“Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats

The “Spazio Huntington—A Place for Children” program was launched in 2019. The aim was to contact at risk kids within Huntington disease (HD) families, to provide counseling to their parents and to start a prospective follow-up of kids suspicious to manifest pediatric HD (PHD). We met 25 at risk kid...

Full description

Bibliographic Details
Main Authors: Federica Graziola, Sabrina Maffi, Melissa Grasso, Giacomo Garone, Simone Migliore, Eugenia Scaricamazza, Consuelo Ceccarelli, Melissa Casella, Ludovica Busi, Barbara D’Alessio, Alessandro De Luca, Giovanna Stefania Colafati, Umberto Sabatini, Alessandro Capuano, Ferdinando Squitieri
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/1/120
_version_ 1797492788807335936
author Federica Graziola
Sabrina Maffi
Melissa Grasso
Giacomo Garone
Simone Migliore
Eugenia Scaricamazza
Consuelo Ceccarelli
Melissa Casella
Ludovica Busi
Barbara D’Alessio
Alessandro De Luca
Giovanna Stefania Colafati
Umberto Sabatini
Alessandro Capuano
Ferdinando Squitieri
author_facet Federica Graziola
Sabrina Maffi
Melissa Grasso
Giacomo Garone
Simone Migliore
Eugenia Scaricamazza
Consuelo Ceccarelli
Melissa Casella
Ludovica Busi
Barbara D’Alessio
Alessandro De Luca
Giovanna Stefania Colafati
Umberto Sabatini
Alessandro Capuano
Ferdinando Squitieri
author_sort Federica Graziola
collection DOAJ
description The “Spazio Huntington—A Place for Children” program was launched in 2019. The aim was to contact at risk kids within Huntington disease (HD) families, to provide counseling to their parents and to start a prospective follow-up of kids suspicious to manifest pediatric HD (PHD). We met 25 at risk kids in two years, four of whom with PHD and highly expanded (HE) mutations beyond 80 CAG repeats. We rated motor, neuropsychological and behavioral changes in all PHD kids by the Unified HD Rating Scale (UHDRS)-total motor score (TMS) and additional measures of (1) cognitive level (Leiter International Performance Scale), (2) adaptive functioning (Adaptive Behavior Assessment Systems), (3) receptive language (Peabody Picture Vocabulary Test) and (4) behavioral abnormalities (Child Behavior Check List and Children’s Yale–Brown Obsessive Compulsive Scale). All PHD kids showed a severe progression of neurological and psychiatric manifestations including motor, cognitive and behavioral changes. The magnetic resonance imaging contributed to confirm the suspicious clinical observation by highlighting very initial striatum abnormalities in PHD. Spazio Huntington is a program to prospectively study PHD, the most atypical face of HD, and may represent the basis to recruit PHD patients in future clinical trials.
first_indexed 2024-03-10T01:09:44Z
format Article
id doaj.art-d1694290b8ea4872acd3087160558331
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-10T01:09:44Z
publishDate 2022-01-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-d1694290b8ea4872acd30871605583312023-11-23T14:20:51ZengMDPI AGJournal of Personalized Medicine2075-44262022-01-0112112010.3390/jpm12010120“Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG RepeatsFederica Graziola0Sabrina Maffi1Melissa Grasso2Giacomo Garone3Simone Migliore4Eugenia Scaricamazza5Consuelo Ceccarelli6Melissa Casella7Ludovica Busi8Barbara D’Alessio9Alessandro De Luca10Giovanna Stefania Colafati11Umberto Sabatini12Alessandro Capuano13Ferdinando Squitieri14Neurology Unit, Department of Neurosciences, IRCCS Bambino Gesù Children Hospital, 00146 Rome, ItalyHuntington and Rare Diseases Unit, Fondazione IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini, 71013 San Giovanni Rotondo, ItalyNeurology Unit, Department of Neurosciences, IRCCS Bambino Gesù Children Hospital, 00146 Rome, ItalyNeurology Unit, Department of Neurosciences, IRCCS Bambino Gesù Children Hospital, 00146 Rome, ItalyHuntington and Rare Diseases Unit, Fondazione IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini, 71013 San Giovanni Rotondo, ItalyHuntington and Rare Diseases Unit, Fondazione IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini, 71013 San Giovanni Rotondo, ItalyItalian League for Research on Huntington Foundation, Via Varese 31, 00185 Rome, ItalyItalian League for Research on Huntington Foundation, Via Varese 31, 00185 Rome, ItalyItalian League for Research on Huntington Foundation, Via Varese 31, 00185 Rome, ItalyItalian League for Research on Huntington Foundation, Via Varese 31, 00185 