Journal of Medical Economics,
Journal Year:
2024,
Volume and Issue:
27(1), P. 1348 - 1357
Published: Oct. 7, 2024
Aims
This
study
evaluated
the
association
between
provider
types
for
patients
with
newly
diagnosed
Huntington's
disease
(HD)
and
healthcare
resource
utilization
(HCRU),
costs,
treatment
patterns.
Nature Genetics,
Journal Year:
2024,
Volume and Issue:
56(3), P. 383 - 394
Published: Jan. 30, 2024
Abstract
Brain
region-specific
degeneration
and
somatic
expansions
of
the
mutant
Huntingtin
(
mHTT
)
CAG
tract
are
key
features
Huntington’s
disease
(HD).
However,
relationships
among
expansions,
death
specific
cell
types
molecular
events
associated
with
these
processes
not
established.
Here,
we
used
fluorescence-activated
nuclear
sorting
(FANS)
deep
profiling
to
gain
insight
into
properties
human
striatum
cerebellum
in
HD
control
donors.
arise
at
striatal
medium
spiny
neurons
(MSNs),
cholinergic
interneurons
cerebellar
Purkinje
neurons,
ATXN3
MSNs
from
SCA3
higher
levels
MSH2
MSH3
(forming
MutSβ),
which
can
inhibit
nucleolytic
excision
slip-outs
by
FAN1.
Our
data
support
a
model
necessary
but
may
be
sufficient
for
identify
transcriptional
changes
toxicity.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: May 20, 2024
Abstract
Huntington
Disease
(HD)
is
a
fatal
genetic
disease
in
which
most
striatal
projection
neurons
(SPNs)
degenerate.
The
central
biological
question
about
HD
pathogenesis
has
been
how
the
disease-causing
DNA
repeat
expansion
(CAG
n
)
huntingtin
(
HTT
gene
leads
to
neurodegeneration
after
decades
of
apparent
latency.
Inherited
alleles
with
longer
CAG
hasten
onset;
length
this
also
changes
over
time,
generating
somatic
mosaicism,
and
genes
that
regulate
DNA-repeat
stability
can
influence
age-at-onset.
To
understand
relationship
between
cell’s
CAG-repeat
its
state,
we
developed
single-cell
method
for
measuring
together
genome-wide
RNA
expression.
We
found
expands
from
40-45
CAGs
100-500+
HD-vulnerable
SPNs
but
not
other
cell
types,
these
long
expansions
acquired
at
different
times
by
individual
SPNs.
Surprisingly,
40
150
had
no
effect
upon
expression
–
150-500+
shared
profound
gene-expression
changes.
These
involved
hundreds
genes,
escalated
alongside
further
expansion,
eroded
positive
then
negative
features
neuronal
identity,
culminated
senescence/apoptosis
genes.
Rates
neuron
loss
across
stages
reflected
rates
entered
biologically
distorted
state.
Our
results
suggest
repeats
undergo
quiet
then,
as
they
asynchronously
cross
high
threshold,
cause
degenerate
quickly
asynchronously.
conclude
that,
any
moment
course
HD,
have
an
innocuous
(but
unstable)
gene,
process
almost
all
neuron’s
life.
Brain,
Journal Year:
2024,
Volume and Issue:
147(5), P. 1784 - 1798
Published: Feb. 22, 2024
The
Huntington's
disease
mutation
is
a
CAG
repeat
expansion
in
the
huntingtin
gene
that
results
an
expanded
polyglutamine
tract
protein.
unstable
and
expansions
of
hundreds
CAGs
have
been
detected
post-mortem
brains.
age
onset
can
be
predicted
partially
from
length
as
measured
blood.
Onset
also
determined
by
genetic
modifiers,
which
six
cases
involve
variation
DNA
mismatch
repair
pathways
genes.
Knocking-out
specific
genes
mouse
models
prevents
somatic
expansion.
Taken
together,
these
led
to
hypothesis
brains
required
for
pathogenesis.
Therefore,
pathogenic
threshold
brain
longer
than
(CAG)40,
blood,
currently
unknown.
MSH3
has
become
major
focus
therapeutic
development,
unlike
other
genes,
nullizygosity
does
not
cause
malignancies
associated
with
deficiency.
