Lecture 23 Flashcards

1
Q

What is a prion

A

A proteinaceous infectious agents

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2
Q

What is transmissible spongiform encephalopathies

A

A group of inevitably fatal neurodegenerative diseases found in a wide range on mammals

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3
Q

What does TSEs result from

A

The conformational conversion of a normal cellular prion protein into an abnormal misfiled pathological form

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4
Q

What does accumulation of PrP^Sc lead to

A

The onset of TSEs, which attack the CNS, resulting in progressive neuronal degeneration and neuronal vacuolation

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5
Q

What gene is the prion protein produced by

A

PRNP gene

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6
Q

Explain the pathogenesis of TSEs

A

The defective prions induce other prion molecules to misfiled in a self-sustaining feedback loop

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7
Q

Where does Creutzfeldt-Jakob disease occur

A

Worldwide

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8
Q

What are Creutzfeldt-Jakob disease symptoms

A

Ataxia, dysarthria, dysphagia, nystagmus, myoclonus and dementia

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9
Q

What are 85-90% of TSEs cases caused by

A

Sporadic CJD

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10
Q

Two hypothesis for the origins of Bovine Spongiform Encephalopathy

A
  1. BSE originated as a spontaneous PrP^Sc mutation in cattle
  2. That it came from a mutated scrapie prion that contaminated ruminant feed
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11
Q

Does cooking and standard disinfectant destroy infectious prions

A

No

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12
Q

Where do prions replicate

A

Peyer’s patches of the ileum and then transported via the peripheral nerves to the CNS

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13
Q

Is BSE transmissible by milk, semen or embryos

A

No

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14
Q

Clinical signs of BSE

A
  • gait abnormalities and difficulty negotiating obstacles, low carriage of the head, hyperresonsiveness to stimuli and tremors
  • Behavioural changes such as aggression, nervousness or apprehension, changes in temperament and even frenzy
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15
Q

What is BSE diagnosed by

A
  1. Characteristic histopathology changes in the brain

2. Detecting prions in the CNS using immunostaining methods

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16
Q

How is Variant Creutzfeldt-Jacob disease transmitted

A
  1. Eating BSE prions in contaminated animal tissue
  2. Several patients were infected by blood transfusion
  3. Transplantation
17
Q

What is feline spongiform encephalopathy caused by

A

The same prion agent that causes BSE

18
Q

What is scrapie

A

Neurodegenerative disease that affects sheep and less frequently goats

19
Q

How is scrapie transmitted

A

Between animals either directly or via the environment

20
Q

What are the first signs of scrapie

A

Affected sheep tend to stand apart from the flock and not follow usual flocking behaviour

21
Q

How is scopes transmitted

A

Infected animals carry the scrapie prion for life and can transmit the agent even if they remain asymptomatic

22
Q

What does chronic wasting disease infect

A

Deer, elk, reindeer, sika deer and moose