Mutant huntingtin (mHTT) might spread from neuron to neuron in a prion-like fashion. Pecho-Vrieseling et al. discovered that neurons derived from human stem cells could acquire mHTT aggregates and HD-like pathology when cultured with mouse organotypic slices that were genetically engineered to recapitulate HD pathophysiology, including mHTT expression. The results suggest that prion-like propagation of mHTT through synaptic vesicle trafficking might contribute to HD pathophysiology.