Abstract
This European study involving seven genetic centres from six countries – Aberdeen, Cardiff (UK), Leiden (Netherlands), Leuven (Belgium), Paris (France), Rome (Italy), Athens (Greece) has gathered information on prenatal testing by direct mutation analysis and exclusion testing for Huntington's disease (HD) from the six European countries during the period 1993–1998. Data describing the parent belonging to the HD family was collected; this included their sex and age as well as their risk of developing HD. Information about previous pregnancies, the rank of the pregnancy being tested and its outcome was also gathered. In addition the number of previous prenatal tests for HD was recorded. Three hundred and five results were recorded by the participating countries between 1993 and 1998. The largest groups came from the UK (157) and the Netherlands (90). The mean age for the parent from the HD family was 30.8 years. In half of the tests the prospective parent was an asymptomatic gene carrier, 42% remained at risk, and 6% of the prospective parents were already showing clinical features of HD. 65% of tests performed used mutation analysis.
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References
Harper PS . Huntington's Disease London: Saunders 1996
Huntington's Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington's disease chromosomes Cell 1993 72: 971–983
Tyler A, Quarrell O, Lazarou L, Meredith AL, Harper PS . Exclusion testing in pregnancy in Huntington's disease J Med Genet 1990 27: 488–495
Adam S, Wiggins S, Whyte P et al. Five year study of prenatal testing for Huntington's disease: demand, attitudes, and psychological assessment J Med Genet 1993 30 7: 549–556
Simpson SA, Harper PS . Antenatal Testing for Huntington's Disease: Experience within the UK 1994–1998 J Med Genet 2001 38: 222–225
Crauford D, Dodge A, Kerzin-Storrar L, Harris R . Uptake of presymptomatic predictive testing for Huntington's disease Lancet 1989 ii: 603–605
Harper P, Lim C, Craufurd D . Ten years of presymptomatic testing for Huntington's disease: the experience of the U.K. Huntington's Disease Prediction Consortium J Med Genet 2000 37: 567–571
Kreuz FR . Attitudes of German Persons at risk for Huntington's disease toward predictive and prenatal testing Genet Couns 1996 7 4: 303–311
Evers-Kiebooms G, Decruyenaere M . Predictive testing for Huntington's disease: challenge for persons at risk and for professionals Patient Education and Counselling 1998 35: 15–26
Evers-Kiebooms G, Nys K, Harper PS et al. Predictive DNA testing for Huntington's disease and reproductive decision making: a European collaborative study. 2002 Eur J Hum Genet 2002 10: 167–176
Kessler S, Field T, Worth L, Mosbarger H . Attitudes of persons at risk for Huntington's disease towards predictive testing Am J Med Genet 1987 26: 259–270
Evers-Kiebooms G, Swerts A, Cassiman JJ, Van den Berghe H . The motivation of at risk individuals and their partners in deciding for or against predictive testing for Huntington's disease Clin Genet 1989 35: 29–40
Simpson SA, Besson J, Alexander DA, Allan K, Johnston AW . One hundred requests for presymptomatic testing in Huntington's disease Clinical Genetics 1992 41: 326–330
Maat-Kievit A, Vegter-van der Vlis M, Zoeteweij M, Losekoot M, van Haeringen A, Kanhai H, Roos R . Experience in Prenatal Testing for Huntington's Disease in the Netherlands: Procedures, Results and Guidelines (1987–1997) Prenat Diagn 1999 18: 450–457
International Huntington Association. World Federation of Neurology guidelines for the molecular genetics predictive test in Huntington's disease Neurology 1994 44: 1533–1536
Tolmie JL, Davidson HR, May HM, McIntosh K, Paterson JS, Smith B . The prenatal exclusion test for Huntington's disease: experience in the west of Scotland, 1986–1993 J Med Genet 1995 32 2: 97–101
Clarke A, Fielding D, Kerzin, Storrar L et al. The genetic testing of children J Med Genet 1994 10: 785–797
Oxtoby M . Genetics in Adoption and Fostering Practice Series 8 British Agencies for Adoption and Fostering 1982
Mather M, Batty D . Doctors for Children in Public Care British Agencies for Adoption and Fostering 2000
Geraedts J, Liebaers I . Preimplantation genetic diagnosis for Huntington's disease in Evers-Kiebooms G, Zoeteweij M, Harper P (eds) Prenatal testing for late onset neurogenetic diseases BIOS Scientific Publishers Ltd, Oxford, UK 2002
