Prions Flashcards

(24 cards)

1
Q

What is a prion?

A

An infectious protein which can be transmitted the same as viruses etc.

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2
Q

What is an example of a prion-based disease?

A

BSE in cattle (target species) transmitted by ingestion of contaminated meat

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3
Q

What are the first prion to be isolated?

A

Scrapie in infected sheep in 1980, led to the discovery that the protein identified with the PrP gene (expressed in the brain)

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4
Q

What are the 3 forms of prion-associated disease in humans?

A

1) Familial
2) Sporadic
3) Transmissible

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5
Q

What are the 2 types of prions?

A

1) Prp-sen - non-disease causing, normal variant
2) Prp-res - disease causing, atypical variant

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6
Q

What is the difference between ‘sen’ and ‘res’?

A

The folding is different
‘sen’ is sensitive to biological degradation, ‘res’ is resistant so accumulates as it can’t be broken down

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7
Q

What is the current theory of Prp-sen’s role in the body?

A

They are involved in communication between nerve cells (in sleep patterns and in cell death)

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8
Q

Do prions have genetic material?

Can they replicate within the body?

A

No.
There is evidence that they can replicate in the body.

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9
Q

How does Prp-res accumulate in the body?

A

Upon contact with the ‘sen’ isoform, ‘res’ isoform of the protein converts ‘sen’ into ‘res’
Can explain why disease leads to progressive neurological degeneration - more proteins converted across different body sites

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10
Q

How do prions link to progressive nuerological disease?

A

Prions stack into long chains - amyloid fibres (toxic to nerve cells)
Astrocytes move through brain and digest dead nerve cells, leaving gaps in the tissue but amyloid fibres are untouched

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11
Q

How does BSE affect cows?

A

Affects the brain and spinal cord
During the incubation period (4-6years from infection until symptoms show), there is no way to tell that a cow has BSE.
Currently no treatment/vaccine

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12
Q

What is transmissible Spongiform Encephalitis (TSE)?

A

Infectious prion can be transmitted between animals or to different species (cause ‘sponge-like’ tissue in the brain)

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13
Q

What are the 2 types of scrapie in sheep?

A

1) Typical (affects 2-5yr sheep) transmitted via colostrum/milk - associated to areas where animals have given birth
2) Atypical (affects >5yr), may be less contagious but not fully understood why

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14
Q

What are some of of the symptoms of scrapie?

A

Repeatedly rubbing head/body against fence, posts/hay
Nibbling feet/legs in an agitated way
Have excessive wool loss/skin damage
Will eventually kill any animals that are infected

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15
Q

What is the impact of scrapie?

A

Herds are required to be slaughtered - natural affects economic viability of farms
Affects national exports and reputation for food and animal health.

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16
Q

What is Creutzfeldt-Jakob disease (CJD)?

A

Neurodegenerative disease in humans - similar symptoms to BSE.
Deterioration rapidly progresses, is always fatal within 1 year of contracting
85% occurs as a sporadiac disease with no recognisable pattern of transmission
5% develop CJD due to inherited mutations

17
Q

What are some of the diagnostics for CJD?

A

Presence of 14-3-3 protein in cerebrospinal fluid and/or typical EEG pattern

18
Q

What is a confirmatory diagnosis for CJD?

A

Neuropathologic and/or immunodiagnostic testing of brain tissue obtained at biopsy/autopsy

19
Q

Is there a treatment for CJD?

A

No. Care is supportive only

20
Q

How does CJD present?

A

Rapid, progressive dementia and cerebellum dysfunction, neurological abnormalities

21
Q

Where does polymorphism occur for CJD?

A

In the 129 codon on the human prion gene (valine/methionine)

22
Q

What is variant CJD?

A

vCJD is found through consumption of animal produce containing prions - e.g. BSE

23
Q

What are the features of vCJD?

A

Psychiatric and sensory problems at onset with dementia only developing in final stages
All patients presenting vCJD are homozygous for methionine at codon 129 in prion gene

24
Q

What is Gerstmann-Straussler-Scheinker syndrome (GSS)?

A

Rare inherited autosomal dominant mutation/insertion of prion on chromosome 20
Affects mostly middle-aged persons
Linked to codon 102 proline->leucine mutation