Homozygous prion protein genotype predisposes to sporadic Creutzfeldt–Jakob disease
Abstract
The human prion diseases, Creutzfeldt-Jakob disease (CJD) and Gerstmann-Sträussler syndrome (GSS), are neurodegenerative diseases that are unique in being both infectious and genetic. Transmission of both diseases and the animal spongiform encephalopathies (for example, scrapie and bovine spongiform encephalopathy) to experimental animals by intracerebral inoculation with brain homogenates is well documented. Despite their experimental transmissibility, missense and insertional mutations in the prion protein gene are associated with both GSS and familial CJD, demonstrating that the human familial cases are autosomal dominant diseases. More than 80% of CJD cases occur sporadically, however, and are not known to be associated with mutations. Here we report that 21 of 22 sporadic CJD cases and a further 19 of 23 suspected sporadic CJD cases are homozygous at the polymorphic amino-acid residue 129; 51% of the normal population are heterozygous at this site. We argue that homozygosity predisposes towards sporadic CJD and that this directly supports the hypothesis that interaction between prion protein molecules underlies the disease process.
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Multiple mutations in the PRNP gene have been linked to various phenotypes of hereditary, sporadic, and iatrogenic CJD.
“Multiple mutations in the PRNP gene have been linked to various phenotypes of hereditary, sporadic, and iatrogenic CJD (25, 26).”
From Kuru (2012) · cites this paper as [25]
Codon 129 heterozygosity is protective against the development of iatrogenic and sporadic Creutzfeldt-Jakob disease and kuru.
“Codon 129 heterozygosity is protective against the development of iatrogenic 8 and sporadic 9 Creutzfeldt-Jakob disease and kuru 3,[10][11][12] ;”
From A Novel Protective Prion Protein Variant that Colocalizes with Kuru Exposure (2009) · cites this paper as [9]
Prion propagation is favored by homologous PrP interactions.
“However, prion propagation is favored by homologous PrP interactions.9”
From A Novel Protective Prion Protein Variant that Colocalizes with Kuru Exposure (2009) · cites this paper as [9]
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“Multiple mutations in the PRNP gene have been linked to various phenotypes of hereditary, sporadic, and iatrogenic CJD (25, 26).”
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- Authors
- Palmer, M. S., Dryden, A. J., Hughes, J. T., & Collinge, J.
- Affiliations
- St Mary's Hospital (GB)
- ORCID
- Collinge, John
- Venue
- Nature
- Published
- 1991-07-25
- Volume
- 352
- Issue
- 6333
- Pages
- 340-342
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2054904323
- Cited by
- 890
- References
- 0
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 20 · 2023: 10 · 2022: 16 · 2021: 18 · 2020: 17 · 2019: 15 · 2018: 21 · 2017: 23 · 2016: 21 · 2015: 21 · 2014: 20 · 2013: 25 · 2012: 32
- FWCI
- 10.44
- Type
- journal article
- Language
- en
- Update notices
- correction (1991-08-08)
- Open access
- closed
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Wellcome Trust
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Prion Diseases and Protein Misfolding
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Amyloidosis: Diagnosis, Treatment, Outcomes
- Keywords
- sporadic Creutzfeldt-Jakob disease, prion protein, homozygosity, codon 129 polymorphism, prion protein gene mutation, familial CJD, genetic susceptibility, neurodegenerative diseases
- MeSH terms
- Amino Acid Sequence, Base Sequence, Homozygote, Humans, Creutzfeldt-Jakob Syndrome, Molecular Sequence Data, Scrapie, Viral Proteins, Polymerase Chain Reaction, Open Reading Frames, PrPSc Proteins
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