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Transmissible spongiform encephalopathy

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totally surrounded by optical fibres to capture all light emitted once the dye is excited using a laser. The technique allowed detection of PrP after many fewer cycles of conversion than others have achieved, substantially reducing the possibility of artefacts, as well as speeding up the assay. The researchers also tested their method on blood samples from apparently healthy sheep that went on to develop scrapie. The animals' brains were analysed once any symptoms became apparent. The researchers could therefore compare results from brain tissue and blood taken once the animals exhibited symptoms of the diseases, with blood obtained earlier in the animals' lives, and from uninfected animals. The results showed very clearly that PrP could be detected in the blood of animals long before the symptoms appeared.
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has started. At present, there is virtually no way to detect PrP reliably except by examining the brain using neuropathological and immunohistochemical methods after death. Accumulation of the abnormally folded PrP form of the PrP protein is a characteristic of the disease, but it is present at very low levels in easily accessible body fluids like blood or urine. Researchers have tried to develop methods to measure PrP, but there are still no fully accepted methods for use in materials such as blood.
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deer and elk spread in northeastern Colorado, southeastern Wyoming and western Nebraska. It was also discovered that CWD may have been present in a proportion of free-ranging animals decades before the initial recognition. In the United States, the discovery of CWD raised concerns about the transmission of this prion disease to humans. Many apparent cases of CJD were suspected transmission of CWD, however the evidence was lacking and not convincing.
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human consumption of these infected cattle caused an outbreak of the human form CJD. There was a dramatic decline in BSE when feeding bans were put in place. On May 20, 2003, the first case of BSE was confirmed in North America. The source could not be clearly identified, but researchers suspect it came from imported BSE-infected cow meat. In the United States, the USDA created safeguards to minimize the risk of BSE exposure to humans.
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Transmissible spongiform encephalopathies (TSE) are very rare but can reach epidemic proportions. It is very hard to map the spread of the disease due to the difficulty of identifying individual strains of the prions. This means that, if animals at one farm begin to show the disease after an outbreak
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Chronic wasting disease (CWD) is a prion disease found in North America in deer and elk. The first case was identified as a fatal wasting syndrome in the 1960s. It was then recognized as a transmissible spongiform encephalopathy in 1978. Surveillance studies showed the endemic of CWD in free-ranging
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Early neuropathological reports on human prion diseases suffered from a confusion of nomenclature, in which the significance of the diagnostic feature of spongiform change was occasionally overlooked. The subsequent demonstration that human prion diseases were transmissible reinforced the importance
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Variant Creutzfeldt-Jakob disease (vCJD) was discovered in 1996 in England. There is strong evidence to suggest that vCJD was caused by the same prion as bovine spongiform encephalopathy. A total of 231 cases of vCJD have been reported since it was first discovered. These cases have been found in a
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There continues to be a very practical problem with diagnosis of prion diseases, including BSE and CJD. They have an incubation period of months to decades during which there are no symptoms, even though the pathway of converting the normal brain PrP protein into the toxic, disease-related PrP form
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In the 1980s and 1990s, bovine spongiform encephalopathy (BSE or "mad cow disease") spread in cattle at an epidemic rate. The total estimated number of cattle infected was approximately 750,000 between 1980 and 1996. This occurred because the cattle were fed processed remains of other cattle. Then
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cause prion disease. Familial forms of prion disease are caused by inherited mutations in the PRNP gene. Only a small percentage of all cases of prion disease run in families, however. Most cases of prion disease are sporadic, which means they occur in people without any known risk factors or gene
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and some specific antibodies against PrP. After amplifying and then concentrating any PrP, the samples are labelled with a fluorescent dye using an antibody for specificity and then finally loaded into a micro-capillary tube. This tube is placed in a specially constructed apparatus so that it is
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While not containing a nucleic acid genome, prions may be composed of more than just a protein. Purified PrP appears unable to convert to the infectious PrP form, unless other components are added, such as RNA and lipids. These other components, termed cofactors, may form part of the infectious
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Classic Creutzfeldt-Jakob disease (CJD) was discovered in 1920. It occurs sporadically over the world but is very rare. It affects about one person per million each year. Typically, the cause is unknown for these cases. It has been found to be passed on genetically in some cases. 250 patients
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was discussed in the British House of Commons and may have been present in Britain for some time before that. Although there were unsupported claims in 1759 that the disease was contagious, in general it was thought to be due to inbreeding and countermeasures appeared to be successful.
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Hope J, Reekie LJ, Hunter N, Multhaup G, Beyreuther K, White H, Scott AC, Stack MJ, Dawson M, Wells GA.; Reekie; Hunter; Multhaup; Beyreuther; White; Scott; Stack; Dawson; et al. (Nov 1988). "Fibrils from brains of cows with new cattle disease contain scrapie-associated protein".
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Sakudo, Akikazu; Lee, Deug-chan; Saeki, Keiichi; Nakamura, Yuko; Inoue, Keiichi; Matsumoto, Yoshitsugu; Itohara, Shigeyoshi; Onodera, Takashi (2003). "Impairment of superoxide dismutase activation by N-terminally truncated prion protein (PrP) in PrP-deficient neuronal cell line".
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and familial spongiform encephalopathy. Creutzfeldt-Jakob disease itself has four main forms, the sporadic (sCJD), the hereditary/familial (fCJD), the iatrogenic (iCJD) and the variant form (vCJD). These conditions form a spectrum of diseases with overlapping signs and symptoms.
