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BiomedicinesBiomedicines
  • Review
  • Open Access

12 December 2025

41 Pages

Translational Relevance of SCA1 Models for the Development of Therapies for Spinocerebellar Ataxia Type 1

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1
OpenLab Gene and Cell Technologies, Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia
2
Federal State Budgetary Scientific Institution “Russian Scientific Center of Surgery Named After Academician B.V. Petrovsky”, 119991 Moscow, Russia
3
The Research and Educational Institute of Neurosurgery, Peoples’ Friendship University of Russia (RUDN), 117198 Moscow, Russia
4
Department of Pharmacology, Tyumen State Medical University, 625023 Tyumen, Russia

Abstract

Spinocerebellar ataxia type 1 (SCA1) is an autosomal dominant neurodegenerative dis-ease caused by the expansion of cytosine–adenine–guanine (CAG) repeats in the ataxin-1 (ATXN1) gene, leading to toxic gain-of-function of the ataxin-1 (ATXN1) protein. This narrative review systematizes the clinical and genetic aspects of SCA1 and discusses key molecular and cellular mechanisms: the ATXN1-CIC ataxin-1-Capicua complex (ATXN1-CIC), the role of serine 776 (Ser776) phosphorylation, interactions with 14-3-3 proteins, transcriptional dysregulation, and critically analyzes experimental models of the disease in vivo and in vitro. In addition, it presents a descriptive quantitative analysis of the literature on in vivo SCA1 models, conducted using a defined search methodology with a cut-off date of 23 November 2025. For each model, phenotypic markers, molecular signatures, and applicability to preclinical testing tasks are summarized. A comparison of the models reveals their complementarity and outlines optimal research trajectories, including omics approaches and prospects for targeted antisense oligonucleotide (ASO) therapy, RNA interference (RNAi), and genome editing. The result is a practical guide for selecting a model in accordance with specific hypotheses and translational objectives.

1. Introduction

Spinocerebellar ataxia type 1 (SCA1) is a prototypical disease from the group of polyglutamine neurodegenerations, arising from the expansion of CAG repeats in the ATXN1 gene [1,2]. Despite its low prevalence (1–2 cases per 100,000 population), SCA1 attracts attention as a model for studying the toxic gain-of-function mechanism characteristic of triplet diseases. The mutant ataxin-1 protein with an elongated polyglutamine track forms intranuclear inclusions, disrupts transcriptional networks, and triggers progressive degeneration of Purkinje cells and brain stem structures [3].
Longitudinal multimodal studies in patients with SCA1 have demonstrated a marked reduction in the volume of posterior fossa structures. Total brainstem and cerebellar volume, as well as the volumes of the pons, cerebellar cortex and cerebellar white matter, are reduced, and these measures show a strong negative correlation with ataxia severity as assessed by the SARA score [4,5]. Neuropathological data indicate that these changes reflect a combination of neuronal loss in the primary motor cortex with widespread degeneration of the grey matter of the basal forebrain, thalamus, brainstem and cerebellum, as well as the white matter of the cerebellum and brainstem [6]. The degenerative process also extends to other brainstem structures, including the red nucleus, vestibular nuclei and motor cranial nerve nuclei [7]. Furthermore, recent studies have demonstrated reduced numbers of oligodendrocytes in the cerebellar white matter in patients with SCA1, underscoring the contribution of myelinating glia to disease pathogenesis [8].
Clinically, SCA1 manifests as progressive cerebellar ataxia, dysarthria, and cognitive impairment, but the disease is multisystemic in nature. The earliest neurological manifestations typically include incoordination, such as gait disturbance with altered step length and unstable turning [9]. At later disease stages, a subset of patients may develop additional extrapyramidal features, including dystonia, tremor or choreiform hyperkinesias [10]. Muscle atrophy and fasciculations are also observed, indicating involvement of peripheral motor neurons. Oculomotor abnormalities are characteristic: nystagmus is present in approximately 25% of patients, whereas slow or hypermetric saccades are observed in about half of affected individuals [11]. In patients with SCA1 who have a moderate or severe disease course, pyramidal signs are frequently detected, including increased muscle tone and exaggerated tendon reflexes [12]. Late clinical manifestations include bulbar dysfunction due to brainstem involvement, typically emerging 10–15 years after disease onset and leading to impaired swallowing and respiration [13,14].
Cognitive deficits generally appear after the onset of motor symptoms and are predominantly characterized by mild impairment of executive functions and verbal memory [15]. Longitudinal studies [16,17] have shown that SCA1 progresses more rapidly than other forms of ataxia. In the EUROSCA cohort, annual worsening of ataxia (SARA score) was greatest in SCA1, intermediate in SCA2 and SCA3, and slowest in SCA6. Clinical manifestation occurs when there are 39–82 CAG repeats in ATXN1. In human patients, more than 39 uninterrupted polyQ repeats cause disease, and the longest repeat length reported in a human is 82Q, in a patient with juvenile SCA1, which is more severe and rapidly progressive [18]. The severity of symptoms and the rate of progression correlate positively with the length of the polyglutamine expansion [19]. Neuroimaging reveals cerebellar and brainstem atrophy even before clinical onset [20], with changes in pons and striatum volume reliably predicting motor deterioration [21]. Fluid biomarkers, including neurofilament light protein (NfL) levels, increase years before symptoms appear [22], opening up opportunities for early diagnosis and patient stratification.
A key pathogenic factor is the toxic effect of mutant ATXN1: ATXN1 knockout in mice does not cause an ataxic phenotype but leads to mild cognitive impairment [23], indicating an excess acquisition of pathological function rather than a simple loss of normal protein activity. Ser776 phosphorylation, stabilization of interactions with Capicua (CIC) and 14-3-3, and transcriptional control abnormalities play a central role [24,25]. However, the cascade of events linking CAG expansion to the selective vulnerability of Purkinje cells remains unclear.
A comparison of experimental models—from transgenic mice to induced pluripotent stem cell (iPSC) systems—has shown that each reproduces only certain aspects of the pathology [26,27]. A critical analysis of their strengths and weaknesses is necessary to select an adequate preclinical platform. This review summarizes the clinical and molecular features of SCA1, assesses the translational relevance of available models, and outlines the prospects for targeted approaches—from antisense oligonucleotides and RNAi to genome editing technologies.

2. Methods

To quantitatively assess the research utilization of established in vivo models of SCA1, we performed a structured analysis of the scientific literature indexed in PubMed. For each model3 = the original publication describing its generation was treated as the primary source, and citation of this paper was used as a proxy for subsequent experimental use of the model in original research. Importantly, only studies in which the model was explicitly employed as the experimental object were included in the analysis. Searches were executed individually for every model using the PubMed “Cited By” function. To restrict results to primary experimental studies, the following PubMed filters were applied: Article types—Classical Article, Clinical Trial, Randomized Controlled Trial, Veterinary (animal experiments); Research support categories—Research Support, N.I.H. Extramural, Research Support, N.I.H. Intramural, Research Support, Non-U.S. Gov’t, Research Support, U.S. Gov’t, Research Support, U.S. Gov’t, P.H.S., and Research Support, U.S. Gov’t, Non-P.H.S. The inclusion criteria encompassed only original research articles that used the referenced SCA1 model as the experimental object, including studies that made use of publicly available datasets generated using the respective SCA1 model. The exclusion criteria comprised: articles that cited the model’s original publication but did not use the model experimentally, review articles, and duplicate records. The original research articles included in the quantitative analysis are listed in Table 1. As summarized in Table 1, the most frequently used model was the knock-in ATXN1[154Q/2Q] mouse line, which was identified in 31 eligible original research articles, followed by the transgenic ATXN1[82Q] (B05) mouse model. A PRISMA-style flow diagram summarizing identification, screening, eligibility, and inclusion is provided in Figure 1. The date of the last search was 23 November 2025.
Table 1. Original research articles using in vivo SCA1 models selected for quantitative analysis.
Figure 1. Flow diagram of the study selection process. The schematic illustrates the identification, screening, and inclusion process for publications analyzing SCA1 in vivo models. Initial search in PubMed database identified 841 records citing original SCA1 model publications. After applying publication type and research support filters, 574 records remained for screening. During eligibility assessment, 502 records were excluded due to not being original studies, only mentioning models without experimental use, or being duplicate publications. Finally, 72 studies met all criteria and were included in the descriptive quantitative analysis of SCA1 model utilization patterns.

