Nedlands, WA 6009
PHOTOGRAPHY
To enable the best possible quality of life for people
with Huntington’s Disease, their families and carers,
through advocacy, support and education.
INSIDE THIS ISSUE
Members Corner……………………………....4
Raising Awareness...............…………....10
NOTE FROM RAE
A summary of our website hits for January to June this year held a
surprise. We knew the year had been a busy one, but even so, were
taken aback by the in f or mat ion we recently compiled about HWA’s
services for January to June
this year compared with July to December 2012.
Since being launched in January 2011, the number of website hits
for January to June this year was almost 50,000; an increase from
37,500 during the first six months of website operation. With this
rise in online activity we are actively working to further develop
online access to HWA.
If you already access HWA’s Facebook page, you will see an increase
in our news feed as well as in the “Likes” for the page. Do drop in
and have a look every now and again and if you have not already
done so, you might like to join the people who are already
following us on Facebook and use your share tag to spread awareness
about HD.
Our analysis also showed that we had 40 new contacts to HWA
compared with 5 during July to December 2012. This is an amazing
change. At the same time:
98 referrals/agency liaison occurred compared with 26 for the
previous period;
Individual support was offered on 742 occasions during January to
June this year compared with 489 in July to December 2012;
and
There was also an 18% increase in newsletters mailed and
emailed.
Disability Care
In our last newsletter, I gave an outline of some of the
developments of DisabilityCare and its roll out across Australia.
At that time, Western Australia had not signed up to the National
Disability Reform. However, on 5 August we received advice that the
Prime Minister and Premier had signed heads of agreement for
disability reform in Western Australia. The agreement is for the
launch of the National Disability Insurance Scheme commencing 1
July 2014 and includes funding for the roll out of the My Way model
for WA. The implementation timetable is:
July 2014 My Way Lower South West expands and becomes national
launch site. Perth Hills areas of Mundaring and Kalamunda becomes
DisabilityCare Australia launch site.
July 2015 My Way Cockburn Kwinana becomes national Launch site.
Hills DisabilityCare Australia site expands to include Swan.
What this will mean is still to be clarified and we look forward to
up dates about the implications for you and your family as
DisabilityCare is implemented in Western Australia from 2014.
HD Forum
The HD Forum held in September at Centre for Learning Technology
was our focus for National HD Awareness Week and an outstanding
success. With seventy students and teachers attending our sincere
appreciation and thanks goes to WAIMR especially Pauline Charman,
HBF, Marg Gibson, Denise Wellington who worked to bring the forum
together. We were fortunate also to be assisted by Melanie Cheah a
Masters in Science Communications student who assisted in
developing evaluation options for the Forum. I look forward to
sharing the evaluation results in our next newsletter. It was
heartening also to receive the following feedback from a teacher
who emailed to say:
“ Thank you again for last Friday’s Huntington’s Forum. I have had
emails from several parents, who said their children had a
brilliant day and really enjoyed the whole experience. From a
teacher’s point of view, I really enjoyed learning more about
Huntington’s and thought all the sessions during the day were
fantastic! Thanks again.”
Fun Run Standing out in the HDYO T shirts and with over 40
participants, this year’s Fun Run was a great success raising over
$16,500 with still more donations to come. A big thank you to all
those who participated and contributed to a great day in so many
ways. 2014 National HD Conference The National Conference will be
held in Perth at the UWA Club at the University of Western
Australia. I look forward to bringing you further information as
the program is developed. In the meantime, keep 11th and 12th
September 2014 free for this important event. Best wishes,
Rae
3
The role of Chairperson took on a very different
look for the City to Surf for Activ, when I found
myself wheelchair bound after having an injection
in my foot due to a minor problem. A huge thanks
to Daniel (ably assisted by Savannah) who pushed
me the 4km despite having four blown tyres on
the wheelchair!! What a great morning and a
wonderful turnout from the community. More
photos and an extended report in this issue.
I also had the opportunity to attend the School
Science Day this year held at the University of
Western Australia. Once again this was a very
successful event allowing HWA the opportunity to
create awareness and engage with high school
students. This joint collaboration with WAIMR and
sponsored by HBF resulted in 13 schools attending
to participate in an interactive and educational
program. The event was a highlight of National HD
Awareness week.