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Will RG, Ironside JW, Zeidler M, Cousens SN, Estibeiro K, Alperovitch A, Poser S, Pocchiari M, Hofman A, Smith PG.; Ironside; Zeidler; Cousens; Estibeiro; Alperovitch; Poser; Pocchiari; Hofman; Smith (April 1996). "A new variant of Creutzfeldt–Jakob disease in the UK".
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Familial forms of prion disease are inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder. In most cases, an affected person inherits the altered gene from one affected parent.
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total of 12 countries with 178 in the United Kingdom, 27 in France, five in Spain, four in Ireland, four in the United States, three in the Netherlands, three in Italy, two in Portugal, two in Canada, and one each in Japan, Saudi Arabia, and Taiwan.
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Nitrini R, Rosemberg S, Passos-Bueno MR, da Silva LS, Iughetti P, Papadopoulos M, Carrilho PM, Caramelli P, Albrecht S, Zatz M, LeBlanc A (August 1997). "Familial spongiform encephalopathy associated with a novel prion protein gene mutation".
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Brown P, Preece M, Brandel JP, Sato T, McShane L, Zerr I, Fletcher A, Will RG, Pocchiari M, Cashman NR, d'Aignaux JH, Cervenakova L, Fradkin J, Schonberger LB, Collins SJ (2000). "Iatrogenic Creutzfeldt–Jakob disease at the millennium".
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Haybaeck, Johannes; Heikenwalder, Mathias; Klevenz, Britta; Schwarz, Petra; Margalith, Ilan; Bridel, Claire; Mertz, Kirsten; Zirdum, Elizabeta; Petsch, Benjamin; Fuchs, Thomas J.; Stitz, Lothar; Aguzzi, Adriano (January 13, 2011).
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procedures such as boiling or irradiating materials fail to render prions non-infective. However, treatment with strong, almost undiluted bleach and/or sodium hydroxide, or heating to a minimum of 134 Â°C, does destroy prions.
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Prions cannot be transmitted through the air, through touching, or most other forms of casual contact. However, they may be transmitted through contact with infected tissue, body fluids, or contaminated medical instruments. Normal
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This hypothesis postulates that a yet undiscovered infectious viral agent is the cause of the disease. Although this was once the leading hypothesis, it is now a minority view. Evidence for this hypothesis is as follows:
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in the British cattle herd heightened fear of transmission to humans and reinforced the belief in the infectious nature of TSE. This was confirmed with the identification of a Kuru-like disease, called new variant
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in this gene cause cells to produce an abnormal form of the prion protein, known as PrP. This abnormal protein builds up in the brain and destroys nerve cells, resulting in the signs and symptoms of prion disease.
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In some people, familial forms of prion disease are caused by a new mutation in the PRNP gene. Although such people most likely do not have an affected parent, they can pass the genetic change to their children.
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In 2010, a team from New York described detection of PrP even when initially present at only one part in a hundred billion (10) in brain tissue. The method combines amplification with a novel technology called
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PrP depletion in the neural system of mice with established neuroinvasive prion infection reverses early spongeosis and behavioural deficits, halts further disease progression and increases life-span
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Collins S, McLean CA, Masters CL (2001). "Gerstmann-Straussler-Scheinker syndrome, fatal familial insomnia, and kuru: a review of these less common human transmissible spongiform encephalopathies".
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on a nearby farm, it is very difficult to determine whether it is the same strain affecting both herds—suggesting transmission—or if the second outbreak came from a completely different source.
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smokers has not yet been identified. This, combined with the highly variable nature of prion disease pathology, is why a prion disease cannot be diagnosed based solely on a patient's symptoms.
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plaque formation. These features are shared with prion diseases in animals, and the recognition of these similarities prompted the first attempts to transmit a human prion disease (kuru) to a
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mutations. In rare circumstances, prion diseases also can be transmitted by exposure to prion-contaminated tissues or other biological materials obtained from individuals with prion disease.
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Sakudo A; Lee DC; Saeki K; et al. (August 2003). "Impairment of superoxide dismutase activation by N-terminally truncated prion protein (PrP) in PrP-deficient neuronal cell line".
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The degenerative tissue damage caused by human prion diseases (CJD, GSS, and kuru) is characterised by four features: spongiform change (the presence of many small holes), the death of
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Prions appear to be most infectious when in direct contact with affected tissues. For example, Creutzfeldt–Jakob disease has been transmitted to patients taking injections of
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protein might transmit spongiform encephalopathy. Not until 1988 was the neuropathology of spongiform encephalopathy properly described in cows. The alarming amplification of
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Protein could be the infectious agent, inducing its own replication by causing conformational change of normal cellular PrP into PrP. Evidence for this hypothesis:
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Collinge, J; Sidle, KC; Meads, J; Ironside, J; Hill, AF (October 24, 1996). "Molecular analysis of prion strain variation and the aetiology of 'new variant' CJD".
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means (e.g., blood transfusion). Most TSEs are sporadic and occur in an animal with no prion protein mutation. Inherited TSE occurs in animals carrying a rare
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transplantation model that explains why cannibalism favours transmission, the search for a viral agent was, as of 2007, being continued in some laboratories.
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diagnosis of human prion diseases for many years, although it was recognized that these changes are enormously variable both from case to case and within the
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Kriegstein AR; Shungu DC; Millar WS; et al. (1999). "Leukoencephalopathy and raised brain lactate from heroin vapor inhalation ("chasing the dragon")".
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Mallucci G; Dickinson A; Lineham J; et al. (October 2003). "Depleting Neuronal PrP in Prion Infection Prevents Disease and Reverses Spongiosis".
