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Prion domains as a driving force for the assembly of functional nanomaterials. 朊病毒结构域作为功能纳米材料组装的驱动力。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1785659
Weiqiang Wang, Salvador Ventura
ABSTRACT Amyloids display a highly ordered fibrillar structure. Many of these assemblies appear associated with human disease. However, the controllable, stable, tunable, and robust nature of amyloid fibrils can be exploited to build up remarkable nanomaterials with a wide range of applications in biomedicine and biotechnology. Functional prions constitute a particular class of amyloids. These transmissible proteins exhibit a modular architecture, with a disordered prion domain responsible for the assembly and one or more globular domains that account for the activity. Importantly, the original globular protein can be replaced with any protein of interest, without compromising the fibrillation potential. These genetic fusions form fibrils in which the globular domain remains folded, rendering functional nanostructures. However, in some cases, steric hindrance restricts the activity of these fibrils. This limitation can be solved by dissecting prion domains into shorter sequences that keep their self-assembling properties while allowing better access to the active protein in the fibrillar state. In this review, we will discuss the properties of prion-like functional nanomaterials and the amazing applications of these biocompatible fibrillar arrangements.
淀粉样蛋白具有高度有序的纤维状结构。其中许多组合似乎与人类疾病有关。然而,淀粉样蛋白原纤维的可控、稳定、可调和鲁棒性可以被利用来构建具有广泛应用于生物医学和生物技术的卓越纳米材料。功能性朊病毒构成一类特殊的淀粉样蛋白。这些可传播的蛋白质呈现模块化结构,无序的朊病毒结构域负责组装,一个或多个球形结构域负责活性。重要的是,原始的球状蛋白可以用任何感兴趣的蛋白代替,而不会损害纤颤电位。这些基因融合形成原纤维,其中球状结构域保持折叠,呈现功能性纳米结构。然而,在某些情况下,空间位阻限制了这些原纤维的活性。这一限制可以通过将朊病毒结构域分解成更短的序列来解决,这些序列既能保持其自组装特性,又能更好地进入纤维状状态的活性蛋白。在这篇综述中,我们将讨论类似朊病毒的功能纳米材料的性质以及这些生物相容性纤维排列的惊人应用。
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引用次数: 4
Experimental oral transmission of chronic wasting disease to sika deer (Cervus nippon). 梅花鹿慢性消耗性疾病的实验性口腔传播。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1857038
Hyun-Joo Sohn, Gordon Mitchell, Yoon Hee Lee, Hyo Jin Kim, Kyung-Je Park, Antanas Staskevicus, Ines Walther, Andrei Soutyrine, Aru Balachandran

Chronic wasting disease (CWD) affects a broad array of cervid species and continues to be detected in an expanding geographic range. Initially introduced into the Republic of Korea through the importation of CWD-infected elk (Cervus canadensis), additional cases of CWD were subsequently detected in farmed Korean elk and sika deer (Cervus nippon). Wild and farmed sika deer are found in many regions of Asia, North America, and Europe, although natural transmission to this species has not been detected outside of the Republic of Korea. In this study, the oral transmission of CWD to sika deer was investigated using material from CWD-affected elk. Pathological prion (PrPCWD) immunoreactivity was detected in oropharyngeal lymphoid tissues of one sika deer at 3.9 months post-inoculation (mpi) and was more widely distributed in a second sika deer examined at 10.9 mpi. The remaining four sika deer progressed to clinical disease between 21 and 24 mpi. Analysis of PrPCWD tissue distribution in clinical sika deer revealed widespread deposition in central and peripheral nervous systems, lymphoreticular tissues, and the gastrointestinal tract. Prion protein gene (PRNP) sequences of these sika deer were identical and consistent with those reported in natural sika deer populations. These findings demonstrate the efficient oral transmission of CWD from elk to sika deer.

