Prions: who should worry about them? 2005

Javier Ena
Internal Medicine Department, Marina Baixa Hospital, Villajoyosa, Alicante, Spain. ena_jav@gva.es

Prion diseases, also called transmissible spongiform encephalopathies (TSEs), are a family of neurodegenerative disorders affecting both humans and animals. They are caused by the accumulation of an abnormal form of a protein known as prion that results in neuronal death and a characteristic spongiform appearance of the brain tissue. Human prion diseases can be sporadic, acquired or hereditary. Acquired prion diseases have been linked to entering contaminated food into the human food chain, failure to completely disinfect or sterilize contaminated surgical instruments, patients receiving tissues and organs from infected donors, recipients of blood and other biological contaminated products, and potentially to cross infection in dental procedures. At present, there is unfortunately no efficient therapy that can be administered to clinically infected patients with prion diseases. Moreover, there are no simple diagnostic tests that can be used to show the agent of transmissible spongiform encephalopathy during the preclinical phase of the disease. Therefore, to prevent the spread of this emerging infectious agent it is necessary to implement several health control strategies and maintain surveillance for subclinical infections.

UI MeSH Term Description Entries
D011328 Prions Small proteinaceous infectious particles which resist inactivation by procedures that modify NUCLEIC ACIDS and contain an abnormal isoform of a cellular protein which is a major and necessary component. The abnormal (scrapie) isoform is PrPSc (PRPSC PROTEINS) and the cellular isoform PrPC (PRPC PROTEINS). The primary amino acid sequence of the two isoforms is identical. Human diseases caused by prions include CREUTZFELDT-JAKOB SYNDROME; GERSTMANN-STRAUSSLER SYNDROME; and INSOMNIA, FATAL FAMILIAL. Mink Encephalopathy Virus,Prion,Encephalopathy Virus, Mink
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013242 Sterilization The destroying of all forms of life, especially microorganisms, by heat, chemical, or other means.
D017053 Infection Control Programs of disease surveillance, generally within health care facilities, designed to investigate, prevent, and control the spread of infections and their causative microorganisms. Control, Infection
D017096 Prion Diseases A group of genetic, infectious, or sporadic degenerative human and animal nervous system disorders associated with abnormal PRIONS. These diseases are characterized by conversion of the normal prion protein to an abnormal configuration via a post-translational process. In humans, these conditions generally feature DEMENTIA; ATAXIA; and a fatal outcome. Pathologic features include a spongiform encephalopathy without evidence of inflammation. The older literature occasionally refers to these as unconventional SLOW VIRUS DISEASES. (From Proc Natl Acad Sci USA 1998 Nov 10;95(23):13363-83) Dementias, Transmissible,Spongiform Encephalopathies, Transmissible,Transmissible Dementias,Encephalopathies, Spongiform, Transmissible,Human Transmissible Spongiform Encephalopathies, Inherited,Inherited Human Transmissible Spongiform Encephalopathies,Prion Disease,Prion Protein Diseases,Prion-Associated Disorders,Prion-Induced Disorder,Prion-Induced Disorders,Transmissible Spongiform Encephalopathies,Dementia, Transmissible,Disorder, Prion-Induced,Disorders, Prion-Induced,Encephalopathies, Transmissible Spongiform,Encephalopathy, Transmissible Spongiform,Prion Induced Disorder,Prion Protein Disease,Spongiform Encephalopathy, Transmissible,Transmissible Dementia,Transmissible Spongiform Encephalopathy
D021821 Communicable Diseases, Emerging Infectious diseases that are novel in their outbreak ranges (geographic and host) or transmission mode. Infectious Diseases, Emerging,Communicable Diseases, Re-Emerging,Communicable Diseases, Reemerging,Infectious Diseases, Re-Emerging,Infectious Diseases, Reemerging,Communicable Disease, Emerging,Communicable Disease, Re-Emerging,Communicable Disease, Reemerging,Communicable Diseases, Re Emerging,Disease, Emerging Communicable,Disease, Emerging Infectious,Disease, Re-Emerging Communicable,Disease, Re-Emerging Infectious,Disease, Reemerging Communicable,Disease, Reemerging Infectious,Diseases, Emerging Communicable,Diseases, Emerging Infectious,Diseases, Re-Emerging Communicable,Diseases, Re-Emerging Infectious,Diseases, Reemerging Communicable,Diseases, Reemerging Infectious,Emerging Communicable Disease,Emerging Communicable Diseases,Emerging Infectious Disease,Emerging Infectious Diseases,Infectious Disease, Emerging,Infectious Disease, Re-Emerging,Infectious Disease, Reemerging,Infectious Diseases, Re Emerging,Re-Emerging Communicable Disease,Re-Emerging Communicable Diseases,Re-Emerging Infectious Disease,Re-Emerging Infectious Diseases,Reemerging Communicable Disease,Reemerging Communicable Diseases,Reemerging Infectious Disease,Reemerging Infectious Diseases

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