Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-26T04:01:57.120Z Has data issue: false hasContentIssue false

16 - Huntington's disease

Published online by Cambridge University Press:  12 October 2009

Jean Paul G. Vonsattel
Affiliation:
New York Brain Bank, The Taub Institute, Columbia University, New York, USA
Maxim Lianski
Affiliation:
New York Brain Bank, The Taub Institute, Columbia University, New York, USA
Margaret M. Esiri
Affiliation:
University of Oxford
Virginia M. -Y. Lee
Affiliation:
University of Pennsylvania School of Medicine
John Q. Trojanowski
Affiliation:
University of Pennsylvania School of Medicine
Get access

Summary

Huntington's disease (HD) is an autosomal dominant illness, usually with mid-life onset, of psychiatric, cognitive and motor symptoms. Death occurs 12–15 years from the time of symptomatic onset (Folstein, 1989; Harper et al., 1991). The HD mutation consists of an unstable expansion of CAG (trinucleotide) repeats within the coding region of the gene ‘IT15’ (for ‘Interesting transcript’ referred to as HD-IT15 CAG repeats). This gene, on chromosome 4 (4p63), encodes the 350 kDa protein huntingtin of unknown function (Group et al., 1993). An expanded polyglutamine residue (polyQ) distinguishes the mutated huntingtin (with about 37 to 250 polyQ) from the wild type (with 8 to about 34–36 polyQ) (Nance et al., 1999; Rubinsztein et al., 1996). The disease occurs when the critical threshold of about 37 polyQ is exceeded. This phenomenon is observed in a group of inherited, neurodegenerative diseases caused by polyQ extension, which is increasingly referred to as polyglutaminopathies (Paulson, 1999). The pathogenicity of the mutant huntingtin is unknown. The mutant huntingtin retains some functions of the wild type huntingtin since individuals homozygous for the HD gene produce only mutant huntingtin and are clinically indistinguishable from heterozygous patients (Wexler et al., 1987; Myers et al., 1989). The mutant huntingtin is present in all organs, yet the brunt of the changes of HD identified so far occurs in the brain (Sathasivam et al., 1999). The degeneration involves initially the striatum (neuronal loss, gliosis) and cortex, and eventually may appear throughout the brain as a constellation of the toxic effect of the mutation and the ensuing secondary changes.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×