3. Chapter 1: Pathogenesis of SCA1

The human ATXN1 protein consists of 816 amino acids (~98–99 kDa) and is widely expressed in the brain, including the cerebellum and brainstem [85]. In SCA1, the toxicity of the expanded protein is a key factor, but recent data show that wild-type ATXN1 performs critical physiological functions. In particular, in a model of autoimmune encephalomyelitis, partial loss of ATXN1 enhances demyelination, oligodendrocyte death, inflammation, and neurological deficits [79]. Thus, the pathogenesis of SCA1 is determined not only by toxic gain-of-function, but also by an imbalance between pathological and normal functions of ATXN1.
Much of the current mechanistic insight into SCA1 pathogenesis is based on data obtained from transgenic animal models and cellular systems. At the cellular level, the ATXN1 protein is localized in cerebellar and brainstem neurons predominantly in the nucleus, where it is part of large protein complexes on chromatin [86], whereas in non-specific tissues, it is found in the cytoplasm [87]. The development of SCA1 pathogenesis depends on the nuclear localization of mutant ATXN1, as various mutations in the C-terminal nuclear localization signal (NLS) disrupt its transport to the nucleus, which reduces protein toxicity [88]. Mutant ATXN1 protein can exist in the cytoplasm or nucleus of neurons either as soluble monomers/oligomers or as insoluble aggregates [89]. Phosphorylation of Ser 776 and binding to 14-3-3 proteins stabilize soluble mutant ATXN1 protein in the cytosol and protect it from immediate proteasomal degradation. Over time, the ATXN1–14-3-3 complex dissociates, and phosphorylated ATXN1 moves to the nucleus, where it can form insoluble aggregates [90]. In the event of phosphorylation disruption or 14-3-3 binding blockade, it accelerates proteasomal degradation of ataxin-1 in the cytoplasm and prevents nuclear migration. The main pathway for the removal of soluble cytoplasmic ataxin-1 is macroautophagy, but insoluble nuclear inclusions inhibit mTOR kinase, suppressing the late stages of autophagy and enhancing the accumulation of toxic forms of the protein [91].
Intranuclear aggregates of mutant ATXN1 disrupt proteostasis and protein synthesis by binding proteins to proteasomes, ribosomal subunits, ubiquitin ligases, kinases, and chaperones [92], suppressing the function of the ubiquitin–proteasome system (UPS) in the nucleus and enhancing cytotoxicity [91]. RNA transcripts accumulate in aggregates, contributing to ribosome dysfunction and proteome destabilization, exacerbating SCA1 pathology [93]. Nuclear inclusions show signs of phase separation, disrupt nucleocytoplasmic transport, and are involved in the disruption of the protein quality control system in SCA1 models [94]. In the ATXN1[154Q/2Q] SCA1 model, it has been shown that Purkinje cells begin to form inclusions significantly later than the onset of functional impairment and morphological degeneration [95]. Furthermore, later studies have shown that nuclear aggregates mainly accumulate in areas of the brain that are not subject to degeneration, in contrast to Purkinje cells in the cerebellum, which are the first to lose viability [96].
Soluble oligomeric forms of mutant ATXN1, whose toxicity is mediated by interaction with the CIC cofactor in the nucleus, are key effectors of pathogenesis [61,97]. Thus, the insoluble (aggregated) form of ATXN1 is a consequence of the overload of cellular degradation systems and contributes to cellular dysfunction, but the most dangerous is considered to be the intermediate, soluble form of mutant ATXN1, which is able to move freely and interfere with nuclear processes. Zhang et al., 2020 [88] used proteomic analysis to study the interactome of mutant ATXN1[85Q] in Neuro-2a neuroblastoma cells and identified 675 partner proteins, including key components of RAN signaling and nucleocytoplasmic transport factors. The authors confirmed that protein transport between the nucleus and cytoplasm is impaired both in cell culture and in Purkinje cells of a transgenic mouse model of SCA1 ATXN1[82Q].
Similar processes are observed in other diseases associated with polyQ expansion. For example, in Huntington’s disease, mutant huntingtin aggregates trap important nuclear pore components (Nup62, Nup88) and RNA transport factors (GLE1, RanGAP1), leading to disruptions in nuclear-cytoplasmic exchange [98]. This suggests that impaired transport between the nucleus and cytoplasm may be a universal mechanism underlying a number of polyglutamine neurodegenerative pathologies. Qi et al. [99] showed that High-Mobility Group Box ½ (HMGB1/2) proteins are able to interact directly with mutant ataxin-1, leading to their retention in aggregates or removal from chromatin. Overexpression of HMGB1/2 proteins restored the ability to repair mitochondrial DNA damage, which was accompanied by the rescue of degenerating Purkinje cell dendrites; it weakened the activation of genotoxic signaling pathways (decreased γH2AX and p53 phosphorylation) [99,100]. Lam et al. [24] showed that SCA1 neuropathology depends on native, rather than new, ATXN1 interactions. In addition to Cic, ATXN1 interacts with nuclear co-repressors SMRT/HDAC3 [101], leucine-rich acidic nuclear protein (LANP) [38], histone deacetylase HDAC3, and other proteins.
Post-translational modifications such as phosphorylation of S776 and S239, ubiquitination, sumoylation, and proteolytic cleavage play an important role in the development of SCA1 pathology [43,102]. In a study by Vagiona et al. [103], 13 proteins involved in post-translational modifications of ATXN1 were identified, which differ in their expression levels in SCA1 model cells. In addition, mechanisms of negative regulation of ATXN1 were discovered at the RNA level: for example, microRNA miR-760 binds to an evolutionarily conserved site in the 5′-untranslated region of ATXN1 mRNA and induces degradation of this mRNA, suppressing the synthesis of both normal and mutant proteins [56]. Inhibition of miR-760, on the other hand, increases ATXN1 levels, confirming the importance of this regulatory mechanism.
14-3-3 proteins bind to phosphorylated ATXN1, keeping it in the nucleus and preventing aggregation and spontaneous dimerization, thereby directly affecting protein toxicity and stability [90,104]. S776 phosphorylation by cAMP-dependent protein kinase (PKA) regulates ATXN1 accumulation in the nucleus and its stability, enhancing protein toxicity [47,105]. In contrast, the Ser776Ala mutation reduces the level of mutant ATXN1 and alleviates disease symptoms in mice [71,106]. Interactions with other proteins, such as the splicing factors RNA-Binding Motif Protein 17 (RBM17) and U2 snRNP auxiliary factor 65 kDa (U2AF65), also depend on this phosphorylation [107]. De Chiara et al. [104] also showed that phosphorylation at S776 acts as a molecular switch that alters ATXN1interactions: the phosphorylated protein binds to 14-3-3, while the unphosphorylated protein binds to splicing factors such as U2AF65.
Lee et al. [108] showed that the phosphorylation site that affects mutant ATXN1 levels can be modulated by different regulators in selected brain regions. In the cerebellum, Ser776 phosphorylation is catalyzed by MSK1 kinase, while in the brainstem, RSK3 kinase is responsible for it. Combined inhibition of both kinases showed an additive effect, simultaneously improving coordination in both the cerebellum and brainstem of the SCA1 mouse model.
Another less studied ATXN1 phosphorylation site is Ser239 [109]. A review by Ju et al. [110] mentions that Ser239 phosphorylation is catalyzed by Nemo-like kinase (NLK) and that its alteration enhances ATXN1 toxicity in a Drosophila model.
In SCA1, early activation of the interferon pathway in Purkinje neurons from iPSCs of patients induces interferon-stimulated gene 15 (ISG15) expression. This protein, structurally similar to ubiquitin, disrupts the degradation of mutant ATXN1, contributing to its pathological accumulation in cells [36].
A key element of ATXN1 toxicity is the alteration of its protein interactions mediated by the AXH (Ataxin-1/HBP1) domain, which is sensitive to conformational changes during polyQ expansion [2,25,105]. The AXH domain is a highly conserved region of approximately 100 amino acids. Through the AXH domain, ATXN1 is capable of both homo-oligomerization and binding to a number of partners, including the transcription repressors CIC and growth factor independence 1 (GFI1) [24,111], Silencing Mediator of Retinoid and Thyroid Receptors (SMRT), and the retinoid-related orphan receptor α–tat-interacting protein 60 (RORα–Tip60) nuclear receptor complex.
The study by Pérez et al. [41] demonstrated that mutant ATXN1 has a dual effect on CIC transcriptional activity: on the one hand, it enhances its repressive function, leading to hyperrepression of target genes (gain-of-function mechanism), and on the other hand, it can contribute to a partial loss of CIC repressive activity, which highlights the complexity of the pathogenic effects of ATXN1. Among these genes are Nrxn1, Cntn4, Cntn5, Lrp1b, Nrg3, and others, whose products are necessary for the synaptic functions of Purkinje cells [25,112]. Mutations in the AXH domain that disrupt ATXN1–CIC interaction (e.g., at Val591 and Ser602) significantly mitigate molecular changes and the behavioral phenotype of SCA1 [66]. Viral delivery of an extra copy of the CIC gene using AAV into the degeneration-resistant caudal regions of the cerebellum showed that artificial overexpression of CIC was sufficient to induce neurodegeneration, confirming the key pathogenic role of CIC in the SCA1 model [54].
