Original Investigation
December 12, 2016
Diagnosis of Human Prion Disease Using Real-Time Quaking-Induced
Conversion Testing of Olfactory Mucosa and Cerebrospinal Fluid Samples
Matilde Bongianni, PhD1; Christina Orrù, PhD2; Bradley R. Groveman, PhD2; et al Luca Sacchetto, MD3; Michele Fiorini, PhD1; Giovanni Tonoli, MD4; Giorgio Triva, BS5; Stefano Capaldi, PhD6; Silvia Testi, PhD1; Sergio Ferrari, MD1; Annachiara Cagnin, MD, PhD7,8; Anna Ladogana, MD9; Anna Poleggi, PhD9; Elisa Colaizzo, MD9; Dorina Tiple, MD9; Luana Vaianella, MD9; Santina Castriciano, BS5; Daniele Marchioni, MD3; Andrew G. Hughson, MS2; Daniele Imperiale, MD10; Tatiana Cattaruzza, MD, PhD11; Gian Maria Fabrizi, MD1; Maurizio Pocchiari, MD9; Salvatore Monaco, MD1; Byron Caughey, PhD2; Gianluigi Zanusso, MD, PhD1
- 1Department
of Neurosciences, Biomedicine, and Movement Sciences, University of
Verona, Policlinico G. B. Rossi, Verona, Italy
- 2Laboratory
of Persistent Viral Diseases, Rocky Mountain Laboratories, National
Institute for Allergy and Infectious Diseases, National Institutes of
Health, Hamilton, Montana
- 3Department
of Surgical Sciences, Dentistry, Gynecology, and Pediatrics, University of
Verona, Verona, Italy
- 4Struttura
Complessa di Otorinolaringoiatria, Ospedale Santa Maria della
Misericordia, Rovigo, Italy
- 5Copan Italia
SpA, Brescia, Italy
- 6Biocrystallography
Laboratory, Department of Biotechnology, University of Verona, Italy
- 7Department
of Neuroscience, University of Padova, Padova, Italy
- 8Istituto di
Ricovero e Cura a Carattere Scientifico San Camillo Hospital, Venice,
Italy
- 9Department
of Cell Biology and Neurosciences, Istituto Superiore di Sanità, Rome,
Italy
- 10Neurology
Unit, Ospedale Maria Vittoria, Torino, Italy
- 11Neurology
Unit, Ospedale Cattinara, Trieste, Italy
JAMA Neurol. Published online
December 12, 2016. doi:10.1001/jamaneurol.2016.4614
Key Points
Question How can diagnosis of Creutzfeldt-Jakob
disease be optimized using cerebrospinal fluid and nasal swabbing samples?
Findings In this case-control laboratory
analysis, a diagnostic algorithm had 100% sensitivity and 100% specificity for
61 cases of sporadic Creutzfeldt-Jakob disease relative to 71 non–prion disease
cases using real-time quaking-induced conversion analysis of cerebrospinal
fluid and/or olfactory mucosa samples. The sensitivity for genetic prion
diseases was 75%, and gentler nasal swabs worked as well as cytobrushes for
olfactory mucosa sampling.
Meaning Real-time quaking-induced conversion
testing can provide rapid and accurate intra vitam diagnosis of
Creutzfeldt-Jakob disease.
Abstract
Importance Early and accurate in vivo
diagnosis of Creutzfeldt-Jakob disease (CJD) is necessary for quickly
distinguishing treatable from untreatable rapidly progressive dementias and for
future therapeutic trials. This early diagnosis is becoming possible using the
real-time quaking-induced conversion (RT-QuIC) seeding assay, which detects
minute amounts of the disease-specific pathologic prion protein in
cerebrospinal fluid (CSF) or olfactory mucosa (OM) samples.
Objective To develop an algorithm for accurate and
early diagnosis of CJD by using the RT-QuIC assay on CSF samples, OM samples,
or both.
Design, Setting, and Participants In
this case-control study, samples of CSF and OM were collected from 86 patients
with a clinical diagnosis of probable (n = 51), possible (n = 24), or suspected
(n = 11) CJD and 104 negative control samples (54 CSF and 50 OM). The CSF and
OM samples were analyzed using conventional RT-QuIC. The CSF samples underwent
further testing using improved RT-QuIC conditions. In addition, the diagnostic
performance of a novel, easy-to-use, gentle flocked swab for sampling of OM was
evaluated. Data were collected from January 1 to June 30, 2015.
Main Outcome and Measures Correlations between
RT-QuIC results and the final diagnosis of recruited patients.