Along with fellow Board Member Rensie
Matthews, we will be attending and I look forward
to reporting on this event on my return. I have
been invited to take on the role of International
President for another 2 years and these elections
will also take place in Rio. When I read stories
from countries where there is little or no social
support, I am often reminded of just how
fortunate we are to live in a country where help is
available.
thanks to Bankwest and it is fantastic that all
indications are that the services provided continue
to be highly valued and well received by the HD
community. Thank you for taking part in the
survey. Your feedback enables us to evaluate
existing services and identify areas for
improvement going forward. Full Survey results
will be available shortly.
Ann Jones
Please join us at the Niche Passmore room for the
Annual General Meeting on Tuesday 29th October
at 5.45 pm.
Our guest speaker this year is Troy Cook , Project
Officer and Role Model, David Wirrpunda
Foundation.
[email protected] or by contacting
4
singing!
The next few months will be very busy at the Day Centre as we head
off on our annual getaways. This year we are headed back to
Busselton.
Please note that the Day Centre will be closed whilst we are away
on retreat:
Wednesday 25th September 2013 Wednesday 16th October 2013 We have
received a grant to enable the group to see a matinee showing of
“South Pacific” at the Crown Theatre on Wednesday 4th December 2013
which will replace the usual Day Centre program on that day.
The Christmas party and last day for the Day Centre this year will
be Wednesday 11th December with the Centre closed over the holiday
period until 5th February 2014.
Maggie & Liz
The Day Centre is generously sponsored by the MS Society of
WA
Day Centre News
A couple of months ago we were lucky enough to receive a donation
of a “big telly” compliments of United Way. MS funded the
installation and thanks to the very generous donation of a Wii
console and games from Joel and Jarrod Baeli we have now introduced
computer gaming to the group. We have started off with the Wii
sports game as suggested by Vicki who attends the group (apparently
she is the tenpin bowling expert at Redcliffe!). As you can see
from the photos Wii gaming involves balance and coordination and it
is hoped that with practice group members will be able to master
the Wii!
PhD candidate Alvaro Reyes from Edith Cowan University, pictured
right with Sonia, continues with his research study into the
effects of respiratory muscle training. Many of the group members
are taking part - along with some of the staff and volunteers as
control participants! If you would like to find out more about this
study p l e a s e c o n t a c t A l v a r o v i a e m a i l
[email protected] or call 6340 3932 .
Session
Grace Buchanan from Palliative Care WA Inc conducted an informative
session on Tuesday 9th July 2013 about the role of Pall iative Care
in Huntington’s disease.
About 20 people, including professional and family carers, attended
the session where Grace provided guidance about the resources and
support available through Palliative Care WA.
Palliative Care Australia says that a palliative approach is used
by primary care services and practitioners to improve quality of
life for individuals with a life limiting illness, their
caregiver/s and family.
The palliative approach incorporates a concern for the holistic
needs of patients and caregiver/s that is reflected in assessment
and in the primary treatment of pain and in the provision of
physical, psychological, social and spiritual care. Application of
the palliative approach to the care of an individual is not delayed
until the end stages of their illness. Instead, it provides a focus
on active comfort-focused care and a positive approach to reducing
suffering and promoting understanding of
loss and bereavement in the wider community .
The Pa l l ia t ive care webs i te ht tp : / /
palliativecarewa.asn.au provides information in a practical and
sensitive manner with designated sections for the general public
and health care professionals. This is a wonderful resource and
well worth a look.
Condolences
Barbara Waters
Jan Willis
Leza Clark
Lyn Bargewell
Carer’s Retreat
The Vines 16-18 August
A wonderful weekend retreat was enjoyed by twelve carers at The
Vines Resort in August. Although the weather was a bit cool and
rainy it did not dampen the spirit of the group. Everyone enjoyed
catching up with old and new friends. The Shuttle Bus tour of the
Swan Valley on the Saturday was a highlight. What a luxury to be
driven around as a group to see and sample the delights of the Swan
Valley. Lots of retail therapy, good food and good company!
