Huntington's disease: A generalized membrane defect

Huntington's disease, a progressively degenerative neurological disorder inherited as an autosomal dominant trait, results in selective neuronal loss in the basal ganglia and other areas of the brain. Based on research in our laboratory employing electron spin resonance, analytical, enzymatic, biochemical and morphological techniques to study erythrocyte membranes, which are completely outside the central nervous system, we have suggested that Huntington's disease is associated with a generalized membrane defect involving a protein and probably manifested at the external membrane surface. Other workers have subsequently obtained biophysical, biochemical, and morphological results on extraneural tissue in Huntington's disease including erythrocytes, lymphocytes, platelets,and cultured skin fibroblasts that supports this hypothesis. This review will summarize and evaluate the current knowledge of the involvement of a membrane defect in the etiology and pathogenesis of Huntington's disease.