The Huntington's disease gene contains an expanded unstable (CAG)(n) r
epeat, and the repeat lengths have been shown to correlate with the ag
e of onset. Using detailed clinical scales, we evaluated the rate of p
rogression of Huntington's disease and its relationship to the number
of triplet repeats. We found significant positive correlation between
the rate of progression of clinical symptoms (both neurological and ps
ychiatric) and CAG repeat length. These data suggest an important role
of expanded trinucleotide repeat length in affecting the pathological
process during the entire course of Huntington's disease.