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There are currently no known ways to cure or prevent prion disease. Certain medications can slow down the progression of the disease. But ultimately,
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Jeffrey M, Goodbrand IA, Goodsir CM (1995). "Pathology of the transmissible spongiform encephalopathies with special emphasis on ultrastructure".
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Collinge, John; Whittington, Miles A.; Sidle, Katie C. L.; Smith, Corinne J.; Palmer, Mark S.; Clarke, Anthony R.; Jefferys, John G. R. (1994).
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between animals, until extraordinary measures were taken such as the intra-ocular injection of infected nervous tissue. No direct link between
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Contact with infected fluids, ingestion of infected flesh, having one or two parents that have the disease (in case of fatal familial insomnia)
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Colle, JG; Bradley, R; Libersky, PP (2006). "Variant CJD (vCJD) and bovine spongiform encephalopathy (BSE): 10 and 20 years on: part 2".
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of spongiform change as a diagnostic feature, reflected in the use of the term "spongiform encephalopathy" for this group of disorders.
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This entry incorporates public domain text originally from the National Institute of Neurological Disorders and Stroke,
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Chesebro, Bruce (2003-06-01). "Introduction to the transmissible spongiform encephalopathies or prion diseases".
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records cases of a disease with similar characteristics in the 4th and 5th centuries AD. In 1755, an outbreak of
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spp. from transmissible spongiform encephalopathy brains or ticks induce spongiform encephalopathy in ruminants"
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in 1966, followed by CJD in 1968 and GSS in 1981. These neuropathological features have formed the basis of the
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proteins in ruminant feed as a precaution against the spread of prion infection in cattle and other ruminants.
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Collins SJ, Lawson VA, Masters CL.; Lawson; Masters (Jan 2004). "Transmissible spongiform encephalopathies".
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The clinical signs in humans vary, but commonly include personality changes, psychiatric problems such as
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material. Misfolded prion proteins carry the disease between individuals and cause deterioration of the
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and human disease was suspected then or has been found since. TSE was first described in humans by
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or similar practices allow the proteins to accumulate over more than one generation. An example is
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Collinge J (2001). "Prion diseases of humans and animals: their causes and molecular basis".
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described a disease like TSE in cattle and sheep, which he believed also occurred in humans.
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Gajdusek DC (Sep 1977). "Unconventional viruses and the origin and disappearance of kuru".
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Chang YJ, Tsai CH, Chen CJ (1997). "Leukoencephalopathy after inhalation of heroin vapor".
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infection. Mental and physical abilities deteriorate and many tiny holes appear in the
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There exists evidence that prion diseases may be transmissible by the airborne route.
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Differences in shape between the different prion protein forms are poorly understood.
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may be genetic, sporadic, or infectious via ingestion of infected foodstuffs and via
238: 118: 3828: 3782: 3092: 2968: 2580: 2557:"Infection Control | Creutzfeldt-Jakob Disease, Classic (CJD) | Prion Disease | CDC" 2308: 2204: 1821: 1708: 1550: 3577: 3191: 3181: 3160:, Yu ZX, Barquero N, Banquero N, Mullins B; Yu; Banquero; Mullins (February 2007). 3157: 3072: 3034: 3014: 2948: 2913: 2860: 2811: 2803: 2792:"1755 and all that: a historical primer of transmissible spongiform encephalopathy" 2664: 2620: 2394: 2353: 2343: 2288: 2245: 2208: 2200: 2159: 2112: 2057: 1979: 1959: 1880: 1859: 1849: 1801: 1770: 1766: 1731: 1688: 1530: 1506: 1486: 1389: 1352: 1332: 1132:
prion, or they may serve as catalysts for the replication of a protein-only prion.
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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Unlike other kinds of infectious disease, which are spread by agents with a
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Currently there is no way to reliably detect prions except at post-mortem
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Infectivity titre correlates with PrP levels. However, this is disputed.
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Koussa S, Zabad R, Rizk T, Tamraz J, Nasnas R, Chemaly R (2002). "".
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The PRNP gene provides the instructions to make a protein called the
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Dementia, seizures, tremors, insomnia, psychosis, delirium, confusion
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in an epidemic fashion. This occurred because cattle were fed the
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causing it to appear like a sponge when brain tissue obtained at
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Early-20th-century experiments failed to show transmission of
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Barron RM; Campbell SL; King D; et al. (December 2007).
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Deleault NR, Harris BT, Rees JR, Supattapone S (June 2007).
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Supattapone S; Wille H; Uyechi L; et al. (April 2001).
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Traditional Chinese medicines derived from the human body
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National Institute of Neurological Disorders and Stroke
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is currently the only option for infected individuals.
