Four metabolic pathways were enriched with the 35 genes DE in both types of hernia using the PANTHER database [47]: Huntington’s disease (P00029) (ARL4A); muscarinic receptor signaling pathway 1 and 3 of acetylcholine (P00042) (BCHE); acetylcholine muscarinic receptor 2 and 4 signaling pathway (P00043) (BCHE) and acetylcholine receptor nicotinic signaling pathway (P00044) (BCHE). The gene discussed is ARL4A; the disease is juvenile Huntington disease.