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Elevated manganese levels in blood and CNS in human prion disease
Shirley Hesketh1, Judyth Sassoon, Robert Knight
1Department of Biology and Biochemistry, University of Bath, Bath, BA2 7AY, UK.
Abstract:
Prion disease or transmissible spongiform encephalopathies are neurodegenerative disorders of humans and other mammals. They are fatal and difficult to diagnose. Previous studies have suggested that some prion diseases cause elevation of manganese in the blood and brain. In the current study we analysed blood and brain samples from humans to determine whether elevation in manganese is a specific characteristic of Creutzfeldt-Jakob disease, the most common form of human prion disease. Analysis of manganese in the blood of normal humans showed that concentrations vary little with age or sex. Analysis of other diseases, including other neurodegenerative disease showed that only CJD showed an elevation in manganese and copper. Other diseases that showed elevated manganese included blood-brain barrier disorders and haemochromatosis. However, CJD could be easily distinguished from these diseases. This implies that increased blood manganese in prion disease is a highly specific characteristic of the disease.
Insights
Elevated manganese and copper in the blood may help diagnose Creutzfeldt-Jakob disease (CJD), a fatal neurodegenerative prion disease. This finding offers a specific biomarker for CJD, distinguishing it from other neurological conditions.
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Background:
- Prion diseases, or transmissible spongiform encephalopathies, are fatal neurodegenerative disorders.
- Previous research suggests a link between prion diseases and elevated manganese levels in the brain and blood.
Purpose of the Study:
- To investigate if elevated manganese is a specific biomarker for Creutzfeldt-Jakob disease (CJD), the most common human prion disease.
- To differentiate manganese levels in CJD patients from those in healthy individuals and patients with other neurological disorders.
Main Methods:
- Analysis of manganese concentrations in blood and brain samples from human subjects.
- Comparison of manganese levels in CJD patients, individuals with other neurodegenerative diseases, and healthy controls.
- Evaluation of copper levels in conjunction with manganese.
Main Results:
- Blood manganese concentrations showed minimal variation with age or sex in normal individuals.
- Creutzfeldt-Jakob disease (CJD) uniquely exhibited elevated levels of both manganese and copper compared to other neurodegenerative diseases.
- While other conditions like blood-brain barrier disorders and haemochromatosis also showed elevated manganese, CJD could be readily distinguished.
Conclusions:
- Increased blood manganese is a highly specific characteristic of prion disease, particularly CJD.
- Manganese and copper elevation may serve as a specific diagnostic marker for CJD.
- This finding aids in distinguishing CJD from other neurological and systemic diseases.
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