BSE, variant CJD and infectious proteins
CMAJ 1998;158:302-3
The Nov. 15, 1997, issue of CMAJ featured 4 articles on
Creutzfeldt-Jakob disease (CJD), but none of the articles
mentioned related work on "protein-like previral infectious
particles." I would like to take this opportunity to correct that
omission.
In 1982, at the same time that Dr. Stanley Prusiner published his
paper on prions,1 a similar mechanism for replication of the
infectious proteins of scrapie was proposed,2 and the term
protovirins (protein-like previral infectious particles) was
suggested for these unusual infectious agents.
Two recent reports in Nature3,4 outlined conclusive
evidence from research centres in the UK that the agent causing
bovine spongiform encephalopathy (BSE) is also responsible for
variant CJD (vCJD). In the same issue of Nature, Jeffrey
Almond and John Pattison commented on the possibility that the
proteinaceous infectious agent in BSE and vCJD might have a
cofactor.5 This cofactor may consist of a short chain of
nucleotides attached to the infectious protein and may act as a
signal primer for the agent on the host's DNA. I therefore
suggest that "protovirin" would be a more appropriate name than
"prion" for these unusual infectious agents, which cause
transmissible spongiform encephalopathies.
Concern was voiced in Canada in 1990 about the strong possibility
that BSE might spread to humans,6 and Agriculture Canada was
urged at that time to slaughter all cattle that had been imported
from the UK.7 To the credit of that ministry, the recommended
action was taken in 1991, after an animal imported from the UK
was found to have BSE. Since then, no further cases of BSE have
been reported in Canada.
Peter K. Lewin, MD, MSc
Hospital for Sick Children
Toronto, Ont.
p.lewin@utoronto.ca
References
- Prusiner SB. Novel proteinaceous infectious particles cause
scrapie. Science 1982;216:136-44.
- Lewin PK. Infectious peptides: postulated mechanisms of
protovirin replication in scrapie. CMAJ
1982;127:471-2.
- Hill AF, Desbruslais M, Joiner S, Sidle KCL, Gowland I,
Collinge J. The same prion strain causes vCJD and BSE.
Nature 1997;390:448-50.
- Bruce ME, Will RG, Ironside JW, McConnell I, Drummond D,
Suttie A, et al. Transmissions to mice indicate that "new
variant" CJD is caused by a BSE agent. Nature
1997;390:498-501.
- Almond J, Pattison J. Protein only prions. Nature
1997;389:437-8.
- Lewin PK. Scrapie and human neurodegenerative disease
[letter]. CMAJ 1990;142:928.
- Prescient pediatrician forecasts mad-cow crisis. Can Med
Assoc J 1996;155:1721.
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| CMAJ February 10, 1998 (vol 158, no 3)
/ JAMC le 10 février 1998 (vol 158, no 3) |
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