Prion diseases

Richard T Johnson1

  • 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
PubMed

Insights

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.

Related Concept Videos

Subviral Agents01:29

Subviral Agents

Subviral agents are infectious entities that resemble viruses but lack one or more viral components, such as a capsid or essential replication machinery. These agents include viroids, prions, and satellites, each possessing distinct structural and functional characteristics that influence their mode of infection and replication.Viroids are the simplest subviral agents, consisting of circular, single-stranded RNA molecules without a protein coat. They exclusively infect plants, relying entirely...
Amyloid Fibrils03:03

Amyloid Fibrils

Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining, normally used to...
Amyloid Fibrils03:03

Amyloid Fibrils

Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining, normally used to...
Rabies01:28

Rabies

Rabies is a lethal zoonotic disease caused by a single-stranded, negative-sense RNA virus of the Lyssavirus genus, within the family Rhabdoviridae. Its primary mode of transmission to humans is through bites or saliva-contaminated scratches from infected mammals such as dogs, bats, raccoons, or foxes. Transmission can also occur if infectious saliva contacts abraded skin or intact mucous membranes, including the conjunctiva.Viral Entry and Early ReplicationOnce introduced at the bite or scratch...
Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
Huntington Disease l: Introduction01:21

Huntington Disease l: Introduction

Huntington disease or HD is a progressive, fatal neurodegenerative disorder inherited in an autosomal dominant pattern.PathophysiologyIt is caused by expansion of the CAG trinucleotide repeat in the HTT gene on chromosome 4 (4p16.3), producing an abnormal huntingtin protein with an expanded polyglutamine tract. This misfolded protein disrupts cellular function, leading to neuronal death. Normal alleles have ≤26 repeats, 27–35 are intermediate (risk of expansion), 36–39 show reduced penetrance,...