Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia

Abstract In sporadic Creutzfeldt–Jakob disease (sCJD), the pathological changes appear to be restricted to the central nervous system. Only involvement of the trigeminal ganglion is widely accepted. The present study systematically examined the involvement of peripheral ganglia in sCJD utilizing the...

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Autores principales: Anna Hofmann, Arne Wrede, Wiebke M. Jürgens-Wemheuer, Walter J. Schulz-Schaeffer
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Publicado: BMC 2021
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spelling oai:doaj.org-article:d293f9a2efb24f738a2a263a001ade822021-11-28T12:09:11ZPrion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia10.1186/s40478-021-01286-42051-5960https://doaj.org/article/d293f9a2efb24f738a2a263a001ade822021-11-01T00:00:00Zhttps://doi.org/10.1186/s40478-021-01286-4https://doaj.org/toc/2051-5960Abstract In sporadic Creutzfeldt–Jakob disease (sCJD), the pathological changes appear to be restricted to the central nervous system. Only involvement of the trigeminal ganglion is widely accepted. The present study systematically examined the involvement of peripheral ganglia in sCJD utilizing the currently most sensitive technique for detecting prions in tissue morphologically. The trigeminal, nodose, stellate, and celiac ganglia, as well as ganglia of the cervical, thoracic and lumbar sympathetic trunk of 40 patients were analyzed with the paraffin-embedded tissue (PET)-blot method. Apart from the trigeminal ganglion, which contained protein aggregates in five of 19 prion type 1 patients, evidence of prion protein aggregation was only found in patients associated with type 2 prions. With the PET-blot, aggregates of prion protein type 2 were found in all trigeminal (17/17), in some nodose (5 of 7) and thoracic (3 of 6) ganglia, as well as in a few celiac (4 of 19) and lumbar (1 of 5) ganglia of sCJD patients. Whereas aggregates of both prion types may spread to dorsal root ganglia, more CNS-distant ganglia seem to be only involved in patients accumulating prion type 2. Whether the prion type association is due to selection by prion type-dependent replication, or due to a prion type-dependent property of axonal spread remains to be resolved in further studies.Anna HofmannArne WredeWiebke M. Jürgens-WemheuerWalter J. Schulz-SchaefferBMCarticleTransmissible spongiform encephalopathiesProtein aggregation diseaseCeliac ganglionSympathetic trunk gangliaPET-blotNeurology. Diseases of the nervous systemRC346-429ENActa Neuropathologica Communications, Vol 9, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Transmissible spongiform encephalopathies
Protein aggregation disease
Celiac ganglion
Sympathetic trunk ganglia
PET-blot
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Transmissible spongiform encephalopathies
Protein aggregation disease
Celiac ganglion
Sympathetic trunk ganglia
PET-blot
Neurology. Diseases of the nervous system
RC346-429
Anna Hofmann
Arne Wrede
Wiebke M. Jürgens-Wemheuer
Walter J. Schulz-Schaeffer
Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
description Abstract In sporadic Creutzfeldt–Jakob disease (sCJD), the pathological changes appear to be restricted to the central nervous system. Only involvement of the trigeminal ganglion is widely accepted. The present study systematically examined the involvement of peripheral ganglia in sCJD utilizing the currently most sensitive technique for detecting prions in tissue morphologically. The trigeminal, nodose, stellate, and celiac ganglia, as well as ganglia of the cervical, thoracic and lumbar sympathetic trunk of 40 patients were analyzed with the paraffin-embedded tissue (PET)-blot method. Apart from the trigeminal ganglion, which contained protein aggregates in five of 19 prion type 1 patients, evidence of prion protein aggregation was only found in patients associated with type 2 prions. With the PET-blot, aggregates of prion protein type 2 were found in all trigeminal (17/17), in some nodose (5 of 7) and thoracic (3 of 6) ganglia, as well as in a few celiac (4 of 19) and lumbar (1 of 5) ganglia of sCJD patients. Whereas aggregates of both prion types may spread to dorsal root ganglia, more CNS-distant ganglia seem to be only involved in patients accumulating prion type 2. Whether the prion type association is due to selection by prion type-dependent replication, or due to a prion type-dependent property of axonal spread remains to be resolved in further studies.
format article
author Anna Hofmann
Arne Wrede
Wiebke M. Jürgens-Wemheuer
Walter J. Schulz-Schaeffer
author_facet Anna Hofmann
Arne Wrede
Wiebke M. Jürgens-Wemheuer
Walter J. Schulz-Schaeffer
author_sort Anna Hofmann
title Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
title_short Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
title_full Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
title_fullStr Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
title_full_unstemmed Prion type 2 selection in sporadic Creutzfeldt–Jakob disease affecting peripheral ganglia
title_sort prion type 2 selection in sporadic creutzfeldt–jakob disease affecting peripheral ganglia
publisher BMC
publishDate 2021
url https://doaj.org/article/d293f9a2efb24f738a2a263a001ade82
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AT wiebkemjurgenswemheuer priontype2selectioninsporadiccreutzfeldtjakobdiseaseaffectingperipheralganglia
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