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Published on: December 10, 2021
Clinical and genetic characteristics in patients with Huntington's Disease from Argentina
Emilia Gatto1, Virginia Parisi, Gabriel Persi
1Department of Movement Disorders, Instituto Neurociencias de Buenos Aires (INEBA), Buenos Aires, Argentina. emiliagatto@fibertel.com.ar
Insights
This study presents the first demographic, clinical, and molecular data for Huntington
Area of Science:
- Neurogenetics
- Neurology
- Human Genetics
Background:
- Huntington's Disease (HD) is a neurodegenerative disorder caused by an unstable CAG repeat expansion in the HTT gene.
- Limited data exists regarding the prevalence and characteristics of HD in Argentina.
Purpose of the Study:
- To characterize the demographic, clinical, and molecular profiles of Huntington's Disease patients in Argentina.
- To establish a baseline understanding of HD in a previously underrepresented population.
Main Methods:
- Recruitment of 59 Huntington's Disease patients from a single department.
- Inclusion of comprehensive patient interviews, neurological examinations, and genetic analysis.
- Statistical analysis utilizing G-Stat 2.0 and non-parametric Wilcoxon tests.
Main Results:
- A cohort of 32 women and 27 men with a mean age of 45.7 years and mean age at onset of 35.8 years.
- No significant gender prevalence observed; inverse correlation between CAG repeat size and age at onset (r=-0.58, p=0.0008).
- Higher incidence of juvenile Huntington's Disease (16.6%) than previously reported; mean CAG repeat of 45.1 in affected alleles.
Conclusions:
- This study provides the first comprehensive dataset for Argentinean Huntington's Disease patients.
- Demographic, clinical, and molecular findings are comparable to those reported in Western European populations.
- Highlights the need for further research and clinical attention to HD in Argentina.
Unlabelled:
Huntington's Disease (HD) is a neurodegenerative disease, caused by the expansion of an unstable (CAG)(n) in the HTT gene. There is scarce data about the disease in Argentina.
Objective:
To describe the demographic, clinical and molecular data in patients with HD from Argentina.
Patients And Methods:
59 HD patients were recruited at our department. Comprehensive interviews, neurological examination and genetic analysis were performed in probands. Statistical analysis was conducted using G-Stat 2.0 and non-parametric tests (Wilcoxon).
Results:
32 women and 27 men were diagnosed with a mean age of 45.7 ± 16.2 years and a mean age at onset of 35.8 ± 14.8 years. We found no gender prevalence and an inverse correlation between size of mutant CAG repeat sequence and age at onset, r = -0.58, r(2) = 33.6, Pearson's correlation coefficient p = 0.0008. Juvenile HD in this series of patients was higher than previously reported (16.6% vs. <10%). The mean CAG repeat in the expanded allele was 45.1. The number of CAG repeats in Argentinean controls was 17.8, which is similar to the literature of the European population.
Conclusions:
This is the first series of Argentinean HD patients with demographic, clinical and molecular data. Our findings appear similar to the ones described in Western European populations.
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