HTT
Chr 4huntingtin
Also known as: HD, IT15, LOMARS
Huntingtin is a disease gene linked to Huntington's disease, a neurodegenerative disorder characterized by loss of striatal neurons. This is thought to be caused by an expanded, unstable trinucleotide repeat in the huntingtin gene, which translates as a polyglutamine repeat in the protein product. A fairly broad range of trinucleotide repeats (9-35) has been identified in normal controls, and repeat numbers in excess of 40 have been described as pathological. The huntingtin locus is large, spanning 180 kb and consisting of 67 exons. The huntingtin gene is widely expressed and is required for normal development. It is expressed as 2 alternatively polyadenylated forms displaying different relative abundance in various fetal and adult tissues. The larger transcript is approximately 13.7 kb and is expressed predominantly in adult and fetal brain whereas the smaller transcript of approximately 10.3 kb is more widely expressed. The genetic defect leading to Huntington's disease may not necessarily eliminate transcription, but may confer a new property on the mRNA or alter the function of the protein. One candidate is the huntingtin-associated protein-1, highly expressed in brain, which has increased affinity for huntingtin protein with expanded polyglutamine repeats. This gene contains an upstream open reading frame in the 5' UTR that inhibits expression of the huntingtin gene product through translational repression. [provided by RefSeq, Jul 2016]
Clinical highlights
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- tominersenASOPhase 2
Lowers total huntingtin.
Delivery: IntrathecalEarlier phase 3 paused; dose/population re-evaluation ongoing
- AMT-130AAV gene therapyPhase 1/2
One-time delivery of a microRNA lowering (mutant) huntingtin.
Delivery: Stereotactic intrastriatal
Therapeutic landscape as of 2026-07. Educational only. Investigational ≠ available; not medical advice or eligibility. Approved entries are precise; investigational program names/phases are conservative and move fast. Curated from FDA/EMA approvals and the clinical-trial literature; verify against current labeling + ClinicalTrials.gov.
ClinicalTrials.govPopulation Genetics & Constraint
gnomAD v4 — loss-of-function & missense intolerance
Highly LoF-intolerant (top ~10% of genes)
Moderately missense-constrained (top ~2.5%)
ClinVar Variant Classifications
0 submitted variants in ClinVar
Protein Context — Lollipop Plot
HTT · protein map & ClinVar variants
Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.
External Resources
Links to major genomics databases and tools
Clinical Trials
Active and recruiting trials from ClinicalTrials.gov
A Study to Investigate the Efficacy, Safety and Tolerability of Votoplam in Participants With Huntington's Disease
RECRUITINGA Randomised Controlled Trial, Of N-Acetyl Cysteine (NAC), for Premanifest Huntingtin Gene Expansion Carriers
RECRUITINGHome-based Transcranial Direct Current Stimulation in Postpartum Depression: the Feasibility Study and Pilot Study
NOT YET RECRUITINGA Study to Evaluate AB-1001 Striatal Administration in Adults With Early Manifest Huntington's Disease
ACTIVE NOT RECRUITINGMolecular and Functional Imaging in Monogenic PD.
RECRUITINGBiology-Driven Cognitive Profiling in Huntington's Disease
ACTIVE NOT RECRUITINGA Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RG6496 in Huntington's Disease
ACTIVE NOT RECRUITINGContinuous Delivery Room Skin-to-skin-study for Moderate and Late Preterm Infants
RECRUITINGStudy of BDNF Pathway Biomarkers in the Cerebrospinal Fluid in Patients With Huntington's Disease
RECRUITINGTherapeutic Outcomes of Selective Serotonin Reuptake Inhibitors and Phosphodiesterase-5 Inhibitors Combination Therapy Versus Monotherapy
NOT YET RECRUITINGSafety and Proof-of-Concept (POC) Study With AMT-130 in Adults With Early Manifest Huntington's Disease
ACTIVE NOT RECRUITINGIntern Health Study
ENROLLING BY INVITATIONExternal Resources
Links to major genomics databases and tools