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  1. Article ; Online: Second passage experiments of chronic wasting disease in transgenic mice overexpressing human prion protein.

    Race, Brent / Baune, Chase / Williams, Katie / Striebel, James F / Hughson, Andrew G / Chesebro, Bruce

    Veterinary research

    2022  Volume 53, Issue 1, Page(s) 111

    Abstract: Chronic wasting disease (CWD) is a prion disease of cervids including deer, elk, reindeer, and moose. Human consumption of cervids is common, therefore assessing the risk potential of CWD transmission to humans is critical. In a previous study, we tested ...

    Abstract Chronic wasting disease (CWD) is a prion disease of cervids including deer, elk, reindeer, and moose. Human consumption of cervids is common, therefore assessing the risk potential of CWD transmission to humans is critical. In a previous study, we tested CWD transmission via intracerebral inoculation into transgenic mice (tg66 and tgRM) that over-expressed human prion protein. Mice screened by traditional prion detection assays were negative. However, in a group of 88 mice screened by the ultrasensitive RT-QuIC assay, we identified 4 tg66 mice that produced inconsistent positive RT-QuIC reactions. These data could be false positive reactions, residual input inoculum or indicative of subclinical infections suggestive of cross species transmission of CWD to humans. Additional experiments were required to understand the nature of the prion seeding activity in this model. In this manuscript, second passage experiments using brains from mice with weak prion seeding activity showed they were not infectious to additional recipient tg66 mice. Clearance experiments showed that input CWD prion seeding activity was eliminated by 180 days in tg66 mice and PrPKO mice, which are unable to replicate prion protein, indicating that the weak positive levels of seeding activity detected at later time points was not likely residual inoculum. The failure of CWD prions to cause disease in tg66 after two sequential passages suggested that a strong species barrier prevented CWD infection of mice expressing human prion protein.
    MeSH term(s) Humans ; Animals ; Mice ; Wasting Disease, Chronic ; Prion Proteins/genetics ; Prions/genetics ; Mice, Transgenic ; Deer ; Reindeer
    Chemical Substances Prion Proteins ; Prions
    Language English
    Publishing date 2022-12-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1146298-x
    ISSN 1297-9716 ; 0928-4249
    ISSN (online) 1297-9716
    ISSN 0928-4249
    DOI 10.1186/s13567-022-01130-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sporadic Creutzfeldt-Jakob disease infected human cerebral organoids retain the original human brain subtype features following transmission to humanized transgenic mice.

    Groveman, Bradley R / Race, Brent / Foliaki, Simote T / Williams, Katie / Hughson, Andrew G / Baune, Chase / Zanusso, Gianluigi / Haigh, Cathryn L

    Acta neuropathologica communications

    2023  Volume 11, Issue 1, Page(s) 28

    Abstract: Human cerebral organoids (COs) are three-dimensional self-organizing cultures of cerebral brain tissue differentiated from induced pluripotent stem cells. We have recently shown that COs are susceptible to infection with different subtypes of Creutzfeldt- ...

    Abstract Human cerebral organoids (COs) are three-dimensional self-organizing cultures of cerebral brain tissue differentiated from induced pluripotent stem cells. We have recently shown that COs are susceptible to infection with different subtypes of Creutzfeldt-Jakob disease (CJD) prions, which in humans cause different manifestations of the disease. The ability to study live human brain tissue infected with different CJD subtypes opens a wide array of possibilities from differentiating mechanisms of cell death and identifying neuronal selective vulnerabilities to testing therapeutics. However, the question remained as to whether the prions generated in the CO model truly represent those in the infecting inoculum. Mouse models expressing human prion protein are commonly used to characterize human prion disease as they reproduce many of the molecular and clinical phenotypes associated with CJD subtypes. We therefore inoculated these mice with COs that had been infected with two CJD subtypes (MV1 and MV2) to see if the original subtype characteristics (referred to as strains once transmitted into a model organism) of the infecting prions were maintained in the COs when compared with the original human brain inocula. We found that disease characteristics caused by the molecular subtype of the disease associated prion protein were similar in mice inoculated with either CO derived material or human brain material, demonstrating that the disease associated prions generated in COs shared strain characteristics with those in humans. As the first and only in vitro model of human neurodegenerative disease that can faithfully reproduce different subtypes of prion disease, these findings support the use of the CO model for investigating human prion diseases and their subtypes.
    MeSH term(s) Humans ; Mice ; Animals ; Creutzfeldt-Jakob Syndrome/metabolism ; Mice, Transgenic ; Prion Proteins/genetics ; Prion Proteins/metabolism ; Neurodegenerative Diseases/metabolism ; Brain/metabolism ; Prions/metabolism ; Prion Diseases/metabolism ; Organoids/metabolism
    Chemical Substances Prion Proteins ; Prions
    Language English
    Publishing date 2023-02-14
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2715589-4
    ISSN 2051-5960 ; 2051-5960
    ISSN (online) 2051-5960
    ISSN 2051-5960
    DOI 10.1186/s40478-023-01512-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Efficacy of Wex-cide 128 disinfectant against multiple prion strains.

