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pubmed-article:16597650pubmed:dateCreated2006-6-1lld:pubmed
pubmed-article:16597650pubmed:abstractTextInherited prion diseases are caused by PRNP coding mutations and display marked phenotypic heterogeneity within families segregating the same pathogenic mutation. A proline-to-leucine substitution at prion protein (PrP) residue 102 (P102L), classically associated with the Gerstmann-Sträussler-Scheinker (GSS) phenotype, also shows marked clinical and pathological heterogeneity, including patients with a Creutzfeldt-Jakob disease (CJD) phenotype. To date, this heterogeneity has been attributed to temporal and spatial variance in the propagation of distinct protease-resistant (PrP(Sc)) isoforms of mutant PrP. Here, using a monoclonal antibody that recognizes wild-type PrP, but not PrP 102L, we reveal a spectrum of involvement of wild-type PrP(Sc) in P102L individuals. PrP(Sc) isoforms derived from wild-type and mutant PrP are distinct both from each other and from those seen in sporadic and acquired CJD. Such differential propagation of disease-related isoforms of wild-type PrP and PrP 102L provides a molecular mechanism for generation of the multiple clinicopathological phenotypes seen in inherited prion disease.lld:pubmed
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pubmed-article:16597650pubmed:pagination1557-69lld:pubmed
pubmed-article:16597650pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:16597650pubmed:articleTitlePhenotypic heterogeneity in inherited prion disease (P102L) is associated with differential propagation of protease-resistant wild-type and mutant prion protein.lld:pubmed
pubmed-article:16597650pubmed:affiliationMRC Prion Unit and Department of Neurodegenerative Disease, Institute of Neurology, University College London, National Hospital for Neurology and Neurosurgery Queen Square, London, UK.lld:pubmed
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pubmed-article:16597650pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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