Common heart drug shows promise for Huntington’s disease

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New Delhi, Dec 3 (IANS) A common heart drug has shown promise to delay the onset of Huntington’s disease — a progressive and inherited brain disorder that causes nerve cells in the brain to break down, according to a new study.Common symptoms of Huntington’s include uncontrolled movements like jerking and twitching, loss of coordination, difficulty swallowing, slurred speech, and trouble walking.

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Researchers from the University of Iowa in the US found that using beta-blocker drugs — commonly used to treat heart and blood pressure issues — can lead to a significantly later onset of Huntington’s symptoms for people in the pre-symptomatic stages.

Among those diagnosed, the beta-blocker also slowed the rate of worsening of the symptoms.

“Given that there are no disease-modifying agents for Huntington’s disease, the possibility that beta-blockers, which are cheap and have a known safety profile, may provide benefit to patients at various stages of the disease is very exciting,” said lead author Jordan Schultz, assistant professor of psychiatry at the varsity.

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Previous research has shown that patients with Huntington’s disease seem to have a stronger “fight or flight” reflex, even when they are resting.

The team targeted beta-blockers as they are known to block the action of norepinephrine — a neurotransmitter and hormone involved in the “fight or flight” response.

For the study, published in the JAMA Neurology, the team focussed on two distinct groups of Huntington’s patients; those with the genetic mutation that causes the disease but who have not yet started showing significant clinical symptoms (pre-group), and patients who have already received a clinical diagnosis — referred to as motor-manifest patients (mm group).

Within each group, the team identified patients who were taking a beta-blocker for at least one year.

Next, the team matched 174 pre and 149 mm beta-blocker users to the same number of similar non-beta-blocker users.

The analysis showed that pre-beta-blocker users had a significantly lower yearly risk of receiving a clinical diagnosis of Huntington’s. This signalled that beta-blocker use was associated with a later onset of the disease.

Among the mm group, the patients taking beta-blockers had a significant slowing of the gradual worsening of motor, cognitive, and functional symptoms.

Meanwhile, Schultz cautioned that the study only reports associations between beta-blocker use in Huntington’s patients, “the data does not prove cause and effect”.

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