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.
Neural Regeneration Research,
Journal Year:
2023,
Volume and Issue:
18(11), P. 2401 - 2402
Published: March 11, 2023
Huntington’s
disease
(HD)
(OMIM
143100)
is
an
autosomal
dominant
neurodegenerative
disorder
caused
by
a
monogenic
mutation
in
the
huntingtin
gene
(HTT),
which
induces
typical
midlife
onset
and
age-dependent
progression
with
major
symptoms
including
choreic
movements,
psychiatric
disorders,
cognitive
impairment
(Gusella
et
al.,
2021).
After
1993
discovery
of
pathogenic
expansion
CAG
trinucleotide
repeat
beyond
35
HTT
exon
1
as
causative
factor
for
HD,
many
animal,
mammalian
cell
yeast
models
expressing
mutant
(mHtt)
abnormal
repeats
have
been
created
to
study
repeat-induced
toxicity
(Naphade
2019;
Gusella
With
these
studies
on
human
subjects,
some
important
insights
into
initiation
mechanisms
elucidated,
but
underlying
mHtt-induced
are
still
not
yet
fully
understood
no
disease-modifying
treatment
sight
(Caron
2018;
Veldman
Yang,
Previous
revealed
that
mHtt
length-dependent,
longer
associated
earlier
more
aggressive
At
molecular
level,
codes
polyglutamine
(polyQ)
tract.
In
normal
population,
proteins
contain
6Q
35Q
acting
scaffold
various
interactions
essential
brain
development
before
birth,
while
(≥
36Q
repeats)
cause
protein
aggregation
numerous
pathophysiological
changes
(Veldman
Naphade
2019).
The
formation
insoluble
aggregates
pathological
hallmark
HD
even
though
clear
results
indicate
whether
or
result
pathogenesis
Neuropathological
analysis
post-mortem
brains
from
patients
animals
dramatic
degeneration
neurons
initiated
striatum
deeper
layers
cerebral
cortex,
followed
other
regions
(Rangel-Barajas
Rebec,
2016;
2018).
complex
involving
dysregulation
cellular
processes,
such
transcription,
proteostasis,
mitochondrial
function,
chromatin
modification,
resulting
progressive
neuronal
loss
Although
inherited
carriers
could
be
identified
symptom
onset,
treatments
targeting
suppression
mRNA
transcript
unavailable
A
scarcity
aimed
at
understanding
early
affected
pathways
may
reason
lack
effective
(Hung
2022).
Therefore,
it
explore
novel
model
systems
investigate
pathways,
might
facilitate
our
aid
us
develop
prevention
strategies.
Recent
suggest
folate-mediated
one-carbon
(C1)
metabolism
play
role
diseases
(NDDs),
(Ducker
Rabinowitz,
2017;
Zsindely
2021;
Lionaki
C1
comprises
folate
cycle,
methionine
transsulfuration
pathway
(Figure
1)
plays
roles
physiological
processes
across
organisms
Gorelova
cycles
enable
cells
generate
units.
latter
used
synthesis
purine
thymidine,
methylation
DNA,
RNA,
histone
proteins,
known
effects
regulating
expression
levels
transcriptionally
and/or
translationally
maintaining
genome
stability.
involves
transfer
sulfur
homocysteine
cysteine,
leading
generation
several
metabolites,
antioxidant
glutathione
gaseous
signaling
molecule
hydrogen
sulfide.
Stringent
control
this
via
regulation
key
enzymes
cystathionine
β-synthase
γ-lyase
(CSE)
maintenance
optimal
function.
Depletion
CSE,
enzyme
catalyzing
cysteine
has
observed
its
thought
responsible
neurotoxicity
oxidative
stress
(Paul
2014).Figure
1:
relationship
between
BH4
metabolism.Expression
exon-1
(mHttex1)
affects
both
murine
plant
metabolism.
See
text
details.
Red
arrows
stand
mammal-specific
metabolism,
green
plant-specific
gray
both.
Solid
lines
represent
dashed
postulated
Hung
al.
