Texas A&M College of Nursing, Bryan, TX, USA
Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA
Department of Biostatistics, College of Public Health, The University of Iowa, Iowa City, IA, USA
Department of Neurology, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA
Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA
Correspondence to: Jane S. Paulsen, PhD, University of Iowa Carver College of Medicine, 1-305 MEB, Iowa City, IA 52242-1000, USA. Tel.: +1 319 353 4551; Fax: +1 319 353 4438; E-mail: [email protected].
Abstract: Background: Huntington disease (HD) is a neurodegenerative disease caused by a CAG repeat expansion on chromosome 4. Pathology is associated with CAG repeat length. Prior studies examining people in the intermediate allele (IA) range found subtle differences in motor, cognitive, and behavioral domains compared to controls. Objective: The purpose of this study was to examine baseline and longitudinal differences in motor, cognitive, behavioral, functional, and imaging outcomes between persons with CAG repeats in three ranges: normal (≤26), intermediate (27–35), and reduced penetrance (36–39). Methods: We examined longitudinal data from 389 participants in three allele groups: 280 normal controls (NC), 21 intermediate allele [IA], and 88 reduced penetrance [RP]. We used linear mixed models to identify differences in baseline and longitudinal outcomes between groups. Three models were tested: 1) no baseline or longitudinal differences; 2) baseline differences but no longitudinal differences; and 3) baseline and longitudinal differences. Results: Model 1 was the best fitting model for most outcome variables. Models 2 and 3 were best fitting for some of the variables. We found baseline and longitudinal trends of declining performance across increasing CAG repeat length groups, but no significant differences between the NC and IA groups. Conclusion: We did not find evidence to support differences in the IA group compared to the NC group. These findings are limited by a small IA sample size.