The feedback from the carers attending was very positive with many
of them encouraging any of you that have not attended before to
consider participating in the future. Here are some of the comments
received:
"A break from time to time helps to lessen your stress. You can
have time to relax and be yourself – good for your sanity."
"Anyone would benefit from this time away, thoroughly
recommended."
"Would recommend more carers take the opportunity."
"Absolutely beneficial in all ways."
"Being myself again even just for the weekend. No stress. More fun
and laughs."
"I feel my batteries have been recharged and am going to do more to
try and become more healthy."
HWA would like to thank Carers' WA and Perth Audio
Visual for providing funding for the
understand the extent to which Huntington’s
Disease affects both the sufferer and the family.
HD is a neurodegenerative disorder that affects
muscle coordination, leads to cognitive decline
and in some people, mental health problems.
Sufferers of HD are the true heroes of this world;
because they fight each day to survive against
something they cannot stop. One of these
people is my Mum.
Eight years ago my Mum was diagnosed with HD.
At the time I was only nine years old and I did not
understand the effect HD was having on my
Mum. As the years passed I learned more about
the disorder with the help of Huntington’s WA.
Now in the present I know more about HD than I
ever did but because of my chance of having HD I
fear for my future; a future that I cannot stop.
Last year was a horrible time for me as my Mum’s
disease intensified and she developed significant
mental health issues. I became anxious and
depressed. I was worried both for her and for
myself.
When I joined the Huntington’s WA youth group
over 2 years ago I found myself face to face with
teenagers and kids close to my age who understood
my own pain and anger. For the first time I found
hope through the darkness I was experiencing.
Without the support I gained from both Maggie
Speirs and Greg Chaine and the other youths, I
never would have found the hope I did. I found light
through the darkness around me.
I am now doing year 12 exams and hoping to go to
University next year. I am learning to drive and
would like to do some travelling.
I found light through the darkness around me,
because Huntington’s Disease doesn’t control our
lives or who we are, only we do.
Monique
Huntington’s WA Facebook
HWA is on Facebook! Show us some love and ‘like’ our page at
https://www.facebook.com/ huntingtonswesternaustralia.
Reasons you should like the page are: (1) Stay up to date with HWA
activities and events.
(2) Receive plenty of useful information.
(3) Keep connected with the HD community.
Youth Alliance Facebook
The Australian HD Youth Alliance is a national group which aims to
support and connect young people across the country. ‘Like’ the
alliances Facebook page to get connected at https://
www.facebook.com/theHDAlliance! There is also a ‘secret’ group for
young people impacted by HD. To join, simply send the Alliance a
private message expressing your interest or contact Greg by email
at
[email protected].
PAUL AND DEL NOBLE HD YOUTH SPONSORSHIP
Huntington’s WA would like to acknowledge the wonderful
contribution by Paul and Del Noble who have pledged an annual
donation in support of HD Youth. Recognising the importance of
support to children and young people Paul and Del Noble initiated
the HD Youth Sponsorship program to assist young people to
participate in special projects or programs. Specifically, the
sponsorship is designed to:
Empower young people to lead a healthy lifestyle;
Encourage active participation;
Develop leadership skills;
Assist with education and/or employment needs; and
Empower young people to improve decision making related to their
health and well being.
The range of projects that can be funded through the Paul and Del
Noble HD Youth Sponsorship is wide ranging. Examples that could
qualify for sponsorship include:
Excursions
Tutoring
Workshops
One off short courses
Attainment of training cards to certificates for employment e.g.
White card, Forklift Ticket, Working with Children Check, National
Police Clearance.
APPLICATION GUIDELINES Applications for assistance will be
considered by the
Executive Director in the context of the funds available
for this purpose.
Eligibility To qualify for HD Youth Sponsorship, young people must
be a member of a family impacted by Huntington’s disease. Limits A
request for $500 at any one time can be approved by the Executive
Director although it is expected that requests will usually be much
less than this amount. If you wish to apply for Youth sponsorship
funding please contact the office for an application form.
Youth Outing
HWA’s Epic Outing last school holidays was a heap of fun. We began
the day at Belmont Kart World where the smell of burnt rubber was
thick in the air and the need for speed was high. After four
fast-paced time trials, much duelling for position, and a major
crash, a winner emerged. Thaddaeus Pejakovic was crowned King of
the Karts.