Results Among the 86 patients (37 men [43%] and
49 women [57%]; mean [SD] age, 65.7 [11.5] years) included for analysis, all 61
patients with sporadic CJD had positive RT-QuIC findings using OM or CSF
samples or both for an overall RT-QuIC diagnostic sensitivity of 100% (95% CI,
93%-100%). All patients with a final diagnosis of non–prion disease (71 CSF and
67 OM samples) had negative RT-QuIC findings for 100% specificity (95% CI,
94%-100%). Of 8 symptomatic patients with various mutations causing CJD or
Gerstmann-Sträussler-Scheinker syndrome, 6 had positive and 2 had negative
RT-QuIC findings for a sensitivity of 75% (95% CI, 36%-96%).
Conclusions and Relevance A proposed diagnostic
algorithm for sporadic CJD combines CSF and OM RT-QuIC testing to provide
virtually 100% diagnostic sensitivity and specificity in the clinical phase of
the disease.
Today is my Mothers Anniversary
date for her demise from the Heidenhain Variant of Creutzfeldt Jakob Disease
hvCJD, DOD December 14, 1997, confirmed. This post is for Mom. RIP MOM! i'm
still here...tss
Diagnosis and Reporting
of Creutzfeldt-Jakob Disease
Singeltary, Sr et al. JAMA.2001; 285: 733-734. Vol. 285 No. 6, February 14,
2001 JAMA
Diagnosis and Reporting of Creutzfeldt-Jakob Disease
To the Editor: In their Research Letter, Dr Gibbons and colleagues1 reported
that the annual US death rate due to Creutzfeldt-Jakob disease (CJD) has been
stable since 1985. These estimates, however, are based only on reported cases,
and do not include misdiagnosed or preclinical cases. It seems to me that
misdiagnosis alone would drastically change these figures. An unknown number of
persons with a diagnosis of Alzheimer disease in fact may have CJD, although
only a small number of these patients receive the postmortem examination
necessary to make this diagnosis. Furthermore, only a few states have made CJD
reportable. Human and animal transmissible spongiform encephalopathies should
be reportable nationwide and internationally.
Terry S. Singeltary, Sr Bacliff, Tex
1. Gibbons RV, Holman RC, Belay ED, Schonberger LB. Creutzfeldt-Jakob disease
in the United States: 1979-1998. JAMA. 2000;284:2322-2323.
http://jama.jamanetwork.com/article.aspx?articleid=1031186
Saturday, April 23, 2016
PRION 2016 TOKYO
Saturday, April 23, 2016
SCRAPIE WS-01: Prion diseases in animals and zoonotic potential 2016
Prion. 10:S15-S21. 2016 ISSN: 1933-6896 printl 1933-690X online
Taylor & Francis
Prion 2016 Animal Prion Disease Workshop Abstracts
WS-01: Prion diseases in animals and zoonotic potential
Juan Maria Torres a, Olivier Andreoletti b, J uan-Carlos Espinosa a. Vincent
Beringue c. Patricia Aguilar a,
Natalia Fernandez-Borges a. and Alba Marin-Moreno a
"Centro de Investigacion en Sanidad Animal ( CISA-INIA ). Valdeolmos,
Madrid. Spain; b UMR INRA -ENVT 1225 Interactions Holes Agents Pathogenes.
ENVT. Toulouse. France: "UR892. Virologie lmmunologie MolécuIaires,
Jouy-en-Josas. France
Dietary exposure to bovine spongiform encephalopathy (BSE) contaminated
bovine tissues is considered as the origin of variant Creutzfeldt Jakob (vCJD)
disease in human. To date, BSE agent is the only recognized zoonotic prion.
Despite the variety of Transmissible Spongiform Encephalopathy (TSE) agents
that have been circulating for centuries in farmed ruminants there is no
apparent epidemiological link between exposure to ruminant products and the
occurrence of other form of TSE in human like sporadic Creutzfeldt Jakob
Disease (sCJD). However, the zoonotic potential of the diversity of circulating
TSE agents has never been systematically assessed. The major issue in
experimental assessment of TSEs zoonotic potential lies in the modeling of the
‘species barrier‘, the biological phenomenon that limits TSE agents’
propagation from a species to another. In the last decade, mice genetically
engineered to express normal forms of the human prion protein has proved
essential in studying human prions pathogenesis and modeling the capacity of
TSEs to cross the human species barrier.
To assess the zoonotic potential of prions circulating in farmed
ruminants, we study their transmission ability in transgenic mice expressing
human PrPC (HuPrP-Tg). Two lines of mice expressing different forms of the
human PrPC (129Met or 129Val) are used to determine the role of the Met129Val
dimorphism in susceptibility/resistance to the different agents.
These transmission experiments confirm the ability of BSE prions to propagate
in 129M- HuPrP-Tg mice and demonstrate that Met129 homozygotes may be
susceptible to BSE in sheep or goat to a greater degree than the BSE agent in
cattle and that these agents can convey molecular properties and
neuropathological indistinguishable from vCJD. However homozygous 129V mice are
resistant to all tested BSE derived prions independently of the originating
species suggesting a higher transmission barrier for 129V-PrP variant.
