The diseases
caused by prions are frustrating in terms of trying to heal a
person infected, but fascinating and intriguing when viewed
strictly through scientific eyes. Prions lack all genetic
material and are unlike any other known pathogen. Because
prions alter the genetic material in normal proteins, and are
able to do so quickly, there is no way to stop them. Once
the prions begin to change the conformation of a few proteins,
the change for surrounding proteins is not far behind. The
gene that codes for prions can mutate and be passed on to the
next generation. Specifically, prions tend to cause a
mutation in chromosome 20, especially in humans and other
mammals. Incredibly, the variability of the codon in the
the amino acid sequence that is altered hardly varies among
similar organisms. For example, in the case of CJD codon
129 is where the mutation occurs, every time. For Scrapie
and BSE the codon changes tend to occur at codons 136, 154, and
171.
Pathogenesis of Prion Diseases
*CJD is the
specific example here, but the pathogenesis is very similar
among all TSEs.
*This
pathogenesis process was taken from
Northeastern Ohio's Universities College of Medicine
Neuropathology.
- Misfolding
of the normal prion protein (PrPC) converts it to
an insoluble, protease resistant isoform (PrPSc),
which precipitates as amyloid.
loss by some unknown mechanism.
- In
familial CJD, mutations of the Prion protein gene cause
prions to misfold.
It is not clear what causes sporadic CJD. Polymorphisms of
the prion protein gene at codon 129 increase susceptibility
and influence the phenotype of sporadic CJD.
- In
iatrogenic and variant CJD, PrPSc introduced into
the brain induce PrPC to misfold. Endogenous PrPSc
produced in familial and sporadic CJD also has the same
effect.
Among humans
the different TSEs include Creutzfeldt-Jakob disease,
Gerstmann-Straussler syndrome, Fatal familial insomnia, and Kuru.
In other mammals there are well known prion diseases such as Mad
Cow Disease, Scrapie, Chronic wasting disease, and others.
However, as research among different organisms continues, it is
becoming clear that many of them suffer from prion presence and
TSEs.
There is
no known treatment for TSEs, prevention is the key! Take a
look at this short
slideshow which shows an animation
indicating how the proteins are changed in shape and function.