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The Latest: Will be moved as others are uploaded

RNAi Suppresses Polyglutamine-Induced Neurodegeration In A Model of Spinocerebellar Ataxia - Nature Medicine Published Online July 4, 2004:  Haibin Xia, Qinwen Mao, Steven L. Eliason, Scott Q. Harper, Ines H. Martins, Harry T. Orr, Henry L. Paulson, Linda Yang, Robert M. Kotin & Beverly L. Davidson
 
Nature Medicine article on the RNAi success on SCA1 at the University of Iowa presented at the American Society of Gene Therapy. According to their press release they were nominated the top abstract at the conference.  Note that this study a ‘two-fer’. It is not only a statement of success on RNAi…it is a statement on their success using a viral vector to deliver the therapy
 
Related news releases:
University of Iowa researchers have shown for the first time that gene therapy delivered to the brains of living mice can prevent the physical symptoms and neurological damage caused by an inherited neurodegenerative disease that is similar to Huntington's disease (HD).
The study appeared in the August issue of Nature Medicine and in the journal's advanced online publication Sunday. If the approach can be used in humans, it could provide treatment for a group of incurable, progressive neurological diseases called polyglutamine-repeat diseases, which include Huntington's disease.
US scientists have prevented mice from developing a hereditary brain disease by injecting their brains with fragments of genetic material designed to switch off unhealthy genes. The research paves the way for similar therapies in humans, including treating Alzheimer's and Huntington's diseases. Five-week-old mice with spinocerebellar ataxia - an untreatable, hereditary neurodegenerative condition similar to Huntington's - were treated using a gene therapy specifically targeted to eradicate the diseased genes.
Rapamycin Study In Huntington's Disease
Input from HD Researcher:
This study adds to our growing list of compounds that have been shown to have a good effect against HD in animal models.What I think is equally as exciting about the news of a good effect of rapamycin is the way in which the drug works - by unblocking autophagy,which is blocked by TOR. Autophagy is the garbage collection system in the cell, and lots of research has gone on in the last year studying this mechanism as it relates to HD. The support that this paper lends to the notion that autophagic stimulation could be beneficial to HD means that research in this area will become more focused and hopefully accelerated.
 
5 page PDF Document
Huntington's disease may be more straightforward to fight than doctors have feared, paradoxically because the genetic brain disorder is more complicated than anyone knew, U.S. researchers said on Thursday. Their research in fruit flies shows that nerve cells modify the mutated protein responsible for Huntington's disease, and this basic cell process could in theory be altered with a drug. The researchers believe their finding, published in this week's issue of the journal Science, opens a new approach to treating the fatal and incurable disease.

 Scientific

New Model for Prediciting Age of Onset in HD Mar 2004   PDF 11 pages

A new model for prediction of age of onset and penetrance for Huntongtin's diseased based on CAG length. 

 

Huntingtin In Health and Disease
February 1, 2003   Word 11 pages
Anne B. Young "As many steps in the process of functional decline and cell death represent potential drug targets, we should eventually find a cure."

 

Reduced Basal Ganglia Blood Flow & Volume In Pre-symptomatic, Gene-Tested Persons At-Risk For Huntington's Disease
1999 PDF 12 pages
 
The current study suggests that quantitative assessment of basal ganglia may provide a means to trace early signs of decline in individuals with the Huntington's gene mutation prior to clinical onset.

 

Scientific Brochure
October 11, 2002  Word 51 pages
Update on HSG Clinical Trials
Recent Results, Current Studies, Future Plans
The implicit aim of current research in HD is to find a cure for this terrible disorder. Although this goal has eluded us so far, ideas about which strategies to pursue are not lacking. Treatments can be classified into primary (treating asymptomatic gene carriers in order to postpone or prevent symptomatic conversion) and secondary (treating affected individuals, to postpone or prevent progression) neuroprotective interventions. In addition, symptomatic treatments intend to alleviate the burden of the disease, while restorative treatments aim at reversing the decline that has already taken place.
 
December 2002     Word 8 pages
Cattaneo, Elena; Rigamonti, Dorotea; Zuccato, Chiara:  Armed with a better understanding of the complexities of Huntington's disease, we can now turn to devising better treatments for the disease. The drugs that are currently available alleviate just some of the symptoms of the disorder and can have serious side effects.Indeed, the drugs often ameliorate one symptom only to make another worse. Although doctors commonly prescribe sedatives to people with Huntington's to control their involuntary movements, these drugs also lower levels in the brain of the neurotransmitter dopamine, worsening the person's depressive symptoms.

Genetics

Impact On Couple Relationships of Predictive Testing  To Huntington Disease: A Longitudinal Study -2003 Fiona Richards, Department of Clinical Genetics and Katrina Williams, Department of Clinical Epideiology,The Children's Hospital at Westmead, Sydney, Australia PDF  9 pages
This longitudinal study compared the level of marital adjustment of 23 couples in which the at-risk partner is undergoing predictive testing for HD [the testing group] with that of 20 couples in which the at-risk partner is not under-going testing [the non-testing group].
Couples' Experiences of Predictive Testing and Living With the Risk of Reality of Huntington Disease: A Qualitative Study - 2003 Fiona Richards, Department of Clinical Genetics, The Children's Hospital at Westmead, Sydney, Australia PDF 13 pages
 
The findings of this study highlight both the individuality and the complexity of psycho-logical effects on the intimate relationships of couples who live with the risk or reality of HD, and provide important insights for professionals offering support to these couples.

