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Huntingtin CAG repeats in neuropathologically confirmed tauopathies: Novel insights

Title: Huntingtin CAG repeats in neuropathologically confirmed tauopathies: Novel insights
Authors: Pérez‐Oliveira, Sergio; Castilla‐Silgado, Juan; Painous, Cèlia; Aldecoa, Iban; Menéndez‐González, Manuel; Blázquez‐Estrada, Marta; Corte, Daniela; Tomás‐Zapico, Cristina; Compta, Yaroslau; Muñoz, Esteban; Lladó, Albert; Balasa, Mircea; Aragonès, Gemma; García‐González, Pablo; Rosende‐Roca, Maitée; Boada, Mercè; Ruíz, Agustín; Pastor, Pau; De la Casa‐Fages, Beatriz; Rabano, Alberto; Sánchez‐Valle, Raquel; Molina‐Porcel, Laura; Álvarez, Victoria
Contributors: Instituto de Salud Carlos III; EuroNanoMed III
Source: Brain Pathology ; volume 34, issue 4 ; ISSN 1015-6305 1750-3639
Publisher Information: Wiley
Publication Year: 2024
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Previous studies have suggested a relationship between the number of CAG triplet repeats in the HTT gene and neurodegenerative diseases not related to Huntington's disease (HD). This study seeks to investigate whether the number of CAG repeats of HTT is associated with the risk of developing certain tauopathies and its influence as a modulator of the clinical and neuropathological phenotype. Additionally, it aims to evaluate the potential of polyglutamine staining as a neuropathological screening. We genotyped the HTT gene CAG repeat number and APOE‐ℰ isoforms in a cohort of patients with neuropathological diagnoses of tauopathies ( n =588), including 34 corticobasal degeneration (CBD), 98 progressive supranuclear palsy (PSP) and 456 Alzheimer's disease (AD). Furthermore, we genotyped a control group of 1070 patients, of whom 44 were neuropathologic controls. We identified significant differences in the number of patients with pathological HTT expansions in the CBD group (2.7%) and PSP group (3.2%) compared to control subjects (0.2%). A significant increase in the size of the HTT CAG repeats was found in the AD compared to the control group, influenced by the presence of the Apoliprotein E (APOE)‐ℰ4 isoform. Post‐mortem assessments uncovered tauopathy pathology with positive polyglutamine aggregates, with a slight predominance in the neostriatum for PSP and CBD cases and somewhat greater limbic involvement in the AD case. Our results indicated a link between HTT CAG repeat expansion with other non‐HD pathology, suggesting they could share common neurodegenerative pathways. These findings support that genetic or histological screening for HTT repeat expansions should be considered in tauopathies.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1111/bpa.13250
Availability: https://doi.org/10.1111/bpa.13250; https://onlinelibrary.wiley.com/doi/pdf/10.1111/bpa.13250
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.AFEC4056
Database: BASE