Normally, ATXN1 forms a triple complex with tat-interacting protein 60 (Tip60) and retinoid-related orphan receptor α (RORα) via its AXH domain. However, although mutant ATXN1 retains its ability to bind to Tip60, it cannot form a complete triple complex with RORα [103]. Mutant ATXN1 “displaces” the truncated isoform of the coactivator YAP (YAP_ΔC) from the complex with RORα, taking its place and thereby suppressing RORα-dependent transcription. A partial reduction in Tip60 levels in ATXN1[82Q] mice slowed cerebellar neurodegeneration in the middle stages of the disease [113]. This results in a decrease in the transcription of RORα target genes necessary for the differentiation and maintenance of Purkinje cells. Staggerer mice, which carry a mutation in the RORα gene, develop a pronounced ataxic phenotype and cerebellar neuron degeneration similar to that seen in SCA1. Similar abnormalities, including decreased RORα expression and overlapping profiles of affected genes (Itpr1, Calb1, Pcp4, etc.), are observed in the cerebellum of transgenic mice with an SCA1 model [114]. CAG expansion in the ATXN1 gene enhances its interaction with Tip60, which disrupts RORα transactivation activity and leads to a decrease in the expression of genes necessary for the functioning and maintenance of Purkinje cell viability [115].
In mammalian cells, ATXN1–RBM17 and ATXN1–CIC complexes compete for binding to the common pool of ATXN1 protein. With the expansion of the polyglutamine tract in ATXN1, the proportion of ATXN1–RBM17 complexes increases, which corresponds to the mechanism of toxic gain-of-function [116,117]. This mechanism was confirmed in a Drosophila melanogaster model expressing ATXN1[82Q], where increased formation of the ATXN1–RBM17 complex led to increased neurodegeneration of the eyes [118]. According to Tejwani et al. [119], specific abnormalities in the expression of CIC targets are observed in different types of cerebellar cells in SCA1. They are most pronounced in Purkinje cells, oligodendrocyte precursors, and microglia, manifesting as opposite changes: derepression (Grid2, Cdh18) and hyperrepression (Nrxn1, Cntn4/5, Lrp1b, Nrg3) of individual genes. In other populations of neural cells (unipolar brush cells, etc.), the profile of abnormalities differed, indicating the existence of additional mechanisms beyond CIC [120].
Normally, ATXN1 functions as a transcription regulator, affecting the expression of many genes, especially in cerebellar neurons. In mice lacking ATXN1, only mild neurobehavioral abnormalities are observed due to partial compensation by the ATXN1-like paralog (Boat1); however, the expression of many genes changes, especially those associated with Purkinje cell differentiation and synaptic plasticity [27]. Together with Boat1, it interacts with the RBP-J factor (CBF1), a key mediator of the Notch pathway, and in the absence of the Notch signal, it co-represses the target genes of this pathway, suppressing their transcription [86]. Thus, ATXN1 is integrated into the nuclear regulatory networks of neurons and influences transcription and, as has been shown, the maturation of Purkinje cells [121].
The central fragment of ATXN1 (amino acids 226–552) is necessary for binding to RNA and has splicing-modulating activity [92]. The C-terminal region (700–816 aa), which includes NLS and the AXH domain, is also required for the full realization of this function [122]. Previously, it was reported that RBM17 interacts with the protein through a linear motif that overlaps with NLS in the presence of phosphorylation at Ser776 [115]. In an experiment, Ohki et al. [122] showed in the HEK293 cell line that mutations eliminating the NLS region and the phosphorylated residue Ser776 do not disrupt the splicing activity of ATXN1. Even in the absence of these regions, the protein retained its ability to enhance exon inclusion in the minigene. This may indicate the presence of alternative splicing regulatory mechanisms unrelated to NLS and Ser776 [36]. In a recent study, Chen et al. [93] used ChIP-seq and RIP-seq methods to show that polyglutamine expansion has virtually no effect on the ability of ATXN1 to bind to RNA targets, but significantly affects its protein interactions and DNA-binding activity. Specifically, wild-type ATXN1 was shown to interact with the DNA replication/repair proteins MCM2, GNAS, and TMEM206, whereas mutant ATXN1 loses these interactions. Transcriptomic analysis of the brains of SCA1 mice revealed alternative splicing abnormalities involving at least 17 different splicing factors [121]. ATXN1 has the potential to interact with a wide range of splicing regulators, including RBFOX1, U2AF65, and RBPMS. Shorrock et al. [123] found that even before the onset of symptoms in SCA1 mice, there is massive splicing disruption (predominantly exon skipping) in the cerebellum, pons, and medulla oblongata. The absence of concomitant changes in mRNA levels during splicing disruption of key genes (SLC35E2A, ZNF880, LRRC15, EXOSC10) proves its role as an independent pathogenic mechanism [124]. In Drosophila models, Rbfox1 expression was critical for neuron survival in the presence of mutant ATXN1. A recent study on brain cell cultures [36] showed that excess Rbfox1 enhances the death of neurons with ATXN1[82Q], while suppression of Rbfox1 protects cells from toxicity. Taken together, these data confirm the contribution of splicing program imbalance (via RBM17, Rbfox1, etc.) to degeneration in SCA1.
The normal ataxin-1 protein plays a critical role in the response to double-strand DNA breaks, effectively recruiting to sites of damage in the nucleus. The mutant form of the protein with polyglutamine expansion loses this function [125]. In Drosophila melanogaster models, expression of mutant ATXN1[82Q] leads to hyperactivation of ATM kinase, and reducing its level significantly improves motor deficits, confirming the pathogenic role of DNA damage response impairment [125]. A similar mechanism of chronic activation of ATM/ATR signaling is observed in Huntington’s disease, indicating a common pathway of neurodegeneration for polyglutamine diseases [125,126]. This mechanism is confirmed by the detection of accumulated phosphorylated ATM substrates and the DNA damage marker γH2AX in patient cells, with this effect being potentiated by oxidative stress.
A systematic in vivo screen of all Drosophila DNA repair genes by Barclay et al. [127] revealed that ataxin-1 physically interacts with replication protein A (RPA), which mitigates neurodegeneration. RPA1 and its partners BRCA1/2 form a protective complex, and mutant ATXN1 disrupts the normal dynamics of RPA1 in the nucleus after DNA damage. Cell models have shown that increased expression of RPA (RPA1-3) inhibits repeat expansion, whereas an alternative form of RPA (involving the non-standard subunit RPA4, forming the so-called alt-RPA complex) stimulates the continuation of repeat expansion [128]. It has been shown that an imbalance in RPA complexes leads to competition between the standard and alternative RPA complexes (with RPA4), affecting the accuracy of repeat replication [128]. A recent study comparing the brains and blood of patients found that the level of repeat instability depends on the tissue: in the cerebellum, mosaicism is minimal with high expression of DNA repair genes, while in the cerebral cortex, maximum instability and pronounced mosaicism are observed against a background of low expression of repair proteins [129]. AAV-mediated delivery of RPA1 into the cerebellum improves motor function, normalizes DNA damage markers (γH2AX, 53BP1), and restores the morphology of Purkinje cells, with the effect persisting for almost a year after a single injection [130]. Mutant ATXN1, by binding to VCP/p97 through the polyQ domain, disrupts the dynamics of this key DNA repair factor [55].
It has been shown that ATXN1 directly binds to the transcription repressor GFI1. Knockout of the GFI1 gene (or its ortholog Senseless in Drosophila) completely eliminates the neurodegeneration caused by expression of mutant ATXN1, demonstrating the critical dependence of toxicity on this protein [111]. Mutant ATXN1 either hyperactivates the repressor complex with GFI1 or, by binding to it, disrupts its normal regulatory function [131].
Another important mechanism is the recruitment of ATXN1 to co-repressor complexes such as SMRT/NCoR–HDAC3. This leads to enzymatic hypoacetylation of histones and sustained suppression of target gene transcription [86]. At the same time, HDAC3 activity itself is necessary for neuronal survival, and its mild inhibition can partially correct transcriptional defects in SCA1 [132]. Key steps in ATXN1-mediated pathogenesis in SCA1 are summarized in Figure 2.
Figure 2. Pathogenesis of ATXN1 toxicity in SCA1. Schematic representation of ATXN1 and its key interactions in the cytoplasm and nucleus of Purkinje cells that determine protein toxicity in SCA1. Numbered arrows indicate the major molecular consequences of mutant ATXN1 activity: 1—Soluble cytoplasmic form; 14-3-3 protects against proteasome degradation; 2—Hyperrepression of a number of genes: NRXN-1, Cntn4, cntn5, Lrp1b, Nrg3, etc.; 3—Suppression of RORα-dependent transcription (Itpr1, calb1, Pcp4, etc.); 4—Enzymatic hypoacetylation of histones, reduction in transcription of target genes, enhancement of the repressive function of GFI1.; 5—Alternative splicing disruption: derepression (GRID2, cdh18), hyperrepression of certain genes (Nrxn1, cntn4/5, Lrp1b, Nrg3) in Purkinje cells, oligodendrocyte precursors, microglia; 6—ISG15, a protein structurally similar to ubiquitin, disrupts the degradation of a mutant protein, contributing to its pathological accumulation; 7—Interaction with the key mediator of the Notch pathway, CBF1(RBPJ); 8—Disruption of the dynamics of a key repair factor (VCP/p97). Additionally, ATXN1 disrupts the normal dynamics of RPA1 in the nucleus, which may stimulate further expansion of the repeats; 9—The mutant protein impairs double-strand break repair. Created in BioRender. Mayasin, Y. (2025) https://BioRender.com/v5wkved (accessed on 26 November 2025).