Potential
treatments
targeting
under
development
include
therapy,
biologics
small
molecules,
will
assessed
efficacy
disease.
zQ175
knock-in
model
carries
approximately
(CAG)185
develops
early
molecular
pathological
phenotypes
extensively
characterized.
we
crossed
mutant
allele
onto
heterozygous
homozygous
Msh3
knockout
backgrounds
determine
maximum
benefit
this
model.
Ablation
prevented
throughout
periphery,
reduction
50%
decreased
rate
This
had
no
effect
on
deposition
aggregation
nuclei
striatal
neurons,
nor
dysregulated
transcriptional
profile.
contrasts
ablating
shorter
expansions.
further
neurons
accelerate
neuropathological
phenotypes.
It
striking
highly
repeats
similar
size
humans
before
2
years
age,
indicating
Given
trajectory
carriers
unknown,
our
study
underlines
importance
administering
instability
possible.
Nature Communications,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 11, 2025
Abstract
Loss
of
epigenetic
information
during
physiological
aging
compromises
cellular
identity,
leading
to
de-repression
developmental
genes.
Here,
we
assessed
the
epigenomic
landscape
vulnerable
neurons
in
two
reference
mouse
models
Huntington
neurodegenerative
disease
(HD),
using
cell-type-specific
multi-omics,
including
temporal
analysis
at
three
stages
via
FANS-CUT&Tag.
We
show
accelerated
genes
HD
striatal
neurons,
involving
histone
re-acetylation
and
depletion
H2AK119
ubiquitination
H3K27
trimethylation
marks,
which
are
catalyzed
by
polycomb
repressive
complexes
1
2
(PRC1
PRC2),
respectively.
further
identify
a
PRC1-dependent
subcluster
bivalent
transcription
factors
that
is
re-activated
neurons.
This
mechanism
likely
involves
progressive
paralog
switching
between
PRC1-CBX
genes,
promotes
upregulation
normally
low-expressed
PRC1-CBX2/4/8
isoforms
alongside
down-regulation
predominant
these
cells
(e.g.,
CBX6/7).
Collectively,
our
data
provide
evidence
for
Journal of Huntington s Disease,
Journal Year:
2022,
Volume and Issue:
11(2), P. 153 - 171
Published: April 19, 2022
Huntington's
disease
(HD)
is
an
autosomal
dominant,
neurological
caused
by
expanded
CAG
repeat
near
the
N-terminus
of
huntingtin
(HTT)
gene.
A
leading
theory
concerning
etiology
HD
that
both
onset
and
progression
are
driven
cumulative
exposure
to
effects
mutant
(or
expanded)
(mHTT).
The
CAG-Age-Product
(CAP)
score
(i.e.,
product
excess
length
age)
a
commonly
used
measure
this
exposure.
CAP
has
been
widely
as
predictor
variety
state
variables
in
HD.
utility
somewhat
diminished,
however,
lack
agreement
on
its
precise
definition.
most
forms
highly
correlated
so
that,
for
purposes
prediction,
it
makes
little
difference
which
used.
However,
reported
values
scores,
based
definitions,
differ
substantially
magnitude
when
applied
same
data.
This
complicates
process
inter-study
comparison.In
paper,
we
propose
standardized
definition
will
resolve
difficulty.
Our
standardization
chosen
=
100
at
expected
age
diagnosis.Statistical
methods
include
novel
survival
analysis
methodology
13
landmarks
taken
from
Enroll-HD
database
(PDS
5)
comparisons
with
existing,
gold
standard,
model.Useful
by-products
our
work
up-to-date,
age-at-onset
(AO)
results
refined
AO
model
suitable
use
other
contexts,
discussion
several
useful
properties
have
not
previously
noted
literature
introduction
concept
toxicity
model.We
suggest
taking
L
30
K
6.49
provides
score,
routine
modeling
clinical
data
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: April 24, 2023
Brain
region-specific
degeneration
and
somatic
expansions
of
the
mutant
Huntingtin
(mHTT)
CAG
tract
are
key
features
Huntington's
disease
(HD).
However,
relationships
between
expansions,
death
specific
cell
types,
molecular
events
associated
with
these
processes
not
established.
Here
we
employed
fluorescence-activated
nuclear
sorting
(FANS)
deep
profiling
to
gain
insight
into
properties
types
human
striatum
cerebellum
in
HD
control
donors.
arise
striatal
medium
spiny
neurons
(MSNs)
cholinergic
interneurons,
cerebellar
Purkinje
neurons,
at