慢性消耗性疾病(CWD)影响广泛的子宫颈物种,并在不断扩大的地理范围内被发现。该疾病最初是通过进口受CWD感染的麋鹿(加拿大鹿)传入韩国,随后在养殖的韩国麋鹿和梅花鹿(日本鹿)中发现了更多的CWD病例。在亚洲、北美和欧洲的许多地区都发现了野生和养殖梅花鹿,尽管在大韩民国以外尚未发现该物种的自然传播。在这项研究中,研究了CWD对梅花鹿的口腔传播,使用了受CWD影响的麋鹿的材料。在接种后3.9个月的一只梅花鹿口咽淋巴组织中检测到病理性朊病毒(PrPCWD)免疫反应性,在接种后10.9个月的另一只梅花鹿口咽淋巴组织中更为广泛地分布。其余4只梅花鹿在21至24英里之间进展为临床疾病。对临床梅花鹿PrPCWD组织分布的分析显示,PrPCWD在中枢和周围神经系统、淋巴网状组织和胃肠道中广泛沉积。这些梅花鹿的朊蛋白基因(PRNP)序列与天然梅花鹿种群的PRNP序列完全一致。这些发现证明了CWD从麋鹿到梅花鹿的有效口腔传播。
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引用次数: 6
Cloning and analysis of PRNP gene of Vulpes corsac in Qinghai plateau, China. 青海高原红狐PRNP基因的克隆与分析。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2019.1704496
Xue-Hua Yang, Kang Xiao, Yuezhang Wu, Liping Gao, Dongdong Chen, Xiao-Ping Dong, Qi Shi

PRNP gene encodes PrP protein, which is conservative among different species and associates with the susceptibility of prion disease. In this report, we cloned and sequenced the full-length PRNP gene of Vulpes corsac in Qinghai plateau, China. The amino acid sequence of Vulpes corsac PrP showed 100% homology with those of the other three species of foxes. The taxa relationship of Vulpes corsac PrP with other species of animals, including human, canine, bovine, cervus, capra, ovis, camelus, felis, Mustela, mouse and hamster were also analysed.

PRNP基因编码PrP蛋白,该蛋白在不同物种间具有保守性,与朊病毒疾病的易感性有关。本研究克隆了青海高原狐猴(Vulpes corsac)的PRNP全长基因,并对其进行了测序。Vulpes corsac PrP与其他3种狐的氨基酸序列同源性为100%。并分析了Vulpes corsac PrP与人、犬、牛、鹿、羊、羊、骆驼、猫、鼠、鼠、仓鼠等动物的类群关系。
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引用次数: 1
Discovery of a multipotent chaperone, 1-(2,6-Difluorobenzylamino)-3-(1,2,3,4-tetrahydrocarbazol-9-yl)-propan-2-ol with the inhibitory effects on the proliferation of prion, cancer as well as influenza virus. 多能伴侣1-(2,6-二氟氨基苄)-3-(1,2,3,4-四氢咔唑-9-基)-丙二醇对朊病毒、癌症和流感病毒增殖的抑制作用的发现。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1714372
Satoshi Yamashita, Ryo Honda, Mayuko Fukuoka, Tsutomu Kimura, Junji Hosokawa-Muto, Kazuo Kuwata

We previously discovered three carbazole derivatives, GJP14 (1-piperidinylmethyl-2-(1-oxo-6-methyl-1,2,3,4-tetrahydrocarbazol-9-yl)-ethan-1-ol) with anti-prion activity, GJC29 (benzylamino-3-(1,2,3,4-tetrahydrocarbazol-9-yl)-propan-2-ol) with anti-cancer activity, and THC19 (1-piperidinylmethyl-2-(1,2,3,4-tetrahydrocarnazol-9-yl)-ethan-1-ol) with anti-influenza virus activity. During optimization of GJP14 for the anti-prion activity, we discovered a compound, 1-(2,6-difluorobenzylamino)-3-(1,2,3,4-tetrahydrocarbazol-9-yl)-propan-2-ol, termed 5Y, had the most strong anti-prion activity among a series of newly synthesized derivatives. Intriguingly, we noticed that 5Y had also the most strong anti-colon cancer as well as the anti-influenza virus activities among derivatives. No significant toxicity of 5Y was observed. These results demonstrate that 5Y is a multipotent lead compound with unusually wide spectrum, and may be applicable to therapeutics targeting multiple diseases.Abbreviations: MoPrP: mouse prion protein of amino acid residues of 23-231; PrPC: cellular form of prion protein; PrPSc: scrapie form of prion protein.