4. Chapter 2. In Vitro Models

In vitro cell models are an indispensable tool for studying the molecular basis of SCA1. These systems allow for detailed investigation of the consequences of CAG repeat expansion in the ATXN1 gene, including protein conformational changes, alterations in protein–protein interactions, and dysregulation of cellular signaling pathways. Thanks to the possibility of genetic manipulation and high reproducibility of experiments, in vitro models serve as an optimal platform for primary screening of therapeutic compounds and evaluation of the effectiveness of gene-targeted approaches, such as ASOs, RNA interference, and CRISPR/Cas9 systems. In Table 2, we summarize the cell lines used to model SCA1, grouped by exogenous versus endogenous systems, indicating model type, expressed ATXN1 variant, and representative sources; practical notes are outlined below. This review systematizes data on the main types of cell lines used to model SCA1, providing researchers with a methodological basis for selecting the most relevant experimental system in accordance with specific research objectives.
Table 2. In vitro cell line models for spinocerebellar ataxia type 1 (SCA1).

4.1. Neuro-2a

Transient expression of human ATXN1[82–85Q] in Neuro-2a cells recapitulates its predominantly nuclear localization and rapid formation of nuclear inclusions with liquid-phase condensation properties; acute stress induces enlargement and partial solidifi-cation of these condensates [90]. Phosphorylation at Ser776 and binding to 14-3-3 proteins modulate aggregate morphology and toxicity, whereas the S776A mutation reduces stress-induced changes [90,106]. Large-scale proteomic analysis identified ~675 ATXN1[5Q] interaction partners, including key nucleocytoplasmic transport factors (im-portin-β1, NUP98, RanGAP1), which are sequestered by aggregates, disrupting nuclear-cytoplasmic transport; similar alterations were confirmed in Purkinje cells of ATXN1[82Q] mice [88]. A shift in interactions is also characteristic: weakened ATXN1–CIC/U2AF65 and enhanced ATXN1–RBM17 binding, consistent with a toxic gain-of-function mechanism [116,117]. Additionally, interactome mapping revealed selective loss of protein–protein contacts while RNA-binding capacity was preserved [93]. The Neuro-2a model is widely used for primary screening: testing silencing approaches (ASO, siRNA, shRNA) and editing strategies (CRISPR/Cas9 targeting the CAG tract), demonstrating reduced ATXN1 levels and correction of cellular phenotypes [56]. It is also suitable for testing small molecules that modulate aggregation or degradation [132]. Key advantages include rapid experimental turnaround, reproducibility, and high transfection efficiency. However, it lacks Purkinje cell context and tissue organization, necessitating validation in primary neurons, iPSC-derived models, and in vivo systems.
Strengths: Rapid experimental turnaround, high transfection efficiency and good reproducibility, enabling efficient mechanistic and screening studies.
Pitfalls: Absence of Purkinje cell identity and cerebellar tissue architecture limits direct translational relevance and requires follow-up in more specialized neuronal and in vivo models.
Utility: Particularly useful for primary assessment of molecular interventions (ASO, siRNA, shRNA, CRISPR/Cas9) and small molecules targeting ATXN1 aggregation, stability, or interactions.

4.2. HEK-293

HEK293 cells are used for transient expression of both normal and mutant ataxin-1, providing a platform for microscopy and biochemistry. Stable HEK-293T lines express human ATXN1 with tandem tags (FLAG, SBP) [93], GFP-ATXN1[82Q] [37], and are employed for co-expression of signaling regulators (e.g., FLAG-CBF1, FLAG-Su(H), FLAG-HES1) [133]. The role of S776 phosphorylation in inclusion formation has been studied in this line. The model is suitable for immunoprecipitation and tandem affinity purification of interactomes; studies in HEK-293T showed selective loss of protein–protein (MCM2, GNAS, TMEM206) and protein-DNA interactions while RNA-binding capacity was retained [93]. RNA interference (shRNA and artificial miRNA) is effective [134,135,136], and pathways such as Notch [133] and ERK [137], alternative splicing [122], and inducible ubiquitin-dependent degradation of ATXN1 [138] have been investigated. This model offers simplicity, high transfection efficiency, reproducibility, and suitability for co-IP, ChIP-seq, RIP-seq, and primary chemogenetic screening. However, its non-neuronal origin and lack of cerebellar context limit interpretability, requiring validation in neuronal models and in vivo systems.
Strengths: Simple, robust system with high transfection efficiency, ideally suited for biochemistry, interactome mapping and various -seq based assays.
Pitfalls: Non-neuronal kidney origin and absence of cerebellar context restrict direct extrapolation to neuronal pathophysiology.
Utility: Well-suited for dissecting ATXN1 post-translational regulation, interaction networks, signaling pathways and for primary chemogenetic or genetic modifier screens prior to validation in neuronal models.

