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Huntington’s Disease

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Neurodegenerative Disorders

Abstract

Huntington’s disease (HD) is an autosomal dominant neurodegenerative brain disorder causing movement, cognitive and emotional deterioration leading to progressive disability and death. The genetic mutation was identified in 1993 as an expanded CAG repeat in the huntingtin (HTT) gene on the short arm of chromosome 4 that codes for an abnormally high number of glutamines in the translated huntingtin protein. At present there is no known treatment to slow the pace of neurodegeneration, which generally has a 20-year course after initial diagnosis. The clinical manifestations of the disease vary widely but they generally include dysfunction in cognition, mood, voluntary motor control and most patients have the signature finding of chorea.

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Selected Bibliography

  • Banaszkiewicz K, Sitek EJ, Rudzińska M, Soltan W, Slawek J, et al. Huntingotn’s disease from the patient, caregiver and physician’s perspective: three sides of the same coin? J Neural Transm. 2012;119:1361–5.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bates G, Harper P, Jones L. Huntington’s disease. 3rd ed. Oxford: OUP; 2002.

    Google Scholar 

  • Bonner-Jackson A, Long JD, Westervelt H, Tremont G, Aylward E, et al. Cognitive reserve and brain reserve in prodromal Huntington’s disease. J Int Neuropsychol Soc. 2013;19:739–50.

    Article  PubMed Central  PubMed  Google Scholar 

  • Calder AJ, Keane J, Young AW, Lawrence AD, Mason S, Barker RA. The relation between anger and different forms of disgust: implications for emotion recognition impairments in Huntington’s disease. Neuropsychologia. 2010;48:2719–29.

    Article  PubMed  Google Scholar 

  • David AS, Fleminger S, Kopelman MD, Lovestone S, Mellers JDC. (eds) (2009) Index, in Lishman’s Organic Psychiatry: A Textbook of Neuropsychiatry, Fourth Edition, Wiley-Blackwell, Oxford, UK.

    Google Scholar 

  • Douglas I, Evans S, Rawlins MD, Smeeth L, Tabrizi SJ, Wexler NS. Juvenile Huntington’s disease: a population-based study using the General Practice Research Database. BMJ Open. 2013;3:e002085. doi:10.1136/bmjopen-2012-002085.

    PubMed Central  PubMed  Google Scholar 

  • Eddy CM, Sira-Mahalingappa S, Rickards HE. Is Huntington’s disease associated with deficits in theory of mind? Acta Neurol Scand. 2012;126:376–83.

    Article  CAS  PubMed  Google Scholar 

  • Eddy CM, Sira-Mahalingappa S, Rickards HE. Putting things into perspective: the nature and impact of theory of mind impairment in Huntington’s disease. Eur Arch Psychiatry Clin Neurosci. 2014;264(8):697–705.

    Article  PubMed  Google Scholar 

  • Epping EA, Paulsen JS. Depression in the early stages of Huntington disease. Neurodegener Dis Manag. 2011;1(5):407–14.

    Article  PubMed Central  PubMed  Google Scholar 

  • Evans SJW, Douglas I, Rawlings MD, Wexler NS, Tabrizi SJ, et al. Prevalence of adult Huntington’s disease in the UK based on diagnoses recorded in general practice records. J Neurol Neurosurg Psychiatry. 2013;84:1156–60.

    Article  PubMed Central  PubMed  Google Scholar 

  • Harrington DL, Smith MM, Zhang Y, Carlozzi NE, Paulsen JS, et al. Cognitive domains that predict time to diagnosis in prodromal Huntington disease. J Neurol Neurosurg Psychiatry. 2012;83(6):1–7.

    Article  Google Scholar 

  • Hart EP, Dumas EM, Giltay EJ, Middelkoop HAM, Roos RAC. Cognition in Huntington’s disease in manifest, premanifest and converting gene carriers over ten years. J Huntingtons Dis. 2013;2:137–47.

    PubMed  Google Scholar 

  • Henley SMD, Marianne NJU, Frost C, King J, Tabrizi SJ, Warren JD. Emotional recognition in Huntington’s disease: a systematic review. Neurosci Biobehav Rev. 2012;36:237–53.

    Article  PubMed  Google Scholar 

  • Hersch S, Jones R, Koroshetz W, Quaid K. The neurogenetics genie: testing for the Huntingtons disease mutation. Neurology. 1994;44:1369–73.

    Article  CAS  PubMed  Google Scholar 

  • Hubers AA, Reedeker N, Giltay EJ, Roos RA, Van Dujin E, et al. Suicidality in Huntington’s disease. J Affect Disord. 2012;136:550–7.

