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HD-MAPS: HD Modifiers in Age of Onset in Pairs of Siblings

HD-MAPS is an ongoing study being coordinated by Dr. Richard H. Myers at Boston University School of Medicine. The study is funded by the National Institutes of Health, The Huntington’s Disease Society of America and the Jerry MacDonald HD Research fund. While the HD gene has been identified and we understand the molecular defect that leads to HD, there is strong evidence that other genes influence the age at which an individual will begin to develop symptoms of HD. The goal of the HD-MAPS study is to identify the genes that modify the age of onset of HD. By understanding the biological modifiers of onset, the researchers may be able to develop methods to delay the onset for others as a form of treatment for HD.

Using a sample of HD diagnosed sibling pairs, as well as larger families with multiple members with HD, and with known ages at onset, the HD-MAPS study has identified four different chromosomal regions that may contain genes that modify the age when an individual will develop HD. Two of these regions are on chromosome 6, one is on chromosome 18 and the fourth is at or near the position of the HD gene itself on chromosome 4.

A number of publications have already resulted from this study and are listed below.

  1. Li J-L, Hayden M, Almqvist EW, Brinkman R, Durr A, Dode C, Morrison PJ, Suchowersky O, Ross C, Margolis R, Rosenblatt A, Gómez-Tortosa E, Mayo Cabrero D, Novelletto A, Frontali M, Nance M, Trent RJA, McCusker E, Jones R, Paulsen J, Harrison M, Zanko A, Abramson R, Russ A, Knowlton B, Djoussé L, Mysore JL, Tariot S, Gusella MF, Wheeler VC, Atwood LD, Cupples LA, Saint Hilaire M, Cha J-H, Hersch SM, Koroshetz WJ, Gusella JF, MacDonald ME, Myers RH. A Genome Scan for Modifiers of Age at Onset in Huntington's disease: The HD MAPS Study. American Journal of Human Genetics 2003; 73:682-687.

  2. Djoussé L, Knowlton B, Hayden M, Almqvist EW, Brinkman R, Ross CA, Margolis R, Rosenblatt A, Durr A, Dode C, Morrison PJ, Novelletto A, Frontali M, Trent RJA, McCusker E, Gómez-Tortosa E, Mayo D, Jones R, Zanko A, Nance M, Abramson R, Suchowersky O, Paulsen J, Harrison M, Yang Q, Cupples LA, Mysore J, Gusella JF, MacDonald ME, Myers RH. Evidence for a Modifier of Onset Age in Huntington's Disease Linked to the HD Gene in 4p16. Neurogenetics (epub March 17, 2004).

  3. Djoussé L, Knowlton B, Hayden M, Almqvist EW, Brinkman R, Ross CA, Margolis R, Rosenblatt A, Durr A, Dode C, Morrison PJ, Novelletto A, Frontali M, Trent RJA, McCusker E, Gómez-Tortosa E, Mayo D, Jones R, Zanko A, Nance M, Abramson R, Suchowersky O, Paulsen J, Harrison M, Yang Q, Cupples LA, Mysore J, Gusella JF, MacDonald ME, Myers RH. Interaction of normal and expanded CAG repeat sizes influences age at onset of Huntington disease. American Journal of Medical Genetics 2003; 119A(3): 279-82

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