Preliminary observations of glucose metabolism dysregulation in pediatric Huntington’s disease

Our findings confirm localized cerebral hypometabolism in the basal ganglia of PHD patients, consistent with previous neuropathological reports. However, systemic biochemical indicators of glucose transport deficiency, including erythrocyte GLUT1 function and CSF glucose, were not significantly altered. While glucose dysregulation appears to be a feature of PHD brain pathology, our results do not support the use of metabolic interventions such as the ketogenic diet in the absence of confirmed GLUT1 dysfunction. Further studies in larger cohorts are warranted to better characterize the metabolic profile of PHD and guide therapeutic strategies.

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Publication Details

Journal
Frontiers in Neurology
Published
2025-08-20
DOI
https://doi.org/10.3389/fneur.2025.1626275
Citations
1
Primary Topic
Genetic Neurodegenerative Diseases
Type
article
Field-Weighted Citation Impact
0.91

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article

Preliminary observations of glucose metabolism dysregulation in pediatric Huntington’s disease

Federica Zibordi, Antonio Spagarino, Marco Moscatelli, Federica Graziola et al.
1 citations
Frontiers in Neurology
Genetic Neurodegenerative Diseases
0.91
article

Preliminary observations of glucose metabolism dysregulation in pediatric Huntington’s disease

Federica Zibordi, Antonio Spagarino, Marco Moscatelli, Federica Graziola, Caterina Mariotti, Federica Rachele Danti, Giovanna Zorzi, Martina Penzo, Eleonora Minacapilli
article en
1 citations

Abstract

Our findings confirm localized cerebral hypometabolism in the basal ganglia of PHD patients, consistent with previous neuropathological reports. However, systemic biochemical indicators of glucose transport deficiency, including erythrocyte GLUT1 function and CSF glucose, were not significantly altered. While glucose dysregulation appears to be a feature of PHD brain pathology, our results do not support the use of metabolic interventions such as the ketogenic diet in the absence of confirmed GLUT1 dysfunction. Further studies in larger cohorts are warranted to better characterize the metabolic profile of PHD and guide therapeutic strategies.

Frontiers in NeurologyVol. 16
University of Milan (IT), University of Ferrara (IT), Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
Fondazione Pierfranco e Luisa Mariani
Openalex Percentile: Top 23%
Genetic Neurodegenerative Diseases
0.91
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