我们之前已经发现了3种咔唑衍生物,GJP14(1-胡椒酰甲基-2-(1-氧-6-甲基-1,2,3,4-四氢咔唑-9-基)-乙酯-1-醇)具有抗朊病毒活性,GJC29(苄基-3-(1,2,3,4-四氢咔唑-9-基)-丙烯-2-醇)具有抗癌活性,THC19(1-胡椒酰甲基-2-(1,2,3,4-四氢咔唑-9-基)-乙酯-1-醇)具有抗流感病毒活性。在对GJP14的抗朊病毒活性进行优化的过程中,我们发现在一系列新合成的衍生物中,1-(2,6-二氟双酶氨基)-3-(1,2,3,4-四氢咔唑-9-基)-丙烷-2-醇的抗朊病毒活性最强,命名为5Y。有趣的是,我们注意到5Y在衍生品中也具有最强的抗结肠癌和抗流感病毒活性。5Y未见明显毒性。这些结果表明,5Y是一种具有异常广谱的多能先导化合物,可能适用于多种疾病的治疗。mprp:小鼠朊病毒蛋白的氨基酸残基为23-231;PrPC:朊病毒蛋白的细胞形式;PrPSc:痒病形式的朊病毒蛋白。
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引用次数: 2
The role of cellular prion protein in lipid metabolism in the liver. 细胞朊蛋白在肝脏脂质代谢中的作用。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1729074
Amandeep Singh Arora, Saima Zafar, Umair Latif, Franc Llorens, Mihm Sabine, Prateek Kumar, Waqas Tahir, Katrin Thüne, Mohsin Shafiq, Matthias Schmitz, Inga Zerr

Cellular prion protein (PrPC) is a plasma membrane glycophosphatidylinositol-anchored protein and it is involved in multiple functions, including neuroprotection and oxidative stress. So far, most of the PrPC functional research is done in neuronal tissue or cell lines; the role of PrPC in non-neuronal tissues such as liver is only poorly understood. To characterize the role of PrPC in the liver, a proteomics approach was applied in the liver tissue of PrPC knockout mice. The proteome analysis and biochemical validations showed an excessive fat accumulation in the liver of PrPC knockout mice with a change in mRNA expression of genes linked to lipid metabolism. In addition, the higher Bax to Bcl2 ratio, up-regulation of tgfb1 mRNA expression in PrPC knockout mice liver, further showed the evidences of metabolic disease. Over-expression of PrPC in fatty acid-treated AML12 hepatic cell line caused a reduction in excessive intracellular fat accumulation; shows association of PrPC levels and lipid metabolism. Therefore, based on observation of excessive fat globules in the liver of ageing PrPC knockout mice and the reduction of fat accumulation in AML12 cell line with PrPC over-expression, the role of PrPC in lipid metabolism is described.

细胞朊蛋白(PrPC)是一种质膜糖磷脂酰肌醇锚定蛋白,参与多种功能,包括神经保护和氧化应激。到目前为止,大多数的PrPC功能研究都是在神经组织或细胞系中进行的;PrPC在肝脏等非神经元组织中的作用尚不清楚。为了表征PrPC在肝脏中的作用,在PrPC敲除小鼠的肝组织中应用了蛋白质组学方法。蛋白质组学分析和生化验证表明,PrPC敲除小鼠的肝脏中存在过量的脂肪积累,与脂质代谢相关的基因mRNA表达发生变化。此外,PrPC基因敲除小鼠肝脏中Bax与Bcl2比值升高,tgfb1 mRNA表达上调,进一步显示了代谢性疾病的证据。在脂肪酸处理的AML12肝细胞系中,PrPC的过度表达导致细胞内过度脂肪积累的减少;显示PrPC水平与脂质代谢有关。因此,通过观察衰老PrPC敲除小鼠肝脏中脂肪球过多,以及PrPC过表达的AML12细胞系中脂肪堆积减少,描述了PrPC在脂质代谢中的作用。
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引用次数: 3
Understanding Creutzfeldt-Jackob disease from a viewpoint of amyloidogenic evolvability. 从淀粉样变性进化的角度理解克雅氏病。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1761514
Makoto Hashimoto, Gilbert Ho, Yoshiki Takamatsu, Ryoko Wada, Shuei Sugama, Masaaki Waragai, Eliezer Masliah, Takato Takenouchi

Creutzfeldt-Jackob disease (CJD), the most common human prion disorder, is frequently accompanied by ageing-associated neurodegenerative conditions, such as Alzheimer's disease and Parkinson's disease. Although cross-seeding of amyloidogenic proteins (APs), including amyloid β and α-synuclein, may be critical in the co-morbidity of neurodegenerative disorders, the direct interaction of APs with prion protein (PrP), the central molecule involved in the pathogenesis of CJD, is unlikely. Currently, the nature of this biological interaction and its significance remain obscure. In this context, the objective of the present study is to discuss such interactions from the perspective of amyloidogenic evolvability, a putative function of APs. Hypothetically, both hereditary- and sporadic CJD might be attributed to the role of PrP in evolvability against multiple stressors, such as physical stresses relevant to concussions, which might be manifest through the antagonistic pleiotropy mechanism in ageing. Furthermore, accumulating evidence suggests that PrP- and other APs evolvability may negatively regulate each other. Provided that increased APs evolvability might be beneficial for acquired CJD in young adults, a dose-reduction of α-synuclein, a natural inhibitor of αS aggregation, might be therapeutically effective in upregulating APs evolvability. Collectively, a better understanding of amyloidogenic evolvability may lead to the development of novel therapies for CJD.

