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Updated: Aug 9, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Juvenile onset Huntington's disease--clinical and research perspectives
1Department of Neurosciences, Park Nicollet Clinic, St. Louis Park, Minnesota, USA.
Insights
Huntington's disease (HD) is an inherited neurodegenerative disorder caused by expanded CAG repeats in the huntingtin gene. Juvenile HD, a severe form, presents unique clinical and neuropathological features, including striatal degeneration and inclusion bodies.
Area of Science:
- Neuroscience
- Genetics
- Pathology
Background:
- Huntington's disease (HD) is an inherited neurodegenerative disorder.
- It is caused by an expansion of CAG trinucleotide repeats in the huntingtin gene (HTT).
- Normal repeat numbers range from 15-30, with 40+ associated with HD.
Purpose of the Study:
- To describe the characteristics of juvenile Huntington's disease (jHD).
- To compare jHD neuropathology with adult-onset HD.
- To explore the role of huntingtin protein aggregates in HD pathogenesis.
Main Methods:
- Review of clinical and neuropathological data from jHD cases.
- Comparison of neuropathological findings in jHD with adult HD.
- Analysis of protein inclusion bodies in affected neurons.
Main Results:
- Juvenile HD accounts for ~7% of cases, with onset before 21 years.
- jHD is associated with paternal transmission, large repeat expansions (>60), rigidity, and seizures.
- Neuropathology in jHD primarily affects the striatum, similar to adult HD, with nuclear and cytoplasmic inclusion bodies containing huntingtin and ubiquitin.
Conclusions:
- Juvenile HD exhibits distinct clinical and genetic features but shares core neuropathological similarities with adult HD.
- Inclusion bodies may play a role in sequestering toxic protein fragments, potentially prolonging neuronal survival.
- Further research into inclusion body function could offer therapeutic insights for Huntington's disease.
Abstract:
Huntington's disease (HD) is an inherited neurodegenerative disorder. The mutation which causes the disease is an expansion in the number of repetitions of three nucleotides, C, A, and G in exon 1 of the huntingtin gene. The gene normally has 15 to 30 repeats and an expansion to 40 or more is associated with HD. HD usually has a mid-life onset, but a juvenile form, defined by onset of symptoms before the age of 21 years, is present in about 7% of HD cases. Juvenile HD is characterized by (1) transmission from an HD affected father, (2) an unusually large repeat size, usually of 60 or more units, and (3) unique clinical features, including rigidity and seizure disorder. Although juvenile onset is associated with a more severe neuropathological involvement, the neuropathological characteristics of juvenile HD are similar to those seen in the adult form in that the striatum bears the brunt of the illness. Clumps of protein, termed inclusion bodies, which stain positive for huntingtin and ubiquitin, are found primarily in the nucleus but also in the cytoplasm and axons in HD neurons. Research suggests that these inclusion bodies sequester a deleterious protein fragment and prolong cell life during the degenerative process of the disease.
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