Evidence map›Paper›PMID 41238535›Full record

ArticleNature communications2025

Suppression of Huntington's Disease Somatic Instability by Transcriptional Repression and Direct CAG Repeat Binding.

Ella W Mathews, Sydney R Coffey, Annette Gärtner, Jillian Belgrad, Robert M Bragg, Daniel O'Reilly, Jeffrey P Cantle, Cassandra McHugh, Ashley Summers, Joachim Fentz and 17 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Ella W MathewsDepartment of Neurology, University of Washington, Seattle, WA, 98104, USA.ORCID http://orcid.org/0000-0003-1183-1988
Sydney R CoffeyDepartment of Psychology, Western Washington University, Bellingham, WA, 98225, USA.ORCID http://orcid.org/0000-0002-1477-2197
Annette GärtnerEvotec SE, Hamburg, Germany.ORCID http://orcid.org/0000-0001-6189-9679
Jillian BelgradRNA Therapeutics Institute, University of Massachusetts Chan Medical School, Worcester, MA, 01605, USA.ORCID http://orcid.org/0000-0002-2577-2336
Robert M BraggDepartment of Neurology, University of Washington, Seattle, WA, 98104, USA.ORCID http://orcid.org/0000-0003-0619-8954
Daniel O'ReillyRNA Therapeutics Institute, University of Massachusetts Chan Medical School, Worcester, MA, 01605, USA.
Jeffrey P CantleDepartment of Neurology, University of Washington, Seattle, WA, 98104, USA.ORCID http://orcid.org/0000-0001-6051-0465
Cassandra McHughDepartment of Psychology, Western Washington University, Bellingham, WA, 98225, USA.ORCID http://orcid.org/0009-0002-6184-3258
Ashley SummersRNA Therapeutics Institute, University of Massachusetts Chan Medical School, Worcester, MA, 01605, USA.ORCID http://orcid.org/0000-0002-5425-0457
Joachim FentzEvotec SE, Hamburg, Germany.ORCID http://orcid.org/0000-0002-9334-1298
Tom SchwagarusEvotec SE, Hamburg, Germany.
Antje CorneliusEvotec SE, Hamburg, Germany.
Ioannis LingosEvotec SE, Hamburg, Germany.ORCID http://orcid.org/0009-0008-5846-957X
Zoe BurchCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Marina KovalenkoCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Marissa A AndrewCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
C Frank BennettIonis Pharmaceuticals, Carlsbad, CA, 92010, USA.
Holly B KordasiewiczIonis Pharmaceuticals, Carlsbad, CA, 92010, USA.
Deanna M MarchioniniCHDI Management, Inc., the company that manages the scientific activities of CHDI Foundation Inc, Princeton, NJ, 08540, USA.ORCID http://orcid.org/0000-0003-2071-1064
Hilary WilkinsonCHDI Management, Inc., the company that manages the scientific activities of CHDI Foundation Inc, Princeton, NJ, 08540, USA.ORCID http://orcid.org/0000-0002-0401-9329
Thomas F VogtCHDI Management, Inc., the company that manages the scientific activities of CHDI Foundation Inc, Princeton, NJ, 08540, USA.
Paolo BeuzerCHDI Management, Inc., the company that manages the scientific activities of CHDI Foundation Inc, Princeton, NJ, 08540, USA.
Ricardo M PintoCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0001-6744-2805
Anastasia KhvorovaRNA Therapeutics Institute, University of Massachusetts Chan Medical School, Worcester, MA, 01605, USA.ORCID http://orcid.org/0000-0001-6928-8071
David HowlandCHDI Management, Inc., the company that manages the scientific activities of CHDI Foundation Inc, Princeton, NJ, 08540, USA.
Vanessa C WheelerCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID http://orcid.org/0009-0004-8259-5796
Jeffrey B CarrollDepartment of Neurology, University of Washington, Seattle, WA, 98104, USA. jeffcarr@uw.edu.ORCID http://orcid.org/0000-0003-1711-8868

Funding

Huntington's Disease Repeat Instability and PathogenesisR01NS049206 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI VANESSA C WHEELER · 2005 to 2026
$10.0M
Expanding the chemical diversity of therapeutic oligonucleotides to treat neurodegenerative disordersR01NS104022 · NINDS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ANASTASIA KHVOROVA · 2017 to 2026
$6.0M
CHDI Foundation (CHDI Foundation, Inc.) A-18222CHDI Foundation (CHDI Foundation, Inc.) A-5038NINDS NIH HHS R01 NS049206NINDS NIH HHS R01 NS104022
6 · The paper itself

Abstract

Huntington's disease arises from a CAG expansion in the huntingtin gene beyond a critical threshold. Current therapeutics primarily aim to reduce toxicity by lowering levels of mutant HTT mRNA and protein. Genetic data support a role for somatic instability in HTT's CAG repeat as a driver of age of motor dysfunction onset, but currently, the relationship between instability and HTT lowering remains unexplored. Here, we investigate various HTT-lowering modalities to establish the relationship between HTT lowering and instability in Huntington's disease knock-in mice. We find that repressing transcription of mutant Htt reduces instability, using genetic and pharmacological approaches. Remarkably, zinc finger proteins that target CAG repeats, but lack a repressive domain, protect from somatic instability despite not reducing HTT mRNA or protein levels. These results suggest that DNA-targeted HTT-lowering treatments may have advantages compared to other HTT-lowering approaches, and that steric blockage of CAG repeats may reduce instability while sparing HTT expression.

Indexed as

Genomic InstabilityHuntingtin ProteinHuntington DiseaseTranscription, GeneticTrinucleotide Repeat ExpansionAnimalsDisease Models, AnimalGene Knock-In TechniquesHumansMaleMiceMice, TransgenicRNA, MessengerTrinucleotide RepeatsZinc FingersHtt protein, mouseHuntingtin ProteinRNA, Messenger

Identifiers

PMID41238535
PMCPMC12618468

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.