Journal Article Review Epublish 2 citations
PubMed: 38731912 DOI: 10.3390/ijms25094696
Brain-Periphery Interactions in Huntington's Disease: Mediators and Lifestyle Interventions.
Int J Mol Sci 25(9)
Authors: Johannes Burtscher, Barbara Strasser, Giuseppe Pepe, Martin Burtscher, Martin Kopp, Alba Di Pardo, Vittorio Maglione, Andy V Khamoui
Affiliations
- Institute of Sport Sciences, University of Lausanne, 1015 Lausanne, Switzerland.
- Ludwig Boltzmann Institute for Rehabilitation Research, 1100 Vienna, Austria.
- Faculty of Medicine, Sigmund Freud Private University, 1020 Vienna, Austria.
- IRCCS Neuromed, 86077 Pozzilli, Italy.
- Department of Sport Science, University of Innsbruck, 6020 Innsbruck, Austria.
- Department of Exercise Science and Health Promotion, Florida Atlantic University, Boca Raton, FL 33458, USA.
- Institute for Human Health and Disease Intervention, Florida Atlantic University, Jupiter, FL 33458, USA.
Abstract
Prominent pathological features of Huntington's disease (HD) are aggregations of mutated Huntingtin protein (mHtt) in the brain and neurodegeneration, which causes characteristic motor (such as chorea and dystonia) and non-motor symptoms. However, the numerous systemic and peripheral deficits in HD have gained increasing attention recently, since those factors likely modulate disease progression, including brain pathology. While whole-body metabolic abnormalities and organ-specific pathologies in HD have been relatively well described, the potential mediators of compromised inter-organ communication in HD have been insufficiently characterized. Therefore, we applied an exploratory literature search to identify such mediators. Unsurprisingly, dysregulation of inflammatory factors, circulating mHtt, and many other messenger molecules (hormones, lipids, RNAs) were found that suggest impaired inter-organ communication, including of the gut-brain and muscle-brain axis. Based on these findings, we aimed to assess the risks and potentials of lifestyle interventions that are thought to improve communication across these axes: dietary strategies and exercise. We conclude that appropriate lifestyle interventions have great potential to reduce symptoms and potentially modify disease progression (possibly via improving inter-organ signaling) in HD. However, impaired systemic metabolism and peripheral symptoms warrant particular care in the design of dietary and exercise programs for people with HD.
MeSH
Exercise, Life Style, Communication, Brain, Disease Progression, Pathology, Diet, Signs And Symptoms, Huntington Disease