prions Flashcards

1
Q

Prion diseases a

A

rare, fatal, rapidly progressive neurodegenerative diseases that occur in humans and other animal species

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2
Q

histological appearance of prion disease in neuropil

A

Presence of small vacuoles within the neuropil, which produces a spongiform appearance

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3
Q

animal prion diseases

A
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4
Q

human prion diseases

A
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5
Q

Scrapie

transmissable?

A

fatal neurodegenerative disease of sheep

demonstrated to be a transmissible disorder

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6
Q

CJD

transmissable?

A

fatal neurodegenerative disease of humans recognized since the 1920s
demonstrated to be transmissible in the 1960s (humans to chimpanzees)

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7
Q

Early CJD symptoms

A

memory problems, behavioral changes, poor coordination, and visual disturbances

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8
Q

later CJD symptoms

% dead within 1 yr?

A

dementia, involuntary movements, blindness, weakness, and coma

70% of people die within 1 year of diagnosis

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9
Q

Search for agent of scrapie and CJD

A

infectious agents were “filterable” meaning not cellular (filters used could trap bacteria) therefore, possibly a virus

Researchers treated the infectious material to determine what it was composed of ionizing radiation, which destroys DNA and RNA, did not affect transmission of scrapie and CJD

Hypothesis (1960s): scrapie and CJD are caused by infectious agents consisting solely of proteins

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10
Q

protein of prion disease

A

PrPSc (=PrP folded into the prion form) recruits PrP (the non-prion form of PrP) to adopt the prion shape.
The non-prion form (“normal” form) is called PrP or PrPC.

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11
Q

what encodes Prp protein

A

PRNP gene on chromosome 20 encodes PrP protein

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12
Q

Prp possible polymorphisms

A

Met or Val at codon 129 of PRNP gene
60% Met codon; 40% Val codon
homozygote for either = increased risk of disease

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13
Q

Prp degradation

A

resistant to degradation and accumulates in amyloid fibrils

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14
Q

Prp strongly expressed where? functions?

A

strongly expressed in both neurons and glial cells of the CNS and appears to regulate ion channels and neurotransmitter receptors at the pre- and postsynaptic levels.

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15
Q

CJD and variant CJD median age of death

A

CJD: 68
variant: 28

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16
Q

CJD and variant CJD duration of illness

A

CJD: 4-5m
varaint: 13-14m

17
Q

CJD and variant CJD signs and symptoms

A

CJD: Dementia; early neurologic signs

Variant: Promionent psychiatric/behavioral symptoms; painful dysthesias; delayed neurologic signs

18
Q

CJD and variant CJD accumulation of PRP in brain tissue

A

CJD: variable accumulation
variant: marked accumulation

19
Q

prions and routine sterilization

A

Prions may not be inactivated by means of routine surgical instrument sterilization
procedures

20
Q

recommended for instruments after use in prion cases

cases of iatrogenic transmission

A

recommend that instrumentation used in such cases be immediately destroyed after use.

Secondary to destruction, it is recommended that heat and chemical decontamination be
used in combination to process instruments that come in contact with high-infectivity
tissues.

No cases of iatrogenic transmission of CJD have been reported subsequent to the adoption
of current sterilization procedures, or since 1976.