    Article  CAS  PubMed  Google Scholar 

  • Huntington’s Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell. 1993;72:971–83.

    Article  Google Scholar 

  • Ille R, Holl AK, Kapfhammer HP, Reisinger K, et al. Emotional recognition and experience in Huntington’s disease: is there a differential impairment? Psychiatry Res. 2011;118:377–82.

    Article  Google Scholar 

  • Johnson CD, Davidson BL. Huntington’s disease: progress toward effective disease-modifying treatments and a cure. Hum Mol Gen. 2010;19(Rev issue 1):R98–102.

    Google Scholar 

  • Kalkhoven C, Sennef C, Peeters A, Van den Bos R. Risk-taking and pathological gambling behaviour in Huntington’s disease. Front Behav Neurosci. 2014;8:1–12.

    Article  Google Scholar 

  • Kayson E, Darnell M, Weber J, Biglan K, Shoulsan I, et al. Depression and suicidality at baseline in the prospective Huntington’s At Risk Observational Study (PHAROS). Mov Disord. 2004;19:1128.

    Google Scholar 

  • Klöppel S, Stonnington CM, et al. Irritability in pre-clinical Huntington’s disease. Neuropsychologia. 2010;48:549–57.

    Article  PubMed Central  PubMed  Google Scholar 

  • Krainc D. Clearance of mutant proteins as a therapeutic target for neurodegenerative diseases. Arch Neurol. 2010;67:388–92.

    Article  PubMed  Google Scholar 

  • Lundin A, Dietrichs E, Haghighi S, et al. Efficacy and safety of the dopaminergic stabilizer pridopidine (ACR16) in patients with Huntington’s disease. Clin Neuropharmacol. 2010;33:260–4.

    Article  CAS  PubMed  Google Scholar 

  • Mestre T, Ferreira J, Coelho MM, Rosa M, Sampaio C. Therapeutic interventions for symptomatic treatment in Huntington’s disease. Cochrane Database Syst Rev. 2009. Issue 3. Art. No.: CD006456. doi:10.1002/14651858.CD006456.pub2.

  • Marder K, Zhao H, Eberly S, Tanner CM, Oakes D, Shoulson I, Huntingtons Study Group. Dietary intake in adults at risk for Huntington disease: analysis of PHAROS research participants. Neurology. 2009;73:385–92.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Maroon DA, Gross AL, Brandt J. Modeling longitudinal change in motor and cognitive processing speed in presymptomatic Hungtington’s disease. J Clin Exp Neuropsychol. 2011;33(8):901–9.

    Article  Google Scholar 

  • Mellers JDC, Pender N. Neuropsychiatry of Huntington’s disease. Adv Clin Neurosci Rehabil. 2001;1(5):15–6.

    Google Scholar 

  • Morrison PJ. Accurate prevalence and uptake of testing for Huntington’s disease. Lancet Neurol. 2010;9:1147.

    Article  PubMed  Google Scholar 

  • Novak MJ, Tabrizi SJ. Huntington’s disease. Br Med J. 2010;340:c3109. doi:10.1136/bmj.c3109.

    Article  Google Scholar 

  • Papp KV, Snyder PJ, Mills JA, Duff K, Westervelt HJ, et al. Measuring executive dysfunction longitudinally and in relation to genetic burden, brain volumetrics, and depression in prodromal Huntington disease. Arch Clin Neuropsychol. 2014;28:156–68.

    Article  Google Scholar 

  • Paulsen J. Cognitive changes in Huntington’s disease. Adv Neurol. 2005;96:209–25.

    PubMed  Google Scholar 

  • Paulsen S, Langbehn DR, Stout JC, et al. Detection of Huntington’s disease decades before diagnosis: the Predict-HD study. J Neurol Neurosurg Psychiatry. 2008;79:874–80.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Potter NT, Spector EB, Prior TW. Technical standards and guidelines for Huntington disease testing. Genet Med. 2004;6(1):61–5.

    Article  PubMed  Google Scholar 

  • Quinn N, Brown R, Craufurd D, Goldman S, Hodges J, et al. Core Assessment Program for Intracerebral Transplantation in Huntington’s Disease (CAPIT-HD). Mov Disord. 1996;11(2):143–50.

    Google Scholar 

  • Reedeker W, van der Mast RC, Giltay EJ, Kooistra TAD, et al. Psychiatric disorders in Huntington’s disease: a 2-year follow-up study. Psychosomatics. 2012;53:220–9.

    Article  CAS  PubMed  Google Scholar 

  • Rickards H, DeSouza J, van Walsem M, van Duijn E, Simpson SA, et al. Factor analysis of behavioural symptoms in Huntington’s disease. J Neurol Neurosurg Psychiatry. 2011;82:411–2.

