Prion Diseases: Clinical Manifestations and Diagnosis

Authors

Keywords:

Creutzfeldt-Jakob, prion diseases, transmissible spongiform encephalopathies, prions

Abstract

Introduction: Prion diseases or transmissible spongiform encephalopathies are a group of neurodegenerative diseases that affect humans and animals. Globally, there is an incidence of one to two cases per million inhabitants. They are rare and have a fatal outcome. A better understanding of these entities will allow, in the future, the identification of potential therapeutic targets and the development of treatments that can prevent or slow their progression.

Objective: To characterize prion diseases, such as advances in diagnosis and treatment.

Methods: A search was carried out in the PubMed, SCOPUS and SciELO databases. 28 sources were included in this review, of which 100% corresponded to the last five years.

Development: Prion diseases are characterized by the accumulation of prion protein in the brain, which causes neuropathological changes that progress to neuronal death. Although protein markers have been found in cerebrospinal fluid that have a high sensitivity and specificity for diagnosis and imaging findings have been correlated, a specific treatment for them is still being sought.

Conclusions: Early detection of prion-induced diseases is essential to positively impact the quality of life of patients who suffer from them. The only treatment available is symptom management and control, until death.

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References

Castillo-Juárez JC, Batres-Godoy SS, Calderón MJ, Solís-Aguilar R, Palencia AE, Silva-Arévalo G. Enfermedades priónicas y enfermedades similares a priones. Neurol. Neurocir. Psiquiat. [Internet] 2022 [citado: 22/10/2024]; 50(3):94-105. Disponible en: https://www.medigraphic.com/pdfs/revneuneupsi/nnp-2022/nnp223c.pdf

Nafe R, Arendt CT, Hattingen E. Human prion diseases and the prion protein - what is the current state of knowledge? Transl Neurosci. [Internet] 2023 [citado: 22/10/2024]; 14(1):20220315. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37854584/

Charco JM, Barrio T, Eraña H. Enfermedades priónicas: historia, diversidad e importancia socioeconómica como paradigma de las Enfermedades Raras. Aucaria [Internet] 2021 [citado: 22/10/2024]; 23(46): 429-451. Disponible en: https://doi.org/10.12795/araucaria.2021.i46.21

Ledermann DW. The fantastic story of the incredible prion. Rev. chil. infectol. [Internet]. 2020 [citado: 22/10/2024]; 37(2): 163-169. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182020000200163&lng=es

Tamayo Hernández LR. Caracterización clínica-epidemiológica de la enfermedad de Creutzfeldt-Jakob. HolCien [Internet]. 2023 [citado: 22/10/2024]; 4 (2). Disponible en: https://revholcien.sld.cu/index.php/holcien/article/view/284

Zayas-Fundora E, Salgado-Fuentes CE, Afonso-Domínguez MK, Machado-Cueto MF, Yllodo-Cristo A, Leyva-Pupo LV. Caracterización de la enfermedad de Creutzfeldt-Jakob en el Instituto Nacional de Neurología y Neurocirugía en La Habana. Rev Ciencias Médicas [Internet]. 2022 [citado: 23/10/2024]; 26(5):5619. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942022000500011&lng=es

Piñar-Morales R, Barrero-Hernández F, Aliaga-Martínez L. Enfermedades priónicas humanas: una visión general. Med Clin (Barc). [Internet]. 2023 [citado: 23/10/2024]; 160(12):554-560. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37088611/

Trejo-Gabriel-Galán JM. ¿Qué debemos los neurólogos a los Premios Nobel? Neurosci. hist. [Internet]. 2021 [citado: 23/10/2024]; 9(2):69-82. Disponible en: https://nah.sen.es/vmfiles/vol9/NAHV9N2202169_82ES.pdf

Hernández J, Zaninovich-Ruiz M, Valencia H. Enfermedad por priones: Revisión de la literatura. Salutem Scientia Spiritus [Internet]. 2022 [citado: 24/10/2024]; 8(1):66-72. Disponible en: https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/695

Carneiro AAM, Esmeraldo MA, de Lima e Silva DE, Ribeiro EML. Creutzfeldt-Jakob disease: literature review based on three case reports. Dement. neuropsychol. [Internet]. 2022 [citado: 24/10/2024]; 16(4):367–72. Disponible en: https://doi.org/10.1590/1980-5764-DN-2021-0107

Concha-Roco R, Lorenzi S. I, Romero A. K, Castillo C. Compromiso sensitivo y polineuropatía periférica como manifestación inicial de enfermedad de Creutzfeldt-Jakob. A propósito de un caso. Rev. chil. neuro-psiquiatr. [Internet]. 2023 [citado: 25/10/2024]; 61(1):71-77. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272023000100071&lng=es

Jurcau MC, Jurcau A, Diaconu RG, Hogea VO, Nunkoo VS. Una revisión sistemática de la enfermedad de Creutzfeldt-Jakob esporádica: patogénesis, diagnóstico e intentos terapéuticos. Neurol. Int. [Internet] 2024 [citado: 25/10/2024]; 16(5):1039-1065. Disponible en: https://doi.org/10.3390/neurolint16050079

Hilario Barrio A, Salvador Álvarez E, Martín Medina P, Cárdenas Del Carre A, Romero Coronado J, García Prieto J et al. Encefalopatías priónicas: a la búsqueda y captura de la restricción en difusión. seram [Internet]. 2022 [citado: 26/10/2024]; 1(1). Disponible en: https://www.piper.espacio-seram.com/index.php/seram/article/view/9352