(2022).The
generic
term
“folate”
includes
tetrahydrofolate
(THF)
derivatives,
group
tripartite
molecules
carrying
units
varying
oxidation
states.
Plants
autotrophs
can
synthesize
de
novo,
mammals
depend
dietary
folates.
Diet-derived
folic
acid
(vitamin
B9)
first
reduced
dihydrofolate
then
converted
metabolically
active
form
THF
two
successive
NADPH-dependent
reductions
catalyzed
same
reductase
(DHFR)
enters
cycle.
Because
involvement
multiple
tightly
regulated
intracellular
metabolites
cofactors.
Any
disturbance
either
cycle
lead
altered
transcriptional
translational
activities
genome-wide,
ultimately
affecting
survival
proliferation
2017).
research
directly
implicating
scarce,
shown
modulates
DNA
methylation,
acetylation
thereby
activity
Ratovitski
2022),
inducing
instability
through
meiotic
transmission
These
imply
likely
HD.
Moreover,
deficiency
reported
increase
risk
Alzheimer’s
Parkinson’s
disease,
neural
tube
defects
S-adenosylmethionine
(SAM),
vitamin
B6,
B9,
B12
supplements
exert
beneficial
NDDs
reduce
dementia
supplementation
increasing
production
Golgi
stressor
provide
protection
benefits
2014;
Sbodio
Polymorphisms
metabolism-related
genes
also
found
All
strong
link
along
NDDs;
however,
connection
them
remains
elusive.
Recently,
we
developed
plant-based
system
stably
mHttex1
(HTT
tobacco
plants
investigation
mHtt-mediated
confirmation
was
integrated
well
properly
transcribed
translated,
toxic
expanded
polyQ
growth,
especially
root
hair
development,
were
length-dependent
similar
those
animal
models.
We
believe
all
transgenic
resulted
gain-of-function
since
ortholog.
This
helps
avoid
any
endogenous
HTT.
quantitative
proteomic
Httex1Q63
(abnormal)
Httex1Q21
(normal
line)
young
roots
polyQ63
triggered
widespread
remodeling
Most
importantly,
autotrophic
feature
ability
folates
novo
allowed
discover
hitherto
unreported
biosynthesis
findings
supported
showing
reducing
abundance
GTP
cyclohydrolase
I
(GTPCH)
6-fold
significantly
38
out
42
SAM-dependent
methyltransferases
(SAM-MTases)
metabolism-associated
1.5-fold
reduction,
FDR-corrected
P
<
0.05).
plants,
GTPCH
rate-limiting
catalyzes
step
biosynthesis,
SAM-MTases
critical
methyl
groups
biomolecules
(Gorelova
decrease
impairs
Since
there
large
evolutionary
distance
animals,
further
validated
(4-week-old)
R6/2
mice
mammals,
reaction
convert
guanosine
triphosphate
(GTP)
dihydroneopterin
(DHPTP)
1).
However,
produced
DHPTP
(DHF)
enter
transformed
tetrahydrobiopterin
(BH4)
series
reactions.
regulates
BH4,
cofactor
aromatic
amino
hydroxylases
produce
monoamine
neurotransmitters,
DHFR
utilization
alternate
reduction
dihydrobiopterin
(BH2)
back
discovered
impaired
total
tissues
isolated
4-week-old
mice.
glycine
increased
26.5%
tissues,
serine
17.9%
plasma.
acids
sources
Thus,
showed
only
C1-related
juvenile
stage.
Our
mouse
event
“missing
links”
connecting
help
explain
previously
common
pathogenesis,
dysfunction
regulation,
maintenance,
transgenerational
epigenetic
inheritance,
imprinting
(Zsindely
2021),
inheritance
linked
alterations
Additionally,
locus
arginines
differentially
methylated
methylation.
Concerning
established
C5
position
cytosine
residue
SAM
5-methylcytosine
methyltransferases.
