9.2 Prions And Prion Diseases Flashcards

1
Q

What is the definition of a prion?

A

A proteinaceous infectious particle ,, prion disease is caused by a change in shape of cellular protein and the term ‘prions’ refers to abnormal, pathogenic agents that are transmissible and are able to induce abnormal folding of specific normal cellular proteins called prion proteins that are more abundantly found in the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe ‘recruitment’

A

When PrPsc directly contains PrPc, catalyse conversion of PrPc to beta sheet structure changing it to PrPsc (recruitment)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give two characteristics of TSE

A

Long incubation periods (months to years) + progressive and fatal disease that affects the central nervous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the differences between sporadic and new variant CJD?

A

Sporadic
- dementia and recurrent seizures
- several year incubation period
- death after a few months of symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the typical pathology associated with spongiform encephalopathy in humans?

A

It multiples in the spleen, spreads to central nervous system and is not visible inflammation wise or immune response wise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Compare and contrast the PrPc and PrPsc proteins

A

PrPc (prion cellular) ,, alpha helix structure, normal cellular PrP, found on the surface of neuron’s + function unknown

PrPsc (prion scrapie) ,, beta sheet structure, abnormal PrP, different tertiary structure + copy itself by recruitment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Briefly describe a model for the formation of PrPsc

A

The formation of PrPsc results from a mutation in the PrP gene which encodes for an abnormally conformed and unstable PrP with the propensity to convert into PrPsc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How does the prion hypothesis explain the inheritance of familial forms of CJD?

A

The protein only hypothesis posits that prion self replicates by conveying the infectious protein conformation to its normally folded counterpart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does the prion hypothesis explain the appearance of spontaneous CJD?

A

The protein only hypothesis posits that prion self replicates by conveying the infectious protein conformation to its normally folded counterpart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is the epidemic of vCJD being controlled?

A

To prevent cows from getting BSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is iatrogenic transmission of CJD prevented?

A

Tightened guidelines on the reuse of surgical equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What evidence is there for CJD being an infectious disease?

A

Comes from contaminated meat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What evidence is there for CJD being an inherited disease?

A

10-15% of CJD is inherited, autosomal dominant pattern f inheritance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is kuru and how is it transmitted?

A

A disease similar to scrapie but identified in humans, it is transmitted to chimps by injections of kuru brain directly into the cerebellum. This can be considered ritualistic cannibalism and is transmitted via the inoculation of infected material onto mucous membranes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How did BSE (mad cow disease) start?

A

The protein derived from waste meat products and the bonemeal from sheep and cattle was used as a food supplement. Scrapie is an epidemic in Britain and it was assumed that this was the source of the infectious agent in the feed. Scrapie then crossed species barriers to cause BSE and thus the meat from cattle was consumed by humans.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is fatal familial insomnia (FFI) and is it transmissible?

A

It is very rare, causes severe sleep disturbance and atrophy as well as gliosis of medial thalamus, both of which are autosomal and dominant inherited genetic disorders.

17
Q

What measures would you take to ensure surgical equipment was free of contaminating prions?

A

Decontaminating by flooding with or soaking in 2N NaOH or undiluted sodium hypochlorite for 1 hour and then rinsed with water.