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PRIONS. 221. PRIONS. Infectious agent made of proteins WHICH ARE NOT ASSOCIATED WITH A NUCLEIC ACID Infect by folding and unfolding into irregular conformations The abnormally folded molecule is able to convert proteins into correctly folded form This process perpetuates the infection.
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PRIONS 221
PRIONS • Infectious agent made of proteins WHICH ARE NOT ASSOCIATED WITH A NUCLEIC ACID • Infect by folding and unfolding into irregular conformations • The abnormally folded molecule is able to convert proteins into correctly folded form • This process perpetuates the infection
PRION DISEASES • GENETIC COMPONENT • INFECTIVE PARTICLE • BOVINE SPONGIFORM ENCEPAHLOPATHY
HUMAN PRION DISEASES • CREUTZFELD-JACOB DISEASE( 1 PER MILLION PEOPLE PER YEAR) • FATAL FAMILIAL INSOMNIA • KURU • ALPERS SYBNDROME
MECHANISM • All known prions are believed to infect and propagate by formation of an AMYLOID fold, in which the protein polymerizes into a fiber with a core consisting of tightly packed BETA SHEETS. Other mechanisms may exist in yet undiscovered infectious protein particles.
BSE • Bovine Spongiform Encephalopathy (BSE), also known as "Mad Cow disease," has emerged as one of the most serious health concerns of the 21st century. • No one knows for certain what causes BSE or its human equivalent, Creutzfeldt Jakob disease (CJD). However, a majority of scientists suspect the culprit may be an aberrant protein known as a prion found in the brains and spinal tissue of infected animals. • Experts also believe outbreaks of BSE in European cattle stem from the once common practice of feeding these animals OFFAL
Prions - Genetics • The prion is a product of a human gene, termed the PrP gene, found on chromosome 20. • This gene contains two exons separated by a single intron. • Exon I and Exon II are transcribed and the two RNAs ligated into a single mRNA. This mRNA contains an open reading frame (ORF) or protein coding region which is translated into the PrP protein. • The PrP protein is a precursor of the prion protein. It is termed PrP 33-35.
The PrP 33-35 undergoes several post-translational events to become the prion protein (PrP 27-30): • 1. Glycosylation - at two sites. • 2. Formation of a disulfide bond between two cysteine residues. • 3. Removal of the N-terminal signal peptide. • 4. Removal of the C-terminal hydrophobic segment. • 5. Addition of a phosphatidylinositol glycolipid at the C-terminal. • 6. Removal of the N-terminal first 57 amino acids.
Humans and infections • Acquired infections • Diet • Surgery • Corneal transplants
Hereditary factors • A strain of mice that has a predisposition to prion related diseases • Sporadic • Appears to be a dominant pattern
Prion Genotypes • Genetic predisposition for Scrapie in sheep • Scrapie susceptible sequences have been located in sheep in New Zealand and Australia
FATAL FAMILIAL INSOMNIA; FFI( OMIM) - • Although the thalamus is affected in diffuse degenerative processes of the nervous system, a genetically determined degenerative disease limited to selected thalamic nuclei seems to have been described first by Lugaresi et al. (1986). • They reported the case of a 53-year-old man who presented with progressive insomnia and dysautonomia (pyrexia, diaphoresis, myosis, and sphincter disturbances). • Dreamlike status, dysarthria, tremor, and myoclonus subsequently developed and led to coma and death after 9 months. Two sisters of the patient and many relatives over 3 generations had died of a similar disease. • Pathologic studies of the brains of the patient and 1 of his sisters showed severe neuronal degeneration, with reactive astrocytosis limited to the anterior and dorsomedial thalamic nuclei and without spongiosis or vascular or inflammatory changes.
Mice – Experimental evidence • Mice inoculated with brain homogenates from subjects with fatal familial insomnia or sporadic fatal insomnia had lesions of similar types and distributions in their brains. • In both familial and sporadic fatal insomnia, the molecular mass of the Prp(Sc) fragment was 19 kD in these mice. • In contrast, these characteristics were different in the mice inoculated with homogenate from patients with typical sporadic or familial Creutzfeldt-Jakob disease, and the molecular mass of their PrP(Sc) was 21 kD.