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Biochemical and Biophysical Research Communications
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Biochemical and Biophysical Research Communications
870:, lack of coordination, and/or an unsteady gait ( 3842: 97:that appear as holes in tissue sections) in the 847:due to the destruction of nearby neurons), and 3150: 1154:Strain variation of different isolates of PrP. 3496: 3297: 2790:Brown P, Bradley R; Bradley (December 1998). 2315: 1992: 1120: 71:Transmissible spongiform encephalopathy (TSE) 3218:: CS1 maint: multiple names: authors list ( 3105:: CS1 maint: multiple names: authors list ( 3047:: CS1 maint: multiple names: authors list ( 2981:: CS1 maint: multiple names: authors list ( 2650:"The Public Health Impact of Prion Diseases" 2606:"The Public Health Impact of Prion Diseases" 2013: 1943: 1325: 93:Micrograph showing spongiform degeneration ( 38:"Cause" section is in fairly bad shape with 2895: 2838: 2695:. World Health Organization. Archived from 2670:10.1146/annurev.publhealth.26.021304.144536 2626:10.1146/annurev.publhealth.26.021304.144536 1986: 1308:"Transmissible Spongiform Encephalopathies" 1025:. Unsourced material may be challenged and 3503: 3489: 3304: 3290: 1910:|...|intentional=yes}} 1756: 1668:Believed to be identical to the BSE prion. 1454:Centers for Disease Control and Prevention 1200:contracted the disease through iatrogenic 1172:Surround Optical Fiber Immunoassay (SOFIA) 1091: 972:Progressive Spongiform Leukoencephalopathy 128: 84: 34:needs attention from an expert in Medicine 3851:Transmissible spongiform encephalopathies 3195: 3185: 3119: 2864: 2841:"It's Jakob's disease, not Creutzfeldt's" 2815: 2737: 2668: 2624: 2398: 2357: 2347: 2212: 2163: 1863: 1853: 1356: 1045:Learn how and when to remove this message 946:are caused by prions, as in the cases of 905:allografts and from instruments used for 886:) and lose the ability to move or speak. 456:variant form of Creutzfeldt–Jakob disease 426:. TSEs are unique diseases in that their 389:variant form of Creutzfeldt–Jakob disease 284:Transmissible spongiform encephalopathies 16:Group of brain diseases induced by prions 2380: 1379: 3390:Variably protease-sensitive prionopathy 3349:Gerstmann–Sträussler–Scheinker syndrome 3317:transmissible spongiform encephalopathy 3273:Transmissible spongiform encephalopathy 1127:Protein misfolding cyclic amplification 909:(Brown, 2000) (prions can survive the " 780:Gerstmann-Sträussler-Scheinker syndrome 369:variably protease-sensitive prionopathy 357:Gerstmann–Sträussler–Scheinker syndrome 192:Gerstmann-Sträussler-Scheinker syndrome 184:variably protease-sensitive prionopathy 3843: 48:may be able to help recruit an expert. 3484: 3285: 830: 367:, as well as the recently discovered 1602: 1300: 1023:adding citations to reliable sources 990: 843:(abnormal increase in the number of 613:commonly known as "mad cow disease" 18: 2693:"Variant Creutzfeldt-Jakob disease" 2505: 2152:The Journal of Biological Chemistry 1424:"Variant Creutzfeldt-Jakob disease" 1147:Incubation time is comparable to a 1135: 818:Familial spongiform encephalopathy 391:in humans is caused by exposure to 13: 2432:: 195. August 2010. Archived from 1108:Denaturing PrP removes infectivity 479:Known spongiform encephalopathies 375:TSEs in non-human mammals include 14: 3862: 3460:Transmissible mink encephalopathy 3266: 3258:U.S. National Library of Medicine 761:Variant Creutzfeldt–Jakob disease 547:Transmissible mink encephalopathy 470: 452:processed remains of other cattle 200:transmissible mink encephalopathy 3465:Feline spongiform encephalopathy 3440:Bovine spongiform encephalopathy 2779:Publius Flavius Vegetius Renatus 1234:Publius Flavius Vegetius Renatus 1111:PrP-null mice cannot be infected 995: 636:Feline spongiform encephalopathy 609:Bovine spongiform encephalopathy 418:, thus being composed solely of 393:bovine spongiform encephalopathy 381:bovine spongiform encephalopathy 196:feline spongiform encephalopathy 160:Bovine spongiform encephalopathy 23: 3510: 3445:Camel spongiform encephalopathy 3226: 3113: 3055: 2989: 2932: 2889: 2832: 2783: 2768: 2731: 2710: 2685: 2641: 2597: 2573: 2549: 2524: 2499: 2474: 2463:. SUNY Downstate Medical Center 2450: 2415: 2374: 2264: 2229: 2205:10.1128/JVI.75.7.3453-3461.2001 2180: 2139: 2084: 2040: 1918: 1828: 1785: 1750: 1715: 1671: 1662: 1627: 1433:. February 2012. Archived from 1345:Journal of Medical Microbiology 1190: 966:(caused by a deficiency of the 689:Camel spongiform encephalopathy 208:camel spongiform encephalopathy 3470:Exotic ungulate encephalopathy 2657:Annual Review of Public Health 2648:Belay and Schonberger (2005). 