Huntington’s disease (HD) is an autosomal dominant neurodegenerative disorder caused by a single gene mutation in protein-coding gene huntingtin htt. Clinical charascteristics of the disease include cognitive decline and progressive motor impairment. The disease manifests at the age of 30 to 45 years and is fatal after 15–20 years of progressive neurodegeneration. Gene expression is altered in a variety of tissues in HD. Recent studies have shown that changes in the transcriptome of the striatum in HD patients could be linked to transcriptomic changes in the blood. Thus, we hypothesized that analysis of transcriptomics and global DNA methylation in the blood of HD mutation carriers may reveal specific signatures that could serve as biomarkers of HD pathogenesis and could be used as surrogate biomarkers. Our transcriptomic analysis included HD mutation carriers and healthy controls with 740 significantly changed transcripts. There were 3 genes (SPG7, C21orf2, PCSK7) to be linked to pathogenetic mechanisms in neurodegenerative diseases. Systemic analysis of our results and 4 other transcriptomic studies showed 15 commons differentially expressed genes where 6 genes were linked to neurological disturbances. Analysis of global DNA methylation was performed separately due to clinical status. When comparing a presymptomatic and symptomatic group of patients 3 new genes (CLDN16, NCT2, DDC) were significantly differentially methylated and were not linked to HD yet. Groups of symptomatic or presymptomatic patients compared to healthy controls and group of HD mutation carriers also compared to healthy controls gave no significant genes in this respect. An integrative analysis was performed to see connections between changes in the methylation status of DNA and transcriptomic changes. There were 12 common genes not significantly changed. Even though, there was one common gene found (FBXL5) to be involved in ubiquitination of proteins and immune response, which could be linked to the systemic response of the disease. Using integrative analysis, we studied how the methylation of DNA and transcriptomics are linked. Analysis revealed 12 non-significant genes, where we found gene FBXL5 to be in common and is involved in ubiquitination of proteins and immune system activation. In this respect could be linked to systemic response to the disease. Further, we found an additional 4 non-significant genes (POP5, GRAP, UPS5, SEC24C), which have a reverse correlation between RNA expression and methylation. Integrative analysis finally did not reveal specific and stable biomarkers for predicting HD.
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