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DOI: 10.1055/s-0039-1687841
Prion Disease
Publikationsverlauf
Publikationsdatum:
18. September 2019 (online)
Abstract
Prion diseases are a phenotypically diverse set of disorders characterized by protease-resistant abnormally shaped proteins known as prions. There are three main groups of prion diseases, termed sporadic (Creutzfeldt–Jakob disease [CJD], sporadic fatal insomnia, and variably protease-sensitive prionopathy), genetic (genetic CJD, fatal familial insomnia, and Gerstmann–Straussler–Scheinker syndrome), and acquired (kuru, variant CJD, and iatrogenic CJD). This article will review the pathophysiology, genetics, clinical presentations, and diagnostic challenges in patients with prion disease. Case discussions, images, and tables will be used to highlight important characteristics of prion disease and prion mimics.
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References
- 1 Prusiner SB. Novel proteinaceous infectious particles cause scrapie. Science 1982; 216 (4542): 136-144
- 2 Pan KM, Baldwin M, Nguyen J. , et al. Conversion of alpha-helices into beta-sheets features in the formation of the scrapie prion proteins. Proc Natl Acad Sci U S A 1993; 90 (23) 10962-10966
- 3 Prusiner SB. Prions. Proc Natl Acad Sci U S A 1998; 95 (23) 13363-13383
- 4 Glatzel M, Stoeck K, Seeger H, Lührs T, Aguzzi A. Human prion diseases: molecular and clinical aspects. Arch Neurol 2005; 62 (04) 545-552
- 5 Geschwind MD. Rapidly progressive dementia. Continuum (Minneap Minn) 2016; 22 (2 Dementia): 510-537
- 6 Ladogana A, Puopolo M, Croes EA. , et al. Mortality from Creutzfeldt-Jakob disease and related disorders in Europe, Australia, and Canada. Neurology 2005; 64 (09) 1586-1591
- 7 Takada LT, Kim MO, Metcalf S, Gala II, Geschwind MD. Prion disease. In: Geschwin DH, Paulson HL, Klein C. , eds. Handbook of Clinical Neurology, 148. Amsterdam: Elsevier; 2018: 441 464
- 8 Will RG. Clinical features of human prion diseases. In: Asbury AK, McKhann GM, McDonald WI. , et al. eds. Diseases of the Nervous System: Clinical Neuroscience and Therapeutic Principles. 3rd ed. Cambridge: Cambridge University Press; 2002: 1716-1727
- 9 Puoti G, Bizzi A, Forloni G, Safar JG, Tagliavini F, Gambetti P. Sporadic human prion diseases: molecular insights and diagnosis. Lancet Neurol 2012; 11 (07) 618-628
- 10 Will RG, Ironside JW. Sporadic and infectious human prion diseases. In: Prusiner SB. ed. Prion Biology and Diseases, 2nd ed. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 2004: 73-93
- 11 Kropp S, Schulz-Schaeffer WJ, Finkenstaedt M. , et al. The Heidenhain variant of Creutzfeldt-Jakob disease. Arch Neurol 1999; 56 (01) 55-61
- 12 Parchi P, Castellani R, Capellari S. , et al. Molecular basis of phenotypic variability in sporadic Creutzfeldt-Jakob disease. Ann Neurol 1996; 39 (06) 767-778
- 13 Parchi P, Capellari S, Chen SG. , et al. Typing prion isoforms. Nature 1997; 386 (6622) 232-234
- 14 Parchi P, Giese A, Capellari S. , et al. Classification of sporadic Creutzfeldt-Jakob disease based on molecular and phenotypic analysis of 300 subjects. Ann Neurol 1999; 46 (02) 224-233
- 15 Gambetti P, Kong Q, Zou W, Parchi P, Chen SG. Sporadic and familial CJD: classification and characterisation. Br Med Bull 2003; 66 (01) 213-239