2613:Annual Review of Public Health 2604:Belay and Schonberger (2005). 1771:10.1146/annurev.neuro.24.1.519 1584: 1557: 1513: 1462: 1441: 1416: 1373: 661:Exotic ungulate encephalopathy 204:exotic ungulate encephalopathy 1: 3252:National Institutes of Health 3077:10.1016/S0140-6736(96)91412-9 2953:10.1016/S0140-6736(03)15171-9 2250:10.1016/S0006-291X(03)01459-1 2062:10.1016/s0006-291x(03)01459-1 1293: 346:abnormal or impaired movement 101:of a patient who had died of 1885:10.1371/journal.ppat.1012396 1855:10.1371/journal.ppat.1001257 1736:10.1016/0968-4328(95)00004-N 1178: 1160: 7: 3364:Huntington's disease-like 1 2775:Digesta Artis Mulomedicinae 2423:"Detecting Prions in Blood" 1281: 986: 387:(CWD) in deer and elk. The 176:Huntington's disease-like 1 36:. The specific problem is: 10: 3867: 3120:McAlister, V (June 2005). 2738:McAlister, V (June 2005). 1219: 1124: 1121:Multi-component hypothesis 3814: 3725: 3688: 3662: 3641: 3598: 3518: 3430: 3398: 3372: 3332: 3323: 2808:10.1136/bmj.317.7174.1688 1654:: CS1 maint: unfit URL ( 1429:World Health Organization 1268:Creutzfeldt–Jakob disease 742:Creutzfeldt–Jakob disease 721: 708: 506: 353:Creutzfeldt–Jakob disease 273: 263: 255: 247: 237: 227: 217: 168:Creutzfeldt-Jakob disease 155: 147: 137: 117: 103:Creutzfeldt–Jakob disease 92: 83: 75: 70: 3359:PrP systemic amyloidosis 2839:Katscher F. (May 1998). 2387:British Medical Bulletin 1382:British Medical Bulletin 1255:Daniel Carleton Gajdusek 981: 458:in the 1990s and 2000s. 348:which worsen over time. 212:PrP systemic amyloidosis 3455:Chronic wasting disease 3385:Sporadic fatal insomnia 3354:Fatal familial insomnia 3187:10.1073/pnas.0610999104 2349:10.1073/pnas.0702662104 2293:10.1126/science.1090187 1596:University of Minnesota 1270:, in humans exposed to 1105:PrP is an isomer of PrP 1092:Protein-only hypothesis 970:galactosylceramidase). 962:protein activity), and 800:Fatal familial insomnia 572:Chronic wasting disease 385:chronic wasting disease 361:fatal familial insomnia 351:TSEs of humans include 188:chronic wasting disease 164:Fatal familial insomnia 3234:"Infectious Particles" 2918:10.1126/science.142303 2383:"TSE strain variation" 2165:10.1074/jbc.M704329200 1806:10.1054/jocn.2001.0919 1456:. Retrieved 2017-04-25 1431:. Retrieved 2017-04-25 878:, unusual sensations, 861:central nervous system 2512:National Prion Clinic 1995:J. Formos. Med. Assoc 1964:10.1212/WNL.53.8.1765 1902:|...}} 1879:(Retracted, see 1693:10.1002/ana.410420203 1535:10.1212/WNL.55.8.1075 1437:on December 20, 2002. 1358:10.1099/jmm.0.47159-0 897:harvested from human 863:in individual cases. 2699:on December 20, 2002 2022:Rev. Neurol. (Paris) 1614:www.ncbi.nlm.nih.gov 1566:Folia Neuropatholica 1019:improve this section 958:(caused by abnormal 340:is examined under a 46:WikiProject Medicine 3551:Kleptopharmacophagy 3178:2007PNAS..104.1965M 3011:1988Natur.336..390H 2910:1977Sci...197..943C 2857:1998Natur.393Q..11K 2430:Microbiology Today. 2400:10.1093/bmb/66.1.99 2340:2007PNAS..104.9741D 2285:2003Sci...302..871M 2193:Journal of Virology 2109:1994Natur.370..295C 1932:on November 1, 2004 1681:Annals of Neurology 1598:. 17 November 2017. 1483:1996Natur.383..685C 1458:. 10 February 2015. 1224:In the 5th century 480: 124:Infectious diseases 3815:External resources 2538:. 18 February 2013 2506:UCL (2021-02-02). 1394:10.1093/bmb/66.1.1 1251:Alfons Maria Jakob 942:Note that not all 831:Signs and symptoms 478: 3838: 3837: 3719: 3718: 3478: 3477: 3426: 3425: 2802:(7174): 1688–92. 2508:"Drug treatments" 2486:www.niaid.nih.gov 2381:Bruce ME (2003). 