Prion Diseases Overview
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Questions and Answers

What is the average duration from the first symptoms to death in sporadic Creutzfeldt-Jakob Disease (sCJD)?

  • 6 to 12 months
  • 4 to 6 months (correct)
  • 2 to 20 years
  • 10 to 15 months
  • Which of the following is a presenting symptom of prion diseases?

  • Sudden weight loss
  • Hypertension
  • Myoclonus (correct)
  • Hair loss
  • What is the main cause of inherited prion disease (IPD)?

  • Error in DNA code of the prion protein gene (correct)
  • Enzymatic deficiency
  • Viral infection
  • Environmental factors
  • Which diagnostic tool has a 90-95% accuracy rate for detecting sporadic Creutzfeldt-Jakob Disease (sCJD)?

    <p>MRI brain scan (C)</p> Signup and view all the answers

    What type of prion disease is characterized by an onset age ranging from the 20s to 80s?

    <p>Inherited Prion Disease (IPD) (A)</p> Signup and view all the answers

    Which statement accurately describes the cellular prion protein (PrP^c^)?

    <p>It is produced by the PRNP gene and protects brain cells. (D)</p> Signup and view all the answers

    What is the typical end-stage condition seen in patients with sporadic Creutzfeldt-Jakob Disease (sCJD)?

    <p>Akinetic mutism. (C)</p> Signup and view all the answers

    How does an error in the DNA code contribute to inherited prion diseases (IPD)?

    <p>It causes the misfolding of the prion protein. (A)</p> Signup and view all the answers

    Which of the following is NOT a common presenting symptom of prion diseases?

    <p>Severe fever. (A)</p> Signup and view all the answers

    What is the primary way in which acquired CJD is transmitted?

    <p>From infected blood and certain foods. (D)</p> Signup and view all the answers

    Flashcards

    Prion Diseases

    Group of rare, progressive neurological disorders caused by abnormal prion proteins.

    Sporadic Creutzfeldt-Jakob Disease (sCJD)

    Most common type of prion disease, typically affecting people around age 65, and progressing rapidly.

    Cellular Prion Protein (PrP^c^)

    Normal protein that helps brain cells communicate and protects them from damage.

    Abnormal Prion Proteins

    Misfolded proteins that cause prion diseases by self-replicating and damaging brain cells.

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    sCJD Investigations

    Methods used to diagnose sCJD, including MRI brain scans, blood tests, and EEGs.

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    What causes Creutzfeldt-Jakob Disease (CJD)?

    CJD is caused by a misfolded protein called the prion protein (PrP^c^). This abnormal protein is resistant to enzymes and builds up in the brain, leading to cell death.

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    What are the types of CJD?

    There are three types of CJD: sporadic (sCJD, most common), inherited (IPD) and acquired. Sporadic means it develops randomly, inherited is passed down through genes, and acquired is contracted through external factors like surgery or blood transfusions.

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    What are the symptoms of CJD?

    CJD symptoms include unsteady gait, jerky muscle movements (myoclonus), blurred vision, problems thinking and planning, memory loss, and behavioral changes. These symptoms often worsen rapidly.

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    What are the investigations used for sCJD?

    Diagnosis of sCJD often involves brain imaging using an MRI scan, genetic blood testing for the prion gene, and an EEG to assess brain activity.

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    How does PrP^c^ harm brain cells?

    The misfolded PrP^c^ protein causes prion disease by accumulating inside brain cells and causing them to die. The process is self-amplifying as the abnormal prion proteins convert normal proteins into misfolded ones.

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    Study Notes

    Prion Diseases

    • Prion diseases, also known as transmissible spongiform encephalopathies (TSEs), are a group of rare, progressive neurodegenerative disorders.
    • Sporadic Creutzfeldt-Jakob Disease (sCJD) is the most common type, affecting about 85% of cases
    • sCJD has an average onset age of 65 and typically progresses to akinetic mutism within 4-6 months.
    • Inherited Prion Disease (IPD) accounts for 10-15% of cases
    • IPD onset can range from the 20s to 80s and persists for 2 to 20 years.
    • Acquired CJD is a rare form (<1%) caused by factors like medication, meat, surgical procedures, and blood transfusions.

    Cellular Prion Protein (PrPC)

    • The PRNP gene provides instructions to produce the normal cellular prion protein (PrPC).
    • PrPC helps protect and enable communication between brain cells.
    • Misfolding of PrPC into PrPSc causes prion diseases.
    • Prion diseases are self-amplifying, with misfolded proteins causing more misfolding.
    • Abnormal prion proteins are resistant to enzymes, form aggregates, show conformational changes, and lead to spongiform degeneration of the brain tissue.

    Presenting Symptoms

    • Myoclonus (jerky movements)
    • Vision problems
    • Impairment in thinking and planning
    • Cognitive impairment (affecting memory, attention, and executive function)
    • Language difficulties (dysphasia, dysarthria)
    • Behavioral changes (agitation, anxiety)
    • Sleep disturbances
    • Hallucinations

    Investigations for sCJD

    • MRI brain scans are highly accurate (90-95%).
    • Blood tests can identify genetic prion diseases.
    • Electroencephalograms (EEG) provide less accurate assessment of brain waves (40-50%).
    • Lumbar punctures (spinal fluid analysis) are highly accurate (>95%) in diagnosing sCJD.

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    Prion Disease PDF

    Description

    This quiz delves into the complexities of prion diseases, including their types, causes, and cellular mechanisms. Learn about sporadic and inherited forms, as well as the role of the PRNP gene in these neurodegenerative disorders. Test your knowledge on the impact of misfolded proteins and disease progression.

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