4.3. HeLa

HeLa cells, similar to HEK293 cells, are used for transient expression of both normal (33Q) and mutant ATXN1[86Q]. Characteristic SCA1-associated punctate intranuclear inclusions form in HeLa cells, and their dynamics are recorded [139,140]. The model is used to study the co-sequestration of partners in inclusions (e.g., VCP/p97 and DNA repair factors) [139] and to analyze signaling pathways, including Wnt/β-catenin [46]. HeLa cells are actively used in miRNA experiments, demonstrating a decrease in ATXN1 levels [139], as well as for primary screening of silencing (ASO, siRNA, shRNA) and editing (CRISPR/Cas9 on the CAG region) with ATXN1 reduction and phenotype correction [56,136]. This model provides extremely high transfection efficiency and clear nuclear morphology, making it convenient for immunofluorescent visualization of ATXN1 inclusions and basic biochemical measurements. At the same time, the tumorigenic, non-neuronal origin and lack of cerebellar context limit the transferability of conclusions; key findings should be confirmed in neuronal systems and in vivo models.
Strengths: Extremely high transfection efficiency and clear nuclear morphology, allowing precise visualization and quantification of ATXN1 inclusions and associated factors.
Pitfalls: Tumorigenic, non-neuronal origin without cerebellar specificity reduces physiological relevance and mandates confirmation in neuronal systems.
Utility: Appropriate for imaging-based studies of inclusion dynamics, co-sequestration of partners, pathway interrogation and primary screening of silencing/editing strategies (ASO, siRNA, shRNA, CRISPR/Cas9).

4.4. DAOY

In the DAOY cell line (human cerebellar medulloblastoma), the formation of aggregates is reproduced, and the nuclear-cytoplasmic distribution of mutant ATXN1 is studied [90], as well as the intercellular spread of ATXN1 inclusions [97]. In DAOY, it has been shown that inhibition of PKA phosphorylation of ATXN1 accelerates the degradation of the mutant protein [41]. High-throughput screening revealed that suppression of the RAS–MAPK–MSK1 cascade reduces mutant ATXN1 levels [75], with PAK1 identified as a modulator of its levels [141,142]. This model is widely used for shRNA- and siRNA-mediated silencing [75,84,108]. The medulloblastoma line provides a relevant cerebellar cell background, supports stable expression of ATXN1 constructs, and scales well for combined chemical-genetic screens. However, its tumorigenic nature and high proliferation may distort neuron-specific effects, so critical observations require validation in iPSC-derived neurons and in vivo systems.
Strengths: Cerebellar-derived background, stable ATXN1 expression and scalability make it suitable for medium-to-high-throughput chemical and genetic screens.
Pitfalls: Tumorigenic origin and high proliferation rate can confound neuron-specific biology and long-term differentiation-related phenomena.
Utility: Particularly useful for identifying pathway-level modulators of ATXN1 levels or stability (e.g., RAS–MAPK–MSK1, PAK1) and for RNAi-based silencing screens before transfer to iPSC-derived neurons and in vivo models.

4.5. MSC

A stable human mesenchymal stem cell line with an integrated Tet-On YFP-ATXN1[Q82] construct accumulates insoluble nuclear aggregates within 10 days; this inducible model allows detection of specific molecular changes in vitro, potentially relevant to neuropathology development in vivo [49]. Inducible expression enables precise control of gene activation and aggregate accumulation kinetics, facilitating multi-timepoint “omics” analyses and testing interventions at different stages. As these are dividing non-neuronal cells, mechanistic conclusions require confirmation after differentiation and/or in co-cultures with neurons, followed by in vivo validation [96].
Strengths: Inducible system with tight temporal control over ATXN1 expression, well-suited for studying aggregation kinetics and stage-specific molecular changes.
Pitfalls: Non-neuronal, proliferative nature limits direct relevance to post-mitotic cerebellar neurons and necessitates complementary neuronal models.
Utility: Appropriate for multi-timepoint omics, early mechanistic dissection and testing of interventions at defined stages of aggregate formation prior to validation in differentiated neuronal contexts.

4.6. SCA1 Patient Fibroblasts

Fibroblasts from SCA1 patient biopsies carry the endogenous mutant ATXN1 allele with expanded CAG repeats. Cultures exhibit energy metabolism alterations (reduced O2 consumption and mitochondrial activity), indicating respiratory chain dysfunction and oxidative stress [143]. Unlike neuronal models, large nuclear ATXN1 inclusions are not formed, but sensitivity to mutant protein accumulation via impaired cellular functions (apoptotic priming or transcriptional changes) is observed. Fibroblasts are actively used for testing gene and antisense approaches: allele-specific oligonucleotides (CUG)7 reduce mutant ATXN1 levels [144]; CRISPR/Cas9 with sgRNA pairs (G3N/G8N) induces large deletions in exons 8–9 and reduces mutant protein expression [145]; siRNA/ASO significantly lower ATXN1 transcript levels but act on both alleles [146]. Cultures retain the true genotype and show genetic stability with good transfection tolerance, making them suitable for primary assessment of molecular interventions. The limitation remains their non-neuronal specificity; thus, effects must be replicated in iPSC-neurons or other neuronal models and confirmed in vivo.
Strengths: Endogenous mutant ATXN1 context with preserved patient genotype and good transfection tolerance, enabling robust molecular manipulations.
Pitfalls: Non-neuronal peripheral cell type lacking cerebellar specialization limits direct mechanistic conclusions about neuronal pathogenesis.
Utility: Well-suited for primary assessment of molecular interventions (allele-specific oligonucleotides, ASO, siRNA, CRISPR/Cas9 strategies) and for detecting systemic cellular stress and metabolic alterations prior to studies in neuronal models.

4.7. SCA1 Patient iPSCs

iPSC technology enables reprogramming of SCA1 patient cells (fibroblasts/lymphocytes) to pluripotency and differentiation into “pan-neurons” or specific subtypes, including Purkinje cells. Such cultures exhibit nuclear and cytoplasmic ataxin-1 aggregates, axonal/dendritic shortening, reduced branching complexity, and delayed network maturation by MEA [143]. In Pappadà et al. [147], SCA1 fibroblasts were repro-grammed with non-integrating Sendai vectors (KOS, Klf4, c-Myc) into UNIFEi001-A iPSCs, forming compact round colonies with defined borders and high nucleus/cytoplasm ratios. iPSC-Purkinje cells show aberrant ISG15 activation, suppression of which improves differentiation [43]. Gene therapy approaches are actively tested: delivery of Cas9 and sgRNA pairs flanking the polyQ repeat in exon 8 of ATXN1 induces excision of the expanded region and reduces mutant protein levels by ~50% [136]; neuronal networks are suitable for small molecule screening [148]. Patient-specific iPSCs replicate the genomic background and allow differentiation into target types, including cerebellar neurons, modeling disease dynamics in human material. The cost of this relevance is high labor and expense, heterogeneity of differentiated cultures, and limited reconstruction of intercellular interactions, requiring rigorous experimental design and independent verification.
Strengths: Patient-specific human genomic background with the possibility to generate relevant cerebellar neuron subtypes, including Purkinje cells, and to model disease-related network phenotypes.
Pitfalls: Labor-intensive and costly workflows, culture heterogeneity and incomplete recapitulation of in vivo circuitry complicate standardization and interpretation.
Utility: Particularly valuable for mechanistic studies of SCA1 in human neurons, for testing gene-editing and gene-silencing strategies, and for secondary/tertiary small-molecule screening with higher translational relevance.

5. Chapter 3: In Vivo Models

For a systematic evaluation of experimental models used in the study of SCA1 pathogenesis, we conducted a quantitative analysis of original scientific publications indexed in the PubMed database. To minimize bias and ensure comparability of results, strict inclusion criteria were applied. The analysis included only works categorized as Classical Article, Clinical Trial, Randomized Controlled Trial, Veterinary (animal experiments), as well as publications indicating various forms of support (Research Support), including N.I.H. Extramural/Intramural, Non-U.S. Gov’t, U.S. Gov’t, U.S. Gov’t P.H.S., and U.S. Gov’t Non-P.H.S. This selection allowed for a descriptive quantitative analysis of the frequency of use of various in vivo SCA1 models in peer-reviewed research. The exclusion of reviews and secondary sources ensured the formation of a corpus consisting exclusively of original studies, which is critically important for identifying the most representative experimental systems in this field.
An important part of the analysis was the comparison of phenotypic manifestations of SCA1 in experimental models. For this purpose, a three-level staging system (early, middle, and late stages) was used, based on a comprehensive assessment of neurological and cognitive impairments:
  • Early stage: Minimal motor disorders, such as mild gait instability, usually in the absence of pronounced histopathological changes; cognitive functions are largely preserved, with only subtle deviations recorded.
  • Middle stage: Pronounced neurological deficits, including ataxia and impaired motor coordination, are detected in behavioral tests; cognitive disorders (e.g., impaired learning or memory) become more distinct; at the cellular level, neuronal dysfunction, particularly in Purkinje cells, is observed, along with early signs of neurodegeneration.
  • Late stage: Full-blown clinical picture with severe ataxia, tremor, and potential complications (e.g., dysphagia); cognitive impairments become pronounced and include disorientation and significant memory decline.
Additionally, a quantitative determination of the number of studies utilizing each model was conducted as of 2025, taking into account the inclusion criteria described above (Table 3). To facilitate this model selection process, we have developed a practical decision matrix (Table 4) that aligns key research objectives with the most suitable experimental models, based on our systematic analysis.