Next, to allow the adrenalin to settle and refuel our tanks we had
a delicious lunch at Sizzlers where we must have ordered a
wheelbarrow full of cheese toast. After lunch, we crawled over to
the movies and saw the movie Epic, which pretty much summed up the
whole day! Everybody said that they had a fantastic time and we are
looking forward to the next school holidays where we will be
laser-tagging and mini-golfing!
8
For You, Pop Article reproduced courtesy of The Sunday Times and
perthnow.com.au 28.07.2013
GLEN QUARTERMAIN
Shelby Bailey will be running for a cause close to home when she
tackles this year’s Chevron City to Surf for Active half-marathon
on August 25.
Bailey is raising money and awareness for Huntington’s disease
after her “Pop" Ernie was diagnosed with the neurodegenerative
genetic disorder.
Prior to her Pop’s diagnosis, Bailey didn’t know much at all about
the disease, which affects muscle coordination and leads to
cognitive decline and psychiatric problems.
“Seeing first-hand the effects that the disease has on not only the
individual but the whole family, I’m dedicated to doing whatever I
can to help other families in the same position,” she said.
Bailey, 22, originally from Bunbury, is reaching for the sky in her
first-ever official running event, debuting in the tough 21km
discipline as a member of the HD Heroes team, which is raising
funds for Huntington’s WA.
Bailey said that after her grandfather was diagnosed, Huntington’s
WA provided endless amounts of support not only to her Nan, but
also herself.
“As Huntington’s is hereditary, there's a chance that I may have
it. Huntington’s WA has provided me with so much support and has
also provided me with information for my future which has been
great," she said.
Huntington’s WA youth liaison officer Greg Chaine said the team was
aiming to raise $20,000 to ensure that all groups in the
Huntington’s community were able to participate in retreats over
the next 12 months.
“The disease not only affects the individual, but has an enormous
impact on the family," he said. “Therefore at Huntington’s WA we
also aim to provide support and assistance to families and
carers”.
Shelby said training for the half-marathon had been an
eye-opener.
“I never believed I could run; now I do. I built up my training to
the point where I could run 12km. Then I thought there was no point
running just 12km when I could run 21km,” she said.
Shelby trains two or three times a week with one long run—she's got
up to 18km—and some sprint training. She’s also a regular at boot
camp.
“I’m very close to my Nan and Pop and they’re very proud of me,"
she said. “They live in Collie and I know my Nan is getting all of
her friends to donate”.
THANK YOU
TO THE HD HEROES TEAM
Shelby Bailey was one of over 40 people who joined the HD Heroes
team. Of the 40, just over half chose to fundraise. As a result of
their fantastic efforts the team has raised $16,500 so far and
there are still a few donations filtering through.
Special mention must go to our top fundraiser’s:
Jimmy and Sushi Sehmi and family who raised in excess of
$2000
Greg Chaine, Shelby Bailey, Ann Jones, Shivaun Willis, Jenny Morris
and Liz Retamal who raised in excess of $1000 each.
All contributions big and small are very important to HWA and we
are grateful to all of you for making the effort to approach
friends, family members and work colleagues to raise funds to help
HWA provide services to the HD community.
A big thank you to:
Phyllis Slaney, Steve Andrew, Nola Baeli, Ashlee, Emily and Amy
Catchpole, Rensie Matthews, Grainne and Brendan Fancote, Maggie
Speirs, Danelle Risk, Cara May, Claire Holt, Clare Kineen, Erin
Craze, Thaddaeus Pejakovic ,Melanie Cheah, Harveen Ford, and Abbie
Paley. Thank you also to the Chicks n Kicks team members Vanessa
Kesby, Cassie Felstead, Chedene Jones and Natalie Hennen.
We hope you enjoyed being part of this event and we encourage all
our community members to join us next year. Together we can make a
difference!
City to Surf for Activ
9
10
HD FORUM 2013
On the 6th of September, 13 schools throughout WA with a school as
far as Esperance attended the Huntington’s Forum. Each school was
represented by four Year 10 students and a science teacher. The
Huntington’s forum, organised by Huntington’s WA in collaboration
with the Western Australian Institute of Medical Research (WAIMR)
was held at The Centre for Learning Technology (SPICE) in UWA. Some
of the schools also took this opportunity to have a short tour
around UWA while observing the beautiful and rustic landscapes of
the buildings and the surrounds.