    Article  PubMed  Google Scholar 

  • Ross CA, Tabrizi SJ. Huntington’s disease: from molecular pathogenesis to clinical treatment. Lancet Neurol. 2011;10:83–98.

    Article  CAS  PubMed  Google Scholar 

  • Rosas HD, Feigin AS, Hersch SM. Using advances in neuroimaging to detect, understand, and monitor disease progression in Huntington’s disease. NeruoRx. 2004;1:263–73.

    Article  CAS  Google Scholar 

  • Shoulson I, Fahn S. Huntington disease: clinical care and evaluation. Neurology 1979;29:1–3.

    Google Scholar 

  • Snowden JS, Austin NA, Sembi S, Thompson JC, Craufurd D, Neary D. Emotional recognition in Huntington’s disease and frontotemporal dementia. Neuropsychologia. 2008;46:2638–49.

    Article  CAS  PubMed  Google Scholar 

  • Snowden J, Crauford D, Griffiths HL, Neary D. Longitudinal evaluation of cognitive disorder in Huntington’s disease. J Int Neuropsychol Soc. 2001;7:33–44.

    Article  CAS  PubMed  Google Scholar 

  • Snowden JS, Gibbons ZC, Blackshaw A, Doubleday E, Thompson J, Craufurd D, Foster J, Happe F, Neary D. Social cognition in frontotemporal dementia and Huntington’s disease. Neuropsychologia. 2003;41:688–701.

    Article  CAS  PubMed  Google Scholar 

  • Stout JC, Paulsen JS, Queller S, Solomon AC, Whitlock KB, et al. Neurocognitive signs in prodromal Huntington disease. Neuropsychology. 2010;25(1):1–14.

    Article  Google Scholar 

  • Sutherland GR, Richards RI. Dynamic mutations on the move. J Med Genet. 1993;30:978–81.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Tabrizi SJ, Langbehn DR, Leavitt BR, et al. Biological and clinical manifestations of Huntington’s disease in the longitudinal TRACK-HD study: cross-sectional analysis of baseline data. Lancet Neurol. 2009;8:791–801.

    Article  PubMed Central  PubMed  Google Scholar 

  • Tabrizi SJ, Scahill RI, Owen G, Durr A, Leavitt BR, et al. Predictors of phenotypic progression and disease onset in premanifest and early-stage Huntington’s disease in the TRACK-HD study: analysis of 36-month observational data. Lancet Neurol. 2013;12:637–49.

    Article  PubMed  Google Scholar 

  • Testa JA, Brumback RA, et al. Neuropathology and memory dysfunction in neurodegenerative diseases. In A. Troster (Ed.), Memory in neurodegenerative disease: Biological, Cognitive and Clinical Perspectives 1988. Cambridge University Press, UK.

    Google Scholar 

  • Thompson JC, Harris J, Sollom AC, Stopford CL, Howard E, et al. Longitudinal evaluation of neuropsychiatric symptoms in Huntington’s disease. J Neuropsychiatry Clin Neurosci. 2012;24(1):53–60.

    Article  PubMed  Google Scholar 

  • Vinther-Jensen T, Larsen IU, Hjermind LE, Budtz-Jørgensen E, et al. A clinical classification acknowledging neuropsychiatric and cognitive impairment in Huntington’s disease. Orphanet J Rare Dis. 2014;9:114–23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Vittori A, Breda C, Repici M, Orth M, Roos RA, et al. Copy-number variation of the neuronal glucose transporter gene SLC2A3 and age of onset in Huntington’s disease. Hum Mol Genet. 2014;23(12):3129–37.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Vonsattel JP, DiFiglia M. Huntington disease. J Neuropathol Exp Neurol. 1998;57(5):369–84.

    Article  CAS  PubMed  Google Scholar 

  • Wetzel HH, Gehl CR, Dellefave-Castillo L, Schiffman JF, Shannon KM, et al. Suicidal ideation in Huntington disease: the role of comorbidity. Psychiatry Res. 2011;188(3):372–6.

    Article  PubMed Central  PubMed  Google Scholar 

  • Zakzanis KK. The subcortical dementia of Huntington’s disease. J Clin Exp Neuropsychol. 1998;20(4):565–78.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Niall Pender .

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Burke, T., Doherty, C.P., Koroshetz, W., Pender, N. (2016). Huntington’s Disease. In: Hardiman, O., Doherty, C., Elamin, M., Bede, P. (eds) Neurodegenerative Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-23309-3_9

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  • DOI: https://doi.org/10.1007/978-3-319-23309-3_9

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