Hyperhomocysteinemia and Vitamin B Deficiency as Potential Aggravating Factors in Huntington's Disease: A Prospective

Salomé Puisieux1,2, Elise Pourié2, Céline Bonnet2,3

  • 1Department of Neurology, University Hospital of Nancy, Nancy, France.

Insights

Elevated homocysteine levels are common in Huntington's disease (HD) patients and linked to faster motor progression. This suggests hyperhomocysteinemia may influence HD

Area of Science:

  • Neurology
  • Metabolic Medicine
  • Genetics

Background:

  • Elevated homocysteine levels are suspected in Huntington's disease (HD) but their clinical significance is not confirmed.
  • Understanding the role of homocysteine and vitamin B in HD pathogenesis is crucial for potential therapeutic strategies.

Purpose of the Study:

  • To evaluate vitamin B and homocysteine levels in Huntington's disease patients.
  • To investigate the association between hyperhomocysteinemia, vitamin B deficiency, and motor symptom progression in HD.

Main Methods:

  • A monocentric case-control study involving 77 HD patients and 87 controls.
  • Clinical assessment using the Unified Huntington Disease Rating Scale-Motor and biochemical evaluation of vitamin B and homocysteine levels.
  • Statistical analysis included Fisher's exact test, Wilcoxon test, and Student's t-test (P < 0.05 significance).

Main Results:

  • HD patients (symptomatic and premanifest) exhibited significantly higher homocysteine levels compared to controls.
  • Hyperhomocysteinemia was identified in approximately 48% of HD patients.
  • A significant association was found between hyperhomocysteinemia and accelerated motor progression (P < 0.001).

Conclusions:

  • Hyperhomocysteinemia is prevalent in Huntington's disease and may contribute to disease variability.
  • Findings suggest a connection between altered one-carbon metabolism and HD.
  • Further research is warranted to explore the therapeutic potential of targeting hyperhomocysteinemia in HD management.
Abstract

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