PMID: 9173995Dec 1, 1994Paper

Huntington's disease CAG trinucleotide repeats in pathologically confirmed post-mortem brains

Neurobiology of Disease
F PersichettiJ F Gusella

Abstract

CAG repeat expansion in the Huntington's disease gene (HD) was examined in postmortem brains from 310 clinically diagnosed and 15 'at risk' individuals. Presence of an expanded CAG allele (>37 units) was the cause of the disorder in almost all cases (307 of 310). Despite a diversity of reporting clinicians, neurological and psychiatric onset and age at death all displayed significant inverse correlations with CAG number indicating that diagnosis of onset is reasonably accurate, and that most patients die from the disease and its complications. Neuronal changes before clinical onset are not detected by conventional microscopic examination as three out of 15 'at risk' brains had an expanded CAG allele but no neuropathology. The cause of HD-like neuropathology in three exceptional brains from clinically diagnosed individuals is unclear. The disorder in these cases could be an HD phenocopy or result from alternative mutational mechanisms at the HD locus.

Citations

Jun 2, 2009·Human Molecular Genetics·Mercedes PrudencioPeter M Andersen
Jan 15, 2014·Neurodegenerative Disease Management·Oliver W J QuarrellFerdinando Squitieri
May 12, 2007·Brain Pathology·Marion Maat-SchiemanSjoerd van Duinen
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Apr 23, 2014·PloS One·Ekaterina I GalkinaJong-Min Lee
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Sep 22, 2017·Human Molecular Genetics·Jong-Min LeeJames F Gusella
May 12, 2018·PLoS Genetics·Michael J ChaoJong-Min Lee
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