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Prions
prion diseases
17
Medical
Graduate
09/27/2009

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Cards

Term
On what chromosome is the gene that encodes prion protein
Definition
human chromosome 20
Term
What are the symptoms of scrapie?
Definition
ataxia, tremor, weakness, and excessive thirst; also an intense itch that causes sheep to scrape off their wool
Term
What are the characteristics of Kuru?
Definition
ataxia, tremor, dementia
Term
What is the incidence of sporadic CJD worldwide?
Definition
1 per every one million
Term
What histologic characteristics are seen all TSE diseases?
Definition
  • spongiform change
  • loss of neurons
  • reactive astrocytosis/gliosis
  • amyloid plaque deposition
Term
What are some changes in the biochemical properties of abnormal prion protein?
Definition
decreased detergent solubility and increased resistance to enzymatic degradation
Term
What are four ways prion disease can be acquired?
Definition
  • use of improperly sterilized neurosurgical instruments
  • corneal transplants or dural grafts
  • administration of contaminated growth hormone
  • consumption of food products contaminated with bovine spongiform encephalopathy (vCJD)
Term
What are some observed indications of prion strain diversity?
Definition

  • different incubation periods
  • different cerebral distribution
  • different post-proteinase K Western banding pattern

Term
What are some common symptoms of CJD?
Definition
  • changes in behavior, altered emotional responses, decline in intellect
  • altered motor and cerebellar function
  • myoclonic contractions
  • sharp wave complexes on EEG
  • invariably fatal
Term
What are two inherited TSEs?
Definition

Gerstmann-Straussler-Scheinker Disease

Fatal Familial Insomina

Term
What are the two most common mutations leading to GSS?
Definition
P102L and A117V
Term
Which prion disease is characterized by ataxia, dysarthria, and nystagmus?
Definition
GSS
Term
What mutation in codon 129 causes fatal familial insomnia and what are the symptoms?
Definition
D178N; insomnia, sympathetic over-activity, endocrine disturbances
Term
What is a definitive way to diagnosis TSE?
Definition
proteinase K resistant form of prion protein in brain tissue
Term
What sort of polymorphisms are seen at codon 129 of PrP?
Definition
  • homozygous valine -> iatrogenic CJD
  • homozygous methionine -> FFI
  • all vCJD patients -> homozygous methionine
Term
What is the mean age of death in patients with vCJD?
Definition
29 years
Term

What is chronic wasting disease?

Definition

 

  • affects mule, deer and elk
  • not known to naturally infect other species of wildlife
  • no treatment; fatal
  • infect both free-ranging and captive animals
  • potential public health threat
  • Presently there is no evidence that humans can contract a form of spongiform encephalopathy from eating CWD positive wild deer and elk meat.
  • can be transmitted by deer excreta or decomposed deer carcasses
    • of all the mammalian prion diseases it is the most efficiently transmitted
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