To start off the forum, Ann Jones, the Chairperson of Huntington’s
WA and President of the International H u n t i n g t o n ’ s D i s
e a s e A s s o c i a t i o n addressed the students and teachers
with
her presentation about “Living with Huntington’s”. The audience was
given a general idea of Huntington’s disease and the science behind
Huntington’s from Ann’s story.
The next session was a panel discussion “Living and working with
Huntington’s” which was facilitated by Pauline Charman, the
Education Outreach officer from WAIMR. The members of the panel
were David Jeppesen, Ann Jones, Dr Tracey Jones, Erin Craze and
Fran McGrath who each gave their insight and experience of their
own or a loved one affected by Huntington’s. The members of the
panel also answered a few questions from the audience about
Huntington’s disease.
After morning tea, students participated in the WAIMR BioDiscovery
Lab Practical Session, “Diagnosing Huntington’s-the genetic test”
which was facilitated by Pauline Charman and Ellen Fortini, a PhD
student from WAIMR. In this interactive session students had to
play the role of a genetic consultant to perform a diagnostic test
used in the diagnosis of Huntington’s disease.
The teachers had a separate session to update their knowledge about
the genetics of Huntington’s and getting to know about the latest
research. This session was facilitated by A s s o c i a t e
Professor Mel Ziman from the School of Medical Sciences at Edith
Cowan University.
For the group discussion session, two students from each school had
to team up with two students from another school and teachers were
asked to be in a different group from their own students. This was
an interactive session about “Making hard decisions – ethics,
values and dilemmas” and was facilitated by Margaret Gibson, former
Head of Health/Physical Education at Perth Modern School. The
session involved students and teachers discussing and brainstorming
about different scenarios they were given and sharing their ideas
with other groups.
11
From the evaluations I have conducted, the Huntington’s Forum was
very successful and both students and teachers have learnt a lot
about Huntington’s disease that they did not know before. There
were many positive comments received from students and teachers
about the Huntington’s Forum. Some of the comments were:
“I really enjoyed the perspectives from the
people living with Huntington’s. Very
inspiring.”
Huntington’s Disease is and how serious it
is”
Overall, the students and teachers enjoyed the Huntington’s Forum
and their knowledge and awareness of Huntington’s disease has
increased. It was an interactive day filled with activities,
inspirations and discussions.
A huge thank you to Pauline from WAIMR, HBF, Margaret Gibson and
Denise Wellington for making this day possible.
Melanie
INTRODUCING
MELANIE
I am Melanie Cheah and I am currently studying a Masters o f S c i
e n c e Communication in UWA. As a part of my Masters degree, I am
doing my practicum with Huntington’s WA and my practicum involves
conducting an evaluation of the Huntington’s Forum.
Tracey a study of determination
Article reproduced courtesy of Western Suburbs Weekly Tuesday
September 10, 2013 BY ROSANNA CANDLER
SKYDIVING, bungy jumping and riding a motorbike around Australia
were incredible achievements for adrenalin junkie Tracey Jones but
completing her PhD was the greatest feeling of all.
In 2006, Ms Jones was studying part
time for her D o c to ra t e o f Education when she was
diagnosed
with Huntington’s disease.
As Huntington’s disease is a degenerative neurological condition
affecting the brain and nervous system, the Claremont resident (47)
said there were many times over the past six years when she almost
gave up.
“As well as it being very difficult for me to type, I have trouble
with my memory and forget certain words, which is very
frustrating,” she said. “With that in mind, it does feel like I
have achieved this against all the odds.”
“I’m very driven, so when I say I’m going to do something, I
usually make sure I do it. Now that it’s finished and sitting here
on the table, it was worth every second.”
Ms Jones’ dissertation titled FLOTE-ing and Sinking: Teacher
Participation in Online Professional Development was last month
awarded the Postgraduate Researcher Award from the WA Institute for
Educational Research at Murdoch University.
At her graduation last September, she also received the School of
Education Prize for the best Doctorate of Education dissertation in
the past two years.
