WEIGHT LOSS IN HUNTINGTON DISEASE INCREASES WITH HIGHER CAG REPEAT NUMBER

作者: N. A. Aziz , J.M.M. van der Burg , G. B. Landwehrmeyer , P. Brundin , T. Stijnen

DOI: 10.1212/01.WNL.0000334276.09729.0E

关键词: EndocrinologyNeurologyWeight lossDiseaseBody mass indexDegenerative diseaseHuntingtin ProteinCentral nervous system diseasePsychologyInternal medicinePathologyHereditary Neurodegenerative Disorder

摘要: Objective: Huntington disease (HD) is a hereditary neurodegenerative disorder caused by an expanded number of CAG repeats in the huntingtin gene. A hallmark HD unintended weight loss, cause which unknown. In order to elucidate underlying mechanisms loss HD, we studied its relation other characteristics including motor, cognitive, and behavioral disturbances repeat number. Methods: 517 patients with early stage applied mixed-effects model analyses correlate changes over 3 years various components Unified Huntington’s Disease Rating Scale (UHDRS). We also assessed between body caloric intake R6/2 mouse HD. Results: mean mass index decreased −0.15 units per year ( p Conclusions: Weight directly linked length likely result from hypermetabolic state. Other signs symptoms are unlikely contribute stages. Elucidation responsible could lead effective energy-based therapeutics.

参考文章(41)
Nan M. Laird, James H. Ware, Garrett M. Fitzmaurice, Applied Longitudinal Analysis ,(2004)
Akira Sawa, Gordon W. Wiegand, Jillian Cooper, Russell L. Margolis, Alan H. Sharp, Joseph F. Lawler, J. Timothy Greenamyre, Solomon H. Snyder, Christopher A. Ross, Increased apoptosis of Huntington disease lymphoblasts associated with repeat length-dependent mitochondrial depolarization Nature Medicine. ,vol. 5, pp. 1194- 1198 ,(1999) , 10.1038/13518
Ann M Gaba, Kuan Zhang, Karen Marder, Carol B Moskowitz, Patricia Werner, Carol N Boozer, Energy balance in early-stage Huntington disease. The American Journal of Clinical Nutrition. ,vol. 81, pp. 1335- 1341 ,(2005) , 10.1093/AJCN/81.6.1335
Luz M Morales, J Estevez, H Suarez, R Villalobos, L Chacin de Bonilla, E Bonilla, Nutritional evaluation of Huntington disease patients. The American Journal of Clinical Nutrition. ,vol. 50, pp. 145- 150 ,(1989) , 10.1093/AJCN/50.1.145
N Mahant, EA McCusker, K Byth, S Graham, Huntington Study Group, None, Huntington’s disease Clinical correlates of disability and progression Neurology. ,vol. 61, pp. 1085- 1092 ,(2003) , 10.1212/01.WNL.0000086373.32347.16
Susan E. Andrew, Y. Paul Goldberg, Berry Kremer, Håkan Telenius, Jane Theilmann, Shelin Adam, Elizabeth Starr, Ferdinando Squitieri, Biaoyang Lin, Michael A. Kalchman, Rona K. Graham, Michael R. Hayden, The relationship between trinucleotide (CAG) repeat length and clinical features of Huntington's disease Nature Genetics. ,vol. 4, pp. 398- 403 ,(1993) , 10.1038/NG0893-398
Anna OG Goodman, Peter R Murgatroyd, Gema Medina-Gomez, Nigel I Wood, Nicholas Finer, Antonio J Vidal-Puig, A Jennifer Morton, Roger A Barker, None, The metabolic profile of early Huntington's disease--a combined human and transgenic mouse study. Experimental Neurology. ,vol. 210, pp. 691- 698 ,(2008) , 10.1016/J.EXPNEUROL.2007.12.026
A. Rosenblatt, R. L. Margolis, M. W. Becher, E. Aylward, M. L. Franz, M. Sherr, M. H. Abbott, K.-Y. Liang, C. A. Ross, Does CAG repeat number predict the rate of pathological changes in Huntington's disease? Annals of Neurology. ,vol. 44, pp. 708- 709 ,(1998) , 10.1002/ANA.410440424
Fanny Mochel, Perrine Charles, François Seguin, Julie Barritault, Christiane Coussieu, Laurence Perin, Yves Le Bouc, Christiane Gervais, Guislaine Carcelain, Anne Vassault, Josué Feingold, Daniel Rabier, Alexandra Durr, Early Energy Deficit in Huntington Disease: Identification of a Plasma Biomarker Traceable during Disease Progression PLoS ONE. ,vol. 2, pp. e647- ,(2007) , 10.1371/JOURNAL.PONE.0000647