Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-117 |
DRI_Background |
denotes |
Identification of genetic variants associated with Huntington's disease progression: a genome-wide association study. |
T2 |
130-215 |
DRI_Approach |
denotes |
Huntington's disease is caused by a CAG repeat expansion in the huntingtin gene, HTT. |
T3 |
216-382 |
DRI_Background |
denotes |
Age at onset has been used as a quantitative phenotype in genetic analysis looking for Huntington's disease modifiers, but is hard to define and not always available. |
T4 |
383-527 |
DRI_Approach |
denotes |
Therefore, we aimed to generate a novel measure of disease progression and to identify genetic markers associated with this progression measure. |
T5 |
537-821 |
DRI_Approach |
denotes |
We generated a progression score on the basis of principal component analysis of prospectively acquired longitudinal changes in motor, cognitive, and imaging measures in the 218 indivduals in the TRACK-HD cohort of Huntington's disease gene mutation carriers (data collected 2008-11). |
T6 |
822-1048 |
DRI_Approach |
denotes |
We generated a parallel progression score using data from 1773 previously genotyped participants from the European Huntington's Disease Network REGISTRY study of Huntington's disease mutation carriers (data collected 2003-13). |
T7 |
1049-1230 |
DRI_Outcome |
denotes |
We did a genome-wide association analyses in terms of progression for 216 TRACK-HD participants and 1773 REGISTRY participants, then a meta-analysis of these results was undertaken. |
T8 |
1241-1437 |
DRI_Background |
denotes |
Longitudinal motor, cognitive, and imaging scores were correlated with each other in TRACK-HD participants, justifying use of a single, cross-domain measure of disease progression in both studies. |
T9 |
1438-1589 |
DRI_Approach |
denotes |
The TRACK-HD and REGISTRY progression measures were correlated with each other (r=0·674), and with age at onset (TRACK-HD, r=0·315; REGISTRY, r=0·234). |
T10 |
1590-1687 |
DRI_Outcome |
denotes |
The meta-analysis of progression in TRACK-HD and REGISTRY gave a genome-wide significant signal ( |
T11 |
1687-1695 |
Token_Label.OUTSIDE |
denotes |
p=1·12 × |
T12 |
1696-1768 |
DRI_Outcome |
denotes |
10(-10)) on chromosome 5 spanning three genes: MSH3, DHFR, and MTRNR2L2. |
T13 |
1769-1839 |
DRI_Approach |
denotes |
The genes in this locus were associated with progression in TRACK-HD ( |
T14 |
1839-1872 |
Token_Label.OUTSIDE |
denotes |
MSH3 p=2·94 × 10(-8)DHFR p=8·37 × |
T15 |
1873-1878 |
DRI_Approach |
denotes |
10(-7 |
T16 |
1880-1897 |
Token_Label.OUTSIDE |
denotes |
MTRNR2L2 p=2·15 × |
T17 |
1898-1942 |
DRI_Approach |
denotes |
10(-9)) and to a lesser extent in REGISTRY ( |
T18 |
1942-1999 |
Token_Label.OUTSIDE |
denotes |
MSH3 p=9·36 × 10(-4)DHFR p=8·45 × 10(-4)MTRNR2L2 p=1·20 × |
T19 |
2000-2008 |
DRI_Approach |
denotes |
10(-3)). |
T20 |
2009-2131 |
DRI_Approach |
denotes |
The lead single nucleotide polymorphism (SNP) in TRACK-HD (rs557874766) was genome-wide significant in the meta-analysis ( |
T21 |
2131-2139 |
Token_Label.OUTSIDE |
denotes |
p=1·58 × |
T22 |
2140-2200 |
DRI_Approach |
denotes |
10(-8)), and encodes an aminoacid change (Pro67Ala) in MSH3. |
T23 |
2201-2545 |
DRI_Approach |
denotes |
In TRACK-HD, each copy of the minor allele at this SNP was associated with a 0·4 units per year (95% CI 0·16-0·66) reduction in the rate of change of the Unified Huntington's Disease Rating Scale (UHDRS) Total Motor Score, and a reduction of 0·12 units per year (95% CI 0·06-0·18) in the rate of change of UHDRS Total Functional Capacity score. |
T24 |
2546-2619 |
DRI_Background |
denotes |
These associations remained significant after adjusting for age of onset. |
T25 |
2636-2779 |
DRI_Outcome |
denotes |
The multidomain progression measure in TRACK-HD was associated with a functional variant that was genome-wide significant in our meta-analysis. |
T26 |
2780-2956 |
DRI_Outcome |
denotes |
The association in only 216 participants implies that the progression measure is a sensitive reflection of disease burden, that the effect size at this locus is large, or both. |
T27 |
2957-3112 |
DRI_Outcome |
denotes |
Knockout of Msh3 reduces somatic expansion in Huntington's disease mouse models, suggesting this mechanism as an area for future therapeutic investigation. |
T28 |
3122-3273 |
DRI_Unspecified |
denotes |
The European Commission FP7 NeurOmics project; CHDI Foundation; the Medical Research Council UK; the Brain Research Trust; and the Guarantors of Brain. |