ACCESSION NO: 96-97-1643 TITLE: The Science Behind BSE AUTHOR: ANONYMOUS JOURNAL: Science Spectra CITATION: 1996: 10-14. YEAR: 1996 PUB TYPE: Article IDENTIFIERS: PRION DISEASES; PRION PROTEIN; BOVINE SPONGIFORM ENCEPHALOPATHY (BSE); CREUTZFELD-JAKOB DISEASE (CJD); NEUROLOGICAL DISEASES; DISEASE TRANSMISSION; SCRAPIE; FOOD CHAIN ABSTRACT: Prion diseases cause a massive loss of neurons and synapses and the development of amyloid plaques in the brain. The diseases, known as spongiform encephalopathies, cause a range of neurological symptoms including loss of balance and dementia. These encephalopathies are inherited and transmissible. Transmission may be due to prion proteins found, highly conserved, in all mammalian brains. The disease may be caused by abnormal prion isoforms. Prion diseases affect many mammals including sheep and cows. Experimental evidence does indicate that transmissible spongiform encephalopathies can pass between species. Although no evidence suggests that scrapie (a form common in sheep) can pass to humans, there is fear that bovine spongiform encephalopathy (BSE) can be transmitted to humans. BSE is known in the U.K., Ireland, France, Switzerland, and the Falkland Islands where cattle were fed protein from rendered animals including sheep that are affected by scrapie. Human forms of prion disease may be inherited, caused by somatic mutation, or transmitted. Creutzfeld-Jakob disease (CJD) is uncommon, with an estimated worldwide incidence of 0.5 cases per million person years. Classic CJD has a long incubation period, affects victims between 55-70 yr. of age, and progresses rapidly causing death within 9 mo. Ten cases of a new strain of CJD have been reported in the U.K. This new form affects people under 42 yr. of age, causes illness that lasts longer, and the disturbances are behavioral rather than neurological with extensive plaque formation. No proven link between the two yet exists. Prion diseases all involve the conversion of a normal cell protein (PrP) into an abnormal isoform (PrPP) and an accumulation of that isoform in the central nervous system. PrP is encoded by a normal cellular gene located on chromosome 20. It is expressed throughout life and is necessary for basic cell functioning. In the affected brain, the protein forms plaques between and within cells. Pathology results from the alteration to the prion gene to produce an abnormal protein, or from changes in the post translational processing leading to an abnormal protein. It is accepted that cows infected with BSE entered the human food chain before the introduction of controls in 1988 and 1989. The risk of disease transmission between cows and humans, the number of infective units needed to initiate disease, and any link between BSE and the new strain of CJD are currently unknown.