spongiform encephalopathy in young humans

Vasconcelos Costa 385 jcosta at pen.gulbenkian.pt
Wed Nov 8 07:54:17 EST 1995


> From: "A.J.Cann" <nna at le.ac.uk>
> To: "bionet.virology mail newsgroup" <bionet-news at dl.ac.uk>
> 
> mremingt at UMABNET.AB.UMD.EDU ("Mary P. Remington") wrote:
> >Two "Letters to the Editor" appeared in the Oct. 28, 1995 Lancet.  CJD 
> >was histologically confirmed in an 18 yr.old male in the UK without 
> >family history of CJD.  A 16 yr.old girlwas also confirmed histologically 
> >to have CJD.
> 
> Hmm... I wonder if these numbers are statistically significant?   ;-)
> 
> Dr Alan J. Cann  PhD,   Department of Microbiology & Immunology,
> University of Leicester,  P.O. Box 138,  Medical Sciences Building,
> University Road, Leicester LE1 9HN,  UK.
> Email: nna at le.ac.uk     http://www-micro.msb.le.ac.uk/AJC/nna.html
> 
> 
The incidence of CJD is around 1-2 cases/year/million. But the unusual coin-
cidence here is of two cases in very young people. CJD is typically a disease
of people between 50 and 70 years old. Does someone know what is the proba-
bility of the disease afecting people younger than 20?
I think it would be very interesting to get and sequence a PCR product of
the PRN gene from those unfortunate young people. Maybe the lesion affects
a different residue than those frequently found mutated in the classical
adult disease. I remeber that a similar disease, Gerstmann-Straussler syndrome,
has an earlier age incidence than CJD and shows some differences in the fre-
quency of mutations.

Joao V. Costa

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