Transmission data also revealed that several scrapie prions propagate in
HuPrP-Tg mice with ef?ciency comparable to that of cattle BSE. While the
ef?ciency of transmission at primary passage was low, subsequent passages
resulted in a highly virulent prion disease in both Met129 and Val129 mice.
Transmission of the different scrapie isolates in these mice leads to the
emergence of prion strain phenotypes that showed similar characteristics to
those displayed by MM1 or VV2 sCJD prion. These results demonstrate that
scrapie prions have a zoonotic potential and raise new questions about the
possible link between animal and human prions.
why do we not want to do TSE transmission
studies on chimpanzees $
5. A positive result from a chimpanzee
challenged severly would likely create alarm in some circles even if the result
could not be interpreted for man. I have a view that all these agents could be
transmitted provided a large enough dose by appropriate routes was given and
the animals kept long enough. Until the mechanisms of the species barrier are
more clearly understood it might be best to retain that hypothesis.
snip...
R. BRADLEY
*** In complement to the
recent demonstration that humanized mice are susceptible to scrapie, we report
here the first observation of direct transmission of a natural classical
scrapie isolate to a macaque after a 10-year incubation period. Neuropathologic
examination revealed all of the features of a prion disease: spongiform change,
neuronal loss, and accumulation of PrPres throughout the CNS.
*** This observation strengthens the questioning of the harmlessness of
scrapie to humans, at a time when protective measures for human and animal
health are being dismantled and reduced as c-BSE is considered controlled and
being eradicated.
*** Our results underscore the importance
of precautionary and protective measures and the necessity for long-term
experimental transmission studies to assess the zoonotic potential of other
animal prion strains.
O.05: Transmission of prions to primates after
extended silent incubation periods: Implications for BSE and scrapie risk
assessment in human populations
Emmanuel Comoy, Jacqueline Mikol, Valerie
Durand, Sophie Luccantoni, Evelyne Correia, Nathalie Lescoutra, Capucine Dehen,
and Jean-Philippe Deslys Atomic Energy Commission; Fontenay-aux-Roses, France
Prion diseases (PD) are the unique
neurodegenerative proteinopathies reputed to be transmissible under field
conditions since decades. The transmission of Bovine Spongiform Encephalopathy
(BSE) to humans evidenced that an animal PD might be zoonotic under appropriate
conditions. Contrarily, in the absence of obvious (epidemiological or
experimental) elements supporting a transmission or genetic predispositions,
PD, like the other proteinopathies, are reputed to occur spontaneously (atpical
animal prion strains, sporadic CJD summing 80% of human prion cases). Non-human
primate models provided the first evidences supporting the transmissibiity of
human prion strains and the zoonotic potential of BSE. Among them, cynomolgus
macaques brought major information for BSE risk assessment for human health
(Chen, 2014), according to their phylogenetic proximity to humans and extended
lifetime. We used this model to assess the zoonotic potential of other animal
PD from bovine, ovine and cervid origins even after very long silent incubation
periods.
*** We recently observed the direct transmission of a natural classical
scrapie isolate to macaque after a 10-year silent incubation period,
***with features similar to some reported for human cases of sporadic
CJD, albeit requiring fourfold long incubation than BSE. Scrapie, as recently
evoked in humanized mice (Cassard, 2014),
***is the third potentially zoonotic PD (with BSE and L-type BSE),
***thus questioning the origin of human sporadic cases. We will present
an updated panorama of our different transmission studies and discuss the
implications of such extended incubation periods on risk assessment of animal
PD for human health.
===============
***thus questioning the origin of human sporadic
cases***
***our findings suggest that possible transmission risk of H-type BSE to
sheep and human. Bioassay will be required to determine whether the PMCA
products are infectious to these animals.
SCRAPIE WS-01: Prion diseases in animals and zoonotic potential 2016
Prion. 10:S15-S21. 2016 ISSN: 1933-6896 printl 1933-690X online
*** WDA 2016 NEW YORK
***
We found that CWD adapts to a new host more readily than BSE and that
human PrP was unexpectedly prone to misfolding by CWD prions. In addition, we
investigated the role of specific regions of the bovine, deer and human PrP
protein in resistance to conversion by prions from another species. We have
concluded that the human protein has a region that confers unusual
susceptibility to conversion by CWD prions.
Student Presentations Session 2
The species barriers and public health threat of CWD and BSE prions
Ms. Kristen Davenport1, Dr. Davin Henderson1, Dr. Candace Mathiason1, Dr.