2279:(5646): 871–874. 2103:(6487): 295–297. 1759:Annu Rev Neurosci 1477:(6602): 685–690. 1057:Mutations in the 1055: 1054: 1047: 828: 827: 796:90.001.0.01.010. 776:90.001.0.01.009. 738:90.001.0.01.008. 714:90.001.0.01.007. 657:90.001.0.01.006. 632:90.001.0.01.005. 605:90.001.0.01.004. 582:white-tailed deer 568:90.001.0.01.003. 543:90.001.0.01.002. 515:90.001.0.01.001. 290:), also known as 281: 280: 239:Diagnostic method 151:Months to decades 109:, scale bar = 30 65:Medical condition 63: 62: 3858: 3723: 3722: 3689:Related concepts 3505: 3498: 3491: 3482: 3481: 3433:in other animals 3330: 3329: 3306: 3299: 3292: 3283: 3282: 3242: 3241: 3230: 3224: 3223: 3217: 3209: 3199: 3189: 3154: 3148: 3147: 3145: 3144: 3117: 3111: 3110: 3104: 3096: 3059: 3053: 3052: 3046: 3038: 3019:10.1038/336390a0 2993: 2987: 2986: 2980: 2972: 2936: 2930: 2929: 2904:(4307): 943–60. 2893: 2887: 2886: 2868: 2836: 2830: 2829: 2819: 2787: 2781: 2772: 2766: 2765: 2763: 2762: 2735: 2729: 2728: 2726: 2725: 2714: 2708: 2707: 2705: 2704: 2689: 2683: 2682: 2672: 2654: 2645: 2639: 2638: 2628: 2610: 2601: 2595: 2594: 2592: 2591: 2577: 2571: 2570: 2568: 2567: 2553: 2547: 2546: 2544: 2543: 2528: 2522: 2521: 2519: 2518: 2503: 2497: 2496: 2494: 2493: 2478: 2472: 2471: 2469: 2468: 2462: 2454: 2448: 2447: 2445: 2444: 2438: 2427: 2419: 2413: 2412: 2402: 2378: 2372: 2371: 2361: 2351: 2319: 2313: 2312: 2268: 2262: 2261: 2233: 2227: 2226: 2216: 2184: 2178: 2177: 2167: 2158:(49): 35878–86. 2143: 2137: 2136: 2117:10.1038/370295a0 2088: 2082: 2081: 2044: 2038: 2037: 2017: 2011: 2010: 1990: 1984: 1983: 1947: 1941: 1940: 1938: 1937: 1928:. Archived from 1922: 1916: 1915: 1913: 1911: 1903: 1877: 1867: 1857: 1832: 1826: 1825: 1789: 1783: 1782: 1754: 1748: 1747: 1719: 1713: 1712: 1675: 1669: 1666: 1660: 1659: 1653: 1645: 1643: 1642: 1631: 1625: 1624: 1622: 1620: 1606: 1600: 1599: 1588: 1582: 1581: 1561: 1555: 1554: 1517: 1511: 1510: 1491:10.1038/383685a0 1466: 1460: 1459: 1445: 1439: 1438: 1420: 1414: 1413: 1377: 1371: 1370: 1360: 1351:(9): 1235–1242. 1329: 1323: 1322: 1320: 1318: 1304: 1136:Viral hypothesis 1050: 1043: 1039: 1036: 1030: 999: 991: 944:encephalopathies 927:Papua New Guinea 899:pituitary glands 481: 477: 406:genome (such as 269:Invariably fatal 133: 132: 88: 68: 67: 58: 55: 49: 27: 26: 19: 3866: 3865: 3861: 3860: 3859: 3857: 3856: 3855: 3841: 3840: 3839: 3834: 3833: 3810: 3809: 3734: 3720: 3715: 3684: 3670:Popular culture 3658: 3637: 3594: 3514: 3509: 3479: 3474: 3432: 3422: 3400: 3394: 3368: 3325: 3319: 3310: 3269: 3246: 3245: 3232: 3231: 3227: 3211: 3210: 3155: 3151: 3142: 3140: 3126:Clin Invest Med 3118: 3114: 3098: 3097: 3071:(9006): 921–5. 3060: 3056: 3040: 3039: 3005:(6197): 390–2. 2994: 2990: 2974: 2973: 2947:(9204): 51–61. 2937: 2933: 2894: 2890: 2837: 2833: 2788: 2784: 2773: 2769: 2760: 2758: 2744:Clin Invest Med 2736: 2732: 2723: 2721: 2716: 2715: 2711: 2702: 2700: 2691: 2690: 2686: 2652: 2646: 2642: 2608: 2602: 2598: 2589: 2587: 2579: 2578: 2574: 2565: 2563: 2555: 2554: 2550: 2541: 2539: 2530: 2529: 2525: 2516: 2514: 2504: 2500: 2491: 2489: 2480: 2479: 2475: 2466: 2464: 2460: 2456: 2455: 2451: 2442: 2440: 2436: 2425: 2421: 2420: 2416: 2379: 2375: 2320: 2316: 2269: 2265: 2234: 2230: 2185: 2181: 2144: 2140: 2089: 2085: 2045: 2041: 2018: 2014: 1991: 1987: 1948: 1944: 1935: 1933: 1924: 1923: 1919: 1905: 1897: 1895: 1878: 1848:(1): e1001257. 1833: 1829: 1794:J Clin Neurosci 1790: 1786: 1755: 1751: 1720: 1716: 1676: 1672: 1667: 1663: 1647: 1646: 1640: 1638: 1633: 1632: 1628: 1618: 1616: 1608: 1607: 1603: 1590: 1589: 1585: 1562: 1558: 1518: 1514: 1467: 1463: 1447: 1446: 1442: 1422: 1421: 1417: 1378: 1374: 1330: 1326: 1316: 1314: 1306: 1305: 1301: 1296: 1284: 1222: 1193: 1185:supportive care 1181: 1163: 1138: 1129: 1123: 1094: 1051: 1040: 1034: 1031: 1016: 1000: 989: 984: 950:(caused by the 901:, from cadaver 833: 709:Human diseases 612: 473: 298:and affect the 259:Palliative care 127: 99:cerebral cortex 66: 59: 53: 50: 44: 28: 24: 17: 12: 11: 5: 3864: 3854: 3853: 3836: 3835: 3832: 3831: 3819: 3818: 3816: 3812: 3811: 3808: 3807: 3796: 3785: 3770: 