Transmission of amyloid-β protein pathology from cadaveric pituitary growth hormone
View abstract on PubMed
Summary
This summary is machine-generated.Human cadaveric growth hormone batches linked to Creutzfeldt-Jakob disease transmission also contained amyloid-beta seeds. This study experimentally confirms that these contaminated hormone batches can transmit Alzheimer's disease pathology.
Area Of Science
- Neuroscience
- Neuropathology
- Infectious Diseases
Background
- Individuals treated with cadaver-derived human growth hormone (c-hGH) for Creutzfeldt-Jakob disease (CJD) showed unusual amyloid-beta (Aβ) deposits.
- Previous observations suggested c-hGH batches might be contaminated with both prions and Aβ seeds, but causality remained unproven.
Purpose Of The Study
- To investigate the potential for iatrogenic transmission of amyloid-beta (Aβ) pathology via contaminated human cadaveric pituitary-derived growth hormone (c-hGH).
- To biochemically analyze archived c-hGH batches for the presence of Aβ seeds and assess their seeding potential in vivo.
Main Methods
- Archived c-hGH vials from patients with iatrogenic CJD (iCJD) and Aβ pathology were identified and analyzed.
- Biochemical assays quantified Aβ40, Aβ42, and tau proteins in the c-hGH samples.
- The capacity of the analyzed c-hGH material to seed Aβ pathology was tested in mice genetically engineered to express human amyloid precursor protein.
Main Results
- Certain archived c-hGH batches were found to contain substantial levels of Aβ40, Aβ42, and tau proteins.
- Inoculation of this c-hGH material into mice induced the formation of Aβ plaques and cerebral Aβ-amyloid angiopathy.
- These findings experimentally confirm the presence of Aβ seeds in archived c-hGH.
Conclusions
- The study provides experimental evidence supporting the hypothesis of iatrogenic transmission of Aβ pathology via contaminated c-hGH.
- The findings have significant implications for Alzheimer's disease prevention and treatment strategies.
- A review of medical and surgical procedures for the risk of accidental Aβ seed transmission is warranted.
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