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Thank-you letter from Rylee and Brandon Puccini after IVF funded by NVforHD
BlogImpact

How IVF Can Break the Huntington's Disease Cycle — and How NVforHD Made It Happen

February 28, 20267 min readImpact

Brandon and Rylee Puccini are expecting a healthy baby, HD-free. It started with a golf tournament in Truckee and a grant from HelpCureHD. Here is how preimplantation genetic testing is changing the story for HD families.

In 2024, NVforHD raised $25,000 at our inaugural golf tournament at Old Greenwood in Truckee.

That money went to HelpCureHD — see where all NVforHD money goes. See our full transparency report. HelpCureHD put it through their grant cycle — vetting families in genuine financial need who carried the Huntington's Disease gene mutation. And they selected Brandon and Rylee Puccini.

"Brandon and Rylee are now expecting. Their baby will not have Huntington's Disease.

Thank-you letter from Rylee and Brandon Puccini
The letter that arrived after the 2024 tournament — from Rylee & Brandon Puccini

That is what $25,000 and one sold-out golf tournament did.

$25,000Raised at the 2024 NVforHD inaugural tournament

Preimplantation Genetic Testing for Monogenic disorders (PGT-M) identifies embryos carrying specific genetic mutations before implantation. Success rate for HD: above 95%. Source: HDSA Medical Advisory Board

The Science Behind It

Huntington's Disease is caused by a mutation in the HTT gene — specifically, an expanded CAG repeat sequence. It is inherited in an autosomal dominant pattern: if you carry the mutation, each of your children has a 50% chance of inheriting it.

Until recently, HD-positive individuals who wanted children faced an agonizing choice: risk passing on the disease, or not have biological children.

Preimplantation Genetic Testing (PGT) changed that equation.

Here is how it works:

  • The couple undergoes IVF — eggs are retrieved and fertilized in a lab
  • Embryos develop for 5–6 days to the blastocyst stage
  • A few cells are biopsied from each embryo
  • Those cells are genetically tested — specifically for the HTT gene mutation
  • Only HD-negative embryos are transferred to the uterus
  • The pregnancy proceeds — and the child will not carry the HD mutation
  • The result is a child who is genuinely free from Huntington's Disease. Not just unaffected — free. They cannot pass it to their own children either, because they do not carry the mutation.

    The Barrier: Cost

    IVF with PGT is not covered by most insurance plans for genetic disease prevention. A single full cycle — retrieval, fertilization, genetic testing, and transfer — typically costs between $15,000 and $30,000.

    For a couple already dealing with an HD diagnosis in the family, navigating medical care, potential caregiving, and the emotional weight of the disease, that cost is out of reach.

    This is the gap HelpCureHD exists to fill.

    HelpCureHD: The Organization

    HelpCureHD was created by Joe Smith — MLB pitcher and son of Lee Smith, who was diagnosed with HD in 2012 and died in 2020 at 61. Joe and his wife, sports reporter Allie LaForce, made a promise to his mother: to end Huntington's disease one family at a time.

    HelpCureHD provides grants to HD-positive families who need financial assistance to access IVF with PGT. To date, they have helped over 135 families nationally.

    Each family they help potentially ends a multi-generational chain of suffering. One grant. One cycle. Potentially hundreds of HD-free descendants across future generations.

    What Rylee and Brandon Said

    After their IVF cycle succeeded, Rylee and Brandon wrote to NVforHD. Their letter hangs in our hearts.

    "Thank you for gifting us with the miracle of life — and specifically life that is Huntington's free."

    That letter arrived because a group of golfers showed up in Truckee on a beautiful day in 2024 and decided to help.

    What This Means for 2026

    In 2026 our focus shifts to the UC Davis HD Center of Excellence — the clinic serving 90+ Northern Nevada families who need ongoing specialized care. But the work HelpCureHD does continues, and the families they are still helping deserve to know this path exists.

    If you or someone you know is HD-positive and considering having children, genetic counseling is the first step. The UC Davis HD Center of Excellence — which NVforHD supports — has a dedicated genetic counselor on staff specifically for this.

    And if you want to be part of making more stories like Brandon and Rylee's possible, join us on May 29, 2026 at Gray's Crossing at Gray's Crossing Golf Club in Truckee.

    You do not have to be a golfer. You can donate directly. Every amount matters, because we have seen exactly what it can do.


    This is what $25,000 from a golf tournament did.

    Your seat at the table changes families. Join us May 29 at Gray's Crossing, Truckee.

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