3755: 3735: 3730: 3729: 3727: 3726:Classification 3717: 3716: 3714: 3713: 3708: 3703: 3701:Prion diseases 3698: 3692: 3690: 3686: 3685: 3683: 3682: 3677: 3672: 3666: 3664: 3660: 3659: 3657: 3656: 3651: 3645: 3643: 3639: 3638: 3636: 3635: 3630: 3625: 3620: 3615: 3610: 3604: 3602: 3596: 3595: 3593: 3592: 3587: 3586: 3585: 3575: 3574: 3573: 3563: 3558: 3553: 3548: 3543: 3538: 3533: 3528: 3522: 3520: 3516: 3515: 3508: 3507: 3500: 3493: 3485: 3476: 3475: 3473: 3472: 3467: 3462: 3457: 3452: 3447: 3442: 3436: 3434: 3431:Prion diseases 3428: 3427: 3424: 3423: 3421: 3420: 3415: 3410: 3404: 3402: 3401:transmissible: 3396: 3395: 3393: 3392: 3387: 3382: 3376: 3374: 3370: 3369: 3367: 3366: 3361: 3356: 3351: 3346: 3340: 3338: 3327: 3324:Prion diseases 3321: 3320: 3313:Prion diseases 3309: 3308: 3301: 3294: 3286: 3280: 3279: 3268: 3267:External links 3265: 3264: 3263: 3244: 3243: 3238:Manuelidis Lab 3225: 3172:(6): 1965–70. 3149: 3112: 3054: 2988: 2931: 2888: 2831: 2782: 2767: 2730: 2709: 2684: 2640: 2596: 2572: 2548: 2523: 2498: 2473: 2449: 2414: 2373: 2334:(23): 9741–6. 2314: 2263: 2228: 2199:(7): 3453–61. 2179: 2138: 2083: 2056:(3): 660–667. 2039: 2012: 1985: 1958:(8): 1765–73. 1942: 1917: 1842:PLOS Pathogens 1827: 1784: 1749: 1714: 1670: 1661: 1626: 1601: 1583: 1572:(2): 102–110. 1556: 1529:(8): 1075–81. 1512: 1461: 1440: 1415: 1372: 1324: 1298: 1297: 1295: 1292: 1291: 1290: 1283: 1280: 1221: 1218: 1192: 1189: 1180: 1177: 1162: 1159: 1158: 1157: 1156: 1155: 1152: 1137: 1134: 1122: 1119: 1118: 1117: 1116: 1115: 1112: 1109: 1106: 1103: 1093: 1090: 1053: 1052: 1003: 1001: 994: 988: 985: 983: 980: 964:Krabbe disease 895:growth hormone 832: 829: 826: 825: 823: 821: 819: 816: 813: 812: 809: 806: 803: 797: 793: 792: 789: 786: 783: 777: 773: 772: 770: 767: 764: 763:(vCJD, nvCJD) 758: 755: 754: 751: 748: 745: 739: 735: 734: 731: 728: 725: 720: 715: 711: 710: 706: 705: 702: 700: 697: 692: 686: 683: 682: 679: 676: 673: 664: 658: 654: 653: 650: 647: 644: 639: 633: 629: 628: 625: 622: 619: 614: 606: 602: 601: 598: 595: 592: 575: 569: 565: 564: 561: 558: 555: 550: 544: 540: 539: 536: 533: 532:Scrapie prion 530: 521: 516: 512: 511: 504: 503: 500: 494: 491: 488: 485: 472: 471:Classification 469: 304:nervous system 292:prion diseases 279: 278: 275: 271: 270: 267: 261: 260: 257: 253: 252: 249: 245: 244: 241: 235: 234: 231: 225: 224: 219: 215: 214: 157: 153: 152: 149: 145: 144: 141: 135: 134: 121: 115: 114: 90: 89: 81: 80: 77: 73: 72: 64: 61: 60: 31: 29: 22: 15: 9: 6: 4: 3: 2: 3863: 3852: 3849: 3848: 3846: 3830: 3826: 3825: 3821: 3820: 3817: 3813: 3806: 3802: 3801: 3797: 3795: 3791: 3790: 3786: 3784: 3780: 3779: 3775: 3771: 3769: 3765: 3764: 3760: 3756: 3754: 3750: 3746: 3745: 3741: 3737: 3736: 3733: 3728: 3724: 3712: 3709: 3707: 3704: 3702: 3699: 3697: 3694: 3693: 3691: 3687: 3681: 3678: 3676: 3673: 3671: 3668: 3667: 3665: 3661: 3655: 3652: 3650: 3647: 3646: 3644: 3640: 3634: 3631: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3611: 3609: 3606: 3605: 3603: 3601: 3597: 3591: 3588: 3584: 3581: 3580: 3579: 3576: 3572: 3569: 3568: 3567: 3566:Placentophagy 3564: 3562: 3559: 3557: 3554: 3552: 3549: 3547: 3544: 3542: 3539: 3537: 3534: 3532: 3529: 3527: 3526:Autovampirism 3524: 3523: 3521: 3517: 3513: 3506: 3501: 3499: 3494: 3492: 3487: 3486: 3483: 3471: 3468: 3466: 3463: 3461: 3458: 3456: 3453: 3451: 3448: 3446: 3443: 3441: 3438: 3437: 3435: 3429: 3419: 3416: 3414: 3411: 3409: 3406: 3405: 3403: 3397: 3391: 3388: 3386: 3383: 3381: 3378: 3377: 3375: 3371: 3365: 3362: 3360: 3357: 3355: 3352: 3350: 3347: 3345: 3342: 3341: 3339: 3336: 3331: 3328: 3322: 3318: 3314: 3307: 3302: 3300: 3295: 3293: 3288: 3287: 3284: 3278: 3274: 3271: 3270: 3262: 3261: 3259: 3255: 3253: 3248: 3247: 3239: 3235: 3229: 3221: 3215: 3207: 3203: 3198: 3193: 3188: 3183: 3179: 3175: 3171: 3167: 3163: 3159: 3153: 3139: 3135: 3131: 3127: 3123: 3116: 3108: 3102: 3094: 3090: 3086: 3082: 3078: 3074: 3070: 3066: 3058: 3050: 3044: 3036: 3032: 3028: 3024: 3020: 3016: 3012: 3008: 3004: 3000: 2992: 2984: 2978: 2970: 2966: 2962: 2958: 2954: 2950: 2946: 2942: 2935: 2927: 2923: 2919: 2915: 2911: 2907: 2903: 2899: 