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Constant transmission properties of variant Creutzfeldt-Jakob disease in 5 countries
Abigail B Diack1, Diane Ritchie, Matthew Bishop
1The Roslin Institute, Easter Bush, Scotland.
Abstract:
Variant Creutzfeldt-Jakob disease (vCJD) has been reported in 12 countries. We hypothesized that a common strain of agent is responsible for all vCJD cases, regardless of geographic origin. To test this hypothesis, we inoculated strain-typing panels of wild-type mice with brain material from human vCJD case-patients from France, the Netherlands, Italy, and the United States. Mice were assessed for clinical disease, neuropathologic changes, and glycoform profile; results were compared with those for 2 reference vCJD cases from the United Kingdom. Transmission to mice occurred from each sample tested, and data were similar between non-UK and UK cases, with the exception of the ranking of mean clinical incubation times of mouse lines. These findings support the hypothesis that a single strain of infectious agent is responsible for all vCJD infections. However, differences in incubation times require further subpassage in mice to establish any true differences in strain properties between cases.
Insights
A single infectious agent strain likely causes variant Creutzfeldt-Jakob disease (vCJD) globally. Mouse studies showed consistent transmission and characteristics across international vCJD cases, supporting a common origin.
Area of Science:
- Neuroscience
- Infectious Diseases
- Prion Diseases
Background:
- Variant Creutzfeldt-Jakob disease (vCJD) is a fatal neurodegenerative disorder.
- vCJD cases have been documented in 12 countries worldwide.
- The geographic origin of vCJD cases has raised questions about the causative agent's strain.
Purpose of the Study:
- To test the hypothesis that a common infectious agent strain causes all vCJD cases.
- To compare vCJD agent properties across different geographic origins.
Main Methods:
- Inoculation of wild-type mice with brain material from vCJD patients from multiple countries.
- Assessment of clinical disease, neuropathology, and prion glycoform profiles in mice.
- Comparison of results with reference vCJD cases from the United Kingdom.
Main Results:
- Successful transmission of the vCJD agent to mice from all tested international samples.
- Consistent neuropathologic and glycoform profile data between non-UK and UK vCJD cases.
- Minor variations observed in the ranking of mean clinical incubation times across mouse lines.
Conclusions:
- Findings strongly support the hypothesis of a single vCJD agent strain responsible for all human infections.
- Observed differences in incubation times warrant further investigation through mouse subpassage.
- Further studies are needed to definitively establish strain property variations between vCJD cases.
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