Evidence map›Paper›PMID 25858294›Full record

ArticleHuman brain mapping2015

Functional brain changes underlying irritability in premanifest Huntington's disease.

Jan Van den Stock, François-Laurent De Winter, Rawaha Ahmad, Stefan Sunaert, Koen Van Laere, Wim Vandenberghe, Mathieu Vandenbulcke

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Exploring huntington's disease from a neurodevelopmental perspective.International journal of biological sciences · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Pathomechanisms of behavioral abnormalities in Huntington disease: an update.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Progress in developing transgenic monkey model for Huntington's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2018
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jan Van den StockDepartment of Neurosciences, KU Leuven, Psychiatry Research Group, Leuven, Belgium.
François-Laurent De WinterDepartment of Neurosciences, KU Leuven, Psychiatry Research Group, Leuven, Belgium.
Rawaha AhmadDepartment of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Stefan SunaertDepartment of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Koen Van LaereDepartment of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Wim VandenbergheDepartment of Neurology, University Hospitals Leuven, Leuven, Belgium.
Mathieu VandenbulckeDepartment of Neurosciences, KU Leuven, Psychiatry Research Group, Leuven, Belgium.
KU Leuven · BEUniversitair Ziekenhuis Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical phenotype of Huntington's disease (HD) consists of motor, cognitive and psychiatric symptoms, of which irritability is an important manifestation. Our aim was to identify the functional and structural brain changes that underlie irritability in premanifest HD (preHD). Twenty preHD carriers and 20 gene-negative controls from HD families took part in the study. Although the 5-year probability of disease onset was only 11%, the preHD group showed striatal atrophy and increased clinical irritability ratings. Functional MRI was performed during a mood induction experiment by means of recollection of emotional (angry, sad, and happy) and neutral autobiographical episodes. While there were no significant group differences in the subjective intensity of the emotional experience, the preHD group showed increased anger-selective activation in a distributed network, including the pulvinar, cingulate cortex, and somatosensory association cortex, compared to gene-negative controls. Pulvinar activation during anger experience correlated negatively with putaminal grey matter volume and positively with irritability ratings in the preHD group. In addition, the preHD group showed a decrease in anger-selective activation in the amygdala, which correlated with putaminal and caudate grey matter volume. In conclusion, compared to gene-negative controls, anger experience in preHD is associated with activity changes in a distributed set of regions known to be involved in emotion regulation. Increased activity is related to behavioral and volumetric measures, providing insight in the pathophysiology of early neuropsychiatric symptoms in preHD.

Indexed as

Prodromal SymptomsAdultAngerAtrophyFemaleGyrus CinguliHeterozygoteHumansHuntington DiseaseIrritable MoodMagnetic Resonance ImagingMaleMiddle AgedNeostriatumPulvinarSomatosensory Cortexaffective symptomsaggressionamygdalaemotionsgyrus cinguluspulvinar

Identifiers

PMID25858294
PMCPMC6869704
OpenAlexW1951838487

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.