5.1. The ATXN1 Model [154Q/2Q] Knock-in

The most frequently cited in vivo model of SCA1 is the ATXN1[154Q] knock-in line [149], with 31 citations as of 2025. In this model, one ATXN1 allele encodes a protein with a polyQ repeat of 154 amino acid residues. Expression of mutant ataxin-1 is driven by the endogenous promoter in all tissues, including the brain, spinal cord, and peripheral organs.
Impaired motor learning on the rotarod is detected from week 5 [62]. Cognitive deficits—specifically, spatial memory impairment in the Barnes maze—emerge by week 8 [77]. By week 12, more pronounced defects in spatial learning (Morris water maze) and fear-conditioned memory are observed, accompanied by astrocyte activation (GFAP positivity) and microgliosis in the cerebellum [150]. Behavioral studies demonstrate increased thigmotaxis in ATXN1[154Q/2Q] animals compared to controls, reflecting anxiety-like behavior that progresses from weeks 6 to 26. During this period, acoustic startle response (ASR) and prepulse inhibition tests reveal heightened startle sensitivity, while the forced swim test (FST) indicates depression-like behavior, most pronounced between weeks 9 and 13 [73]. In the hidden platform test, ATXN1[154Q/2Q] mice (9–12 weeks) show fewer target zone crossings than wild-type mice, indicating spatial memory deficits [132]. By week 30, pronounced kyphosis and hindlimb atrophy are evident; premature mortality occurs by week 32 [41] and further by weeks 35–45 [149]. During this period, motor and psychiatric phenotypes (anxiety, depression-like behavior) worsen sharply, correlating with Purkinje cell degeneration [46] and mitochondrial dysfunction in the hippocampus [73]. Mechanistic studies reveal that hyperactivity of molecular layer interneurons (MLINs) disrupts calcium signaling in Purkinje cell dendrites, driving motor deficits [151]. Dendritic atrophy of Purkinje cells primarily affects posterior lobes VII and X of the vermis and Crus I of the cerebellar hemispheres [152]. Inferior olivary neurons exhibit a distinct pattern: early dendritic hypertrophy followed by late somatic hypertrophy, accompanied by loss of calbindin, similar to Purkinje cells [153]. Reduced calbindin expression in Purkinje cells and cerebellar glomeruli positively correlates with neurodegeneration in SCA1 [132].
A notable feature is the respiratory phenotype. By week 33, heterozygous ATXN1154Q animals develop progressive respiratory failure, including rapid shallow breathing, diaphragmatic weakness, and neurogenic changes in spinal motor neurons [154]. These manifestations are phenotypically akin to bulbar symptoms in patients and indicate degeneration of respiratory motor neurons, previously identified as a key factor in the premature mortality of SCA1 animals.

5.2. The ATXN1 Model[78Q/2Q] Knock-in

The first knock-in line in which a mutant polyglutamine tract (78 CAG repeats) was inserted into the murine ATXN1 gene. This model replicates the endogenous expression level and natural tissue distribution of ataxin-1, mirroring the pattern observed in patients.
Heterozygous mice [78Q/2Q] exhibited repeat instability upon inheritance (minor shifts of ±2–6 repeats, particularly through maternal transmission), yet no ataxic phenotype was observed even in aged animals. Only homozygous 78Q/78Q animals showed moderate rotarod performance decline by 9 months, which was not accompanied by overt ataxia or histopathology [155]. Walking speed in the Barnes maze did not differ between ATXN1[78Q/2Q] mice and their wild-type littermates [77]. Even at 18 months, these mice displayed no Purkinje cell loss or other neurodegenerative changes characteristic of transgenic models with strong overexpression of the mutant protein. These findings indicate that with moderately expanded polyQ (78Q) and physiological expression levels of ataxin-1, an extended duration of exposure is required to induce noticeable neurological deficits. Consequently, longer repeats were necessary to robustly model SCA1 in mice.

5.3. ATXN1[82Q]

The B05 line expresses human ATXN1 with an 82-CAG expansion under the Purkinje cell–specific Pcp2 (L7) promoter [156]. Owing to this tissue-restricted driver, pathology is largely confined to the cerebellum and does not recapitulate extra-cerebellar manifestations (e.g., bulbar dysfunction, cognitive deficits), which constrains the translatability of interventions targeting only this cell type [134]. Transgene expression is elevated ~50–100-fold relative to endogenous levels [156]. Mutant ataxin-1 accumulates in Purkinje cell nuclei, forming intranuclear inclusions and producing progressive cerebellar ataxia. The phenotype emerges early: by ~5 weeks, mice exhibit impaired performance on the accelerating rotarod; by 12 weeks, a mild coordination deficit becomes evident as head bobbing during ambulation [33]. By 6 months, gait is overtly ataxic, and animals frequently lose balance when rearing on their hind limbs. Histopathology evolves from 3–4 weeks with vacuolation of Purkinje cell somata; between 6–12 weeks, there is a marked reduction in calbindin (CaB) and parvalbumin (PV) in Purkinje cells [157]. By ~12 weeks, pronounced defects in mGluR1-dependent signaling and reduced synaptic plasticity in the molecular layer accompany frank ataxia and motor incoordination; Purkinje cell loss is still limited at this stage [59]. Subsequently, dendritic atrophy is detectable by ~15 weeks, with ~32% Purkinje cell loss by ~24 weeks, and by ~27 weeks, dendritic arbors are markedly shortened and flattened with a substantial reduction in surviving neurons [33]. Notably, degeneration is mosaic: the flocculonodular lobe is relatively spared compared with anterior regions [51]. The late stage (~52 weeks) provides a window to interrogate alternative-splicing dynamics across disease progression while >50% of Purkinje neurons remain, facilitating stage-resolved analyses [36]. AAV-delivered artificial microRNA targeting human ATXN1 (rAAV.miS1) administered to symptomatic B05 mice partially improved motor performance and neuropathology [134].
In transgenic mice, expression of the non-phosphorylatable ATXN1[82Q]-S776A variant prevents neurodegeneration, likely by promoting protein turnover and weakening the interaction with the splicing factor RBM17, whereas the phosphomimetic substitution with aspartate strengthens this interaction and exacerbates toxicity [50]. As demonstrated by Fagan et al. [136], CRISPR/Cas9-mediated reduction in mutant ataxin-1 by ~20% improves motor performance in B05 mice; moreover, combining RNAi/ASO with targeting of the ATXN1L paralog yields an additive therapeutic effect despite the presence of ~25–30 genomically integrated cDNA copies of ATXN1 in this model.
Using the ATXN1[82Q] mouse model, Kim et al. [158] showed that inhibiting NF-κB signaling in astrocytes before the onset of motor deficits aggravates disease progression, whereas late-stage inhibition ameliorates motor function, indicating a stage-dependent—and potentially deleterious—role of astrocytes at advanced stages of SCA1.

