HTT Gene (Huntingtin): Structure, Function, and Clinical Significance

A comprehensive biomedical overview of the HTT gene, its protein product, associated diseases, expression patterns, and mutation landscape.

Gene Information Card

Symbol HTT
Full Name Huntingtin
Gene Type Protein coding
Chromosomal Location 4p16.3
NCBI Gene ID 3064 ncbi.nlm.nih.gov/gene/3064
Ensembl ID ENSG00000197386
UniProt ID P42858
OMIM ID 613004
HGNC ID 4851
Aliases HD; IT15; C6orf2A; LOMARS

Description

The HTT gene encodes huntingtin, a large (348 kDa) protein with no clear homology to other proteins. It is ubiquitously expressed but shows highest levels in the brain. Huntingtin is involved in multiple cellular processes including vesicular trafficking, endocytosis, autophagy, and transcriptional regulation. The gene contains a polymorphic CAG trinucleotide repeat in its first exon; expansion beyond 35 repeats causes Huntington disease (HD), a progressive neurodegenerative disorder. The repeat length inversely correlates with age of onset. HTT is essential for embryonic development, and its loss-of-function is lethal in mice. The protein undergoes proteolytic cleavage, and mutant huntingtin fragments aggregate and cause neurotoxicity.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Huntington disease (HD) Expansion of CAG repeat (>35) in exon 1 leads to production of mutant huntingtin with expanded polyglutamine tract. This confers a toxic gain-of-function, causing neuronal dysfunction and death, particularly in striatal medium spiny neurons. Loss of normal huntingtin function may also contribute. OMIM #143100; ClinVar; NCBI Gene
Huntington disease-like 2 (HDL2) Not directly caused by HTT mutations; but HTT CAG repeat expansion is the primary cause of HD. HDL2 is caused by CTG expansion in JPH3, but differential diagnosis includes HTT testing. OMIM #606438; ClinVar
Other polyglutamine disorders HTT is the archetype for polyglutamine diseases; other genes with CAG repeats cause similar disorders, but HTT mutations are specific to HD. OMIM; NCBI

Expression Profile

Tissue Expression
Tissue nTPM level
Brain (cerebral cortex) High Highest expression in neurons; critical for neuronal function.
Testis Moderate Expressed in spermatids; role in spermatogenesis.
Heart Moderate Expressed in cardiac muscle; function not fully characterized.
Liver Low Low expression; role in hepatic metabolism unclear.
Kidney Low Low expression; function not well defined.
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) High Neuronal-like cells; used for HD modeling.
HeLa (cervical carcinoma) Moderate Ubiquitous expression; used for basic studies.
HEK293 (embryonic kidney) Moderate Common cell line for overexpression studies.
U87 (glioblastoma) Low Glial cells; lower expression compared to neurons.
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
CAG repeat expansion (36-39) Pathogenic (reduced penetrance) Variable; may or may not cause HD Expanded polyglutamine tract; increased risk of HD with incomplete penetrance.
CAG repeat expansion (≥40) Pathogenic (full penetrance) ~1-2 per 100,000 worldwide Causes HD; length inversely correlates with age of onset.
CAG repeat expansion (≥60) Pathogenic (juvenile onset) Rare Very early onset HD; often paternal transmission.
Normal CAG repeat (≤35) Benign Most common No disease association.
Mutation functional classification

Loss of Function (LOF)

Loss of normal huntingtin function may contribute to HD pathogenesis, as huntingtin is essential for embryonic development and cellular homeostasis. However, HD is primarily considered a gain-of-function disease.

Gain of Function (GOF)

Expanded polyglutamine tract confers a toxic gain-of-function. Mutant huntingtin misfolds, aggregates, and interacts aberrantly with proteins, leading to neuronal dysfunction and death.

Dominant Negative (DN)

Mutant huntingtin may exert a dominant-negative effect by interfering with normal huntingtin's functions, such as vesicular trafficking and autophagy, through protein-protein interactions.

Pathways

Huntington disease pathway (KEGG: hsa05016)
Autophagy - animal (KEGG: hsa04140)
Endocytosis (KEGG: hsa04144)
Neurotrophin signaling pathway (KEGG: hsa04722)
Apoptosis (KEGG: hsa04210)
p53 signaling pathway (KEGG: hsa04115)
Sphingolipid signaling pathway (KEGG: hsa04071)
TNF signaling pathway (KEGG: hsa04668)

Protein Summary

Huntingtin is a large, predominantly cytoplasmic protein with a HEAT repeat domain that mediates protein-protein interactions. It serves as a scaffold for multiple complexes involved in vesicular trafficking, autophagy, and transcriptional regulation. The protein is cleaved by caspases and calpains, and the N-terminal fragment containing the polyglutamine tract is prone to aggregation when expanded. Huntingtin is essential for neuronal survival and function, and its mutant form leads to selective neurodegeneration in the striatum and cortex.

Related Products

Product name Cat.No. Species Gene ID
HTT Knockout HEK293 Cell Line EDJ-KQ4863 Human 3064 Details Get a Quote
HTT Knockout A-549 Cell Line EDJ-KQ27640 Human 3064 Details Get a Quote
HTT Knockout HCT 116 Cell Line EDJ-KQ27641 Human 3064 Details Get a Quote
HTT Knockout HeLa Cell Line EDJ-KQ27642 Human 3064 Details Get a Quote
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