Potential Treatments/Medications

Science article on the Huntington's Disease Drug Works [HDDW] program!

Paxil Delays Onset Apr. 2004

5 page PDF Document

Paroxetin Retards Disease Onset and Progression Huntingtin Mutant Mice
We report that administration of paroxetine, a widely prescribed antidepressant drug that acts by inhibiting reuptake of the neurotransmitter serotonin, suppresses the neurodegenerative process and increases the survival of huntingtin mutant mice, an animal model of Huntington's Disease [HD]. 

Care

A Study WORD 18 pages 
Evidence showed an inverse correlation between the onset of cognitive impairment and the number of trinucleotide repeats in the HD gene. Additionally, this study showed that although a statistically significant correlation exists between the number of repeats and the progressive dementia, the relationship is tenuous.
 
Impact of Huntington's Disease
On The Individual and The Family
Mar 2004 Word 12 page Slide Show
By Melinda Kavanaugh, MSW
Washington University School of Medicine
HD What We See, What We Don't See, The Issues, Inheritance, Discrimination, Insurance Discrimination. Relationships, Self Worth and Esteem, Financial Hardships, Care & Treatment
 
Successful Multimodality Treatment of Severe Behavioral Disturbance
in a Patient With Advanced Huntington's Disease  Dec. 2001 Word 12 pages
Treatment of the psychiatric manifestations of Huntington's disease include pharmacological and behavioral interventions. Here we discuss the case of a young man with advanced Huntington's disease and severe behavioral, affective, perceptual, and cognitive disturbances who was successfully treated by using a combination of approaches within a highly structured, multidisciplinary inpatient setting. This case discussion will also illustrate the complex psychiatric symptoms that emerge in Huntington's disease or as a result of its treatment, the use of a  differential reinforcement schedule in advanced dementia, and the important role of a tertiary care center in the treatment of this kind of complicated illness. This case highlights many challenges inherent in the care of chronically ill patients with degenerative disorders and ultimately illustrates the clear benefits of applying intensive diagnostic and treatment methods, despite the impossibility of curing the underlying disorder

Planning

Huntington's Disease An Insurance Model 2004  PDF 28 pages.  Epidemiology of HD, fitting models to [a] rate of onset, depending on CAG repeath lenght as well as age; [b] to post-onset rates of mortality; and [c] to the distibution of CAG repeat lengths in the population.

HD Critical Illiness Insurance and Life Insurance 2004  PDF 24 pages. Using above, the critical illness and life insurance markets were studied. Caculates premiums based on genetic test results that disclose the CAG repeat length, or more simply a family history of HD.  Complexities suggest that restrictions on disclosure, rather than use, of genetic information.

A Personal Perspective on Estate Planning For HD Families PDF 18 pages.  Written by Steven Hurst for the Huntington's Society of Canada.  Covers Getting Started; Round One-Where We Need Help, Round Two- Getting Details, How Much Life Insurance?,  Guarding Against The Cost of HD,  Using Trusts To Protect Resources, The Law & Family Trusts, Early Planning-A Must For HD Trusts,

Fetal Neural Transplants

Note: These latest article once again, will stir up the hopes for fetal transplant in HD in a country [USA] where it would be nearly impossible for HD patients to participate in any clinical trials for fetal transplantation.  For those families seeking this procedure for someone with HD, they need to keep in mind the restrictive guidelines for accepting patients.  Those guidelines were established based on the outcome of the earlier procedures done in the USA at both the University of South Florida, Tampa, Fl. and The Neurosciences Institute, Good Samaritan Hospital, Los Angeles, CA.  These procedures were not referenced in latest article however reference to them can be found in the other information below. 

Integrating Fetal Neural Transplants in HD into a therapeutic strategy: the example of Huntington's disease. 2004 Mar 26 PDF  10 pages
 
We use here the example of Huntington's disease to show what fetal neural transplants may uniquely offer for that disease. Article concludes " Symptomatic relief of chorea and psychiatric symptoms in particular seems with reach already, but should clearly be combined with a neuroprotective treatment as soon as one can be identified. 
 
Neural replacement, through fetal neural transplantation, which it is the only option at the present time, will be a welcome complement, providing patients with the possibility not only of stabilization but also even of the recovery of affected functions."
2003 Mar Word 1 page University of South Florida, Tampa, FL  - Outcome of procedures with 7 HD patients.  Concludes: Transplantation of human fetal striatal cells is feasible and survival of transplanted cells was demonstrated. Patients with moderately advanced.
 
Transplanted Fetal Striatum In HD: phenotypic development and lack of pathology.
Dec 5 2000 PDF 6 pages University of South Florida, Tampa, FL   Seven HD patients. 
 
This study demonstrates that grafts derived from human fetal striatal tissue can survive, develop, and are unaffected by the disease process, at least for 18 months, after transplantation into a patient with HD.

General

PDF 8 pages Providing general description of HD from the Huntington's Society of Canada
Stanford University has given permission for me to share this excellent document written for young people living HD until they are able to upload it to their website.  Please visit their website for the HD HOPES Project ->Stanford University HD HOPES Project