It has been five years since the elucidation of the genetic mutation underl
ying the pathogenesis of Huntington's disease (HD) (97), however the precis
e mechanism of the selective neuronal death it propagates still remains an
enigma, Several different etiological processes may play roles, and strong
evidence from studies in both humans and animal models suggests the involve
ment of energy metabolism dysfunction, excitotoxic processes, and oxidative
stress. Importantly, the recent development of transgenic mouse models of
HD led to the identification of neuronal intranuclear inclusion bodies in a
ffected brain regions in both mouse models and in HD brain, consisting of p
rotein aggregates containing fragments of mutant huntingtin protein. These
observations opened new avenues of investigation into possible huntingtin p
rotein interactions and their putative pathogenetic sequelae, Amongst these
studies, findings of elevated levels of oxdative damage products such as m
alondialdehyde, 8-hydroxy-deoxyguanosine, 3-nitrotyrosine and heme oxygenas
e in areas of degeneration in HD brain, and of increased free radical produ
ction in animal models, indicate the involvement of oxidative stress either
as a causative event, or as a secondary constituent of the cell death casc
ade in the disease, Here we review the evidence for oxidative damage and po
tential mechanisms of neuronal death in HD.