    Baune, Chase / Groveman, Bradley R / Hughson, Andrew G / Thomas, Tina / Twardoski, Barry / Priola, Suzette / Chesebro, Bruce / Race, Brent

    PloS one

    2023  Volume 18, Issue 8, Page(s) e0290325

    Abstract: Prion diseases are transmissible, fatal neurologic diseases that include Creutzfeldt-Jakob Disease (CJD) in humans, chronic wasting disease (CWD) in cervids, bovine spongiform encephalopathy (BSE) in cattle and scrapie in sheep. Prions are extremely ... ...

    Abstract Prion diseases are transmissible, fatal neurologic diseases that include Creutzfeldt-Jakob Disease (CJD) in humans, chronic wasting disease (CWD) in cervids, bovine spongiform encephalopathy (BSE) in cattle and scrapie in sheep. Prions are extremely difficult to inactivate and established methods to reduce prion infectivity are often dangerous, caustic, expensive, or impractical. Identifying viable and safe methods for treating prion contaminated materials is important for hospitals, research facilities, biologists, hunters, and meat-processors. For three decades, some prion researchers have used a phenolic product called Environ LpH (eLpH) to inactivate prions. ELpH has been discontinued, but a similar product, Wex-cide 128, containing the similar phenolic chemicals as eLpH is now available. In the current study, we directly compared the anti-prion efficacy of eLpH and Wex-cide 128 against prions from four different species (hamster 263K, cervid CWD, mouse 22L and human CJD). Decontamination was performed on either prion infected brain homogenates or prion contaminated steel wires and mouse bioassay was used to quantify the remaining prion infectivity. Our data show that both eLpH and Wex-cide 128 removed 4.0-5.5 logs of prion infectivity from 22L, CWD and 263K prion homogenates, but only about 1.25-1.50 logs of prion infectivity from human sporadic CJD. Wex-cide 128 is a viable substitute for inactivation of most prions from most species, but the resistance of CJD to phenolic inactivation is a concern and emphasizes the fact that inactivation methods should be confirmed for each target prion strain.
    MeSH term(s) Cricetinae ; Humans ; Animals ; Cattle ; Mice ; Sheep ; Prions ; Creutzfeldt-Jakob Syndrome ; Scrapie ; Brain ; Deer ; Disinfectants/pharmacology ; Phenols ; Sprains and Strains
    Chemical Substances Prions ; Disinfectants ; Phenols
    Language English
    Publishing date 2023-08-24
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0290325
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sensitive detection of pathological seeds of α-synuclein, tau and prion protein on solid surfaces.

    Orrú, Christina D / Groveman, Bradley R / Hughson, Andrew G / Barrio, Tomás / Isiofia, Kachi / Race, Brent / Ferreira, Natalia C / Gambetti, Pierluigi / Schneider, David A / Masujin, Kentaro / Miyazawa, Kohtaro / Ghetti, Bernardino / Zanusso, Gianluigi / Caughey, Byron

    PLoS pathogens

    2024  Volume 20, Issue 4, Page(s) e1012175

    Abstract: Prions or prion-like aggregates such as those composed of PrP, α-synuclein, and tau are key features of proteinopathies such as prion, Parkinson's and Alzheimer's diseases, respectively. Their presence on solid surfaces may be biohazardous under some ... ...

