Inclusion bodies of aggregated mutant huntingtin (htt) fragments are a neuropathological hallmark of Huntington disease (HD). The molecular chaperones Hsp70 and Hsp40 colocalize to inclusion bodies and are neuroprotective in HD animal models. How these chaperones suppress mutant htt toxicity is unclear but might involve direct effects on mutant htt misfolding and aggregation. Using size exclusion chromatography and atomic force microscopy, we found that mutant htt fragments assemble into soluble oligomeric species with a broad size distribution, some of which reacted with the conformation-specific antibody A11. Hsp70 associated with A11-reactive oligomers in an Hsp40-and ATP-dependent manner and inhibited their formation coincident with suppression of caspase 3 activity in PC12 cells. Thus, Hsp70 and Hsp40 (DNAJB1) dynamically target specific subsets of soluble oligomers in a classic ATP-dependent reaction cycle, supporting a pathogenic role for these structures in HD.The accumulation of aggregated mutant htt in cytoplasmic and intranuclear inclusion bodies in neurons is a pathological hallmark of HD. 4 Recent studies suggest that mutant htt is a highly dynamic protein that adopts multiple misfolded monomeric and higher order conformations that exist in a dynamic equilibrium (1, 2). Which of these structures, if any, mediate toxic gain-of-function protein interactions that cause neuronal dysfunction and cell death in HD is not well understood.The assembly of mutant htt into amyloid-like fibrils was initially thought to be causally associated with the pathogenesis of HD (3, 4). More recent studies indicate that mutant htt and other disease-associated proteins with polyglutamine (polyQ) expansions also exist as smaller oligomers that have spherical, annular, and protofibrillar morphologies (5-7) that might be less energetically stable and more chemically reactive (and toxic) than fibrils. Consistent with this scenario, in cell and mouse models of HD, misfolded species of mutant htt in a diffuse fraction impair cellular machinery before fibrils accumulate (8 -10). In a cellular model of HD, the survival rate of cells is greater in the presence of inclusion bodies that contain fibrils than in their absence (11). Importantly, mutant htt fragments and synthetic polyQ peptides form oligomers in a polyQ lengthdependent manner in vitro and in vivo, consistent with a causative role for these structures in HD pathogenesis (2). However, oligomers are also highly heterogeneous in size, stability, and solubility (2). Therefore, only subsets of such structures might be most biologically active.Many disease-causing proteins form toxic oligomers that react in a conformation-dependent manner with A11, an antibody that neutralizes their toxicity in cell-based assays (12). Thus, the misfolding of disease proteins to a similar oligomeric conformation might contribute to their toxicity. The molecular mechanism for this misfolding is not clear, but A11 seems to recognize a structural motif that is exposed only in oligomers and not in ...