Handyside AH . Clinical Evaluation of Preimplantation Diagnosis Prenat Diag 1998 1345–1348
Sermon K, Goosens V, Seneca S et al. Preimplantation Diagnosis for Huntington's Disease (HD): Clinical Application and Analysis of the HD Expansion in Affected Embryos Prenat Diagn 1998 13: 1427–1436
Harper JC, Delhanty JD . Preimplantation genetic diagnosis Curr Opin Obstet Gynecol 2000 12 2: 67–72
Braude PR, de Wert GM, Evers-Kiebooms G, Pettigrew RA, Geraedts JP . Non disclosure preimplantation genetic diagnosis for Huntington's disease: practical and ethical dilemmas Prenatal Diagnosis 1998 18: 1422–1426
Greenberg J . Huntington disease: prenatal screening for late onset disease J Med Ethics 1993 19: 121
Acknowledgements
Very special gratitude is expressed to the many persons in the participating countries and to their colleagues from other genetic centres in their country, without whom the present study would have been impossible. The authors of this paper acknowledge the contribution of authors in the following countries In Belgium: Dr M Decruyenaere, Mrs T Cloostermans, Mrs A Boogaerts, Prof J-P Fryns (Center for Human Genetics, Leuven); Prof J Dumon (Dienst voor erfelijkheidsonderzoek en advies, Antwerpen); Prof Y Gillerot (Departement de Genetique Medicale, Loverval); Prof A De Paepe, Mrs Isabelle Delvaux (Dienst Medische Genetica, Gent); Prof I Liebaers (Dienst Medische Genetica, Brussels); Prof M Abramovicz (Centre de Genetique, Bruxelles); Prof A Verloes (Service de Genetique Humaine, Liege); Prof C Verellen (Centre de Genetique Medicale, Bruxelles). In France: Prof Josue Feingold, Marcela Garguilo, Tecla Capecchi, Dr Khadija Lahlou (Hopital de la Salpetriere). In Greece: Prof C Papageorgiou, Prof M Dalakas, Prof D Vassilopoulos, Dr C Voumvourakis, Dr M Panas, Mrs S Pomoni (Department of Neurology, University of Athens); Prof D Loukopoulos, Mrs K Palioniko (1st Department of Internal Medicine, University of Athens); Prof C Metaxotou, Dr S Youroukos (1st Department of Pediatrics, University of Athens); Assoc Prof A Antsaklis (1st Department of Gynecology and Obstetrics, University of Athens); Prof A Plaitakis, Dr M Tzagournissakis (Department of Neurology, University of Crete, Herakleion). In Italy: Dr M Frontali (Istituto di Medicina Sperimentale C.N.R., Rome); Prof B Brambati (Istituto Ostetrico Ginecologico “L.Mangiagalli”, Milan); Prof P Mandich (Dipartimento di Biologia, Oncologia e Genetica, Genoa); Prof A Renieri (Istituto di Genetica Medica, Università di Siena); Dr M Genuardi (Istituto di Genetica Medica, Università Cattolica Sacro Cuore, Rome); Prof G Novelli (Cattedra di Genetica Medica, Università Tor Vergata, Rome); Dr M Ferrari (Sezione Biologia Molecolare Clinica, Ospedale San Raffaele, Milan); Prof E Calzolari (Cattedra Genetica Umana, Università di Ferrara). In The Netherlands: JA Maat-Kievit, Prof Dr MH Breuning (Center of Human and Clinical Genetics Leiden); Dr M Losekoot, Prof Dr B Bakker (DNA-diagnostic laboratory, Center of Human and Clinical Genetics Leiden); MN Ane, Section of Neuropsychology, Dept of Neurology, Leiden; Dutch working group on Huntington's Disease, a collaboration between Afdeling Erfelijkhieidsadvisering Academisch Medisch Centrum Amsterdam (Prof Dr NJ Leschot); Afdeling Klinische Genetica Vrije Universiteit Amsterdam (Prof Dr LP ten Cate); Afdeling Erfelijkheidsvoorlichting Rijksuniversiteit Groningen (Dr JAvan Essen); Afdeling Erfelijkheidsvoorlichting Stichting Klinische Genetica ZO Nederland Maastricht (Dr C Schrander-Stumpel); Afdeling Klinische Genetica Radbout Ziekenhuis Nijmegen (Prof Dr H Brunner); Afdeling Klinische Genetica Erasmus Universiteit Rotterdam (Prof Dr H Galjaard); Divisie Medische Genetica Universitair Medisch Centrum Utrecht (Prof Dr D Lindhout); Centrum voor Humane en Klinische Genetica Leids Universitair Medisch Centrum Leiden (Prof Dr MH Breuning). In the UK: Mrs R Glew, Dr R Harper (Institute of Medical Genetics, Cardiff); The members of the UK Huntington's Disease Prediction Consortium.
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Simpson, S., Zoeteweij, M., Nys, K. et al. Prenatal testing for Huntington's disease: a European collaborative study. Eur J Hum Genet 10, 689–693 (2002). https://doi.org/10.1038/sj.ejhg.5200871
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DOI: https://doi.org/10.1038/sj.ejhg.5200871
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