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Spinocerebellar ataxia (SCA) types 1, 2, 3, 6, 7, and 17 as well as Huntington's disease are a group of neurodegenerative disorders caused by expanded CAG repeats encoding a long polyglutamine (polyQ) tract in the respective proteins. Evidence has shown that the accumulation of intranuclear and cytoplasmic misfolded polyQ proteins leads to apoptosis and cell death. Thus suppression of aggregate formation is expected to inhibit a wide range of downstream pathogenic events in polyQ diseases. In this study, we established a high-throughput aggregation screening system using 293 ATXN3/Q 75 -GFP cells and applied this system to test the aqueous extract of  Paeonia lactiflora  ( P. lactiflora ) and its constituents. We found that the aggregation can be significantly prohibited by  P. lactiflora  and its active compound paeoniflorin. Meanwhile,  P. lactiflora  and paeoniflorin upregulated HSF1 and HSP70 chaperones in the same cell models. Both of them further reduced the aggregation in neuronal differentiated SH-SY5Y ATXN3/Q 75 -GFP cells. Our results demonstrate how  P. lactiflora  and paeoniflorin are likely to work on polyQ-aggregation reduction and provide insight into the possible working mechanism of  P. lactiflora  in SCA3. We anticipate our paper to be a starting point for screening more potential herbs for the treatment of SCA3 and other polyQ diseases.

Aqueous Extract ofPaeonia lactifloraand Paeoniflorin as Aggregation Reducers Targeting Chaperones in Cell Models of Spinocerebellar Ataxia 3