“When I was first diagnosed, I created this mantra of making the
most of every minute, so I started working my way through a list of
crazy things,” she said.
“After a while I decided that it was actually better if you do one
big thing a month instead of cramming it in. It’s my way of staying
positive and moving forward.”
She said receiving the award was August’s “big thing” and this
month she and her family were going to Rio for the Huntington’s
Disease World Congress from September 15- 18.
Dr Tracey Jones with her Western Australian
Institute for Educational Research award.
Picture: Marcus Whisson d405956
Huntington’s Disease patients?
Proper contraction of muscles is crucial for coordination; errors
in this process might help explain movements in HD By Dr Kurt
Jensen on September 06, 2013 Edited by Dr Jeff Carroll A proper
balance of electrically charged particles is required for muscle
cells to respond appropriately to stimuli. However, a recent report
by a group of scientists from California State Polytechnic
University concludes that disruption of this balance occurs in
Huntington’s disease – causing HD mouse muscle fibers to contract
more easily than they should.
A great movement Every caregiver is familiar with the Unholy
Trinity of Huntington’s disease symptoms: chorea, cognitive loss,
and behavioral disturbances. In fact, despite the fact that the
other symptoms frequently arise first in the patient, the
involuntary physical movements are still used to this day as the
key HD diagnostic marker for physicians. Notably, the movements are
observed as being extremely uncoordinated: the patient has a muscle
begin to move involuntarily, but the muscle does not complete this
movement, suggesting that the muscle fibers themselves are not
properly coordinating with each other.
Unfortunately, the origin of the involuntary movements may be more
mysterious than the other symptoms. Even though every cell of the
body expresses the abnormal protein that causes Huntington’s
disease, brain cells seem to preferentially die in the course of
disease. In fact, in the brain certain populations of cells die
first, before the cell loss becomes more widespread throughout the
entire brain. Because brain cells die in HD, it’s classified as a
‘neurodegenerative’ disorder.
Ions, ions, everywhere Until recently, it has been assumed that all
Huntington’s disease symptoms could be tracked back to problems in
the brain. A team led by Dr. Andrew Voss at California State
Polytechnic University questioned this assumption and decided to
explore the properties of the muscle fibers themselves. When a
signal for the muscle to contract (move) comes from the brain, it
must be transmitted correctly by a
RESEARCH
nerve to a muscle fiber, which actually executes this order. Dr.
Voss’ team focused on the reception of this signal at the end of
the ‘telegraph cable’, not the origin of the signal in the
brain.
Certain cells of the body, such as brain cells and muscle cells,
are ‘electrically active’. This means that they change their
electrical charge in order to send signals to one another. But,
unlike traditional electronic devices, muscles and nerves don’t
have copper wires down which they can transmit electrical charges.
So how do they do it?
They do it by moving tiny bits of matter, atoms, that have an
electrical charge in and out of the cell. (Any atom with an
electrical charge is called an ion.) The atoms of some elements,
like sodium and chloride, have a tendency to become easily charged.
In fact, regular table salt is comprised of nothing but positively
charged sodium ions sticking to negatively charged chloride
ions!
Before a message from the brain arrives at a muscle fiber, the
cells that make up that fiber are in a primed state, ready to
receive that signal. Positively charged sodium is built up outside
the cell, but prevented from entering, and positively charged
potassium ions are built up inside the cell, but prevented from
leaving.
When the message to contract arrives, it opens tiny holes in the
cell that let only positively- charged sodium through, which then
rush into the cell. Then, to compensate for this change in the
charge in the cell, positively-charged potassium ions leave the
cell through their own specific channels.
This complicated series of events that starts every muscle
contraction is called an action potential. Eventually, the original
electrical balance will be restored (negatively-charged chloride
ions help this process along) and the cell will be ready to receive
another signal. Given what is involved in normal muscle
contraction, the authors of this recent study explored whether this
machinery functions normally in HD.
To do this, they utilized a mouse model of Huntington’s disease
that contains a piece (the most important one) of the human HD gene
that contains the mutation that causes HD in people. This model was
chosen because it is very well-characterized (it has been around
for almost twenty years!) and for its movement and cognitive
abnormalities. The research team performed all of their experiments
using muscle fibers that were dissected from the mice, which were
then subjected to various electric stimuli (shocks). Needless to
say, human volunteers are difficult to come by for this one.