克雅氏病(CJD)是最常见的人类朊病毒疾病,常伴有与年龄相关的神经退行性疾病,如阿尔茨海默病和帕金森病。虽然淀粉样蛋白(APs),包括淀粉样蛋白β和α-突触核蛋白,可能在神经退行性疾病的共发病中起关键作用,但APs与朊蛋白(PrP)的直接相互作用(PrP是参与CJD发病机制的中心分子)不太可能。目前,这种生物相互作用的性质及其意义仍然不清楚。在这种情况下,本研究的目的是从淀粉样蛋白的进化角度来讨论这种相互作用,淀粉样蛋白是一种假定的功能。假设,遗传性和散发性克雅氏病可能归因于PrP在对抗多种应激源的进化中所起的作用,例如与脑震荡相关的身体应激,这可能通过衰老中的拮抗多效性机制表现出来。此外,越来越多的证据表明,PrP-和其他ap的进化能力可能相互负向调节。假设APs的进化性增加可能对年轻成人获得性CJD有益,那么α-突触核蛋白(αS聚集的天然抑制剂)的剂量减少可能在上调APs的进化性方面具有治疗效果。总的来说,更好地了解淀粉样变性的进化可能会导致新的治疗克雅氏病的发展。
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引用次数: 4
Age structuring and spatial heterogeneity in prion protein gene (PRNP) polymorphism in white-tailed deer. 白尾鹿朊病毒蛋白基因(PRNP)多态性的年龄结构及空间异质性
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1832947
Tyler K Chafin, Marlis R Douglas, Bradley T Martin, Zachery D Zbinden, Christopher R Middaugh, Jennifer R Ballard, M Cory Gray, Don White, Michael E Douglas

Chronic-wasting disease (CWD) is a prion-derived fatal neurodegenerative disease that has affected wild cervid populations on a global scale. Susceptibility has been linked unambiguously to several amino acid variants within the prion protein gene (PRNP). Quantifying their distribution across landscapes can provide critical information for agencies attempting to adaptively manage CWD. Here we attempt to further define management implications of PRNP polymorphism by quantifying the contemporary geographic distribution (i.e., phylogeography) of PRNP variants in hunter-harvested white-tailed deer (WTD; Odocoileus virginianus, N = 1433) distributed across Arkansas (USA), including a focal spot for CWD since detection of the disease in February 2016. Of these, PRNP variants associated with the well-characterized 96S non-synonymous substitution showed a significant increase in relative frequency among older CWD-positive cohorts. We interpreted this pattern as reflective of a longer life expectancy for 96S genotypes in a CWD-endemic region, suggesting either decreased probabilities of infection or reduced disease progression. Other variants showing statistical signatures of potential increased susceptibility, however, seemingly reflect an artefact of population structure. We also showed marked heterogeneity across the landscape in the prevalence of 'reduced susceptibility' genotypes. This may indicate, in turn, that differences in disease susceptibility among WTD in Arkansas are an innate, population-level characteristic that is detectable through phylogeographic analysis.

慢性消耗性疾病(CWD)是一种由朊病毒衍生的致死性神经退行性疾病,已在全球范围内影响野生美洲豹种群。易感性已明确地与朊病毒蛋白基因(PRNP)内的几个氨基酸变体联系在一起。量化它们在不同景观中的分布可以为试图自适应地管理CWD的机构提供关键信息。在这里,我们试图通过量化狩猎白尾鹿中PRNP变异的当代地理分布(即系统地理学)来进一步定义PRNP多态性的管理意义。维吉尼亚蛇尾虫(Odocoileus virginianus, N = 1433)分布于美国阿肯色州,自2016年2月发现该病以来,其中包括CWD的一个疫源地。其中,与96S非同义替换相关的PRNP变异在老年cwd阳性队列中的相对频率显着增加。我们将这种模式解释为反映了cwd流行地区96S基因型的预期寿命更长,表明感染概率降低或疾病进展减少。然而,其他显示潜在易感性增加的统计特征的变异似乎反映了人口结构的人工产物。我们还显示了“降低易感性”基因型的患病率在整个景观中的显著异质性。反过来,这可能表明,阿肯色州WTD之间的疾病易感性差异是一种先天的、种群水平的特征,可以通过系统地理分析检测到。
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引用次数: 12
Geographic variation in the PRNP gene and its promoter, and their relationship to chronic wasting disease in North American deer. 北美鹿PRNP基因及其启动子的地理变异及其与慢性消耗性疾病的关系
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1796250
Robert M Zink, Nadje Najar, Hernán Vázquez-Miranda, Brittaney L Buchanan, Duan Loy, Bruce W Brodersen