    Abstract Prions or prion-like aggregates such as those composed of PrP, α-synuclein, and tau are key features of proteinopathies such as prion, Parkinson's and Alzheimer's diseases, respectively. Their presence on solid surfaces may be biohazardous under some circumstances. PrP prions bound to solids are detectable by ultrasensitive real-time quaking-induced conversion (RT-QuIC) assays if the solids can be immersed in assay wells or the prions transferred to pads. Here we show that prion-like seeds can remain detectable on steel wires for at least a year, or even after enzymatic cleaning and sterilization. We also show that contamination of larger objects with pathological seeds of α-synuclein, tau, and PrP can be detected by simply assaying a sampling medium that has been transiently applied to the surface. Human α-synuclein seeds in dementia with Lewy bodies brain tissue were detected by α-synuclein RT-QuIC after drying of tissue dilutions with concentrations as low as 10-6 onto stainless steel. Tau RT-QuIC detected tau seeding activity on steel exposed to Alzheimer's disease brain tissue diluted as much as a billion fold. Prion RT-QuIC assays detected seeding activity on plates exposed to brain dilutions as extreme as 10-5-10-8 from prion-affected humans, sheep, cattle and cervids. Sampling medium collected from surgical instruments used in necropsies of sporadic Creutzfeldt-Jakob disease-infected transgenic mice was positive down to 10-6 dilution. Sensitivity for prion detection was not sacrificed by omitting the recombinant PrP substrate from the sampling medium during its application to a surface and subsequent storage as long as the substrate was added prior to performing the assay reaction. Our findings demonstrate practical prototypic surface RT-QuIC protocols for the highly sensitive detection of pathologic seeds of α-synuclein, tau, and PrP on solid objects.
    MeSH term(s) tau Proteins/metabolism ; alpha-Synuclein/metabolism ; alpha-Synuclein/analysis ; Humans ; Prion Proteins/metabolism ; Animals ; Mice ; Brain/metabolism ; Brain/pathology ; Prions/metabolism ; Lewy Body Disease/metabolism
    Chemical Substances tau Proteins ; alpha-Synuclein ; Prion Proteins ; Prions
    Language English
    Publishing date 2024-04-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2205412-1
    ISSN 1553-7374 ; 1553-7374
    ISSN (online) 1553-7374
    ISSN 1553-7374
    DOI 10.1371/journal.ppat.1012175
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Inactivation of chronic wasting disease prions using sodium hypochlorite.

    Williams, Katie / Hughson, Andrew G / Chesebro, Bruce / Race, Brent

    PloS one

    2019  Volume 14, Issue 10, Page(s) e0223659

    Abstract: Chronic wasting disease (CWD) is a fatal prion disease that can infect deer, elk and moose. CWD has now been detected in 26 states of the USA, 3 Canadian provinces, South Korea, Norway, Sweden and Finland. CWD continues to spread from endemic areas, and ... ...

    Abstract Chronic wasting disease (CWD) is a fatal prion disease that can infect deer, elk and moose. CWD has now been detected in 26 states of the USA, 3 Canadian provinces, South Korea, Norway, Sweden and Finland. CWD continues to spread from endemic areas, and new foci of infections are frequently detected. As increasing numbers of cervids become infected, the likelihood for human exposure increases. To date, no cases of CWD infection in humans have been confirmed, but experience with the BSE zoonosis in the United Kingdom suggests exposure to CWD should be minimized. Specifically, hunters, meat processors and others in contact with tissues from potentially CWD-infected cervids need a practical method to decontaminate knives, saws and other equipment. Prions are notoriously difficult to inactivate, and most effective methods require chemicals or sterilization processes that are either dangerous, caustic, expensive or not readily available. Although corrosive, sodium hypochlorite (bleach) is widely available and affordable and has been shown to inactivate prion agents including those that cause scrapie, bovine spongiform encephalopathy and Creutzfeldt-Jakob disease. In the current study, we confirm that bleach is an effective disinfectant for CWD prions and establish minimum times and bleach concentrations to eliminate prion seeding activity from stainless steel and infected brain homogenate solutions. We found that a five-minute treatment with a 40% dilution of household bleach was effective at inactivating CWD seeding activity from stainless-steel wires and CWD-infected brain homogenates. However, bleach was not able to inactivate CWD seeding activity from solid tissues in our studies.
    MeSH term(s) Animals ; Brain/drug effects ; Brain/metabolism ; Brain/pathology ; Decontamination ; Deer ; Humans ; Prion Diseases/diagnosis ; Prion Diseases/drug therapy ; Prion Diseases/etiology ; Prion Diseases/metabolism ; Prions/antagonists & inhibitors ; Sodium Hypochlorite/pharmacology ; Wasting Disease, Chronic/diagnosis ; Wasting Disease, Chronic/drug therapy ; Wasting Disease, Chronic/etiology ; Wasting Disease, Chronic/metabolism
    Chemical Substances Prions ; Sodium Hypochlorite (DY38VHM5OD)
    Language English
    Publishing date 2019-10-04
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0223659
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reduction of Chronic Wasting Disease Prion Seeding Activity following Digestion by Mountain Lions.