- 16 Parchi P, Capellari S, Roncaroli F. , et al. Co-occurrence of type 1 and type 2 PrPres in sporadic Creutzfeldt-Jakob disease: prevalence, intracerebral variability and phenotypic correlations. Neurol Sci 2001; 22: S116
- 17 Parchi P, Strammiello R, Notari S. , et al. Incidence and spectrum of sporadic Creutzfeldt-Jakob disease variants with mixed phenotype and co-occurrence of PrPSc types: an updated classification. Acta Neuropathol 2009; 118 (05) 659-671
- 18 Steinhoff BJ, Zerr I, Glatting M, Schulz-Schaeffer W, Poser S, Kretzschmar HA. Diagnostic value of periodic complexes in Creutzfeldt-Jakob disease. Ann Neurol 2004; 56 (05) 702-708
- 19 Collins SJ, Sanchez-Juan P, Masters CL. , et al. Determinants of diagnostic investigation sensitivities across the clinical spectrum of sporadic Creutzfeldt-Jakob disease. Brain 2006; 129 (Pt 9): 2278-2287
- 20 Meissner B, Kallenberg K, Sanchez-Juan P. , et al. MRI lesion profiles in sporadic Creutzfeldt-Jakob disease. Neurology 2009; 72 (23) 1994-2001
- 21 Vitali P, Maccagnano E, Caverzasi E. , et al. Diffusion-weighted MRI hyperintensity patterns differentiate CJD from other rapid dementias. Neurology 2011; 76 (20) 1711-1719
- 22 Gaudino S, Gangemi E, Colantonio R. , et al. Neuroradiology of human prion diseases, diagnosis and differential diagnosis. Radiol Med (Torino) 2017; 122 (05) 369-385
- 23 Zerr I, Pocchiari M, Collins S. , et al. Analysis of EEG and CSF 14-3-3 proteins as aids to the diagnosis of Creutzfeldt-Jakob disease. Neurology 2000; 55 (06) 811-815
- 24 Green A, Sanchez-Juan P, Ladogana A. , et al. CSF analysis in patients with sporadic CJD and other transmissible spongiform encephalopathies. Eur J Neurol 2007; 14 (02) 121-124
- 25 Hamlin C, Puoti G, Berri S. , et al. A comparison of tau and 14-3-3 protein in the diagnosis of Creutzfeldt-Jakob disease. Neurology 2012; 79 (06) 547-552
- 26 McGuire LI, Peden AH, Orrú CD. , et al. Real time quaking-induced conversion analysis of cerebrospinal fluid in sporadic Creutzfeldt-Jakob disease. Ann Neurol 2012; 72 (02) 278-285
- 27 Zanusso G, Monaco S, Pocchiari M, Caughey B. Advanced tests for early and accurate diagnosis of Creutzfeldt-Jakob disease. Nat Rev Neurol 2016; 12 (06) 325-333
- 28 Foutz A, Appleby BS, Hamlin C. , et al. Diagnostic and prognostic value of human prion detection in cerebrospinal fluid. Ann Neurol 2017; 81 (01) 79-92
- 29 Hermann P, Laux M, Glatzel M. , et al. Validation and utilization of amended diagnostic criteria in Creutzfeldt-Jakob disease surveillance. Neurology 2018; 91 (04) e331-e338
- 30 Bizzi A, Peoc'h K. Amended diagnostic protocol increases the early diagnosis of sporadic Creutzfeldt-Jakob disease. Neurology 2018; 91 (04) 155-156
- 31 Center for Disease Control and Prevention. CDC's diagnostic criteria for Creutzfeldt–Jakob Disease (CJD), 2018. Available at: https://www.cdc.gov/prions/cjd/diagnostic-criteria.html . Updated September 17, 2018. Accessed October 29, 2018
- 32 Mastrianni JA, Nixon R, Layzer R. , et al. Prion protein conformation in a patient with sporadic fatal insomnia. N Engl J Med 1999; 340 (21) 1630-1638
- 33 Montagna P, Gambetti P, Cortelli P, Lugaresi E. Familial and sporadic fatal insomnia. Lancet Neurol 2003; 2 (03) 167-176