PRNP genotypes, number of octarepeats (PHGGGWGQ) and indels in the PRNP promoter can influence the progression of prion disease in mammals. We found no relationship between presence of promoter indels in white-tailed deer and mule deer from Nebraska and CWD presence. White-tailed deer with the 95 H allele and G20D mule deer were more likely to be CWD-free, but unlike other studies white-tailed deer with the 96S allele(s) were equally likely to be CWD-free. We provide the first information on PRNP genotypes and indels in the promoter for Key deer (all homozygous 96SS) and Coues deer (lacked 95 H and 96S alleles, but possessed a uniquely high frequency of 103 T). All deer surveyed were homozygous for three tandem octarepeats.

PRNP基因型、八联体数(PHGGGWGQ)和PRNP启动子中的索引可影响哺乳动物朊病毒疾病的进展。我们发现内布拉斯加州白尾鹿和骡鹿的启动子索引的存在与CWD的存在没有关系。携带95 H等位基因的白尾鹿和G20D骡鹿更有可能无cwd,但与其他研究不同的是,携带96S等位基因的白尾鹿同样有可能无cwd。我们首次提供了Key鹿(全部为纯合子96SS)和Coues鹿(缺少95个H和96S等位基因,但具有独特的103 T高频)的PRNP基因型和启动子索引的信息。所有被调查的鹿都是三个连续八重复的纯合子。
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引用次数: 9
The cellular prion protein promotes neuronal regeneration after acute nasotoxic injury. 细胞朊蛋白促进急性鼻毒性损伤后神经元再生。
IF 1.9 3区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1714373
Lindsay E Parrie, Jenna A E Crowell, Julie A Moreno, Stephanie S Suinn, Glenn C Telling, Richard A Bessen

Adult neurogenesis, analogous to early development, is comprised of several, often concomitant, processes including proliferation, differentiation, and formation of synaptic connections. However, due to continual, asynchronous turn-over, newly-born adult olfactory sensory neurons (OSNs) must integrate into existing circuitry. Additionally, OSNs express high levels of cellular prion protein (PrPC), particularly in the axon, which implies a role in this cell type. The cellular prion has been shown to be important for proper adult OSN neurogenesis primarily by stabilizing mature olfactory neurons within this circuitry. However, the role of PrPC on each specific adult neurogenic processes remains to be investigated in detail. To tease out the subtle effects of prion protein expression level, a large population of regenerating neurons must be investigated. The thyroid drug methimazole (MTZ) causes nearly complete OSN loss in rodents and is used as a model of acute olfactory injury, providing a mechanism to induce synchronized OSN regeneration. This study investigated the effect of PrPC on adult neurogenesis after acute nasotoxic injury. Altered PrPC levels affected olfactory sensory epithelial (OSE) regeneration, cell proliferation, and differentiation. Attempts to investigate the role of PrPC level on axon regeneration did not support previous studies, and glomerular targeting did not recover to vehicle-treated levels, even by 20 weeks. Together, these studies demonstrate that the cellular prion protein is critical for regeneration of neurons, whereby increased PrPC levels promote early neurogenesis, and that lack of PrPC delays the regeneration of this tissue after acute injury.

