Prions Flashcards

1
Q

What is the most common human prion disease?

A

CJD

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2
Q

What are the causes of CJD?

A

1- sporadic
2- familial
3- Iatrogenic

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3
Q

What are the signs and symptoms of sporadic CJD?

A

1- spongiform encephalopathy
2- RAPID loss of brain function
3- mental deterioration

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4
Q

What causes prion disease?

A

No virus particles, bacteria or fungi associated with the condition.

No nucleic acid is associated with infectivity.

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5
Q

What is the immune response to prion infection?

A

There is no immune response

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6
Q

Explain the protein only hypothesis:

A

Prions are encoded by the host

PrPc misfolds and converts to PrPsc

The misfolding arises via mutation

PrPsc causes more PrPsc to be make

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7
Q

Who can PrPsc be transmitted to?

A

An animal that encodes PrPc only

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8
Q

What is the normal function of PrPc?

A

Maintaining the brain white matter, regulating the innitation of immune cells, has responses to oxidative stress, and is involved in neuron formation

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9
Q

How many types of PrPsc are there?

A

4

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10
Q

Which forms of PrPsc are associated with sCJD? vCJD?

A

sCJD= type 1

vCJD=type 4

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11
Q

What do accumulations of PrPsc become?

A

amyloid fibers

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12
Q

How is sCJD diagnosed?

A

1- Brain biopsy (spongiform change)
2- CSF
3- MRI and EEG changes

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13
Q

How is sCJD treated?

A

There is no treatment

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14
Q

Which population si sCJD more prevalent in?

A

older populations

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15
Q

How do humans contract vCJD?

A

Transmission of BSE (cows to humans)

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16
Q

What are the symptoms of vCJD?

A

similar to sCJD. slower loss of brain function and prominent involvement of lymphoreticular tissues

17
Q

How is vCJD diagnosed?

A

Need a brain biospy…vacuoles are formed. CSF is not typically sensitive.

18
Q

Which form of CJD can be transmitted from human-to-human?

A

vCJD

19
Q

Which CJD has peripheral pathogenesis?

A

vCDJ (lymph node involvement)

20
Q

What are proper sterilization procedures for prions?

A

keep instruments moist and autoclaving only!!