    Baune, Chase / Wolfe, Lisa L / Schott, Kristen C / Griffin, Karen A / Hughson, Andrew G / Miller, Michael W / Race, Brent

    mSphere

    2021  Volume 6, Issue 6, Page(s) e0081221

    Abstract: Chronic wasting disease (CWD) is a transmissible prion disease first observed in the 1960s in North America. This invariably fatal disease affects multiple cervid species in the wild and in captivity. In addition to the several known transmission ... ...

    Abstract Chronic wasting disease (CWD) is a transmissible prion disease first observed in the 1960s in North America. This invariably fatal disease affects multiple cervid species in the wild and in captivity. In addition to the several known transmission pathways involving cervid host species, prions have been detected in the feces of crows and coyotes after consumption of experimentally spiked tissues. This raises questions about the role of cervid consumers in the perpetuation of CWD. Mountain lions have been shown to preferentially select CWD-infected prey and are also apparently resistant to infection. In this study, two captive mountain lions were fed ground mule deer muscle tissue spiked with brain-derived CWD prions, and lion feces were collected for 1 week afterward. The input brain and resulting fecal materials were analyzed using the highly sensitive real-time quaking-induced conversion (RT-QuIC) assay to quantify prion seeding activity. We recovered only 2.8 to 3.9% of input CWD prions after passage through the mountain lions' gastrointestinal tracts. Interestingly, CWD prions were shed only in the first defecation following consumption. Our data support the possibility that mountain lions feeding upon infected carcasses could excrete CWD prions in their feces over a short period of time but also suggest that most of the ingested prions are eliminated or sequestered by this large predator.
    MeSH term(s) Animals ; Biological Assay ; Brain/metabolism ; Feces/chemistry ; Prions/metabolism ; Puma/metabolism ; Wasting Disease, Chronic/metabolism
    Chemical Substances Prions
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Intramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 2379-5042
    ISSN (online) 2379-5042
    DOI 10.1128/msphere.00812-21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: High-resolution structure and strain comparison of infectious mammalian prions

    Kraus, Allison / Hoyt, Forrest / Schwartz, Cindi L. / Hansen, Bryan / Artikis, Efrosini / Hughson, Andrew G. / Raymond, Gregory J. / Race, Brent / Baron, Gerald S. / Caughey, Byron

    Molecular cell. 2021 Nov. 04, v. 81, no. 21

    2021  

    Abstract: Within the extensive range of self-propagating pathologic protein aggregates of mammals, prions are the most clearly infectious (e.g., ∼10⁹ lethal doses per milligram). The structures of such lethal assemblies of PrP molecules have been poorly understood. ...

    Abstract Within the extensive range of self-propagating pathologic protein aggregates of mammals, prions are the most clearly infectious (e.g., ∼10⁹ lethal doses per milligram). The structures of such lethal assemblies of PrP molecules have been poorly understood. Here we report a near-atomic core structure of a brain-derived, fully infectious prion (263K strain). Cryo-electron microscopy showed amyloid fibrils assembled with parallel in-register intermolecular β sheets. Each monomer provides one rung of the ordered fibril core, with N-linked glycans and glycolipid anchors projecting outward. Thus, single monomers form the templating surface for incoming monomers at fibril ends, where prion growth occurs. Comparison to another prion strain (aRML) revealed major differences in fibril morphology but, like 263K, an asymmetric fibril cross-section without paired protofilaments. These findings provide structural insights into prion propagation, strains, species barriers, and membrane pathogenesis. This structure also helps frame considerations of factors influencing the relative transmissibility of other pathologic amyloids.
    Keywords amyloid ; cryo-electron microscopy ; glycolipids ; mammals ; pathogenesis ; polysaccharides ; prions
    Language English
    Dates of publication 2021-1104
    Size p. 4540-4551.e6.
    Publishing place Elsevier Inc.
    Document type Article
    ZDB-ID 1415236-8
    ISSN 1097-4164 ; 1097-2765
    ISSN (online) 1097-4164
    ISSN 1097-2765
    DOI 10.1016/j.molcel.2021.08.011
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: α-Synuclein seeding activity in duodenum biopsies from Parkinson's disease patients.