Rome, ItalyMedical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini, 71013 San Giovanni Rotondo, ItalyNeuroradiology Unit, Imaging Department, IRCCS Bambino Gesù Children Hospital, 00146 Rome, ItalyNeuroradiology Unit, Department of Medical and Surgical Sciences, Magna Graecia University, Viale Europa, 88100 Catanzaro, ItalyNeurology Unit, Department of Neurosciences, IRCCS Bambino Gesù Children Hospital, 00146 Rome, ItalyHuntington and Rare Diseases Unit, Fondazione IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini, 71013 San Giovanni Rotondo, ItalyThe “Spazio Huntington—A Place for Children” program was launched in 2019. The aim was to contact at risk kids within Huntington disease (HD) families, to provide counseling to their parents and to start a prospective follow-up of kids suspicious to manifest pediatric HD (PHD). We met 25 at risk kids in two years, four of whom with PHD and highly expanded (HE) mutations beyond 80 CAG repeats. We rated motor, neuropsychological and behavioral changes in all PHD kids by the Unified HD Rating Scale (UHDRS)-total motor score (TMS) and additional measures of (1) cognitive level (Leiter International Performance Scale), (2) adaptive functioning (Adaptive Behavior Assessment Systems), (3) receptive language (Peabody Picture Vocabulary Test) and (4) behavioral abnormalities (Child Behavior Check List and Children’s Yale–Brown Obsessive Compulsive Scale). All PHD kids showed a severe progression of neurological and psychiatric manifestations including motor, cognitive and behavioral changes. The magnetic resonance imaging contributed to confirm the suspicious clinical observation by highlighting very initial striatum abnormalities in PHD. Spazio Huntington is a program to prospectively study PHD, the most atypical face of HD, and may represent the basis to recruit PHD patients in future clinical trials.https://www.mdpi.com/2075-4426/12/1/120pediatric Huntington diseaseobservational studiesprospective studieshigh CAG expansionsatypical Huntington disease
spellingShingle Federica Graziola
Sabrina Maffi
Melissa Grasso
Giacomo Garone
Simone Migliore
Eugenia Scaricamazza
Consuelo Ceccarelli
Melissa Casella
Ludovica Busi
Barbara D’Alessio
Alessandro De Luca
Giovanna Stefania Colafati
Umberto Sabatini
Alessandro Capuano
Ferdinando Squitieri
“Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
Journal of Personalized Medicine
pediatric Huntington disease
observational studies
prospective studies
high CAG expansions
atypical Huntington disease
title “Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
title_full “Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
title_fullStr “Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
title_full_unstemmed “Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
title_short “Spazio Huntington”: Tracing the Early Motor, Cognitive and Behavioral Profiles of Kids with Proven Pediatric Huntington Disease and Expanded Mutations > 80 CAG Repeats
title_sort spazio huntington tracing the early motor cognitive and behavioral profiles of kids with proven pediatric huntington disease and expanded mutations 80 cag repeats
topic pediatric Huntington disease
observational studies
prospective studies
high CAG expansions
atypical Huntington disease
url https://www.mdpi.com/2075-4426/12/1/120
work_keys_str_mv AT federicagraziola spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT sabrinamaffi spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT melissagrasso spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT giacomogarone spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT simonemigliore spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT eugeniascaricamazza spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT consueloceccarelli spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT melissacasella spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT ludovicabusi spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT barbaradalessio spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT alessandrodeluca spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT giovannastefaniacolafati spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT umbertosabatini spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT alessandrocapuano spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats
AT ferdinandosquitieri spaziohuntingtontracingtheearlymotorcognitiveandbehavioralprofilesofkidswithprovenpediatrichuntingtondiseaseandexpandedmutations80cagrepeats