About this trial
The purpose of this study is to find out if there is a connection between the naturally occurring bacteria in our bodies and the progression of Huntington disease. The investigators are trying to determine if patients who are diagnosed with adult-onset HD and who exhibit a rapid rate of disease progression have unique populations of bacteria in their gut as compared to patients with slower progression.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
18 years or older
Provide informed consent
Able to read and speak English
Agree to comply with study procedures
Disqualifiers
CAG repeat length ≥ 60 to exclude participants with juvenile onset HD.
CAG repeat length 36 - 39 to exclude participants with reduced penetrance. As this is a pilot study, we are primarily interested in participants with typical HD characteristics.
UHDRS Functional Capacity stage ≥ 4 to exclude late-stage HD patients who may be institutionalized and receive nutrition through a feeding tube.
System antibiotics, antifungals, antivirals, or anti-parasitics (intravenous, intramuscular, or oral)
Trial population
This study aims to recruit approximately 36 adult participants: 12 for the control group (who do not have the HD gene mutation), 12 for experimental group 1 (underweight HD patients), and 12 for experimental group 2 (overweight HD patients). There may be some variation in participant number depending on recruitment success. Experimental group 1 will target underweight HD patients and experimental group 2 will target normal to overweight HD patients.
Trial design
Case-only
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
To quantify relative abundance of entire gut microbiomes in people using Metagenomic analysis
Metagenomic analysis via 16S ribosomal RNA (rRNA) gene sequencing will be performed on HD and control stool samples to identify HD-associated changes in microbe abundance at the genus level.
Secondary outcomes
To quantify relative abundance of candidate microbes in HD and control gut using quantitative PCR.
Using primers specific for microbes responsible for microbiota-derived metabolites that are altered in HD plasma as well as candidate microbes identified through aim 1, quantitative PCR (qPCR) will be used for quantifying relative abundance within the gut at the species level.
Sponsors and contacts
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University of Central Florida
Lead sponsor
University of South Florida
Collaborator