    Vascellari, Sarah / Orrù, Christina D / Groveman, Bradley R / Parveen, Sabiha / Fenu, Giuseppe / Pisano, Giada / Piga, Giuseppe / Serra, Giulia / Oppo, Valentina / Murgia, Daniela / Perra, Andrea / Angius, Fabrizio / Hughson, Andrew G / Haigh, Cathryn L / Manzin, Aldo / Cossu, Giovanni / Caughey, Byron

    PLoS pathogens

    2023  Volume 19, Issue 6, Page(s) e1011456

    Abstract: Abnormal deposition of α-synuclein is a key feature and biomarker of Parkinson's disease. α-Synuclein aggregates can propagate themselves by a prion-like seeding-based mechanism within and between tissues and are hypothesized to move between the ... ...

    Abstract Abnormal deposition of α-synuclein is a key feature and biomarker of Parkinson's disease. α-Synuclein aggregates can propagate themselves by a prion-like seeding-based mechanism within and between tissues and are hypothesized to move between the intestine and brain. α-Synuclein RT-QuIC seed amplification assays have detected Parkinson's-associated α-synuclein in multiple biospecimens including post-mortem colon samples. Here we show intra vitam detection of seeds in duodenum biopsies from 22/23 Parkinson's patients, but not in 6 healthy controls by RT-QuICR. In contrast, no tau seeding activity was detected in any of the biopsies. Our seed amplifications provide evidence that the upper intestine contains a form(s) of α-synuclein with self-propagating activity. The diagnostic sensitivity and specificity for PD in this biopsy panel were 95.7% and 100% respectively. End-point dilution analysis indicated up to 106 SD50 seeding units per mg of tissue with positivity in two contemporaneous biopsies from individual patients suggesting widespread distribution within the superior and descending parts of duodenum. Our detection of α-synuclein seeding activity in duodenum biopsies of Parkinson's disease patients suggests not only that such analyses may be useful in ante-mortem diagnosis, but also that the duodenum may be a source or a destination for pathological, self-propagating α-synuclein assemblies.
    MeSH term(s) Humans ; Parkinson Disease/diagnosis ; alpha-Synuclein ; Biopsy ; Intestines ; Duodenum
    Chemical Substances alpha-Synuclein
    Language English
    Publishing date 2023-06-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2205412-1
    ISSN 1553-7374 ; 1553-7374
    ISSN (online) 1553-7374
    ISSN 1553-7374
    DOI 10.1371/journal.ppat.1011456
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  9. Article ; Online: Tau seeds occur before earliest Alzheimer's changes and are prevalent across neurodegenerative diseases.

    Manca, Matteo / Standke, Heidi G / Browne, Danielle F / Huntley, Mikayla L / Thomas, Olivia R / Orrú, Christina D / Hughson, Andrew G / Kim, Yongya / Zhang, Jing / Tatsuoka, Curtis / Zhu, Xiongwei / Hiniker, Annie / Coughlin, David G / Galasko, Douglas / Kraus, Allison

    Acta neuropathologica

    2023  Volume 146, Issue 1, Page(s) 31–50

    Abstract: Tau neurofibrillary tangles are a hallmark of Alzheimer's disease neuropathological change. However, it remains largely unclear how distinctive Alzheimer's disease tau seeds (i.e. 3R/4R) correlate with histological indicators of tau accumulation. ... ...

    Abstract Tau neurofibrillary tangles are a hallmark of Alzheimer's disease neuropathological change. However, it remains largely unclear how distinctive Alzheimer's disease tau seeds (i.e. 3R/4R) correlate with histological indicators of tau accumulation. Furthermore, AD tau co-pathology is thought to influence features and progression of other neurodegenerative diseases including Lewy body disease; yet measurements of different types of tau seeds in the setting of such diseases is an unmet need. Here, we use tau real-time quaking-induced conversion (RT-QuIC) assays to selectively quantitate 3R/4R tau seeds in the frontal lobe which accumulates histologically identifiable tau pathology at late disease stages of AD neuropathologic change. Seed quantitation across a spectrum of neurodegenerative disease cases and controls indicated tau seeding activity can be detected well before accompanying histopathological indication of tau deposits, and even prior to the earliest evidence of Alzheimer's-related tau accumulation anywhere in the brain. In later stages of AD, 3R/4R tau RT-QuIC measures correlated with immunohistochemical tau burden. In addition, Alzheimer's tau seeds occur in the vast majority of cases evaluated here inclusive of primary synucleinopathies, frontotemporal lobar degeneration and even controls albeit at multi-log lower levels than Alzheimer's cases. α-synuclein seeding activity confirmed synucleinopathy cases and further indicated the co-occurrence of α-synuclein seeds in some Alzheimer's disease and primary tauopathy cases. Our analysis indicates that 3R/4R tau seeds in the mid-frontal lobe correlate with the overall Braak stage and Alzheimer's disease neuropathologic change, supporting the quantitative predictive value of tau RT-QuIC assays. Our data also indicate 3R/4R tau seeds are elevated in females compared to males at high (≥ IV) Braak stages. This study suggests 3R/4R tau seeds are widespread even prior to the earliest stages of Alzheimer's disease changes, including in normal, and even young individuals, with prevalence across multiple neurodegenerative diseases to further define disease subtypes.
    MeSH term(s) Female ; Humans ; Male ; alpha-Synuclein ; Alzheimer Disease/pathology ; Neurodegenerative Diseases ; Synucleinopathies ; tau Proteins ; Tauopathies/pathology
    Chemical Substances alpha-Synuclein ; tau Proteins ; MAPT protein, human
    Language English
    Publishing date 2023-05-08
    Publishing country Germany
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1079-0
    ISSN 1432-0533 ; 0001-6322
    ISSN (online) 1432-0533
    ISSN 0001-6322
    DOI 10.1007/s00401-023-02574-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Performance of αSynuclein RT-QuIC in relation to neuropathological staging of Lewy body disease.

