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Prion diseases
1Pathology 627, The Johns Hopkins University School of Medicine & Bloomberg School of Public Health, Baltimore, MD 21287, USA. rtj@jhmi.edu
The Lancet. Neurology
|September 20, 2005
Summary
Prion diseases are fatal neurodegenerative disorders caused by infectious prion proteins. Transmission varies across human and animal diseases, complicating risk assessment and prediction.
Area of Science:
- Neuroscience
- Infectious Diseases
- Molecular Biology
Background:
- Prion diseases are fatal neurodegenerative disorders affecting the nervous system.
- They are caused by a pathogenic isoform of the prion protein, a normal cell membrane constituent.
- Creutzfeldt-Jakob disease (CJD) is the most common human prion disease.
Purpose of the Study:
- To review the modes of transmission and risk factors associated with human and animal prion diseases.
- To highlight the challenges in assessing and predicting the spread of prion diseases.
- To understand the implications of prion protein's pathogenic isoform.
Main Methods:
- Review of scientific literature on prion diseases.
- Analysis of transmission routes in human and animal prionopathies.
- Examination of factors influencing disease spread and risk.
Main Results:
- Human prion diseases include sporadic CJD, inherited forms, and iatrogenic transmission.
- Consumption of infected material is linked to kuru and variant CJD.
- Animal prion diseases like BSE and CWD are transmitted via contact or feed.
Conclusions:
- Prion disease transmission routes are diverse, including sporadic, inherited, iatrogenic, and consumption-based.
- Animal prion diseases spread through direct contact or contaminated feed.
- Variable transmission, species barriers, infectivity distribution, and strain variations complicate risk assessment and future predictions.