lecture 18- prions Flashcards

1
Q

What are the differences between a virus and a prion?

A

Prions: no genetic info, protein only, no adaptive immunological response

viruses: contain gene info, DNA/RNA, protein, some with lipid coat, immunological response

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2
Q

what disease was involved with identifying prions?

A

scrapie

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3
Q

what does prion actually mean

A

proteinaceous infectious particle

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4
Q

why does UV kill viruses, but not prions?

A

UV interacts with DNA/genetic info- prions do not have nucleic acid

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5
Q

What is the protein-only hypothesis?

A

prions self-replicate without nucleic acid by converting a normal protein into a misfolded, infectious form

infectious agent is protein, versus nucleic acid

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6
Q

How do prions replicate?

A

cellular prion protein undergoes a conformational change to become disease prion protein (ex PrPc becomes PrPsc) –> misfolded protein is what accumulates

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7
Q

What are the different etiologies of prion diseases?

A

sporadic (most common), inherited, acquired

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8
Q

what is the most common etiology of prion disease in humans?

A

Sporadic Creutzfeldt-Jakob disease (CJD) (85-90% of all human cases)

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9
Q

examples of prion diseases?

A

mad cow, scrapie, kuru, chronic wasting disease, creutzfeldt-jakob disease

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10
Q

what do all prion diseases have in common? 6 things

A

Fatal
Transmissible/infectious
Spongiform neurodegeneration
Long incubation time
Short clinical phase
No treatment or prophylaxis available

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11
Q

What are the most important animal prion diseases?

A

scrapie (sheep and goats)
BSE (cattle)
CWD (elk and deer)

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12
Q

what changes are seen with classical scrapie

A

behavioural
Incoordination
Tremor
Ataxia
Pruritus

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13
Q

where are infectious prions found / shed with scrapie?

A

Prions found in urine, saliva, feces, milk

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14
Q

what is different about atypical scrapie?

A

Pruritus is uncommon (ataxia and incoordination is common), different /diffuse distribution in brain (not in opex)

found in more than 20 European countries, The Falkland Islands, USA, New Zealand,
Australia, Canada

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15
Q

What to do if you suspect a prion case – what material is needed for diagnosis?

A

mainly brain homogenates (obex region of brain stem), in some cases biopsies (ante mortem) rectoanal mucosa-associated lymphoid tissue
(RAMALT), retropharyngeal lymph node (CWD and scrapie)

must detect misfolded protein (PRPsc) (must detect protease resistant prion protein)

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16
Q

Which tests are used for diagnosis and what is detected?

A

immunoblot (western blot) - look for protease resistant prion protein

ELISA- detects PrP sc

immunohistochemistry/histopathology - antibody-based detection of PrPSc in tissue slices

17
Q

Are prion diseases zoonotic?

18
Q

true or false: PrPc and PrPsc have a different amino acid sequence

what is the significance of this regarding antibody response?

A

false - it is the same

antibodies cannot differentiate cellular from scrapie

19
Q

can you use PCR to detect prions?

A

noooooo same primary structure/ AA sequence

20
Q

can you select against scrapie?

A

yes, you can select against classical scrapie BUT not atypical scrapie

still reduces scrapie though

21
Q

what are clinical signs of classical BSE?

A

behaviour (Anxiety, Teeth grinding, Frequent nose licking, Tremors), sensory system (hypersensitive to touch, noise, light), locomotion (ataxia, hypermetria, cannot get up)

22
Q

true or false- BSE is transmitted by contact (is contagious)

A

FALSE - BSE does not have prion shedding (stays in brain)

transmitted by ruminant-derived meat and bone meal (‘neo-cannibalism’)

23
Q

when was the most recent case of classical BSE in alberta detected

24
Q

what animal is resistant to BSE ???

25
who is naturally susceptible to BSE
humans, cats, exotic ungulates, (and cattle obvi)
26
what are 3 significant differences with variant Creutzfeldt-Jakob disease (vCJD) versus sporadic Creutzfeldt-Jakob disease (sCJD) what is the significant of CJD
* Median age at death: 28 years (versus 68) * Clinical phase: 14 months (versus 6 months) * Ataxia, psychiatric symptoms (versus dementia) CJD is disease humans get from BSE
27
what types of BSE are there?
classical H type atypical L type atypical
28
what is significant about chronic wasting disease?
infects wild living and farmed animals
29
how is CWD transmitted
horizontal and vertical -- oral infection
30
what are the clinical signs of CWD?
progressive weight loss behavioral changes depression and isolation hypersalivation teeth grinding lack of coordination difficulty swallowing extreme thirst and urination pneumonia
31
what is the most contagious prion disease?
chronic wasting disease
32
true or false: the camelid prion disease has a different molecular signature than BSE and scrapie
true