Edward Hoover1 1Colorado State University
Chronic wasting disease (CWD) is spreading rapidly through cervid
populations in the USA. Bovine spongiform encephalopathy (BSE, mad cow disease)
arose in the 1980s because cattle were fed recycled animal protein. These and
other prion diseases are caused by abnormal folding of the normal prion protein
(PrP) into a disease causing form (PrPd), which is pathogenic to nervous system
cells and can cause subsequent PrP to misfold. CWD spreads among cervids very
efficiently, but it has not yet infected humans. On the other hand, BSE was
spread only when cattle consumed infected bovine or ovine tissue, but did
infect humans and other species. The objective of this research is to
understand the role of PrP structure in cross-species infection by CWD and BSE.
To study the propensity of each species’ PrP to be induced to misfold by the
presence of PrPd from verious species, we have used an in vitro system that
permits detection of PrPd in real-time. We measured the conversion efficiency
of various combinations of PrPd seeds and PrP substrate combinations. We
observed the cross-species behavior of CWD and BSE, in addition to
feline-adapted CWD and BSE. We found that CWD adapts to a new host more readily
than BSE and that human PrP was unexpectedly prone to misfolding by CWD prions.
In addition, we investigated the role of specific regions of the bovine, deer
and human PrP protein in resistance to conversion by prions from another
species. We have concluded that the human protein has a region that confers
unusual susceptibility to conversion by CWD prions. CWD is unique among prion
diseases in its rapid spread in natural populations. BSE prions are essentially
unaltered upon passage to a new species, while CWD adapts to the new species. This
adaptation has consequences for surveillance of humans exposed to CWD.
Wildlife Disease Risk Communication Research Contributes to Wildlife Trust
Administration Exploring perceptions about chronic wasting disease risks among
wildlife and agriculture professionals and stakeholders
http://www.wda2016.org/uploads/5/8/6/1/58613359/wda_2016_conference_proceedings_low_res.pdf
PRION 2016 TOKYO
Zoonotic Potential of CWD Prions: An Update
Ignazio Cali1, Liuting Qing1, Jue Yuan1, Shenghai Huang2, Diane Kofskey1,3,
Nicholas Maurer1, Debbie McKenzie4, Jiri Safar1,3,5, Wenquan Zou1,3,5,6,
Pierluigi Gambetti1, Qingzhong Kong1,5,6 1Department of Pathology, 3National
Prion Disease Pathology Surveillance Center, 5Department of Neurology,
6National Center for Regenerative Medicine, Case Western Reserve University,
Cleveland, OH 44106, USA. 4Department of Biological Sciences and Center for Prions
and Protein Folding Diseases, University of Alberta, Edmonton, Alberta, Canada,
2Encore Health Resources, 1331 Lamar St, Houston, TX 77010
Chronic wasting disease (CWD) is a widespread and highly transmissible prion
disease in free-ranging and captive cervid species in North America. The
zoonotic potential of CWD prions is a serious public health concern, but the
susceptibility of human CNS and peripheral organs to CWD prions remains largely
unresolved. We reported earlier that peripheral and CNS infections were
detected in transgenic mice expressing human PrP129M or PrP129V. Here we will
present an update on this project, including evidence for strain dependence and
influence of cervid PrP polymorphisms on CWD zoonosis as well as the
characteristics of experimental human CWD prions.
PRION 2016 TOKYO In Conjunction with Asia Pacific Prion Symposium 2016 PRION
2016 Tokyo Prion 2016
http://prion2016.org/dl/newsletter_03.pdf
Cervid to human prion transmission
Kong, Qingzhong
Case Western Reserve University, Cleveland, OH, United States
Abstract
Prion disease is transmissible and invariably fatal. Chronic wasting disease
(CWD) is the prion disease affecting deer, elk and moose, and it is a
widespread and expanding epidemic affecting 22 US States and 2 Canadian
provinces so far. CWD poses the most serious zoonotic prion transmission risks
in North America because of huge venison consumption (>6 million deer/elk
hunted and consumed annually in the USA alone), significant prion infectivity
in muscles and other tissues/fluids from CWD-affected cervids, and usually high
levels of individual exposure to CWD resulting from consumption of the affected
animal among often just family and friends. However, we still do not know
whether CWD prions can infect humans in the brain or peripheral tissues or
whether clinical/asymptomatic CWD zoonosis has already occurred, and we have no
essays to reliably detect CWD infection in humans. We hypothesize that:
(1) The classic CWD prion strain can infect humans at low levels in the brain
and peripheral lymphoid tissues;
(2) The cervid-to-human transmission barrier is dependent on the cervid prion
strain and influenced by the host (human) prion protein (PrP) primary sequence;
(3) Reliable essays can be established to detect CWD infection in humans;and
(4) CWD transmission to humans has already occurred. We will test these
hypotheses in 4 Aims using transgenic (Tg) mouse models and complementary in
vitro approaches.