5.4. ATXN1[30Q]D776

The ATXN1[30Q]-D776 model was generated to interrogate the role of serine-776 phosphorylation in SCA1 pathogenesis. It expresses human ATXN1 with a normal polyQ length (30 CAG) but carries a serine-to-aspartate substitution at position 776 (S776D) to mimic constitutive phosphorylation. Transgene expression is restricted to Purkinje cells by the Pcp2 (L7) promoter, and the line was maintained on an FVB/N background [159]. Despite the absence of an expanded polyQ tract, ATXN1[30Q]-D776 mice exhibit morphological abnormalities, including defects in Purkinje cell interactions with granule cell precursors—specifically, reduced translocation of precursors along Purkinje dendrites and diminished detachment of their endfeet from the Purkinje soma [53]. Notably, progressive age-dependent neurodegeneration typical of classical SCA1 models does not develop in these animals [159].
In the cerebellum of ATXN1[30Q]-D776 mice, the peptide hormone cholecystokinin (CCK) is upregulated [50]. It has been proposed that CCK overexpression and activation of the CCK1 receptor (CCK1R) exert a compensatory effect that prevents progressive Purkinje cell degeneration; consistent with this, genetic ablation of CCK1R in this background precipitates a fully penetrant degenerative phenotype with Purkinje cell loss [110]. Pharmacological activation of CCK1R normalizes dysregulated mTORC1 signaling, mitigates Purkinje cell injury, and improves motor performance [50,160]. Collectively, these data underscore a functional interplay between ATXN1 S776 phosphorylation and CCK signaling, highlighting CCK1R as a potential therapeutic target in SCA1.

5.5. ATXN1[82Q]D776

Using the B05 transgenic line, the role of phosphorylation at serine 776 in ataxin-1 was elucidated. This site governs the stability and protein–protein interactions of the mutant protein. Substitution of Ser776 with a non-phosphorylatable alanine (S776A) markedly attenuates the toxicity of the long-polyQ variant: mice carrying ATXN1[82Q]-S776A do not develop overt ataxia at the same repeat length, exhibit only mild Purkinje cell abnormalities, and show minimal motor impairment (no frank ataxic gait and only subtle deficits on the accelerating rotarod) [106].

5.6. f-ATXN1[146Q/2Q]

The f-ATXN1[146Q/2Q] model is a conditional allele in which site-specific recombination between FRT and LoxN sites mediates replacement of the coding sequence of one murine ATXN1 allele with human ATXN1 harboring a pathogenic CAG expansion (146 repeats), while the second allele remains wild type (2Q). This strategy contrasts with the KI-154Q full knock-in, in which both ATXN1 alleles are permanently replaced by human ATXN1 with 154 CAG repeats in all cells. A key advantage of the conditional design is spatiotemporal control of mutant protein expression via tissue-specific induction of Cre/Flp recombinases. For example, Duvick et al. [13] crossed f-ATXN1 mice to ACTA1-Cre, affecting muscle-restricted inactivation of mutant ATXN1 and preventing myopathy: offspring of f-ATXN1; ACTA1-Cre lacked muscle fiber atrophy and retained normal forelimb grip strength, whereas littermates with active mutant ATXN1 exhibited marked calf muscle wasting and weakness. Eliminating mutant ATXN1 in all neurons with Nestin-Cre substantially delayed ataxia onset and extended lifespan, indicating the central nervous system as the primary driver of disease, while striatal-restricted deletion using Rgs9-Cre had minimal impact, suggesting a lesser contribution of striatal neurons at early stages [13].
Behaviorally, f-ATXN1[146Q/2Q] mice show a significant deficit on the accelerating rotarod by 6 weeks that worsens with age. By 12 weeks, an open-field assay reveals reduced distance traveled versus controls; at 24 weeks, impairments emerge on the Barnes maze, and by 36 weeks, animals exhibit a hindlimb clasping phenotype. Concomitantly, histological and functional assessments demonstrate atrophy of hindlimb muscles—including tibialis anterior and extensor digitorum longus—and reduced grip strength compared with controls. Notably, Selimovic et al. [80] reported pronounced sex differences: by 12 weeks, males display more severe motor impairment (rotarod and balance beam) and reduced contextual fear freezing, whereas cognitive deficits in females (Barnes maze) become evident only by 24 weeks; moreover, males begin to lose body mass by 33–35 weeks, while female body weight remains stable [80]. Collectively, these findings underscore the multisystem impact of mutant ATXN1 and highlight the importance of sex as a biological variable in SCA1 pathogenesis.

5.7. Drosophila Melanogaster ATXN1[82Q]

In the Drosophila melanogaster model, the complete coding sequence of human ATXN1 with an expanded polyQ tract (82 CAG) is expressed using the GAL4/UAS yeast hybrid system.
Expression of ATXN1[82Q] in the photoreceptors of the fly eye leads to the formation of nuclear protein inclusions in retinal cells and CNS neurons, causing photoreceptor degeneration and neurodegenerative changes [118]. Further studies in Drosophila revealed key molecular mechanisms of SCA1: Tsuda et al. [111], found that the conserved AXH domain of Ataxin-1 interacts with the transcription factors Senseless (Drosophila) and Gfi-1 (mammalian), with excess Ataxin-1 suppressing Senseless, causing sensory organ development defects, and a mutation in the AXH domain blocking this effect. Mizutani et al. [161] discovered a paralog of ATXN-1–ATXN1-Like, which attenuates the toxicity of mutant Ataxin-1 in Drosophila by suppressing ATXN182Q-induced eye defects, and also showed that ATXN1L levels are reduced in affected neurons in a mouse model of SCA1. Interestingly, elevated levels of ANTN1L displace mutant ATXN1 from its natural complex with CIC, which suppresses selective neuropathological phenotypes [162]. Ramahi et al. [83] demonstrated that the related protein Ataxin-2 (dAtx2) strongly influences the toxicity of Ataxin-1[82Q] in Drosophila: increasing its level enhances damage, while decreasing it attenuates degeneration, with mutant Ataxin-1 causing accumulation of dAtx2 in nuclei. Tong et al. [133] linked SCA1 to the regulation of Notch signaling, showing that Ataxin-1 and its relative BOAT1 are involved in the Notch pathway, where BOAT1 reduces its activity by interacting with components of the signaling complex. Park et al. [75] revealed that the RAS–MAPK–MSK1 signaling cascade controls Ataxin-1 levels, and that reducing its activity decreases ATXN1 stability and attenuates neurodegeneration in an SCA1 model, suggesting a new therapeutic target. In recent studies, Palmer et al. [163] showed that motor dysfunction is associated with dysregulation of matrix metalloproteinases, which affect extracellular matrix signaling factors, as well as changes in SMN levels at the neuromuscular junction. Such transgenic flies showed age-related deterioration in motor function: males lived shorter than control individuals and demonstrated a progressive decline in overall motor activity and vertical movement ability (geotaxis). The study by Hunter et al. [164] also observed pronounced sexual dimorphism not only in motor function, but also in the expression of circadian genes, markers of oxidative stress, and the level of expression of glial phagocyte receptors. A limitation of the Drosophila model is the absence of a cerebellum in the insect, which prevents direct investigation of the specific degeneration of Purkinje cells characteristic of SCA1. Nevertheless, Drosophila is indispensable for rapid analysis of molecular mechanisms and primary testing of therapeutic approaches for polyQ diseases.

5.8. Danio Rerio[82Q]

The model expresses human mutant ATXN1 with 82 CAG repeats, with the coding sequence derived from an SCA1 patient harboring a continuous tract of 82 glutamines [165]. Purkinje cell degeneration is regionally patterned, being markedly more pronounced in rostral cerebellar domains than in caudal regions, recapitulating the “mosaic” pattern reported in B05 transgenic mice. Despite substantial Purkinje neuron loss, adult fish exhibit no gross deficits in basic swimming performance; however, reduced exploratory behavior in novel environments is detected in the context of pronounced neuronal loss. The system enables real-time in vivo visualization of Purkinje neurodegeneration and supports rapid screening of neuroprotective candidates, serving as a complementary platform to mammalian studies [165].
A genome-wide analysis in Danio rerio identified two human ATXN1 orthologs—ATXN1a and ATXN1b—and the related ATXN1l locus; at transcript and protein levels, all three genes are expressed in the developing cerebellum and in mature Purkinje cells, with ATXN1b initiating expression at early brain patterning and becoming predominantly localized to the cerebellum during development. These data underscore the conservation of ATXN1 function across vertebrates and support the suitability of zebrafish for modeling SCA1 pathogenesis [166]. In a transgenic line with Purkinje cell–restricted expression of human ATXN1[82Q]–GFP, investigators observed progressive Purkinje cell loss and a mosaic cerebellar involvement [165].