成人神经发生与早期发育类似,由增殖、分化和突触连接形成等几个通常同时发生的过程组成。然而,由于持续的、异步的转换,新生的成年嗅觉感觉神经元(OSNs)必须整合到现有的电路中。此外,osn表达高水平的细胞朊病毒蛋白(PrPC),特别是在轴突,这意味着在这种细胞类型中起作用。细胞朊病毒已被证明是重要的,主要是通过稳定成熟的嗅觉神经元在这个电路中的正常成人OSN神经发生。然而,PrPC在每个特定成人神经源性过程中的作用仍有待详细研究。为了梳理出朊蛋白表达水平的微妙影响,必须对大量再生神经元进行研究。甲状腺药物甲巯咪唑(methimazole, MTZ)导致啮齿动物几乎完全OSN丢失,并作为急性嗅觉损伤模型,提供了一种诱导OSN同步再生的机制。本研究探讨了PrPC对急性鼻毒性损伤后成体神经发生的影响。PrPC水平的改变影响嗅觉感觉上皮(OSE)的再生、细胞增殖和分化。试图研究PrPC水平对轴突再生的作用并不支持先前的研究,肾小球靶向性甚至在20周后也没有恢复到载体处理的水平。总之,这些研究表明,细胞朊蛋白对神经元的再生至关重要,因此,PrPC水平的升高促进了早期神经发生,而PrPC的缺乏会延迟急性损伤后该组织的再生。
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引用次数: 0
Focal sharp waves are a specific early-stage marker of the MM2-cortical form of sporadic Creutzfeldt-Jakob disease. 局灶尖波是散发性克雅氏病mm2 -皮质形式的特异性早期标志物。
IF 2.3 3区 生物学 Q2 Medicine Pub Date : 2020-12-01 DOI: 10.1080/19336896.2020.1803516
Taiki Matsubayashi, Miho Akaza, Yuichi Hayashi, Tsuyoshi Hamaguchi, Masahito Yamada, Takayoshi Shimohata, Takanori Yokota, Nobuo Sanjo

Periodic sharp wave complexes (PSWCs), identified using electroencephalography, are observed in less than half of patients with the methionine homozygosity type 2 cortical (MM2c) form of sporadic Creutzfeldt-Jakob disease (sCJD), and only at a later stage of the disease. In this study, we identified early and specific markers on the electroencephalograms (EEGs) of patients with MM2c-sCJD. We retrospectively investigated the clinical records, EEGs, and magnetic resonance imaging (MRI) scans of patients diagnosed with sCJD and compared the EEG findings of MM2c-sCJD and MM1/classic sCJD groups. The records of six patients with MM2c-sCJD and eight with MM1/classic sCJD were included. The median ages of onset in the MM2c- and MM1/classic sCJD groups were 75.0 (range, 60-83) and 72.5 (range, 51-74) years, respectively, and the average durations between disease onset and the first EEG were 9.17 (range, 4-15) and 1.88 (range, 1-4) months, respectively. Focal sharp waves and/or focal spike-and-wave complexes in the brain regions corresponding with cortical hyperintensities on MRI scans were identified on the EEGs of patients with MM2c-sCJD in the early stages of disease progression. In contrast, EEGs of patients in the early stages of MM1/classic sCJD showed lateralized or generalized diffuse sharp waves and spike-and-wave complexes, which were not limited to cortical hyperintensities identified with MRI scans. Our findings indicate that focal sharp waves and/or focal spike-and-wave complexes on the EEGs of patients in the early phase of MM2c-sCJD are characteristic of the disease, suggesting the possible usefulness of this characteristic for early diagnosis.

周期性尖锐波复合体(PSWCs),通过脑电图识别,在不到一半的散发性克雅氏病(sCJD)的蛋氨酸纯合型2型皮质(MM2c)型患者中观察到,并且仅在疾病的后期阶段。在这项研究中,我们在MM2c-sCJD患者的脑电图(eeg)上发现了早期和特异性标记物。我们回顾性研究了诊断为sCJD的患者的临床记录、脑电图和磁共振成像(MRI)扫描,并比较了MM2c-sCJD组和MM1/经典sCJD组的脑电图表现。纳入6例MM2c-sCJD和8例MM1/经典sCJD的记录。MM2c-组和MM1/经典sCJD组的中位发病年龄分别为75.0岁(范围60-83岁)和72.5岁(范围51-74岁),发病至首次脑电图的平均持续时间分别为9.17个月(范围4-15个月)和1.88个月(范围1-4个月)。在疾病进展早期的MM2c-sCJD患者的脑电图上发现了与MRI扫描的皮质高强度相对应的脑区域的局灶尖波和/或局灶尖波复合物。相比之下,早期MM1/典型sCJD患者的脑电图显示偏侧或广泛性弥漫性尖波和峰波复合物,其不局限于MRI扫描发现的皮质高强度。我们的研究结果表明,MM2c-sCJD早期患者脑电图上的局灶尖波和/或局灶尖波复合物是该疾病的特征,这表明该特征可能对早期诊断有用。
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引用次数: 3
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