Aim 1 will prove that the classical CWD strain may infect humans in brain or
peripheral lymphoid tissues at low levels by conducting systemic bioassays in a
set of "humanized" Tg mouse lines expressing common human PrP
variants using a number of CWD isolates at varying doses and routes.
Experimental "human CWD" samples will also be generated for Aim 3.
Aim 2 will test the hypothesis that the cervid-to-human prion transmission
barrier is dependent on prion strain and influenced by the host (human) PrP
sequence by examining and comparing the transmission efficiency and phenotypes
of several atypical/unusual CWD isolates/strains as well as a few prion strains
from other species that have adapted to cervid PrP sequence, utilizing the same
panel of humanized Tg mouse lines as in Aim 1.
Aim 3 will establish reliable essays for detection and surveillance of CWD
infection in humans by examining in details the clinical, pathological,
biochemical and in vitro seeding properties of existing and future experimental
"human CWD" samples generated from Aims 1-2 and compare them with
those of common sporadic human Creutzfeldt-Jakob disease (sCJD) prions.
Aim 4 will attempt to detect clinical CWD-affected human cases by examining a
significant number of brain samples from prion-affected human subjects in the
USA and Canada who have consumed venison from CWD-endemic areas utilizing the
criteria and essays established in Aim 3. The findings from this proposal will
greatly advance our understandings on the potential and characteristics of
cervid prion transmission in humans, establish reliable essays for CWD zoonosis
and potentially discover the first case(s) of CWD infection in humans.
Public Health Relevance There are significant and increasing human exposure to
cervid prions because chronic wasting disease (CWD, a widespread and highly
infectious prion disease among deer and elk in North America) continues
spreading and consumption of venison remains popular, but our understanding on
cervid-to-human prion transmission is still very limited, raising public health
concerns. This proposal aims to define the zoonotic risks of cervid prions and
set up and apply essays to detect CWD zoonosis using mouse models and in vitro
methods. The findings will greatly expand our knowledge on the potentials and
characteristics of cervid prion transmission in humans, establish reliable
essays for such infections and may discover the first case(s) of CWD infection
in humans.
Funding Agency Agency National Institute of Health (NIH)
Institute National Institute of Neurological Disorders and Stroke (NINDS)
Type Research Project (R01)
Project # 1R01NS088604-01A1
Application # 9037884
Study Section Cellular and Molecular Biology of Neurodegeneration Study Section
(CMND)
Program Officer Wong, May
Project Start 2015-09-30
Project End 2019-07-31
Budget Start 2015-09-30
Budget End 2016-07-31
Support Year 1
Fiscal Year 2015
Total Cost $337,507
Indirect Cost $118,756
Institution
Name Case Western Reserve University
Department Pathology
Type Schools of Medicine
DUNS # 077758407
City Cleveland
State OH
Country United States
Zip Code 44106
http://grantome.com/grant/NIH/R01-NS088604-01A1
CDC EMERGING INFECTIOUS
DISEASE JOURNAL DECEMBER 2016 CWD HORIZONTAL TRANSMISSION
Sunday, August 28, 2016
CONFIDENTIAL
Transmissible
Spongiform Encephalopathy TSE Prion and how Politics and Greed by the Industry
spread madcow type diseases from species to species and around the globe
TSE PRIONS AKA MAD
COW TYPE DISEASE, LIONS AND TIGERS AND BEARS, OH MY!
see more here ;
Tuesday, September 06,
2016
A comparison of classical and H-type bovine spongiform
encephalopathy associated with E211K prion protein polymorphism in wild type
and EK211 cattle following intracranial inoculation
Tuesday, August 9, 2016
Concurrence with OIE Risk Designations for Bovine Spongiform
Encephalopathy [Docket No. APHIS-2015-0055]
BILLING CODE: 3410-34-P
DEPARTMENT OF AGRICULTURE Animal and Plant Health Inspection Service
Saturday, July 23,
2016
BOVINE SPONGIFORM
ENCEPHALOPATHY BSE TSE PRION SURVEILLANCE, TESTING, AND SRM REMOVAL UNITED
STATE OF AMERICA UPDATE JULY 2016
Tuesday, July 26, 2016
*** Atypical Bovine
Spongiform Encephalopathy BSE TSE Prion UPDATE JULY 2016
Saturday, July 16,
2016
Importation of Sheep,
Goats, and Certain Other Ruminants [Docket No. APHIS-2009-0095]RIN 0579-AD10
WITH great disgust and
concern, I report to you that the OIE, USDA, APHIS, are working to further
legalize the trading of Transmissible Spongiform Encephalopathy TSE Pion
disease around the globe.
THIS is absolutely
insane. it’s USDA INC.
