Two Ethnic Clusters with Huntington Disease in Israel: The Case of Mountain Jews and Karaites

Jennifer Zitser1, Avner Thaler, Noit Inbar

  • 1Movement Disorders Unit, Neurological Institute, Tel Aviv Medical Center, Tel Aviv, Israel.

Insights

Huntington disease (HD) shows clustering in specific Jewish groups in Israel, particularly Mountain Jews and Karaites. This study highlights over-representation in the HD patient population at a specialized center.

Area of Science:

  • Neurogenetics
  • Epidemiology
  • Jewish Genetic Diseases

Background:

  • Huntington disease (HD) prevalence estimates vary globally.
  • Limited data exists on HD prevalence within Israel's diverse Jewish population.

Purpose of the Study:

  • To investigate the clinical, cognitive, and demographic characteristics of Huntington disease patients in Israel.
  • To identify potential population-specific patterns of HD within the Jewish community.

Main Methods:

  • A cross-sectional study involving 84 Huntington disease patients at a tertiary single-center clinic in Israel.
  • Assessment included clinical evaluations, cognitive tests, and demographic data collection.

Main Results:

  • The cohort included Ashkenazi, Mountain (Caucasus), Sephardi Jews, and Karaites.
  • Mountain Jews and Karaites were over-represented in the HD cohort compared to their general population prevalence.
  • No significant differences were found in CAG repeat numbers, age at onset, disease duration, or cognitive scores among the groups.

Conclusions:

  • A notable clustering of Huntington disease was observed among specific Jewish subpopulations treated at the center.
  • Mountain Jews and Karaites represent disproportionately high percentages of the HD patient population in Israel.
  • These findings suggest a potential genetic predisposition or specific epidemiological factors influencing HD occurrence in these groups.
Abstract

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