- Tan, Z;
- Dai, W;
- van Erp, TGM;
- Overman, J;
- Demuro, A;
- Digman, MA;
- Hatami, A;
- Albay, R;
- Sontag, EM;
- Potkin, KT;
- Ling, S;
- Macciardi, F;
- Bunney, WE;
- Long, JD;
- Paulsen, JS;
- Ringman, JM;
- Parker, I;
- Glabe, C;
- Thompson, LM;
- Chiu, W;
- Potkin, SG
Huntington's disease (HD), a progressive neurodegenerative disease, is caused by an expanded CAG triplet repeat producing a mutant huntingtin protein (mHTT) with a polyglutamine-repeat expansion. Onset of symptoms in mutant huntingtin gene-carrying individuals remains unpredictable. We report that synthetic polyglutamine oligomers and cerebrospinal fluid (CSF) from BACHD transgenic rats and from human HD subjects can seed mutant huntingtin aggregation in a cell model and its cell lysate. Our studies demonstrate that seeding requires the mutant huntingtin template and may reflect an underlying prion-like protein propagation mechanism. Light and cryo-electron microscopy show that synthetic seeds nucleate and enhance mutant huntingtin aggregation. This seeding assay distinguishes HD subjects from healthy and non-HD dementia controls without overlap (blinded samples). Ultimately, this seeding property in HD patient CSF may form the basis of a molecular biomarker assay to monitor HD and evaluate therapies that target mHTT.