cautioned that for this system to
 work, the huntingtin must be in the soluble form and not in the aggregate form.
 Stephen Adam added that a negative result would be meaningless in this study,
 especially if the transport is neuron specific due to a neuronal a-importin.
 
 
 Parting Remarks
 
 As best summarized by GÅnter Blobel, it is necessary to answer the question, "Does
 the fragment have a nuclear lifestyle." To answer this question may help determine not
 only the underlying pathogenic mechanism of HD, but to also aid in therapy-design.
 Several studies were proposed by many of the panel members to address the
 differences seen upon introduction of a NES. The four particular experiments
 proposed included; the determination of the effect of a NES on the full length protein
 (Greenberg); the creation of transgenic animals that express a mutated form of exon
 1 together with a NES (Rout, McMurray); the creation of inducible stable cell lines
 (DiFiglia); and the use the Drosophila system to study the effect of the NES
 (Fischbeck).
 
 Other studies proposed, parting remarks and comments can be summarized as
 follows:
 
 Stephen Adam: It is clear that polyQ accumulation in neurons lead to cell damage or
 death. It appears unlikely that the non-polyQ region plays a major role in the disease,
 although it cannot be excluded that aggregation or co-aggregation with the polyQ can
 exacerbate things. The experiments that were proposed to investigate the effects of
 the polyQ fragment on transport, using yeast as a model system, could be very
 promising if yeast show a phenotype upon expression of the fragment. Since HD is a
 gain-of-function disease, the function gained may be only indirectly related to
 huntingtin or the polyQ fragment. Competitive inhibition of ubiquitination, proteasome
 or transglutaminase pathways via accumulation of the polyQ could causes another
 regulatory pathway to be up-regulated leading to cellular damage.
 
 GÅnter Blobel: The polyQ is the key to the pathology as it is a common mutation in
 several diseases. One must have a broad consideration of cell physiology and pursue
 studies looking at microtubules, dynein and anterograde and retrograde transport.
 Moreover, it is important to pursue the question, how does the cell deal with
 aggregates and inclusions?
  In addition, it would be interesting to see if microglia can degrade polyQ
 inclusions. Studies have been conducted in cultured neurons that demonstrate that
 co-cultivation with microglia can induce cell death. It appears that the microglia
 secrete a toxin known as phenolic toxin. Further, aggregates in a few cells may be
 attacked by microglia. This attack may produce bystander effects. Co-cultivation
 experiments with microglia and cells expressing the aggregates could be done.
 
 Marian DiFiglia: We will be pursuing more biochemical studies on the human brain
 and in HD transgenic mice. Also, it is important to determine if there is an effect due to
 the level of protein expression. Does a higher level of expression lead to a more
 severe phenotype? Or is there a correlation at all? Finally, we will begin to define the
 signal transduction pathway(s) that may be responsible for cell death.
 
 Paul Ferrigno: As someone who did not study HD before this meeting, I would like to
 say that this has been an inspiring and fascinating meeting. I would like to first outline
 the questions that are of interests to me, and what I believe can be done in yeast. The
 questions are as follows: Are there any RNA in the nuclear inclusions? Are there
 ubiquitin-like proteins rather than ubiquitin in the inclusions? And finally is the ubiquitin
 at any times removed from the inclusions. The experiments I would like to do in yeast
 is to first determine the localization and toxicity of full length huntingtin, using yeast in
 the stationary phase. Next, using a purified dynactin complex that we already have, I
 will determine the relationship between HAP-1 dynactin and huntingtin. Third, using an
 aptamer screen, we can screen for drugs as well as the possible interactors of wild
 type huntingtin. Finally, we can perform a screen on human library for proteins that
 make yeast sensitive to the polyQ.
 
 Kenneth Fischbeck: We are currently trying to determine if and how the flanking
 sequences of the polyQ and the protein determine specificity. We will be using the
 Drosophila system.
 
 Michael Greenberg: We will first try to resolve the discrepancies with Cynthia
 McMurray, and continue with work in our system to determine the effect of the NES on
 full-length. Also, is it clear that the HD phenotype is due to the protein rather than the
 RNA? And if anything is known about possible transcription factor activity of polyQ
 proteins.
 
 John Hanover: The mouse model discussion largely confirmed the human findings
 but pointed out a number of differences. Since the knockout of huntingtin in mouse in
 embryonic lethal, I feel an important control is to knock in a form lacking the amino-
 terminus to see if one can rescue survival. This could have implications for gene
 therapy. Cell models were then discussed. The key question of whether huntingtin
 needs to enter the nucleus was difficult to resolve. The use of a very sensitive two-
 hybrid approach, such as in the Notch transcription factor experiments, may identify
 cellular factors that interact with exon 1 constructs. Finally, it is likely that huntingtin
 enters the nucleus as a fragment. This suggests that a processing event must occur.
 This processing event is an obvious drug target and it should be defined.
 
 Cynthia McMurray: There appears to be little evidence to suggest that polyQ proteins
 are actively transported in the nucleus. Evidence from several sources indicates that
 HD-derived proteins move into the nucleus by passive diffusion. Experiments we
 intend to do include resolving the export experiment with Michael Greenberg. Second,
 determine the regional pathology of HD, using promoter swapping. Third, investigate
 the components of the aggregates by isolating the high molecular weight fractions
 containing huntingtin protein then repeat this as a function of grade. Fourth, identify
 the cleavage sites along the huntingtin protein then try to block proteolysis with
 expressed competitive inhibitors of the target sites. For possible cures, it can be
 determined whether huntingtin is required during adulthood. If not, then gene targeting
 constructs that are designed to silence the gene can be designed. Moreover, excision
 of the expanded region by small molecules can lead to a cure for the family, while
 specific targeting and neutralization of the huntingtin protein can lead to a cure for the
 patient.
 