Thursday, August
4, 2016
Secretary's Advisory
Committee on Animal Health [Docket No. APHIS-2016-0046] TSE PRION DISEASE
Tuesday, December 13,
2016
Norway Chronic Wasting
Disease CWD TSE Prion disease Skrantesjuke December 2016 Update
Title: Pathological
features of chronic wasting disease in reindeer and demonstration of horizontal
transmission
Monday, September 05,
2016
Pathological features of
chronic wasting disease in reindeer and demonstration of horizontal
transmission Major Findings for Norway
Thursday, September 22,
2016
NORWAY DETECTS 5TH CASE
OF CHRONIC WASTING DISEASE CWD TSE PRION Skrantesjuke
SUNDAY, OCTOBER 02, 2016
*** What is the risk of
a cervid TSE being introduced from Norway into Great Britain? Qualitative Risk
Assessment September 2016
Wednesday, September 7,
2016
*** An assessment of the
long-term persistence of prion infectivity in aquatic environments
Friday, September 02,
2016
*** Chronic Wasting
Disease Drives Population Decline of White-Tailed Deer
*** Infectious agent of
sheep scrapie may persist in the environment for at least 16 years ***
Gudmundur Georgsson1,
Sigurdur Sigurdarson2 and Paul Brown3
Thursday, December 08, 2016
TEXAS TAHC confirmed
Chronic Wasting Disease (CWD) in a free-ranging elk Dallam County
Saturday, December 03, 2016
TEXAS CHRONIC WASTING
DISEASE CWD TSE PRION UPDATE 35 CASES TO DATE
Friday, November 18,
2016
IMPORTANT: SAWCorp CWD
Test is NOT APHIS Approved
Wednesday, December 07,
2016
Student Assistant
(Temporary) – Chronic Wasting Disease: Texas A&M Veterinary Medical
Diagnostic Laboratory
Tuesday, November 22, 2016
AGFC finds 28 new cases of CWD in north Arkansas
Tuesday,
November 29, 2016
Wyoming
CWD Report monitoring efforts increase with focus on improving herd health
Tuesday, November 22, 2016
Minnesota Tests confirm 2 CWD-positive deer near Lanesboro
Tuesday, November 22, 2016
Michigan Suspect CWD deer harvested in Eagle Township, Clinton
County
Saturday, November 12,
2016
Maine Medical Center
received confirmation patient treated at the hospital has Creutzfeldt-Jakob
disease
Wednesday, November 09,
2016
Chronic Wasting Disease
(CWD) Program Standards - Review and Comment By Terry S Singeltary Sr. November
9, 2016
Monday, August 29, 2016
*** NWHC USGS CHRONIC WASTING DISEASE CWD TSE PRION UPDATE
Sunday, December 11, 2016
Clay Components in Soil Dictate Environmental Stability and
Bioavailability of Cervid Prions in Mice
Friday, November 11, 2016
Canada Transmissible
Spongiform Encephalopathy TSE Prion Report Update
Tuesday, November 29, 2016
Transmissibility of Gerstmann–Sträussler–Scheinker syndrome in
rodent models: new insights into the molecular underpinnings of prion
infectivity
Sunday, December 04, 2016
Heidenhain variant of
Creutzfeldt–Jakob disease in a patient who had bovine bioprosthetic valve
implantation
Year : 2016 | Volume : 64 | Issue : 10 | Page : 767-769
Sunday, November 06, 2016
UK Iatrogenic Creutzfeldt–Jakob disease: investigating human prion
transmission across genotypic barriers using human tissue-based and molecular
approaches
this must be on the
forefront of research i.e. THE VERY REAL POTENTIAL FOR ‘iatrogenic’
transmission.
why has Alzheimer’s
exploded over the past few decades ???
Alzheimer’s disease,
iatrogenic, and Transmissible Spongiform Encephalopathy TSE Prion disease, that
is the question ???
>>> The only
tenable public line will be that "more research is required’’ <<<
>>> possibility
on a transmissible prion remains open<<<
O.K., so it’s about 23
years later, so somebody please tell me, when is "more research is
required’’ enough time for evaluation ?
SWISS MEDICAL WEEKLY
Alzheimer-type brain
pathology may be transmitted by grafts of dura mater 26/01/2016 Singeltary
comment ;
re-Evidence for human
transmission of amyloid-β pathology and cerebral amyloid angiopathy
Nature 525, 247?250 (10
September 2015) doi:10.1038/nature15369 Received 26 April 2015 Accepted 14
August 2015 Published online 09 September 2015 Updated online 11 September 2015
Erratum (October, 2015)
snip...see full
Singeltary Nature comment here;
Self-Propagative
Replication of Ab Oligomers Suggests Potential Transmissibility in Alzheimer
Disease
*** Singeltary comment
PLoS ***
Alzheimer’s disease and
Transmissible Spongiform Encephalopathy prion disease, Iatrogenic, what if ?
