Creutzfeldt-Jakob disease with a novel extra-repeat insertional mutation in the PRNP gene

Neurology. 2003 Nov 11;61(9):1288-91. doi: 10.1212/01.wnl.0000092017.74772.ca.

Abstract

The authors investigated two unrelated patients with Creutzfeldt-Jakob disease (CJD) with clinical features of sporadic CJD (sCJD) carrying one extra octapeptide repeat in the prion protein (PrP) gene (PRNP). A synaptic type PrP distribution throughout the cerebral gray matter and plaque-like PrP deposits in the subcortical gray structures were detected immunocytochemically. The different patterns of PrP deposition were associated with distinct types of protease-resistant PrP, similar to type 1 and type 2 of sCJD. The features suggest that this insertion is a pathogenic mutation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 14-3-3 Proteins
  • Amyloid / genetics*
  • Brain / pathology
  • Brain Chemistry
  • Creutzfeldt-Jakob Syndrome / cerebrospinal fluid
  • Creutzfeldt-Jakob Syndrome / diagnosis
  • Creutzfeldt-Jakob Syndrome / genetics*
  • Electroencephalography
  • Endopeptidases / chemistry
  • Heterozygote
  • Homozygote
  • Humans
  • Immunoblotting
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Mutation
  • Polymerase Chain Reaction
  • Prion Proteins
  • Prions / chemistry
  • Prions / genetics*
  • Protein Precursors / genetics*
  • Tyrosine 3-Monooxygenase / cerebrospinal fluid
  • tau Proteins / cerebrospinal fluid

Substances

  • 14-3-3 Proteins
  • Amyloid
  • PRNP protein, human
  • Prion Proteins
  • Prions
  • Protein Precursors
  • tau Proteins
  • Tyrosine 3-Monooxygenase
  • Endopeptidases