Evidence map›Paper›PMID 38433266›Full record

ArticleEuropean journal of human genetics : EJHG2024

Somatic CAG repeat instability in intermediate alleles of the HTT gene and its potential association with a clinical phenotype.

Ainara Ruiz de Sabando, Marc Ciosi, Arkaitz Galbete, Sarah A Cumming, Spanish HD Collaborative Group, Darren G Monckton, Maria A Ramos-Arroyo

Open access · hybridAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  10. Hitting the heights with CiteScore.European journal of human genetics : EJHG · 2024
    Article
  11. Article
  12. Huntington's Disease and Dentistry: A Review of Its Etiology, Clinical Presentation, Symptomatic Pharmacotherapy, and Dental Management.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 11 institutions in 2 countries.

Ainara Ruiz de SabandoDepartment of Medical Genetics, Hospital Universitario de Navarra, IdiSNA, 31008, Pamplona, Spain.ORCID 0000-0003-3634-465X
Marc CiosiSchool of Molecular Biosciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Arkaitz GalbeteDepartment of Statistics, Informatics and Mathematics, Universidad Pública de Navarra, IdiSNA, 31006, Pamplona, Spain.
Sarah A CummingSchool of Molecular Biosciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.ORCID 0000-0002-0201-3660
Spanish HD Collaborative Group
Darren G MoncktonSchool of Molecular Biosciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.ORCID 0000-0002-8298-8264
Maria A Ramos-ArroyoDepartment of Medical Genetics, Hospital Universitario de Navarra, IdiSNA, 31008, Pamplona, Spain. ma.ramos.arroyo@navarra.es.ORCID 0000-0002-7171-9202
Biogipuzkoa Health Research Institute · ESHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital de Sant Pau · ESHospital Universitario Fundación Jiménez Díaz · ESNavarrabiomed · ESUniversidad Publica de Navarra · ESUniversity of Glasgow · GBCentro de Implantología Cirugía Oral y Maxilofacial · ESHospital de Galdakao · ESHospital Universitario Central de Asturias · ES

Funding

Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) FIS PI15/02227
6 · The paper itself

Abstract

Huntington disease (HD) is a neurodegenerative disorder caused by ≥36 CAGs in the HTT gene. Intermediate alleles (IAs) (27-35 CAGs) are not considered HD-causing, but their potential association with neurocognitive symptoms remains controversial. As HTT somatic CAG expansion influences HD onset, we hypothesised that IAs are somatically unstable, and that somatic CAG expansion may drive phenotypic presentation in some IA carriers. We quantified HTT somatic CAG expansions by MiSeq sequencing in the blood DNA of 164 HD subjects and 191 IA (symptomatic and control) carriers, and in the brain DNA of a symptomatic 33 CAG carrier. We also performed genotype-phenotype analysis. The phenotype of symptomatic IA carriers was characterised by motor (85%), cognitive (27%) and/or behavioural (29%) signs, with a late (58.7 ± 18.6 years), but not CAG-dependent, age at onset. IAs displayed somatic expansion that were CAG and age-dependent in blood DNA, with 0.4% and 0.01% of DNA molecules expanding by CAG and year, respectively. Somatic expansions of +1 and +2 CAGs were detected in the brain of the individual with 33 CAGs, with the highest expansion frequency in the putamen (10.3%) and the lowest in the cerebellum (4.8%). Somatic expansion in blood DNA was not different in symptomatic vs. control IA carriers. In conclusion, we show that HTT IAs are somatically unstable, but we found no association with HD-like phenotypes. It is plausible, however, that some IAs, close to the HD pathological threshold and with a predisposing genetic background, could manifest with neurocognitive symptoms.

Indexed as

AllelesHuntingtin ProteinHuntington DiseasePhenotypeTrinucleotide Repeat ExpansionAdultAgedBrainFemaleHeterozygoteHumansMaleMiddle AgedHTT protein, humanHuntingtin Protein

Identifiers

PMID38433266
PMCPMC11220145
OpenAlexW4392401842

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.