Posted by flounder on 05
Nov 2014 at 21:27 GMT
Sunday, November 22,
2015
*** Effect of heating on
the stability of amyloid A (AA) fibrils and the intra- and cross-species
transmission of AA amyloidosis Abstract
Amyloid A (AA)
amyloidosis is a protein misfolding disease characterized by extracellular
deposition of AA fibrils. AA fibrils are found in several tissues from food
animals with AA amyloidosis. For hygienic purposes, heating is widely used to
inactivate microbes in food, but it is uncertain whether heating is sufficient
to inactivate AA fibrils and prevent intra- or cross-species transmission. We
examined the effect of heating (at 60 °C or 100 °C) and autoclaving (at 121 °C
or 135 °C) on murine and bovine AA fibrils using Western blot analysis,
transmission electron microscopy (TEM), and mouse model transmission
experiments. TEM revealed that a mixture of AA fibrils and amorphous aggregates
appeared after heating at 100 °C, whereas autoclaving at 135 °C produced large
amorphous aggregates. AA fibrils retained antigen specificity in Western blot
analysis when heated at 100 °C or autoclaved at 121 °C, but not when autoclaved
at 135 °C. Transmissible pathogenicity of murine and bovine AA fibrils
subjected to heating (at 60 °C or 100 °C) was significantly stimulated and
resulted in amyloid deposition in mice. Autoclaving of murine AA fibrils at 121
°C or 135 °C significantly decreased amyloid deposition. Moreover, amyloid
deposition in mice injected with murine AA fibrils was more severe than that in
mice injected with bovine AA fibrils. Bovine AA fibrils autoclaved at 121 °C or
135 °C did not induce amyloid deposition in mice. These results suggest that AA
fibrils are relatively heat stable and that similar to prions, autoclaving at
135 °C is required to destroy the pathogenicity of AA fibrils. These findings
may contribute to the prevention of AA fibril transmission through food
materials to different animals and especially to humans.
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*** Transmission of
Creutzfeldt-Jakob disease to a chimpanzee by electrodes contaminated during
neurosurgery ***
Gibbs CJ Jr, Asher DM,
Kobrine A, Amyx HL, Sulima MP, Gajdusek DC. Laboratory of Central Nervous
System Studies, National Institute of Neurological Disorders and Stroke,
National Institutes of Health, Bethesda, MD 20892.
Stereotactic multicontact
electrodes used to probe the cerebral cortex of a middle aged woman with
progressive dementia were previously implicated in the accidental transmission
of Creutzfeldt-Jakob disease (CJD) to two younger patients. The diagnoses of
CJD have been confirmed for all three cases. More than two years after their
last use in humans, after three cleanings and repeated sterilisation in ethanol
and formaldehyde vapour, the electrodes were implanted in the cortex of a
chimpanzee. Eighteen months later the animal became ill with CJD. This finding
serves to re-emphasise the potential danger posed by reuse of instruments
contaminated with the agents of spongiform encephalopathies, even after
scrupulous attempts to clean them.
Monday, December 5, 2016
Prion Institute protein folding and misfolding; pathobiology of
TSEs; surveillance, control; and TSEs
Thursday, December 1, 2016
PRION2017 DECIPHERING NEURODEGENERATIVE DISORDERS 23 – 26 May 2017
Edinburgh
Thursday, August 04,
2016
MEETING ON THE
FEASIBILITY OF CARRYING OUT EPIDEMIOLOGICAL STUDIES ON CREUTZFELDT JAKOB
DISEASE 1978 THE SCRAPIE FILES IN CONFIDENCE CONFIDENTIAL SCJD
Spongiform
Encephalopathy in Captive Wild ZOO BSE INQUIRY
Evidence That
Transmissible Mink Encephalopathy Results from Feeding Infected Cattle
Over the next 8-10
weeks, approximately 40% of all the adult mink on the farm died from TME.
snip...
The rancher was a ''dead
stock'' feeder using mostly (>95%) downer or dead dairy cattle...
In Confidence -
Perceptions of unconventional slow virus diseases of animals in the USA -
APRIL-MAY 1989 - G A H Wells
3. Prof. A. Robertson
gave a brief account of BSE. The US approach was to accord it a very low
profile indeed. Dr. A Thiermann showed the picture in the ''Independent'' with
cattle being incinerated and thought this was a fanatical incident to be
avoided in the US at all costs. ...
”The occurrence of CWD
must be viewed against the contest of the locations in which it occurred. It
was an incidental and unwelcome complication of the respective wildlife
research programmes. Despite it’s subsequent recognition as a new disease of
cervids, therefore justifying direct investigation, no specific research
funding was forthcoming. The USDA veiwed it as a wildlife problem and consequently
not their province!” ...page 26.