2892: 2884: 2880: 2876: 2872: 2867: 2866:10.1038/29862 2862: 2858: 2854: 2850: 2846: 2842: 2835: 2827: 2823: 2818: 2813: 2809: 2805: 2801: 2797: 2793: 2786: 2780: 2776: 2771: 2757: 2753: 2749: 2745: 2741: 2734: 2720:. www.cdc.gov 2719: 2713: 2698: 2694: 2688: 2680: 2676: 2671: 2666: 2662: 2658: 2651: 2644: 2636: 2632: 2627: 2622: 2618: 2614: 2607: 2600: 2586: 2582: 2576: 2562: 2558: 2552: 2537: 2533: 2527: 2513: 2509: 2502: 2487: 2483: 2477: 2459: 2453: 2439:on 2012-03-31 2435: 2431: 2424: 2418: 2410: 2406: 2401: 2396: 2392: 2388: 2384: 2377: 2369: 2365: 2360: 2355: 2350: 2345: 2341: 2337: 2333: 2329: 2325: 2318: 2310: 2306: 2302: 2298: 2294: 2290: 2286: 2282: 2278: 2274: 2267: 2259: 2255: 2251: 2247: 2243: 2239: 2232: 2224: 2220: 2215: 2210: 2206: 2202: 2198: 2194: 2190: 2183: 2175: 2171: 2166: 2161: 2157: 2153: 2149: 2142: 2134: 2130: 2126: 2122: 2118: 2114: 2110: 2106: 2102: 2098: 2094: 2087: 2079: 2075: 2071: 2067: 2063: 2059: 2055: 2051: 2043: 2035: 2031: 2028:(2): 177–82. 2027: 2024:(in French). 2023: 2016: 2008: 2004: 2001:(9): 758–60. 2000: 1996: 1989: 1981: 1977: 1973: 1969: 1965: 1961: 1957: 1953: 1946: 1931: 1927: 1921: 1909: 1901: 1894: 1890: 1886: 1882: 1875: 1871: 1866: 1861: 1856: 1851: 1847: 1843: 1839: 1831: 1823: 1819: 1815: 1811: 1807: 1803: 1800:(5): 387–97. 1799: 1795: 1788: 1780: 1776: 1772: 1768: 1764: 1760: 1753: 1745: 1741: 1737: 1733: 1730:(3): 277–98. 1729: 1725: 1718: 1710: 1706: 1702: 1698: 1694: 1690: 1687:(2): 138–46. 1686: 1682: 1674: 1665: 1657: 1651: 1636: 1630: 1615: 1611: 1605: 1597: 1593: 1587: 1579: 1575: 1571: 1567: 1560: 1552: 1548: 1544: 1540: 1536: 1532: 1528: 1524: 1516: 1508: 1504: 1500: 1496: 1492: 1488: 1484: 1480: 1476: 1472: 1465: 1457: 1455: 1450: 1444: 1436: 1432: 1430: 1425: 1419: 1411: 1407: 1403: 1399: 1395: 1391: 1387: 1383: 1376: 1368: 1364: 1359: 1354: 1350: 1346: 1342: 1340: 1334: 1328: 1313: 1309: 1303: 1299: 1289: 1288:Proteinopathy 1286: 1285: 1279: 1277: 1273: 1269: 1264: 1260: 1256: 1252: 1248: 1244: 1239: 1235: 1231: 1227: 1217: 1213: 1209: 1205: 1203: 1197: 1188: 1186: 1176: 1173: 1167: 1153: 1150: 1146: 1145: 1144: 1143: 1142: 1133: 1128: 1113: 1110: 1107: 1104: 1101: 1100: 1099: 1098: 1097: 1089: 1085: 1081: 1078: 1075: 1071: 1070:prion protein 1066: 1063: 1060: 1049: 1046: 1038: 1028: 1024: 1020: 1014: 1013: 1009: 1004:This section 1002: 998: 993: 992: 979: 977: 973: 969: 965: 961: 957: 953: 949: 945: 940: 937: 935: 932: 928: 924: 920: 916: 912: 908: 907:brain surgery 904: 900: 896: 891: 887: 885: 881: 877: 873: 869: 864: 862: 858: 854: 850: 846: 842: 838: 824: 822: 820: 817: 815: 814: 810: 807: 804: 801: 798: 795: 794: 790: 787: 784: 781: 778: 775: 774: 771: 768: 765: 762: 759: 757: 756: 752: 749: 746: 743: 740: 737: 736: 732: 729: 726: 724: 719: 716: 713: 712: 707: 703: 701: 698: 696: 693: 690: 687: 685: 684: 680: 677: 674: 672: 668: 665: 662: 659: 656: 655: 651: 648: 645: 643: 640: 637: 634: 631: 630: 626: 623: 620: 618: 615: 610: 607: 604: 603: 599: 596: 593: 591: 587: 583: 579: 576: 573: 570: 567: 566: 562: 559: 556: 554: 551: 548: 545: 542: 541: 537: 534: 531: 529: 525: 522: 520: 517: 514: 513: 510: 505: 501: 499: 495: 492: 490:Natural host 489: 487:Disease name 486: 483: 482: 476: 468: 465: 464:sterilization 459: 457: 453: 449: 445: 441: 437: 433: 429: 425: 421: 417: 413: 409: 405: 401: 396: 394: 390: 386: 382: 378: 373: 370: 366: 362: 358: 354: 349: 347: 343: 339: 335: 331: 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Index

undue
WikiProject Medicine

vacuoles
cerebral cortex
Creutzfeldt–Jakob disease
H&E stain
microns
Specialty
Infectious diseases
Edit this on Wikidata
Symptoms
Bovine spongiform encephalopathy
Fatal familial insomnia
Creutzfeldt-Jakob disease
kuru
Huntington's disease-like 1
scrapie
variably protease-sensitive prionopathy
chronic wasting disease
Gerstmann-Sträussler-Scheinker syndrome
feline spongiform encephalopathy
transmissible mink encephalopathy
exotic ungulate encephalopathy
camel spongiform encephalopathy
PrP systemic amyloidosis
Prion
Risk factors
Diagnostic method
Prognosis

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