- 34 Scaravilli F, Cordery RJ, Kretzschmar H. , et al. Sporadic fatal insomnia: a case study. Ann Neurol 2000; 48 (04) 665-668
- 35 Gambetti P, Dong Z, Yuan J. , et al. A novel human disease with abnormal prion protein sensitive to protease. Ann Neurol 2008; 63 (06) 697-708
- 36 Head MW, Yull HM, Ritchie DL. , et al. Variably protease-sensitive prionopathy in the UK: a retrospective review 1991-2008. Brain 2013; 136 (Pt 4): 1102-1115
- 37 Zou WQ, Puoti G, Xiao X. , et al. Variably protease-sensitive prionopathy: a new sporadic disease of the prion protein. Ann Neurol 2010; 68 (02) 162-172
- 38 Capellari S, Cardone F, Notari S. , et al. Creutzfeldt-Jakob disease associated with the R208H mutation in the prion protein gene. Neurology 2005; 64 (05) 905-907
- 39 Kovács GG, Puopolo M, Ladogana A. , et al; EUROCJD Genetic prion disease: the EUROCJD experience. Hum Genet 2005; 118 (02) 166-174
- 40 Meiner Z, Gabizon R, Prusiner SB. Familial Creutzfeldt-Jakob disease. Codon 200 prion disease in Libyan Jews. Medicine (Baltimore) 1997; 76 (04) 227-237
- 41 Kovács GG, Trabattoni G, Hainfellner JA, Ironside JW, Knight RS, Budka H. Mutations of the prion protein gene phenotypic spectrum. J Neurol 2002; 249 (11) 1567-1582
- 42 Arata H, Takashima H, Hirano R. , et al. Early clinical signs and imaging findings in Gerstmann-Sträussler-Scheinker syndrome (Pro102Leu). Neurology 2006; 66 (11) 1672-1678
- 43 Webb TE, Poulter M, Beck J. , et al. Phenotypic heterogeneity and genetic modification of P102L inherited prion disease in an international series. Brain 2008; 131 (Pt 10): 2632-2646
- 44 Kong Q, Surewicz WK, Petersen RB. , et al. Inherited prion diseases. In: Prusiner SB. ed. Prion Biology and Diseases, 2nd ed. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 2004: 673-775
- 45 Piccardo P, Dlouhy SR, Lievens PM. , et al. Phenotypic variability of Gerstmann-Sträussler-Scheinker disease is associated with prion protein heterogeneity. J Neuropathol Exp Neurol 1998; 57 (10) 979-988
- 46 Ghetti B, Piccardo P, Zanusso G. Dominantly inherited prion protein cerebral amyloidosis – a modern view of Gerstmann-Straussler-Scheinker. In: Pocchiari M, Manson J. , eds. Handbook of Clinical Neurology. Amsterdam: Elsevier; 2018: 243-269
- 47 Masters CL, Gajdusek DC, Gibbs Jr CJ. Creutzfeldt-Jakob disease virus isolations from the Gerstmann-Sträussler syndrome with an analysis of the various forms of amyloid plaque deposition in the virus-induced spongiform encephalopathies. Brain 1981; 104 (03) 559-588
- 48 Sano K, Satoh K, Atarashi R. , et al. Early detection of abnormal prion protein in genetic human prion diseases now possible using real-time QUIC assay. PLoS One 2013; 8 (01) e54915
- 49 Medori R, Tritschler HJ, LeBlanc A. , et al. Fatal familial insomnia, a prion disease with a mutation at codon 178 of the prion protein gene. N Engl J Med 1992; 326 (07) 444-449
- 50 Goldfarb LG, Petersen RB, Tabaton M. , et al. Fatal familial insomnia and familial Creutzfeldt-Jakob disease: disease phenotype determined by a DNA polymorphism. Science 1992; 258 (5083): 806-808
- 51 Monari L, Chen SG, Brown P. , et al. Fatal familial insomnia and familial Creutzfeldt-Jakob disease: different prion proteins determined by a DNA polymorphism. Proc Natl Acad Sci U S A 1994; 91 (07) 2839-2842