Diagnosis and Reporting
of Creutzfeldt-Jakob Disease
Singeltary, Sr et al.
JAMA.2001; 285: 733-734. Vol. 285 No. 6, February 14, 2001 JAMA
Diagnosis and Reporting
of Creutzfeldt-Jakob Disease
To the Editor: In their
Research Letter, Dr Gibbons and colleagues1 reported that the annual US death
rate due to Creutzfeldt-Jakob disease (CJD) has been stable since 1985. These
estimates, however, are based only on reported cases, and do not include
misdiagnosed or preclinical cases. It seems to me that misdiagnosis alone would
drastically change these figures. An unknown number of persons with a diagnosis
of Alzheimer disease in fact may have CJD, although only a small number of
these patients receive the postmortem examination necessary to make this
diagnosis. Furthermore, only a few states have made CJD reportable. Human and
animal transmissible spongiform encephalopathies should be reportable
nationwide and internationally.
Terry S. Singeltary, Sr
Bacliff, Tex
1. Gibbons RV, Holman
RC, Belay ED, Schonberger LB. Creutzfeldt-Jakob disease in the United States:
1979-1998. JAMA. 2000;284:2322-2323.
26 March 2003
Terry S. Singeltary,
retired (medically) CJD WATCH
I lost my mother to
hvCJD (Heidenhain Variant CJD). I would like to comment on the CDC's attempts
to monitor the occurrence of emerging forms of CJD. Asante, Collinge et al [1]
have reported that BSE transmission to the 129-methionine genotype can lead to
an alternate phenotype that is indistinguishable from type 2 PrPSc, the
commonest sporadic CJD. However, CJD and all human TSEs are not reportable
nationally. CJD and all human TSEs must be made reportable in every state and
internationally. I hope that the CDC does not continue to expect us to still
believe that the 85%+ of all CJD cases which are sporadic are all spontaneous,
without route/source. We have many TSEs in the USA in both animal and man. CWD
in deer/elk is spreading rapidly and CWD does transmit to mink, ferret, cattle,
and squirrel monkey by intracerebral inoculation. With the known incubation
periods in other TSEs, oral transmission studies of CWD may take much longer.
Every victim/family of CJD/TSEs should be asked about route and source of this
agent. To prolong this will only spread the agent and needlessly expose others.
In light of the findings of Asante and Collinge et al, there should be drastic
measures to safeguard the medical and surgical arena from sporadic CJDs and all
human TSEs. I only ponder how many sporadic CJDs in the USA are type 2 PrPSc?
The Lancet Infectious
Diseases, Volume 3, Issue 8, Page 463, August 2003
doi:10.1016/S1473-3099(03)00715-1Cite or Link Using DOI
Tracking spongiform
encephalopathies in North America
Original
Xavier Bosch
“My name is Terry S
Singeltary Sr, and I live in Bacliff, Texas. I lost my mom to hvCJD (Heidenhain
variant CJD) and have been searching for answers ever since. What I have found
is that we have not been told the truth. CWD in deer and elk is a small portion
of a much bigger problem.” 49-year—old Singeltary is one of a number of people
who have remained largely unsatisfied after being told that a close relative
died from a rapidly progressive dementia compatible with spontaneous
Creutzfeldt—Jakob ...
2 January 2000
British Medical Journal
U.S. Scientist should be
concerned with a CJD epidemic in the U.S., as well
15 November 1999
British Medical Journal
vCJD in the USA * BSE in
U.S.
Suspect symptoms
What if you can catch old-fashioned
CJD by eating meat from a sheep infected with scrapie?
28 Mar 01
Most doctors believe
that sCJD is caused by a prion protein deforming by chance into a killer. But
Singeltary thinks otherwise. He is one of a number of campaigners who say that
some sCJD, like the variant CJD related to BSE, is caused by eating meat from
infected animals. Their suspicions have focused on sheep carrying scrapie, a
BSE-like disease that is widespread in flocks across Europe and North America.
Now scientists in France have stumbled across new evidence that adds weight to
the campaigners' fears. To their complete surprise, the researchers found that
one strain of scrapie causes the same brain damage in mice as sCJD.
"This means we
cannot rule out that at least some sCJD may be caused by some strains of
scrapie," says team member Jean-Philippe Deslys of the French Atomic
Energy Commission's medical research laboratory in Fontenay-aux-Roses,
south-west of Paris. Hans Kretschmar of the University of Göttingen, who
coordinates CJD surveillance in Germany, is so concerned by the findings that
he now wants to trawl back through past sCJD cases to see if any might have
been caused by eating infected mutton or lamb...
2001 FDA CJD TSE Prion
Singeltary Submission