2007
DOI: 10.1001/archneur.64.12.1780
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Creutzfeldt-Jakob Disease, Prion Protein Gene Codon 129VV, and a Novel PrPSc Type in a Young British Woman

Abstract: Background: Variant Creutzfeldt-Jakob disease (vCJD) is an acquired prion disease causally related to bovine spongiform encephalopathy that has occurred predominantly in young adults. All clinical cases studied have been methionine homozygotes at codon 129 of the prion protein gene (PRNP) with distinctive neuropathological findings and molecular strain type (PrP Sc type 4). Modeling studies in transgenic mice suggest that other PRNP genotypes will also be susceptible to infection with bovine spongiform encepha… Show more

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Cited by 30 publications
(17 citation statements)
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“…In addition, the positive rate of the FDC assay was as high as that of intracerebral transmission in the present study. Therefore, the FDC assay after intraperitoneal inoculation of patient materials to Ki-Bov/Bov may help in the differential diagnosis of vCJD when atypical cases emerge in CJD surveillance (33,34).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the positive rate of the FDC assay was as high as that of intracerebral transmission in the present study. Therefore, the FDC assay after intraperitoneal inoculation of patient materials to Ki-Bov/Bov may help in the differential diagnosis of vCJD when atypical cases emerge in CJD surveillance (33,34).…”
Section: Discussionmentioning
confidence: 99%
“…21 There is accumulating evidence to suggest that all human 129 genotypes may be susceptible to vCJD infection, with apparently greater likelihood of subclinical infection in 129MV and 129VV persons. [30][31][32] …”
Section: Effect Of Genetic Variation In Susceptibilitymentioning
confidence: 99%
“…12 Recently, a novel PrP sc type in a patient exhibiting prion protein gene 129VV polymorphism was reported as atypical because of certain clinical and molecular PrP sc features overlapping with those of v-CJD. 13 Nonetheless, recent studies providing evidence of 'asymptomatic infected carriers' in the UK population, as well as the fourth case of 'highly probable' transfusional cases already reported today are in favour of a possible 'underground propagation' of PrP sc within the human population. [14][15][16][17][18] Though its reality may be considered as evidenced, its extent and its evolution in the exposed populations, within such long delays of asymptomatic incubation and with possible lifelong asymptomatic carrier cases, are still very difficult to estimate.…”
mentioning
confidence: 98%