- 52 Johnson RT. Prion diseases. Lancet Neurol 2005; 4 (10) 635-642
- 53 Harder A, Gregor A, Wirth T. , et al. Early age of onset in fatal familial insomnia. Two novel cases and review of the literature. J Neurol 2004; 251 (06) 715-724
- 54 Lugaresi E, Medori R, Montagna P. , et al. Fatal familial insomnia and dysautonomia with selective degeneration of thalamic nuclei. N Engl J Med 1986; 315 (16) 997-1003
- 55 Gallassi R, Morreale A, Montagna P, Gambetti P, Lugaresi E. “Fatal familial insomnia”: neuropsychological study of a disease with thalamic degeneration. Cortex 1992; 28 (02) 175-187
- 56 Gallassi R, Morreale A, Montagna P. , et al. Fatal familial insomnia: behavioral and cognitive features. Neurology 1996; 46 (04) 935-939
- 57 Krasnianski A, Bartl M, Sanchez Juan PJ. , et al. Fatal familial insomnia: clinical features and early identification. Ann Neurol 2008; 63 (05) 658-661
- 58 Tinuper P, Montagna P, Medori R. , et al. The thalamus participates in the regulation of the sleep-waking cycle. A clinico-pathological study in fatal familial thalamic degeneration. Electroencephalogr Clin Neurophysiol 1989; 73 (02) 117-123
- 59 Portaluppi F, Cortelli P, Avoni P. , et al. Progressive disruption of the circadian rhythm of melatonin in fatal familial insomnia. J Clin Endocrinol Metab 1994; 78 (05) 1075-1078
- 60 Sforza E, Montagna P, Tinuper P. , et al. Sleep-wake cycle abnormalities in fatal familial insomnia. Evidence of the role of the thalamus in sleep regulation. Electroencephalogr Clin Neurophysiol 1995; 94 (06) 398-405
- 61 Cortelli P, Parchi P, Contin M. , et al. Cardiovascular dysautonomia in fatal familial insomnia. Clin Auton Res 1991; 1 (01) 15-21
- 62 Perani D, Cortelli P, Lucignani G. , et al. [18F]FDG PET in fatal familial insomnia: the functional effects of thalamic lesions. Neurology 1993; 43 (12) 2565-2569
- 63 Cortelli P, Perani D, Montagna P. , et al. Pre-symptomatic diagnosis in fatal familial insomnia: serial neurophysiological and 18FDG-PET studies. Brain 2006; 129 (Pt 3): 668-675
- 64 Manetto V, Medori R, Cortelli P. , et al. Fatal familial insomnia: clinical and pathologic study of five new cases. Neurology 1992; 42 (02) 312-319
- 65 Schmitz M, Dittmar K, Llorens F. , et al. Hereditary human prior diseases: an update. Mol Neurobiol 2017; 54 (06) 4138-4149
- 66 Krasnianski A, Sanchez Juan P, Ponto C. , et al. A proposal of new diagnostic pathway for fatal familial insomnia. J Neurol Neurosurg Psychiatry 2014; 85 (06) 654-659
- 67 Liberski PP, Sikorska B, Lindenbaum S. , et al. Kuru: genes, cannibals and neuropathology. J Neuropathol Exp Neurol 2012; 71 (02) 92-103
- 68 Collinge J, Whitfield J, McKintosh E. , et al. Kuru in the 21st century--an acquired human prion disease with very long incubation periods. Lancet 2006; 367 (9528): 2068-2074
- 69 Brown P, Preece M, Brandel JP. , et al. Iatrogenic Creutzfeldt-Jakob disease at the millennium. Neurology 2000; 55 (08) 1075-1081
- 70 Brown P, Brandel JP, Sato T. , et al. Iatrogenic Creutzfeldt-Jakob disease, final assessment. Emerg Infect Dis 2012; 18 (06) 901-907
- 71 Hewitt PE, Llewelyn CA, Mackenzie J, Will RG. Creutzfeldt-Jakob disease and blood transfusion: results of the UK Transfusion Medicine Epidemiological Review study. Vox Sang 2006; 91 (03) 221-230
