Polyglutamine diseases are inherited neurodegenerative disorders caused by expansion of CAG repeats encoding a glutamine tract in the disease-causing proteins. There are nine disorders, each having distinct features but also clinical and pathological similarities. In particular, spinocerebellar ataxia type 1 and 7 (SCA1 and SCA7) patients manifest cerebellar ataxia with degeneration of Purkinje cells. To determine whether the disorders share molecular pathogenic events, we studied two mouse models of SCA1 and SCA7 that express the glutamine-expanded protein from the respective endogenous loci. We found common transcriptional changes, with down-regulation of insulin-like growth factor binding protein 5 (Igfbp5) representing one of the most robust changes. Igfbp5 down-regulation occurred in granule neurons through a non-cellautonomous mechanism and was concomitant with activation of the insulin-like growth factor (IGF) pathway and the type I IGF receptor on Purkinje cells. These data define one common pathogenic response in SCA1 and SCA7 and reveal the importance of intercellular mechanisms in their pathogenesis.cerebellum ͉ neurodegeneration ͉ polyglutamine ͉ Purkinje cell ͉ granule neuron P olyglutamine diseases are a group of inherited neurodegenerative disorders that include spinocerebellar ataxia (SCA) types 1, 2, 3, 6, 7, and 17 as well as Huntington disease (HD), dentatorubral-pallidoluysian atrophy (DRPLA), and spinal bulbar muscular atrophy (SBMA). They are caused by expansion of CAG repeats encoding a polyglutamine tract in different proteins (1). Evidence suggests that the polyglutamine expansion confers toxicity predominantly through a gain-of-function mechanism, although loss of function may also play a role (1, 2). Despite widespread expression of the disease proteins in the central nervous system (CNS), there is selective vulnerability of specific neurons in each disease (1). Such selective neuronal vulnerability gives rise to the specific features of each disease.SCA1 and SCA7 have distinct features while also sharing some key similarities. In SCA1, primary symptoms include ataxia, dysarthria, and bulbar dysfunction, whereas cognitive impairment is more varied (1). This presentation is associated with cerebellar atrophy and loss of Purkinje cells (PCs) and secondary loss of granule neurons (1). In SCA7, progressive visual loss, cerebellar ataxia, and dysarthria are the most common clinical features (3). In addition to retinal degeneration, cerebellar PCs and neurons of the dentate nucleus and inferior olive are among the earliest to degenerate (3).Given that SCA1 and SCA7 share a cerebellar degenerative phenotype, we proposed that some shared molecular changes might occur in both diseases, and that common molecular alterations could pinpoint pathways that could be targeted to modulate or monitor the pathogenesis of more than one disease. We focused on transcriptional changes because both ATXN1 and ATXN7 play roles in transcriptional regulation (4-8), and transcriptional defects can be detected in e...