5.9. Nonhuman Primate Models

Generating stable SCA1 transgenic models in nonhuman primates remains extremely challenging. Unlike Huntington’s disease (for which transgenic macaques have been produced), attempts to create a germline SCA1 mutant in primates are hampered by practical and ethical constraints. Primates are costly to house, have slow reproduction rates, and require specialized husbandry and oversight [167]. These factors make breeding and selecting for a disease transgene very difficult. Consequently, researchers have mainly used primates for therapeutic testing rather than for producing an endogenous disease phenotype.
Specifically, adeno-associated viral vectors encoding microRNA designed to silence ATXN1 were injected into the cerebellum of adult rhesus macaques, achieving efficient transduction of Purkinje cells and other cerebellar neurons and producing >30% reduction in endogenous ataxin-1 without overt adverse events during the initial post-delivery period [168]. Importantly, however, extended observation (~3 months) revealed focal cerebellar neurotoxicity attributable to nonspecific activity of the viral promoter, underscoring a key translational constraint and the need for promoter/restrictor strategies that ensure cell-type specificity and safety in large brains [168].

5.10. LPS Model

To interrogate the contribution of neuroinflammation to SCA1, bacterial endotoxin lipopolysaccharide (LPS)—a potent inducer of innate immune signaling—is employed. Acute LPS injections in healthy rodents elicit robust glial activation in the brain. Systemic LPS administration selectively activates the transcription factor c-Jun in Bergmann glia of the cerebellum, evidenced by nuclear c-Jun phosphorylation in S100β-positive astrocytes of the Purkinje cell layer, mirroring patterns observed in cerebella from deceased SCA1 patients [169]. Notably, astrocyte-restricted inhibition of NF-κB signaling in SCA1 mice worsened disease manifestations at early stages, whereas inhibition at late stages improved motor performance, underscoring stage-dependent, bidirectional roles of astroglial NF-κB in SCA1 [150].

5.11. Ara-C Model

Systemic cytarabine (Ara-C) exposure in neonatal mice penetrates the brain and selectively ablates proliferating cerebellar granule neurons, leading to underdevelopment of the granule layer and secondary degeneration of Purkinje cells. In experimental settings, daily Ara-C during the first three postnatal days produced a persistent ataxic phenotype: by postnatal week 10, mice exhibited ~65% reduction in rotarod retention relative to controls [170]. Morphological analyses revealed marked cerebellar volume loss, decreased neuronal counts (NeuN expression) and a pronounced reduction in calbindin in surviving Purkinje cells.

5.12. Ethanol Model

Chronic ethanol exposure in rodents serves as a non-genetic ataxia model that recapitulates the selective vulnerability of Purkinje cells. Long-term liquid-diet ethanol (~35% of calories from ethanol for 8–10 months) drives reduction in Purkinje dendritic arborization and loss of dendritic spines [171]. Electron microscopy demonstrates dilation of smooth endoplasmic reticulum, vacuolization, and formation of degenerative bodies within dendrites, consistent with chronic cellular stress and neuronal remodeling [172].
Functionally, animals display impaired motor coordination, reduced speed and movement accuracy, and generalized hypolocomotion [173,174], with the most pronounced phenotypes in aged cohorts, indicating age-dependent loss of compensatory capacity. Although devoid of a genetic lesion, ethanol-induced ataxia provides a tractable platform to screen neuroprotective and symptomatic interventions aimed at preserving cerebellar function—e.g., agents stabilizing calcium homeostasis, limiting oxidative stress, and supporting synaptic plasticity [175,176].
Table 3. In vivo models for SCA1.
Table 4. Model selection matrix for SCA1 experimental models.

6. Conclusions

A comprehensive analysis of SCA1 model systems confirms that none of them covers the entire spectrum of pathogenic and clinical manifestations of the disease. Exogenous cell lines (Neuro-2a, HEK293, HeLa, DAOY) allow targeted modification of key cellular and molecular processes—the formation of intranuclear ATXN1 inclusions, disruption of nucleocytoplasmic transport, and rearrangement of protein–protein/RNA interactions—and thus serve as an operational platform for mechanistic testing and high-throughput screening of targeted approaches (ASO, siRNA/shRNA, CRISPR/Cas9). At the same time, the results obtained on these models require mandatory verification on systems with endogenous expression of mutant ATXN1 (SCA1 Patient Fibroblasts, SCA1 Patient iPSCs), which preserve the human genetic context and better reflect relevant phenotypic features.
Analysis of in vivo models demonstrates significant differences in progression rates, tissue selectivity, and response to therapies. These features determine the need for careful selection of an experimental system in accordance with specific research objectives. A comparison of the citation rates of in vivo studies (data presented in Table 2) shows the varying influence of individual model lines on the development of the scientific field and highlights the importance of model accessibility and reproducibility when planning experiments. Thus, transgenic models with high expression are convenient for studying early mechanisms and rapid evaluation of candidates, while knock-in lines with moderate expression are preferable for long-term efficacy and safety; conditional constructs further reveal the tissue-specific contribution of cell populations.
Thus, the sequential use of in vitro and in vivo platforms forms a rigorous preclinical trajectory: from primary screening on cell lines to validation on patient-specific models and subsequent evaluation of efficacy and safety in animal experiments. This multi-level, translation-oriented design increases the predictive value of the results and accelerates their movement toward clinical application in SCA1.

7. Future Direction

Despite substantial progress in the characterization and modeling of SCA1, several important challenges remain. Current models, while powerful, each capture only selected aspects of the disease, and no single system fully recapitulates the complexity of human SCA1 physiology. Future research should therefore prioritize the development of more physiologically relevant, accessible, and scalable models that more accurately reflect human-specific pathophysiology, including cell–cell communication, glial contributions, and circuit-level vulnerabilities within an intact tissue context. Advancing induced plu-ripotent stem cell–derived neuronal and glial systems, refining next-generation knock-in and conditional models, and implementing integrative multimodal platforms will be es-sential for bridging the translational gap. Together, these efforts will support more pre-dictive therapeutic testing and accelerate progress toward effective disease-modifying treatments for SCA1.

Author Contributions

Conceptualization, T.A. and E.P.; Data curation, T.A., Y.M., A.R., A.S., G.S. and A.R.; Formal analysis, E.P., T.A., Y.M., A.R., A.S., G.S. and A.R.; Funding acquisition, A.R., A.S. and G.S.; Investigation, T.A. and E.P.; Methodology, T.A., E.P., Y.M. and A.R.; Project administration, T.A., Y.M. and A.R.; Resources, A.R., A.S. and G.S.; Supervision, A.R. and Y.M.; Writing—original draft, E.P., T.A. and Y.M.; Writing—review and editing, Y.M. All authors have read and agreed to the published version of the manuscript.

Funding

This paper was supported by the Kazan Federal University Strategic Academic Leadership Program (PRIORITY-2030).

Data Availability Statement

The data presented in this study are available on request from the corresponding author.

Acknowledgments

We acknowledge the use of BioRender.com for the creation of Figure 2 (Created in BioRender. Mayasin, Y. (2025) https://BioRender.com/v5wkved), accessed on 26 November 2025.

Conflicts of Interest

The authors declare no conflicts of interest.

Abbreviations

The following abbreviations are used in this manuscript:
SCA1Spinocerebellar ataxia type 1
CAGcytosine–adenine–guanine
ATXN1ataxin-1
Ser776serine 776
ASOantisense oligonucleotide
RNAiRNA interference
NfLneurofilament light protein
iPSCinduced pluripotent stem cell
NLSnuclear localization signal
UPSubiquitin–proteasome system
ATXN1-CICataxin-1-Capicua
CICCapicua
HMGB ½ High-Mobility Group Box ½
LANPleucine-rich acidic nuclear protein
PKAprotein kinase
RBM17 RNA-Binding Motif Protein 17
U2AF65U2 snRNP auxiliary factor 65 kDa
NLKNemo-like kinase
ISG15Interferon-stimulated gene 15
GFI1growth factor independence 1
SMRTSilencing Mediator of Retinoid and Thyroid Receptors
Tip60Tat-interacting protein 60
RORαretinoid-related orphan receptor α
Boat1ATXN1-like paralog
RPAreplication protein A
ASR acoustic startle response
FSTforced swim test
CaB calbindin
PVParvalbumin
CCKcholecystokinin
LPS lipopolysaccharide
Ara-CCytarabine

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