13
The shocking results The measurements obtained all came from muscle
fibers that were hooked up to a pair of tiny electrodes and had
various electrical currents passed through them. First, a signal to
contract coming from the brain was simulated with a series of
electrical pulses.
Muscle fibers from Huntington’s disease mice as well as ‘wild-type’
mice (mice that do not have the mutant human HD gene, and can be
thought of as a ‘normal’ control) responded appropriately to the
pulse. However, the muscle fibers from the HD mice took much longer
to return their electrical charge back to normal after the pulse.
This is the part of the action potential where potassium ions are
moving out of the cells.
In addition, the strength of the stimulus pulse required to trigger
an action potential was much lower in HD fibers, suggesting that
they are more easily triggered to contract. Not only that, but in
several of the HD fibers, following a pulse that should not have
been strong enough to generate an action potential, the fiber
contracted anyway.
Muscle fibers from Huntington’s disease mice are clearly much more
sensitive to these stimuli (“hyperexcitable”), and the authors
speculated that this hyperexcitability would make sense if there
were a reduction in the flow of potassium and/or chloride ions in
these cells.
Another series of pulses told them that channels in fibers from HD
mice have both less electric charge flowing through them over time
and that it was less easy for current to pass through them, than
channels from normal fibers. The authors conclude that both of the
above decreases could be explained by there being simply fewer
functional chloride and potassium
channels, so they explored the processes that lead to the physical
production of these channels.
The information that specifies the structure of a protein (like an
ion channel) is contained initially within the DNA of an organism,
but the message goes through a temporary intermediate of RNA before
it specifies the protein in question.
When the scientists looked at the muscle fibers of HD mice, they
found less of the RNA which specifies the chloride ion channel in
HD muscle fibers than in WT fibers, and as well as less of the RNA
that specifies the potassium ion channel.
So they were right - the electrical problems they observed in HD
muscle fibers were associated with the muscle cells making too few
copies of specific channels that help muscles work.
What does this mean for HD? Once you get past all the complicated
electrophysiology and molecular genetics, what does this article
really mean for the Huntington’s disease community? Well, first
off, it makes a very interesting observation: there is a defect not
just in the brain but in the muscle fibers that could help explain
the involuntary movements of HD.
This interesting possibility needs to be balanced with some
important considerations. First, the study was done entirely in a
mouse model of the disease. Although a well-established model,
there is no guarantee that the same things will be seen in the
human disease, which is the only thing that matters in the
end.
More importantly, we are a long way off from being able to apply
anything here to treat HD. Even if these problems are seen in the
human disease, there would still need to be some way of fixing this
problem.
Finally, even if these observations are confirmed in humans and an
effective therapy can be devised (muscle fibers are easier to
target than the brain, at least), they would only be effective
against the motor symptoms of the disease. This would have no
effect on other symptoms of the disease, like personality and
cognitive defects. Of course, every family of caregivers knows that
even something that could help with this issue (even in isolation)
would be extremely helpful and the unfortunate patient would be
less physically impaired and easier to manage.
The bottom line is that currently all medications that treat the
motor symptoms of HD have been targeting the brain. This paper
shows that the muscles themselves are potential targets, which
opens up interesting new avenues for research. Movement drugs that
affect the brain notoriously have lots of side effects; HD therapy
along lines suggested by this paper could conceivably generate a
more targeted treatment.
Potassium, and
single potassium ion,
charging into the
AGENDA
Chairperson’s Report
accounts
Election of the Board
Joy Smith Award
Non members are very welcome to attend but to vote you must be a
registered member.
Please RSVP (for catering purposes only). Please note it is
possible to attend the meeting even if
you haven’t given a RSVP.
JOY SMITH AWARD
REQUEST FOR NOMINATIONS
In memory of Joy Smith the Award consists of a payment of $250.00
(with no restrictions of use), funded by Huntington’s WA. The award
was established by Huntington's WA in 2009 and recognises
exceptional service and an overall commitment to Huntington's WA.
