Evidence map›Paper›PMID 31187915›Full record

ArticleHuman brain mapping2019

Network spread determines severity of degeneration and disconnection in Huntington's disease.

Govinda R Poudel, Ian H Harding, Gary F Egan, Nellie Georgiou-Karistianis

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  8. Autonomic dysfunction in neurodegenerative disease.Nature reviews. Neuroscience · 2025
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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

4 authors at 3 institutions in 1 country.

Govinda R PoudelMary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.ORCID 0000-0002-0043-7531
Ian H HardingSchool of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia.
Gary F EganSchool of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia.
Nellie Georgiou-KaristianisSchool of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia.ORCID 0000-0003-0718-6760
Monash University · AUARC Centre of Excellence for Integrative Brain Function · AUAustralian Catholic University · AU

Funding

CHDI Foundation A - 3433Hereditary Disease Foundation Postdoctoral Fellowship Fellowship 2015-2016National Health and Medical Research Council 606650National Health and Medical Research Council Fellowship 1106533NSW Huntington's Disease Association Project Grant NSW Huntington's Disease Association Grant 2015
6 · The paper itself

Abstract

Trans-neuronal propagation of mutant huntingtin protein contributes to the organised spread of cortico-striatal degeneration and disconnection in Huntington's disease (HD). We investigated whether the network diffusion model, which models transneuronal spread as diffusion of pathological proteins via the brain connectome, can determine the severity of neural degeneration and disconnection in HD. We used structural magnetic resonance imaging (MRI) and high-angular resolution diffusion weighted imaging (DWI) data from symptomatic Huntington's disease (HD) (N = 26) and age-matched healthy controls (N = 26) to measure neural degeneration and disconnection in HD. The network diffusion model was used to test whether disease spread, via the human brain connectome, is a viable mechanism to explain the distribution of pathology across the brain. We found that an eigenmode identified in the healthy human brain connectome Laplacian matrix, accurately predicts the cortico-striatal spatial pattern of degeneration in HD. Furthermore, the spread of neural degeneration from sub-cortical brain regions, including the accumbens and thalamus, generates a spatial pattern which represents the typical neurodegenerative characteristics in HD. The white matter connections connecting the nodes with the highest amount of disease factors, when diffusion based disease spread is initiated from the striatum, were found to be most vulnerable to disconnection in HD. These findings suggest that trans-neuronal diffusion of mutant huntingtin protein across the human brain connectome may explain the pattern of gray matter degeneration and white matter disconnection that are hallmarks of HD.

Indexed as

AdultBrainConnectomeDiffusion Magnetic Resonance ImagingDisease ProgressionFemaleHumansHuntington DiseaseImage Interpretation, Computer-AssistedMaleMiddle AgedNerve DegenerationNerve NetNeural PathwaysHuntington's diseasenetwork diffusion modelnetwork spreadprionlike spread

Identifiers

PMID31187915
PMCPMC6865500
OpenAlexW2951001090

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.