- 72 Seed CR, Hewitt PE, Dodd RY, Houston F, Cervenakova L. Creutzfeldt-Jakob disease and blood transfusion safety. Vox Sang 2018; 113 (03) 220-231
- 73 Rudge P, Jaunmuktane Z, Adlard P. , et al. Iatrogenic CJD due to pituitary-derived growth hormone with genetically determined incubation times of up to 40 years. Brain 2015; 138 (Pt 11): 3386-3399
- 74 Holman RC, Belay ED, Christensen KY. , et al. Human prion diseases in the United States. PLoS One 2010; 5 (01) e8521
- 75 Brandel JP, Preece M, Brown P. , et al. Distribution of codon 129 genotype in human growth hormone-treated CJD patients in France and the UK. Lancet 2003; 362 (9378): 128-130
- 76 Will RG, Ironside JW, Zeidler M. , et al. A new variant of Creutzfeldt-Jakob disease in the UK. Lancet 1996; 347 (9006): 921-925
- 77 Diack AB, Head MW, McCutcheon S. , et al. Variant CJD. 18 years of research and surveillance. Prion 2014; 8 (04) 286-295
- 78 National CJD Research & Surveillance Unit Data and Reports. Latest NCJDSRU CJD Monthly Statistics. Available at: https://www.cjd.ed.ac.uk/sites/default/files/figs.pdf . Accessed October 15, 2018
- 79 Pocchiari M, Puopolo M, Croes EA. , et al. Predictors of survival in sporadic Creutzfeldt-Jakob disease and other human transmissible spongiform encephalopathies. Brain 2004; 127 (10) 2348-2359
- 80 Zeidler M, Johnstone EC, Bamber RW. , et al. New variant Creutzfeldt-Jakob disease: psychiatric features. Lancet 1997; 350 (9082): 908-910
- 81 Zeidler M, Stewart GE, Barraclough CR. , et al. New variant Creutzfeldt-Jakob disease: neurological features and diagnostic tests. Lancet 1997; 350 (9082): 903-907
- 82 Heath CA, Cooper SA, Murray K. , et al. Diagnosing variant Creutzfeldt-Jakob disease: a retrospective analysis of the first 150 cases in the UK. J Neurol Neurosurg Psychiatry 2011; 82 (06) 646-651
- 83 Green AJ, Thompson EJ, Stewart GE. , et al. Use of 14-3-3 and other brain-specific proteins in CSF in the diagnosis of variant Creutzfeldt-Jakob disease. J Neurol Neurosurg Psychiatry 2001; 70 (06) 744-748
- 84 Binelli S, Agazzi P, Giaccone G. , et al. Periodic electroencephalogram complexes in a patient with variant Creutzfeldt-Jakob disease. Ann Neurol 2006; 59 (02) 423-427
- 85 Zeidler M, Sellar RJ, Collie DA. , et al. The pulvinar sign on magnetic resonance imaging in variant Creutzfeldt-Jakob disease. Lancet 2000; 355 (9213): 1412-1418
- 86 Collie DA, Summers DM, Sellar RJ. , et al. Diagnosing variant Creutzfeldt-Jakob disease with the pulvinar sign: MR imaging findings in 86 neuropathologically confirmed cases. AJNR Am J Neuroradiol 2003; 24 (08) 1560-1569
- 87 Hill AF, Butterworth RJ, Joiner S. , et al. Investigation of variant Creutzfeldt-Jakob disease and other human prion diseases with tonsil biopsy samples. 1999 353. (9148): 183-189
- 88 Will RG, Zeidler M, Stewart GE. , et al. Diagnosis of new variant Creutzfeldt-Jakob disease. Ann Neurol 2000; 47 (05) 575-582
- 89 Heath CA, Cooper SA, Murray K. , et al. Validation of diagnostic criteria for variant Creutzfeldt-Jakob disease. Ann Neurol 2010; 67 (06) 761-770
- 90 Will B. Variant CJD: where has it gone, or has it?. Pract Neurol 2010; 10 (05) 250-251