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Genetic modifier for Huntington鈥檚 disease progression identified

20 June 2017

A team led by 香港六合彩中特网 and Cardiff University researchers has developed a novel measure of disease progression for Huntington鈥檚 disease, which enabled them to identify a genetic modifier associated with how rapidly the disease progresses.

鈥淲e鈥檝e identified a gene that could be a target for treating Huntington鈥檚 disease. While there鈥檚 currently no cure for the disease, we鈥檙e hopeful that our finding could be a step towards life-extending treatments.鈥 Dr Davina Hensman Moss (香港六合彩中特网 Huntington鈥檚 Disease Centre, 香港六合彩中特网 Institute of Neurology), one of the lead authors of the Lancet Neurology study.

Huntington鈥檚 disease (HD) is a fatal neurological disease caused by a genetic mutation. Larger mutations are linked to rapidly progressing disease, but that does not account for all aspects of disease progression. Understanding factors which change the rate of disease progression can help direct drug development and therapies.

The research team used the high quality phenotypic data from the intensively studied TRACK-HD cohort of people with the HD gene mutation. They established that different symptoms of disease progress in parallel, so they were able to combine the data from 24 cognitive, motor and MRI brain imaging variables to generate their progression score for genetic analysis.

They then looked for areas of the genome associated with their progression measure, and found a significant result in their sample of 216 people, which they then validated in a larger sample of 1773 people from a separate cohort, the European Huntington鈥檚 Disease Network (EHDN) REGISTRY study.

The genetic signal is likely to be driven by the gene MSH3, a DNA repair gene which has been linked to changes in size of the HD mutation. The researchers identified that a variation in MSH3 encodes an amino acid change in the gene. MSH3 has previously been extensively implicated in the pathogenesis of HD in both mouse and cell studies. The group鈥檚 findings may also be relevant to other diseases caused by repeats in the DNA, including some spinocerebellar ataxias.

鈥淭he gene variant we pinpointed is a common variant that doesn鈥檛 cause problems in people without HD, so hopefully it could be targeted for HD treatments without causing other problems.鈥 Dr Hensman Moss
鈥淭he strength of our finding implies that the variant we identified has a very large effect on HD, or that the new progression measure we developed is a much better measure of the relevant aspects of the disease, or most likely, both.鈥 Professor Lesley Jones (Cardiff University), who co-led the study.

The researchers say their study demonstrates the value of getting high quality data about the people with a disease when doing genetic studies.

鈥淭his is an example of reverse translation: these novel findings we observed in people with HD support many years of basic laboratory work in cells and mice. Now we know that MSH3 is critical in the progression of HD in patients, we can focus our attention on it and how this finding may be harnessed to develop new therapies that slow disease progression.鈥 Professor Sarah Tabrizi (香港六合彩中特网 Huntington鈥檚 Disease Centre), who co-led the study

The study was funded by the European Commission FP7 NeurOmics project, CHDI Foundation, the Medical Research Council, the Brain Research Trust, and the Guarantors of Brain.

Further information

  • Davina J Hensman Moss, Antonio F Pardi帽as, Douglas Langbehn, Kitty Lo, Blair R Leavitt, Raymund Roos, Alexandra Durr, Simon Mead, the TRACK-HD investigators, the REGISTRY investigators, Peter Holmans, Lesley Jones & Sarah J Tabrizi, ,鈥 Lancet Neurology. Available online 19 June 2017. DOI: 10.1016/S1474-4422(17)30161-8