Evidence map›Paper›PMID 41620818›Full record

ArticleAnnals of clinical and translational neurology2026

Functional and Structural Evidence of Neurofluid Circuit Aberrations in Huntington Disease.

Kilian Hett, Abigail Dubois, Melanie Leguizamon, Alexander Song, Paula Trujillo, Colin D McKnight, Ciaran M Considine, Manus J Donahue, Daniel O Claassen

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Kilian HettDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-8831-4247
Abigail DuboisDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Melanie LeguizamonDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Alexander SongDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Paula TrujilloDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-9753-7071
Colin D McKnightDepartment of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ciaran M ConsidineDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Manus J DonahueDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Daniel O ClaassenDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-9853-4902

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Quantitative Imaging of Brain Glymphatic Function in HumansR01AG062574 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CLAASSEN, DANIEL OLIVER, DONAHUE, MANUS J · 2020 to 2024
$3.0M
Replacement and Upgrade of a 3T MR Scanner for ResearchS10OD021771 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2016 to 2016
$2.0M
Cerebrospinal fluid dynamics in Huntington's diseaseR01NS141191 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Daniel Oliver Claassen · 2025 to 2026
$1.2M
Quantitation of Glymphatic Functioning in Sleep and Meditative StatesR01AT011456 · NCCIH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CLAASSEN, DANIEL OLIVER, DONAHUE, MANUS J · 2021 to 2023
$1.1M
Ultra-High Performance Gradients for a 3T MRI Research ScannerS10MH133645 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2023 to 2023
$600k
NCCIH NIH HHS R01 AT011456NIA NIH HHS R01 AG062574NICHD NIH HHS P50 HD103537NIH HHS S10 OD021771NIMH NIH HHS S10 MH133645NINDS NIH HHS R01 NS141191
6 · The paper itself

Abstract

objectiveDisrupted neurofluid regulation may contribute to neurodegeneration in Huntington disease (HD). Because neurofluid pathways influence waste clearance, inflammation, and the distribution of central nervous system (CNS)-delivered therapeutics, understanding their dysfunction is increasingly important as targeted treatments emerge. We aimed to evaluate structural and physiological changes in two key neurofluid components, the choroid plexus (ChP), which produces cerebrospinal fluid (CSF), and the parasagittal dural (PSD) space, a major CSF outflow pathway, across the HD spectrum and in relation to CSF flow dynamics.

methodsPSD and ChP volumes were assessed using a validated deep learning pipeline on 3-Tesla T

results80 HD participants and 65 age-matched healthy controls were included. HD showed significantly larger ChP and PSD volumes (p < 0.01) and reduced ChP perfusion (p < 0.01). Greater CAG repeat expansion correlated with larger PSD and ChP volume and lower ChP perfusion (p < 0.01). These alterations were associated with worse motor impairment (p < 0.01).

interpretationHD is associated with structural and functional alterations in neurofluid pathways. These findings suggest relevance for disease mechanisms and for optimizing CSF-based therapeutic delivery, highlighting the need for further mechanistic studies.

Indexed as

Choroid PlexusHuntington DiseaseAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedchoroid plexusCSFHuntington diseaseparasagittal dural space

Identifiers

PMID41620818
PMCPMC13358557

What OpenQuestion holds

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Registered trials

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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.