    Hall, Sara / Orrù, Christina D / Serrano, Geidy E / Galasko, Douglas / Hughson, Andrew G / Groveman, Bradley R / Adler, Charles H / Beach, Thomas G / Caughey, Byron / Hansson, Oskar

    Acta neuropathologica communications

    2022  Volume 10, Issue 1, Page(s) 90

    Abstract: Currently, there is a need for diagnostic markers in Lewy body disorders (LBD). α-synuclein (αSyn) RT-QuIC has emerged as a promising assay to detect misfolded αSyn in clinically or neuropathologically established patients with various synucleinopathies. ...

    Abstract Currently, there is a need for diagnostic markers in Lewy body disorders (LBD). α-synuclein (αSyn) RT-QuIC has emerged as a promising assay to detect misfolded αSyn in clinically or neuropathologically established patients with various synucleinopathies. In this study, αSyn RT-QuIC was used to analyze lumbar CSF in a clinical cohort from the Swedish BioFINDER study and postmortem ventricular CSF in a neuropathological cohort from the Arizona Study of Aging and Neurodegenerative Disorders/Brain and Body Donation Program (AZSAND/BBDP). The BioFINDER cohort included 64 PD/PDD, 15 MSA, 15 PSP, 47 controls and two controls who later converted to PD/DLB. The neuropathological cohort included 101 cases with different brain disorders, including LBD and controls. In the BioFINDER cohort αSyn RT-QuIC identified LBD (i.e. PD, PDD and converters) vs. controls with a sensitivity of 95% and a specificity of 83%. The two controls that converted to LBD were αSyn RT-QuIC positive. Within the AZSAND/BBDP cohort, αSyn RT-QuIC identified neuropathologically verified "standard LBD" (i.e. PD, PD with AD and DLB; n = 25) vs. no LB pathology (n = 53) with high sensitivity (100%) and specificity (94%). Only 57% were αSyn RT-QuIC positive in the subgroup with "non-standard" LBD (i.e., AD with Lewy Bodies not meeting criteria for DLB or PD, and incidental LBD, n = 23). Furthermore, αSyn RT-QuIC reliably identified cases with LB pathology in the cortex (97% sensitivity) vs. cases with no LBs or LBs present only in the olfactory bulb (93% specificity). However, the sensitivity was low, only 50%, for cases with LB pathology restricted to the brainstem or amygdala, not affecting the allocortex or neocortex. In conclusion, αSyn RT-QuIC of CSF samples is highly sensitive and specific for identifying cases with clinicopathologically-defined Lewy body disorders and shows a lower sensitivity for non-standard LBD or asymptomatic LBD or in cases with modest LB pathology not affecting the cortex.
    MeSH term(s) Brain/pathology ; Brain Chemistry ; Humans ; Lewy Bodies/metabolism ; Lewy Body Disease/diagnosis ; Lewy Body Disease/pathology ; Synucleinopathies ; alpha-Synuclein/metabolism
    Chemical Substances alpha-Synuclein
    Language English
    Publishing date 2022-06-22
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural
    ZDB-ID 2715589-4
    ISSN 2051-5960 ; 2051-5960
    ISSN (online) 2051-5960
    ISSN 2051-5960
    DOI 10.1186/s40478-022-01388-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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