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Cell-specific mechanisms drive connectivity across the time course of Huntington’s disease

Estevez-Fraga, Carlos; Sebenius, Isaac; Hansen, Justine Y; Haenisch, Benjamin; Zeun, Paul; Scahill, Rachael I; Gregory, Sarah; ... McColgan, Peter; + view all (2025) Cell-specific mechanisms drive connectivity across the time course of Huntington’s disease. Nature Communications , 16 , Article 5519. 10.1038/s41467-025-60556-0. Green open access

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Abstract

Hyperconnectivity in functional brain networks occurs decades before disease onset in Huntington’s disease. However, the biological mechanisms remain unknown. We investigate connectivity in Huntington’s disease using Morphometric INverse Divergence (MIND) in three Huntington’s disease cohorts (N = 512) spanning from two decades before the onset of symptoms through to functional decline. Here, we identify stage-specific profiles, with hyperconnectivity 22 years from predicted motor onset, progressing to hypoconnectivity through the late premanifest and manifest stages, showing that hypoconnectivity is correlated with neurofilament light concentrations. To understand the biological mechanisms, we investigate associations with cortical organization principles including disease epicentres and cell-autonomous systems, in particular neurotransmitter distribution. The contribution from disease epicentres is limited to late premanifest while cell-autonomous associations are demonstrated across the Huntington’s disease lifespan. Specific relationships to cholinergic and serotoninergic systems localized to granular and infragranular cortical layers are identified, consistent with serotoninergic layer 5a neuronal vulnerability previously identified in post-mortem brains.

Type: Article
Title: Cell-specific mechanisms drive connectivity across the time course of Huntington’s disease
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41467-025-60556-0
Publisher version: https://doi.org/10.1038/s41467-025-60556-0
Language: English
Additional information: © The Author(s), 2025. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/
Keywords: Huntington's disease, Neural circuits
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10212888
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