Huntington's disease (HD) is associated with the misfolding and aggregation of mutant huntingtin harboring an elongated
polyglutamine stretch at its N terminus. A distinguishing pathological hallmark of HD is
mitochondrial dysfunction. Any strategy that can restore the integrity of the mitochondrial environment should have beneficial consequences for the disease. Specific
RNA aptamers were selected that were able to inhibit aggregation of elongated
polyglutamine stretch containing mutant huntingtin fragment (103Q-htt). They were successful in reducing the
calcium overload, which leads to mitochondrial membrane depolarization in case of HD. In one case, the level of Ca2+ was restored to the level of cells not expressing 103Q-htt, suggesting complete recovery. The presence of aptamers was able to increase mitochondrial mass in cells expressing 103Q-htt, along with rescuing loss of mitochondrial genome. The oxidative damage to the
proteome was prevented, which led to increased viability of cells, as monitored by flow cytometry. Thus, the presence of aptamers was able to inhibit aggregation of mutant huntingtin fragment and restore
mitochondrial dysfunction in the HD cell model, confirming the advantage of the strategy in a disease-relevant parameter.