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Procedures for Identifying Infectious Prions After Passage Through the Digestive System of an Avian Species
Published on: November 6, 2013
[Prion diseases in pediatrics]
I Sol-Caubel1, F Castela, V Brousse
1Service de neuropédiatrie, hôpital Armand-Trousseau, Paris, France.
Insights
Prion diseases, like Creutzfeldt-Jakob disease (CJD), involve abnormal prion protein (PrP) accumulation. Research explores CJD transmission, particularly variant CJD linked to bovine spongiform encephalopathy, and the role of the PRNP gene.
Area of Science:
- Neurology
- Infectious Diseases
- Molecular Biology
Context:
- Prion diseases are rare, fatal neurological disorders affecting humans and animals.
- Creutzfeldt-Jakob disease (CJD) is the most common pediatric prion disease, often linked to growth hormone treatment.
- Variant CJD (vCJD) emerged in the UK, with strong evidence linking it to bovine spongiform encephalopathy (BSE).
Purpose:
- To review the current understanding of prion diseases, focusing on CJD and vCJD.
- To discuss the role of prion protein (PrP) accumulation and the PRNP gene in disease pathogenesis.
- To address unanswered questions regarding potential new pediatric vCJD cases and transmission routes.
Summary:
- Prion diseases are characterized by the accumulation of misfolded prion protein (PrP) in the brain.
- The PRNP gene, encoding PrP, and its mutations/polymorphisms are implicated in CJD.
- The link between BSE and vCJD highlights potential zoonotic transmission, raising concerns about dietary exposure.
Impact:
- Highlights the need for further research into prion disease mechanisms and transmission.
- Informs public health strategies for preventing and managing prion disease outbreaks.
- Underscores the importance of understanding the PRNP gene's role in susceptibility and disease progression.
Abstract:
Prion diseases are rare neurologic affections with a poor prognosis, occurring in both humans and animals. Creutzfeldt-Jakob disease (CJD) secondary to human extracted growth hormone treatment is the most frequent condition in pediatrics. In 1994, a new type of CJD (variant CJD) was described in young adults in the United Kingdom, only 10 years after the bovine spongiform encephalopathy epidemic, with recent works showing a direct relationship between the bovine epidemic and the human cases. An accumulation of a single protein called the prion protein (PrP) has been discovered in the brain in all of these cases, animal and human, leading to the hypothesis that a new infectious agent could proceed without any nuclear acid information; another hypothesis is that of a still unknown viral agent. The PRNP gene encoding for this PrP protein is well described: some mutations and a polymorphism in the 129th codon have been shown to be implicated in many cases of CJD. PrP is a ubiquitous protein, with yet unknown physiological function. There are still many questions to be answered: shall we expect new pediatric cases of variant CJD? Assuming that animal-human contamination is related to alimentation, are there other ways of contamination.
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