An immunoassay for the pathological form of the prion protein based on denaturation and time resolved fluorometry

Reza H Dabaghian1, Geoff Barnard, Ian McConnell

  • 1Virus Reference Department, Centre for Infections, Health Protection Agency, 61 Colindale Avenue, London NW9 5HT, UK. Reza.Dabaghian@hpa.org.uk

Insights

A new test detects PrP(Sc), the infectious agent of variant Creutzfeldt-Jakob disease (vCJD), in peripheral tissues. This sensitive assay uses differential guanidine hydrochloride extraction and fluorescence detection, paving the way for non-invasive vCJD diagnostics.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Medical Diagnostics

Background:

  • Variant Creutzfeldt-Jakob disease (vCJD) poses a risk for secondary transmission via blood products.
  • A sensitive, rapid diagnostic test for vCJD in living individuals is crucial for public health.
  • Current diagnostic methods are limited, especially for pre-clinical detection in non-invasive samples.

Purpose of the Study:

  • To develop a sensitive and rapid test for detecting PrP(Sc) in vCJD patients.
  • To establish a method for identifying PrP(Sc) in non-invasively collected specimens.
  • To enable accurate prevalence estimation of pre-clinical vCJD.

Main Methods:

  • Developed a test based on differential extraction of PrP(Sc) using guanidine hydrochloride.
  • Sequentially extracted PrP isoforms from homogenized tissues at two guanidine hydrochloride concentrations.
  • Quantified PrP fractions using time-resolved fluorescence (DELFIA) for differentiation.

Main Results:

  • The assay successfully detects PrP(Sc) in peripheral tissues and brain samples from vCJD patients.
  • The method demonstrates a detection limit of 10 pg PrP.
  • The assay is robust and has potential for automation.

Conclusions:

  • A simple, sensitive test for PrP(Sc) detection in vCJD has been developed.
  • This assay is a significant first step towards non-invasive vCJD diagnostics.
  • The test's sensitivity and potential for automation offer promising avenues for vCJD screening and prevalence studies.