Target intelligence / Profile preview

Huntingtin protein (mutant form) (HTT (or mHTT for mutant huntingtin))

Target
HTT (or mHTT for mutant huntingtin)
Molecular classification
Protein, Scaffold protein, HEAT repeat-containing protein, Intrinsically disordered protein (for the N-terminal polyQ region)
01

Overview

The mutant form of the *huntingtin protein* (mHTT) is the pathogenic cause of Huntington’s disease, produced from the *HTT* gene carrying an expanded CAG repeat coding for a polyglutamine (polyQ) tract in its N-terminal region[2][6][7][8]. Mutant huntingtin is a large cytoplasmic protein (~348–350 kDa) with a predominantly α-helical, HEAT repeat-containing scaffold structure[2][6]. The pathogenic polyQ expansion (>35–40 repeats) causes abnormal aggregation, disrupts vesicular and mitochondrial transport, alters gene expression, increases oxidative stress, and eventually leads to selective neuronal death in the striatum and cortex[2][3][6][8]. mHTT is a validated therapeutic target in Huntington’s disease, with disease-modifying therapies aimed at reducing its expression or preventing its toxic effects in clinical development. The wild-type protein plays important roles in vesicular trafficking, cytoskeletal dynamics, and transcriptional regulation, so selective targeting of only the mutant form is an important safety consideration[7][8].

Other names
Mutant huntingtinmHTTHTT (when referring to mutant allelic form)Huntingtin with expanded polyglutamine tractMutant huntingtin protein
02

Mechanism of action

RNA interference or antisense-mediated mRNA degradation (reducing HTT protein levels); Splicing modulation to reduce mutant protein formation; Gene silencing by DNA-directed gene editing; Direct inhibition of protein aggregation/toxicity (experimental)

03

Biological functions

Protein-protein interaction scaffoldIntracellular transport/vesicle traffickingRegulation of gene expressionAxonal/microtubule-based transportDNA damage response/repairMitochondrial function/modulation
04

Disease associations

Neurodegenerative disease (especially Huntington’s disease)Other (contributing to cellular dysfunction via toxic gain of function)
05

Safety considerations

Non-selective reduction of both mutant and wild-type HTT can cause toxicity—wild-type HTT is essential for development and cellular viabilityDelivery of gene therapies to CNS tissueOff-target effects on other genes or proteinsImmune or inflammatory side effects of gene therapies or ASOs
06

Interacting drugs

Tominersen (antisense oligonucleotide)

4 more in the full profile.

07

Biomarkers

Mutant huntingtin protein (mHTT) levels in cerebrospinal fluid (CSF) or bloodCAG repeat length in *HTT* gene (genetic diagnosis and prognosis)Neurofilament light chain (secondary, for neuronal damage)Total HTT protein (for target engagement)

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