The main selection criteria are outstanding contribution to the
care and support of those with HD. Members of Staff and Board
Members are not eligible.
If you would like to nominate someone for this award please contact
the office on 9346 7599 or email
[email protected].
The Award will be presented at the AGM on Tuesday 29th October
2013.
SAVE THE DATE
The last quarter of the year is as always a very busy time as the
community celebrates the festive season together.
Further details and invitations will be circulated closer to the
event however, as our social calendars tend to fill rapidly at this
time of the year, the following are dates for your diary: Community
Christmas Afternoon Tea Sunday 24th November at the Niche
Travellers Group Christmas Monday evening 25th November
South West Group Christmas Lunch Saturday 7th December
Day Centre Christmas Party Wednesday 11th December
Carers Group Christmas Thursday 19th December
AGM Invitation and Joy Smith Award
15
nominating HWA as the recipient of funds
raised from their Free Dress Day. We are
sincerely appreciative of your support.
HDYO T Shirts for our City to Surf
fundraiser were provided at a fraction of
the cost by Aussie Gold promotions. A
special thank you to Lorraine Miners for
organising the shirts. They looked
fabulous!
members, friends and colleagues who
took part in the HD Heroes team for the
City to Surf. Your contribution is
invaluable!
Huntington’s WA and offered to our
younger members of the community.
Tickets were also shared with other
community members of associations based
at the Niche with feedback being very
positive. Thank you to the local businesses
and PCYC who sponsor this event.
Thank You
HDBuzz presents 'Buzzilia!'
The World Congress on Huntington’s Disease is the biggest regular
meeting of people affected by Huntington’s disease, family members,
friends, carers, scientists and health professionals. This year,
for the first time ever, it’s being held in Latin America – in Rio
de Janeiro, Brazil.
The HD World Congress is a unique opportunity for the global
Huntington’s disease community to come together and for people to
learn from each other and share news, progress and
excitement.
Of course, not everyone can make it to Rio. So to emphasize the
truly global nature of the HD Community, we’ll again be using
internet and social media to connect with the hundreds of thousands
of HD-affected people around the globe.
Jeff Carroll and Ed Wild will be reporting on the hottest science
news from the 2013 World Congress on Huntington’s Disease in Rio de
Janeiro, from Sunday 15th to Wednesday 18th September, in a special
feature called Buzzilia!
Buzzilia will bring you all the hottest science news from the World
Congress, with the HDBuzz ethos: the latest research news - brought
to you by scientists - in plain language - for the global HD
community. To view the daily posts visit the HD Buzz website at
http://en.hdbuzz.net/ or follow HD Buzz on twitter at
https://twitter.com/hdbuzzfeed .
DATE TIME VENUE EVENT/GROUP
Tuesday 1st 9.30 am - 3.00 pm Laser tag and Mini golf
Wanneroo
Youth Group
Wednesday 2nd 7.30 pm - 9.30 pm Greenwood North Metro Carers
Support Group
Monday 14th-Thursday 17th
Thursday 24th 10.00 am - 12.00 pm The Niche Passmore Room
Carers Support Group
Tuesday 29th 5:45 pm - 8.00 pm The Niche Passmore Room
AGM
Sunday 24th 1.30 pm - 4.30 pm The Niche Conference Room
Community Christmas Afternoon Tea
Monday 25th 7.00 pm - 10.00 pm To be advised Traveller’s
Christmas
Wednesday 27th 7.30 pm - 9.30 pm Greenwood North Metro Carers
Support Group
Thursday 28th 10.00 am - 12.00 pm The Niche Passmore Room
Carers Support Group
December 2013
Wednesday 4th 1.00 pm - 3.00 pm Crown Theatre The Club - South
Pacific
Saturday 7th 12.00 pm - 3.00 pm Bunbury South West Christmas
Wednesday 11th 9.30 am - 1.30 pm Beechboro Day Centre
Christmas
Thursday 19th 10.00 am - 12.00 pm The Niche Passmore Room
Carers Support Group Christmas
OFFICE CLOSED FOR FESTIVE SEASON
Day Centre
Every Wednesday 9.30 am - 1.30 pm Cnr Amazon And Darwin Crs
Beechboro
Beechboro Day Centre