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Updated: Feb 11, 2026

Protein Misfolding Cyclic Amplification of Prions
Published on: November 7, 2012
Rapid amplification of prions from variant Creutzfeldt-Jakob disease cerebrospinal fluid
Marcelo A Barria1, Andrew Lee1, Alison Je Green1
1National CJD Research & Surveillance Unit, Centre for Clinical Brain Sciences, Deanery of Clinical Medicine, The University of Edinburgh, Edinburgh, UK.
Abstract:
Human prion diseases constitute a group of infectious and invariably fatal neurodegenerative disorders associated with misfolding of the prion protein. Variant Creutzfeldt-Jakob disease (vCJD) is a zoonotic prion disease linked to oral exposure to the infectious agent that causes bovine spongiform encephalopathy (BSE) in cattle. The most recent case of definite vCJD was heterozygous (MV) at polymorphic codon 129 of the prion protein gene PRNP while all of the previous 177 definite or probable vCJD cases who underwent genetic analysis were methionine homozygous (MM). Retrospective prevalence studies conducted on lympho-reticular tissue suggest that the number of asymptomatic vCJD carriers in the United Kingdom might be around 1 in 2000 people. In addition, there have been four known cases of the transmission of vCJD infection via blood transfusion. For these reasons, a sensitive, reliable, and fast diagnostic test is currently needed. We describe a rapid and highly sensitive seeding conversion assay that detects disease-associated prion protein in the brain and cerebrospinal fluid in vCJD after 48-96 h of amplification, with 100% sensitivity and specificity. This method can amplify prions from definite, probable, and possible vCJD cases from patients who are either MM or MV at PRNP-codon 129.
Insights
A new seeding conversion assay rapidly detects prion protein in variant Creutzfeldt-Jakob disease (vCJD) patients. This highly sensitive test shows 100% accuracy for all vCJD cases, regardless of genetic prion protein gene (PRNP) codon 129 status.
Area of Science:
- Neuroscience
- Infectious Diseases
- Genetics
Background:
- Human prion diseases are fatal neurodegenerative disorders caused by misfolded prion proteins.
- Variant Creutzfeldt-Jakob disease (vCJD) is a zoonotic form linked to bovine spongiform encephalopathy (BSE).
- Asymptomatic vCJD carriers may be prevalent (1 in 2000 in the UK), and transmission via blood transfusion is a concern.
Purpose of the Study:
- To develop a sensitive, reliable, and rapid diagnostic test for vCJD.
- To detect disease-associated prion protein in vCJD patients.
Main Methods:
- A rapid and highly sensitive seeding conversion assay was developed.
- The assay amplifies disease-associated prion protein from brain and cerebrospinal fluid samples.
- Amplification occurred over 48-96 hours.
Main Results:
- The assay demonstrated 100% sensitivity and specificity for vCJD detection.
- It successfully amplified prions from definite, probable, and possible vCJD cases.
- The test is effective for patients with both methionine homozygous (MM) and heterozygous (MV) prion protein gene (PRNP) codon 129 genotypes.
Conclusions:
- A rapid, sensitive, and specific diagnostic assay for vCJD has been established.
- This assay can detect prion protein in vCJD patients across different genetic profiles.
- The findings support the need for widespread vCJD screening.
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