Evidence map›Paper›PMID 32796930›Full record

ReviewNature reviews. Neurology2020

Huntington disease: new insights into molecular pathogenesis and therapeutic opportunities.

Sarah J Tabrizi, Michael D Flower, Christopher A Ross, Edward J Wild

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 300 papers.

0numbers the graph read from it
0cells of the map it votes in
300citing papers in PubMed
25.4field-weighted citation impact, top 1% 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

300 citing papers in PubMed, 490 citations in OpenAlex.

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  17. Clinical translation of epigenome editing technologies.Current opinion in biomedical engineering · 2026
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240 more citing papers are in PubMed but not listed here.

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 2 institutions in 2 countries.

Sarah J Tabrizi *Huntington's Disease Centre, University College London, London, UK. s.tabrizi@ucl.ac.uk.ORCID http://orcid.org/0000-0003-2716-2045
Michael D Flower *Huntington's Disease Centre, University College London, London, UK.
Christopher A RossDepartments of Neurology, Neuroscience and Pharmacology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Edward J WildHuntington's Disease Centre, University College London, London, UK.ORCID http://orcid.org/0000-0002-6921-7887
Huntington's Disease Association · GBJohns Hopkins University · US

Funding

Medical Research Council MR/M008592/1NINDS NIH HHS 2R01NS086452-06Wellcome Trust 200181/Z/15/Z
6 · The paper itself

Abstract

Huntington disease (HD) is a neurodegenerative disease caused by CAG repeat expansion in the huntingtin gene (HTT) and involves a complex web of pathogenic mechanisms. Mutant HTT (mHTT) disrupts transcription, interferes with immune and mitochondrial function, and is aberrantly modified post-translationally. Evidence suggests that the mHTT RNA is toxic, and at the DNA level, somatic CAG repeat expansion in vulnerable cells influences the disease course. Genome-wide association studies have identified DNA repair pathways as modifiers of somatic instability and disease course in HD and other repeat expansion diseases. In animal models of HD, nucleocytoplasmic transport is disrupted and its restoration is neuroprotective. Novel cerebrospinal fluid (CSF) and plasma biomarkers are among the earliest detectable changes in individuals with premanifest HD and have the sensitivity to detect therapeutic benefit. Therapeutically, the first human trial of an HTT-lowering antisense oligonucleotide successfully, and safely, reduced the CSF concentration of mHTT in individuals with HD. A larger trial, powered to detect clinical efficacy, is underway, along with trials of other HTT-lowering approaches. In this Review, we discuss new insights into the molecular pathogenesis of HD and future therapeutic strategies, including the modulation of DNA repair and targeting the DNA mutation itself.

Indexed as

AnimalsBiomarkersClinical Trials as TopicDNA RepairGenetic TherapyGenome-Wide Association StudyHumansHuntingtin ProteinHuntington DiseaseMutationBiomarkersHuntingtin Protein

Identifiers

PMID32796930
OpenAlexW3049633837

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.