Evidence map›Paper›PMID 33571915›Full record

ArticleAutonomic neuroscience : basic & clinical2021

Autonomic dysregulation as an early pathologic feature of Huntington Disease.

Jordan L Schultz, Lyndsay A Harshman, John A Kamholz, Peg C Nopoulos

Open access · greenAbstract read
In one paragraph

Article in Autonomic neuroscience : basic & clinical, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Systemic Symptoms in Huntington's Disease: A Comprehensive Review.Movement disorders clinical practice · 2024
    Pooled it
  2. Observational
  3. Article
  4. Autonomic dysfunction in neurodegenerative disease.Nature reviews. Neuroscience · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Defining circadian disruption in neurodegenerative disorders.The Journal of clinical investigation · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jordan L SchultzDepartment of Psychiatry, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA; Department of Neurology, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA; University of Iowa College of Pharmacy, Iowa City, IA, USA. Electronic address: Jordan-schultz@uiowa.edu.
Lyndsay A HarshmanStead Family Children's Hospital at the University of Iowa, Iowa City, IA, USA. Electronic address: Lyndsay-harshman@uiowa.edu.
John A KamholzDepartment of Psychiatry, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA; Department of Neurology, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA. Electronic address: john-kamholz@uiowa.edu.
Peg C NopoulosDepartment of Psychiatry, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA; Department of Neurology, Carver College of Medicine at the University of Iowa, Iowa City, IA, USA; Stead Family Children's Hospital at the University of Iowa, Iowa City, IA, USA. Electronic address: peggy-nopoulos@uiowa.edu.
University of Iowa · USUniversity of Iowa Stead Family Children’s Hospital · US

Funding

Longitudinal Assessment of Brain Structure and Function in Juvenile Onset Huntington's DiseaseU01NS055903 · NINDS · UNIVERSITY OF IOWA · PI NOPOULOS, PEGGY C · 2019 to 2025
$17.4M
NCCIH Supplement to NCATS/CTSA Program for KL2 Scholars - M. SoddersKL2TR002317 · NCATS · UNIVERSITY OF WASHINGTON · PI Christy Michelle McKinney · 2017 to 2026
$14.5M
University of Iowa Hawkeye Intellectual and Developmental Disabilities Research Center (Hawk-IDDRC)P50HD103556 · NICHD · UNIVERSITY OF IOWA · PI Lane Strathearn · 2021 to 2026
$8.5M
Growth and Development of the Striatum in Huntington's DiseaseR01NS055903 · NINDS · UNIVERSITY OF IOWA · PI PEGGY C NOPOULOS · 2009 to 2026
$5.0M
The University of Iowa Clinical and Translational Science AwardKL2TR002536 · NCATS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G · 2018 to 2022
$3.3M
NCATS NIH HHS KL2 TR002317NCATS NIH HHS KL2 TR002536NICHD NIH HHS P50 HD103556NINDS NIH HHS R01 NS055903NINDS NIH HHS U01 NS055903
6 · The paper itself

Abstract

objectiveAutonomic nervous system (ANS) dysfunction has been described in adults with motor-manifest Huntington's Disease (HD) or those who are near their predicted motor onset. It is unclear if ANS dysfunction is present years prior to the onset of motor symptoms of HD. To bridge this gap in knowledge, we compared crude markers of ANS function between children with the gene-expansion that causes HD (GE group) who were decades from their predicted motor onset and gene-non-expanded children (GNE group).

methodsWe included participants from the Kids-HD study who were <18 years old. Linear mixed effects regression models were constructed that controlled for sex, age, and BMI, and included a random effect per participant and per family. We compared resting heart rate (rHR), core body temperature (CBT), systolic blood pressure (SBP), and diastolic blood pressure (DBP) between the GE (n = 84) and GNE (n = 238) groups. We then grouped participants from the GE group based on their predicted years to onset (YTO) and compared their vital signs to the GNE group.

resultsThe GE group had higher rHR (∆ = 3.83, p = 0.0064), SBP (∆ = 2.38, p = 0.032), and CBT (∆ = 0.16, t = 2.92, p = 0.007). The mean rHR and CBT became significantly elevated compared to the GNE group in participants who had 15-25 YTO and those who had <15 YTO. The mean SBP of participants who had 25-35 YTO was significantly elevated compared to the GNE group.

conclusionANS dysfunction in HD seems to occur approximately 20 years prior to the predicted onset of motor symptoms of HD.

Indexed as

Huntington DiseaseAdolescentAdultBlood PressureChildHumansAutonomic nervous systemBlood pressureHeart rateHuntington DiseaseTemperature

Identifiers

PMID33571915
PMCPMC8176778
OpenAlexW3129167282

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.