Available
evidences
show
levels,
accumulation
potent
methyltransferase
inhibitor
S-adenosylhomocysteine
suppresses
arginine
transferred
terminal
nitrogen
atom
residues
(Ratovitski
Arginine
functions
regulator
transcription.
would
affect
turn
disturb
production,
subsequently
impair
addition,
dual
conversion
BH2
interconnects
(Xu
2014).
Genetic
insufficient
2014),
GTPCH-deficient
exhibited
dopamine,
phenylalanine,
infancy-onset
motor
impairments
(Jiang
mice,
GTPCH-
DHFR-associated
neurotransmitter
disturbed
very
stage
Interestingly,
unlike
uniformly
suppressed
cortex
induced
when
compared
age
wild-type
inverse
regions.
It
much
severe
than
aberrant
communication
considered
striatal
Under
healthy
conditions,
cortico-striatal
dopamine
being
perturbation
imbalance
thus
contribute
selective
vulnerability
2016).
Further
are,
warranted
understand
starts,
how
ratio
during
progression,
what
relationships
among
DHFR,
GTPCH,
folate,
biosynthesis.
addition
least
eight
expansion-mediated
share
features
neurodegeneration
genetic
causes
diseases,
polyQ-induced
damage
time
appear
already
too
advanced
successful.
strategy
preventing
impeding
will
promising
improving
health
quality
life
carriers.
nature
simple
PCR
test
diagnosis
reliable
identification
symptomatic
onset.
Theoretically,
premanifest
phase
prevent
reverse
once
identified.
Given
importance
central
nervous
Ducker
Jiang
2019),
certain
C1/BH4
significant
contributing
factors
progression.
open
new
avenues
perhaps
diseases.
work
National
Institute
General
Medical
Sciences
grant
(SC1GM111178)
JX.
C-Editors:
Zhao
M,
Liu
WJ,
Qiu
Y;
T-Editor:
Jia
Y
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(4), P. 2176 - 2176
Published: Feb. 11, 2024
Huntington's
disease
(HD)
is
a
neurodegenerative
disorder
that
affects
mainly
the
central
nervous
system
(CNS)
by
inducing
progressive
deterioration
in
both
its
structure
and
function.
In
recent
years,
there
has
been
growing
interest
impact
of
HD
on
peripheral
tissue
Herein,
we
used
R6/2
mouse
model
to
investigate
influence
adrenal
gland
functioning.
A
transcriptomic
analysis
conducted
using
well-established
quantitative
method,
an
Affymetrix
array,
revealed
changes
gene
expression
compared
genetic
background
controls.
For
first
time,
identified
disruptions
cholesterol
sterol
metabolism,
blood
coagulation,
xenobiotic
metabolism
glands.
This
study
showed
disrupted
these
genes
may
contribute
underlying
mechanisms
disease.
Our
findings
developing
better
understanding
progression
aid
development
novel
diagnostic
or
therapeutic
approaches.
Revista CEFAC,
Journal Year:
2024,
Volume and Issue:
26(2)
Published: Jan. 1, 2024
Huntington's
disease
(HD)
is
a
neurodegenerative
disorder,
with
dysphagia
being
common
symptom
of
the
disease.
Few
studies
established
relationship
between
neuromotor
impairment
and
dysphagia.
There
also
lack
described
therapeutic
approaches
for
in
HD.
This
study
aimed
to
better
understand
progression
neurological
clinical
aspects,
instrumental
swallowing
management
four
patients
presented
HD
an
outpatient
follow-up
setting.
The
longitudinal
period
was
36
43
months
through
neuroclinical
assessments
(Unified
Disease
Rating
Scale)
fiberoptic
endoscopic
evaluations.
Case
1
-
moderate
decline
independence
safe
swallowing.
2
motor
impairment,
during
follow-up.
3
longer
duration
increased
associated
moderate/severe
4
duration,
need
assistance
perform
daily
activities,
severe
palliative
care,
considering
family
decision
exclusive
oral
feeding.
revealed
that
damage
not
directly
related
development.
case
series
demonstrates
importance
settings
evaluations
careful
consideration
early
care
patients.
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.