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Genetic PrP Prion Diseases.


ABSTRACT: Genetic prion diseases (gPrDs) caused by mutations in the prion protein gene (PRNP) have been classified as genetic Creutzfeldt-Jakob disease, Gerstmann-Sträussler-Scheinker disease, or fatal familial insomnia. Mutations in PRNP can be missense, nonsense, and/or octapeptide repeat insertions or, possibly, deletions. These mutations can produce diverse clinical features. They may also show varying ancillary testing results and neuropathological findings. Although the majority of gPrDs have a rapid progression with a short survival time of a few months, many also present as ataxic or parkinsonian disorders, which have a slower decline over a few to several years. A few very rare mutations manifest as neuropsychiatric disorders, with systemic symptoms that include gastrointestinal disorders and neuropathy; these forms can progress over years to decades. In this review, we classify gPrDs as rapid, slow, or mixed types based on their typical rate of progression and duration, and we review the broad spectrum of phenotypes manifested by these diseases.

SUBMITTER: Kim MO 

PROVIDER: S-EPMC5932589 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Genetic PrP Prion Diseases.

Kim Mee-Ohk MO   Takada Leonel T LT   Wong Katherine K   Forner Sven A SA   Geschwind Michael D MD  

Cold Spring Harbor perspectives in biology 20180501 5


Genetic prion diseases (gPrDs) caused by mutations in the prion protein gene (<i>PRNP</i>) have been classified as genetic Creutzfeldt-Jakob disease, Gerstmann-Sträussler-Scheinker disease, or fatal familial insomnia. Mutations in <i>PRNP</i> can be missense, nonsense, and/or octapeptide repeat insertions or, possibly, deletions. These mutations can produce diverse clinical features. They may also show varying ancillary testing results and neuropathological findings. Although the majority of gPr  ...[more]

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