 Mary Shannon Moore: It is not clear whether there is a role for nuclear trafficking. If
 the protein is available, it can be determined if the digitonin system can be used as a
 means to study the protein/protein fragment. In terms of therapy, it may be important
 to determine whether the protein is required in the adult. If not, it leads to a possibility
 for gene therapy.
 
 Michael Rout: The polyQ may be the important factor. The HPRT transgenic mouse
 should be studied in greater depth to lead to a better understanding. Further to study
 the "nuclear lifestyle" of the protein, yeast may be an efficient manner in which the
 studies can be conducted. Finally, changes in gene expression due to the aggregates
 should be examined by using technology including the DNA chip.
 
 Ethan Signer: Other polyaminoacids aside from polyQ should be explored. Is the
 phenomenon that we see specific to the glutamine? Another question that should be
 addressed is what molecule in the cell is the first to recognize and bind to polyQ.
 
 Robert Singer: The inclusions that are seen might be a red herring. The inclusions
 might be a secondary process that does not address what the polyQ is doing. Instead,
 forget the huntingtin protein/fragment and focus on the polyQ. Is this acting as a
 transcription factor? Finally, if the protein is not necessary in adults, then ribozymes
 may be designed to degrade the mRNA.
 
 Carsten Strubing (Harvard University, Massachusetts): This workshop was an
 inspiring experience. I think there was a consensus between the participants that the
 form of the workshop, i.e. an informal presentation of data and free exchange of
 ideas, provided the basis for the interesting and fruitful discussions. Clear
 experimental approaches (in vitro import assay, microinjection of huntingtin, in vivo
 import assay in yeast) hopefully will reveal the mechanism of nuclear huntingtin import
 in the near future. It was pointed out the cellular pathophysiology of HD is not well
 understood. Previous data suggests that mitochondrial function and metabotropic
 glutamate receptor expression are compromised in HD. Both mitochondria and
 mGluRs are implicated in intracellular Ca2+ signaling. Therefore, fluorometric Ca2+ -
 measurements as well as electrophysiological studies on isolated neurons and brain
 slices from transgenic HD models could help better understand the cellular processes
 underlying the HD phenotype.
  TABLE 1: Triplet repeat expansion disorders.
 
 Disease    Affected Region     Protein   Normal Location     Nuclear inclusion?
 
  HD        Cortex         htt       cytoplasm        yes
            Striatum
 
  SBMA      DRG            androgen  cytoplasm/       yes
            Motor neurons  receptor     nucleus
 
  SCA 1     Cerebellum               nucleus          yes
            Brain stem
 
            SCA 2          Cerebellum                   cytoplasm yes
            Brain stem
 
  SCA 3     Cerebellum               nucleus          yes
            Brain stem
 
  SCA 6     Cerebellum     Ca2+      nucleus          yes
            Brain stem     channel
 
  SCA 7     Cerebellum                                yes
            Brain stem
 
  DRPLA     Brain stem               nucleus          yes
            Basal Ganglia
  TABLE 2: Presented cell culture studies
 
 
 
 Marian DiFiglia
 Michael Greenberg
 Cynthia McMurray
 
 
 Cell
 type(s)
 Clonal striatal line
 Rat striatal primary
 culture
 DRG
 Neuroblastoma
 
 
 Full length
 Construct
 FLAG-tagged
 None
 GFP-Full length
 (Neuroblastoma study)
 
 
 Localization
 and
 inclusions
 Nuclear & cytoplasmic.
 Few cells at Day 1. All
 cells at Day 6.
 N/A
 Nuclear inclusions (occur
 late well cell already
 compromised.)
 
 
 
 Truncated
 Construct
 3 kb w/ N-terminal
 FLAG tag, and C-
 terminal GFP tag.
 480 residues with
 polyQ= 17 or 68
 171 residues with
 polyQ= 17 or 68
 Truncated within
 polypropylene region. N-
 terminal GFP
 PolyQ= 19 or 82
 (DRG study)
 
 
 
 
 Localization
 and
 inclusions
 Nuclear and
 cytoplasmic inclusions
 480-Q17 cytoplasmic, non
 aggregate; -Q68 nuclear
 inclusions in 20% of cells.
 171-Q68 nuclear
 inclusions in 80% cells.
 Maximum no. of
 inclusions at day 6.
 Q19: small degree of
 death
 Q82: Inclusions and
 diffuse staining in
 cytoplasm and
 perinuclear. No nuclear
 aggregates
 
 
 
 Inclusions
       vs.
 Cell Death
 The use of different
 caspase inhibitors
 dissociated the
 formation of
 aggregates from cell
 survival.
 Cell death in met-enk
 positive cells only. Death
 occurred on day 9.
 Addition of NES- no
 inclusions, no death.
 Protein in cytoplasm.
 Addition of NES had no
 effect on survival
 
 
 
 Notes
 WT huntingtin stops
 cell proliferation.
 Mutant approx. 20%
 keep proliferating.
 
 Living cells were
 monitored in vivo.
 
 
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  4. Davies SW, Turmaine M, Cozens BA, et al. (1997) Formation of neuronal
  intranuclear inclusions underlies the neurological dysfunction in mice transgenic for
  the HD mutation. Cell 90:537-548.
  5. DiFiglia M, Sapp E, Chase KO, et al. (1997) Aggregation of Huntingtin in neuronal
  intranuclear inclusions and dystrophic neurites in brain. Science 277: 1990-1993.
  6. Aronin N, Chase K, Young C, et al. (1995) CAG expansion affects expression of
  mutant huntingtin in the Huntington's disease brain. Neuron 15:1193-1201.
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