Legua Koc S, Castillo Torres P, León Mantero A, Alvarado Pastenes M, Godoy Reyes G, Sáez Méndez David, et al. Creutzfeldt-Jakob disease, experience in 17 patients. Rev. méd. Chile [Internet]. 2021 [citado: 26/10/2024]; 149(9):1285-1291. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000901285&lng=en

Shin M, Kim D, Heo YJ, Baek JW, Yun S, Jeong HW. Gerstmann-Sträussler-Scheinker Disease: A Case Report. J Korean Soc Radiol [Internet]. 2023 [citado: 25/10/2024]; 84(3):745-749. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10265248//

Eraña H, San Millán B, Díaz Domínguez CM, Charco JM, Rodríguez R, Viéitez I, et al. Description of the first Spanish case of Gerstmann-Sträussler-Scheinker disease with A117V variant: clinical, histopathological and biochemical characterization. J Neurol. [Internet]. 2022 [citado: 25/10/2024]; 269(8):4253-4263. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35294616/

Chen Z, Kong Y, Zhang J, Wu L. Genetic and pathological features encipher the phenotypic heterogeneity of Gerstmann-Straussler-Scheinker disease. Neurobiol. Dis [Internet] 2024 [citado: 25/10/2024]; 195:106497. Disponible en: https://www.sciencedirect.com/science/article/pii/S0969996124000962

Figgie MP Jr, Appleby BS. Clinical Use of Improved Diagnostic Testing for Detection of Prion Disease. Viruses [Internet] 2021 [citado: 26/10/2024]; 13(5):789. Disponible en: https://www.mdpi.com/1999-4915/13/5/789

Lavigna G, Masone A, Bouybayoune I, Bertani I, Lucchetti J, Gobbi M, et al. Doxycycline rescues recognition memory and circadian motor rhythmicity but does not prevent terminal disease in fatal familial insomnia mice. Neurobiol Dis [Internet]. 2021 [citado: 26/10/2024]; 158:105455. Disponible en: https://www.sciencedirect.com/science/article/pii/S0969996121002047?via%3Dihub

Joshi T, Ahuja N. The Prion Basis of Progressive Neurodegenerative Disorders. Interdiscip Perspect Infect Dis [Internet]. 2023 [citado: 26/10/2024]; 1: 6687264. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1155/2023/6687264

Mahat S, Asunción RMD. Kuru. [Actualizado el 29 de mayo de 2023]. En: StatPearls [Internet]. Isla del Tesoro (FL): StatPearls Publishing; 2024 Ene. Disponible en: https://www.ncbi.nlm.nih.gov/sites/books/NBK559103/

Baiardi S, Mammana A, Rossi M, Ladogana A, Carlà B, Gambetti P, et al. Phenotypic Heterogeneity of Variably Protease-Sensitive Prionopathy: A Report of Three Cases Carrying Different Genotypes at PRNP Codon 129. Viruses [Internet]. 2022 [citado: 27/10/2024]; 14(2):367. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35215959/

Gao LP, Tian TT, Xiao K, Chen C, Zhou W, Liang DL et al. Updated global epidemiology atlas of human prion diseases. Front Public Health [Internet]. 2024 [citado: 27/10/2024]; 12:1411489. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38939567/

Ma Y, Ma J. Immunotherapy against Prion Disease. Pathogens [Internet]. 2020 [citado: 27/10/2024]; 9(3):216. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32183309/

Mead S, Khalili-Shirazi A, Potter C, Mok T, Nihat A, Hyare H, et al. Prion protein monoclonal antibody (PRN100) therapy for Creutzfeldt-Jakob disease: evaluation of a first-in-human treatment programme. Lancet Neurol. [Internet] 2022 [citado: 27/10/2024]; 21(4):342 – 354. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35305340/

Zayed M, Kook S-H, Jeong B-H. Potential Therapeutic Use of Stem Cells for Prion Diseases. Cells [Internet] 2023 [citado: 27/10/2024]; 12(19):2413. Disponible en: https://doi.org/10.3390/cells12192413

Seneff S, Kyriakopoulos AM, Nigh G, McCullough PA. A Potential Role of the Spike Protein in Neurodegenerative Diseases: A Narrative Review. Cureus [Internet] 2023 [citado: 28/10/2024];15(2): e34872. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36788995/

Guangasig Toapanta VH, De la Torre Fiallos AV, Pacha Jara AG, Ortega Barrionuevo J. Bioseguridad en el laboratorio clínico: estrategias para disminuir el riesgo en los analistas: Biosafety in the clinical laboratory: strategies to reduce the risk in analysts. LATAM [Internet]. 2023 [citado: 28/10/2024]; 4(4):309–318. Disponible en: https://latam.redilat.org/index.php/lt/article/view/1217

Published

2025-03-08

How to Cite

1.
Naranjo Lima S, Estrada Rodríguez Y, Gálvez Vila RM. Prion Diseases: Clinical Manifestations and Diagnosis. Columna méd. [Internet]. 2025 Mar. 8 [cited 2025 Mar. 14];4(1):e257. Available from: https://revcolumnamedica.sld.cu/index.php/columnamedica/article/view/257

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Review articles