http://www.nobel.se/medicine/laureates/1997/
From the New England Journal of Medicine, March 30, 2000
The
prion, or proteinaceous infectious particle, is thought to be responsible for a wide range of diseases characterized clinically by dementia and neuropathologically by neuronal loss, spongiform change, astrocytosis, and varying degrees of amyloid deposition. Prion diseases in humans include Creutzfeldt-Jakob disease, fatal familial insomnia, Gerstmann-Straussler disease, and kuru; diseases in animals include scrapie and bovine spongiform encephalopathy. The cause of these diseases is thought to be a conformational change in a normal cellular protein, PrP(sup C), which is transformed into an infectious protein called PrP(sup Sc) (the superscript Sc denotes scrapie). PrP(sup Sc) does not differ from PrP(sup C) in its amino acid sequence or post-translational modifications; unlike PrP(sup C), however, PrP(sup Sc) is insoluble and resistant to proteinase K digestion, and it has a larger (beta)-sheet content and a propensity to aggregate into fibrils.
Although prion diseases in humans have thus far been rare, they are among the best-characterized "conformational diseases." Hence, the mechanisms of and potential therapeutic approaches to prion diseases may be relevant to more common conformational disorders, such as Alzheimer's disease (in which the amyloid (beta)-peptide is deposited as amyloid), Parkinson's disease (involving (alpha)-synuclein deposition in Lewy bodies), and the many neurodegenerative conditions associated with increased CAG repeats (e.g., Huntington's disease). Another reason for the importance of prion diseases is the recent reports of the transmission of bovine spongiform encephalopathy to humans through contaminated meat and bone meal, a topic that is well reviewed in this book. Evidence suggests that bovine spongiform encephalopathy has crossed the species barrier and now infects humans, resulting in new-variant Creutzfeldt-Jakob disease. It is unclear whether these cases mark the beginning of a human epidemic in Europe similar to that of bovine spongiform encephalopathy or whether the number of cases will remain small, as occurred with iatrogenic Creutzfeldt-Jakob disease after exposure to cadaveric growth hormone.