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Modern view on prion diseases of the nervous system

https://doi.org/10.30629/2658-7947-2025-30-6-82-90

Abstract

   Prion diseases (PDs) are rare neurodegenerative disorders caused by abnormal forms of the PrP protein, which can induce conformational changes in normal proteins and lead to progressive degeneration of nerve tissue. These diseases are characterized by a long incubation period and high mortality. The importance of studying PDs stems from the need to develop diagnostic and preventive methods, as well as the search for eff ective therapeutic agents. The article presents information on the mechanisms of damage to the nervous system, on the key forms of PDs (Creutzfeldt–Jakob disease, Gerstmann–Straussler–Scheinker syndrome, fatal familial insomnia, and others), presents modern diagnostic methods with an indication of their sensitivity and specifi city, and also considers promising areas of therapy (antisense oligonucleotides, antibodies, aggregation inhibitors, activation of autophagy, gene therapy).

About the Authors

N. V. Selyanina
Ye.A. Vagner Perm State Medical University
Russian Federation

Perm



M. A. Boytsova
Ye.A. Vagner Perm State Medical University
Russian Federation

Perm



Yu. V. Karakulova
Ye.A. Vagner Perm State Medical University
Russian Federation

Perm



T. V. Baidina
Ye.A. Vagner Perm State Medical University
Russian Federation

Perm



References

1. Zavalishin I.A., Spirina N.N., Boyko A.N., Nikitin S.S. Chronic infections (Khronicheskie infektsii). 2<sup>nd</sup> ed. Moscow: GEOTAR-Media, 2017. (In Russ.)

2. Polyakova T.A. How many patients with Creutzfeldt—Jakob disease are there in Russia? Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2017;117(6-2):41-43. (In Russ.) doi: 10.17116/jnevro20171176241-4

3. Houston F., Andréoletti O. Creutzfeldt-Jakob disease (CJD) surveillance update 2023. GOV.UK. 25 July 2024. https://www.gov.uk/government/publications/creutzfeldt-jakob-disease-cjd-surveillance-update-2023/creutzfeldt-jakob-disease-cjd-surveillance-update-2023.

4. Kranty K., Sitammagari C., Masud W. Creutzfeldt Jakob Disease. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. Updated 2024 Jan 30. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507860/

5. Gao L.-P., Tian T.-T., Xiao K., Chen C., Zhou W., Liang D.-L., Cao R.-D., Shi Q., Dong X.-P. Updated global epidemiology atlas of human prion diseases. Frontiers in Public Health. 2024;12:1411489. doi: 10.3389/fpubh.2024.1411489

6. Grassmann A., Wolf H., Hofmann J., Graham J., Vorberg I. Cellular Aspects of Prion Replication In Vitro. Viruses. 2013;5(1):374–405. doi: 10.3390/v5010374

7. Linden R., Cordeiro Y., Lima L.M.T.R. Allosteric function and dysfunction of the prion protein. Cellular and Molecular Life Sciences. 2012;69(7):1105–1124. doi: 10.1007/s00018-011-0847-7

8. Gibbings D., Leblanc P., Jay F., Pontier D., Michel F., Schwab Y., Alais S., Lagrange T., Voinnet O. Human prion protein binds argonaute and promotes accumulation of microrna effector complexes. Nature Structural & Molecular Biology. 2012;19(5):517–524. doi: 10.1038/nsmb.2273

9. Cheng F., Lindqvist J., Haigh C.L., Brown D.R., Mani K. Copper-dependent co-internalization of the prion protein and glypican-1. Journal of Neurochemistry. 2006;98(5):1445–1457. doi: 10.1111/j.1471-4159.2006.03981.x

10. Steele A.D., Emsley J.G., Ozdinler P.H., Lindquist S., Macklis J.D. Prion protein (PrPC) positively regulates neural precursor proliferation during developmental and adult mammalian neurogenesis. Proceedings of the National Academy of Sciences of the United States of America. 2006;103(9):3416–3421. doi: 10.1073/pnas.0511240103

11. Aguzzi A., Heppner F. Pathogenesis of prion diseases: a progress report. Cell Death & Differentiation. 2000;7(9):889–902. doi: 10.1038/sj.cdd.4400737

12. Kushnirov V.V. Prions and amyloids: key properties and their role in nature. Nature (Priroda). 2014;(3)]. https://elementy.ru/nauchno-populyarnaya_biblioteka/434370/Priony_i_amiloidy_klyuchevye_svoystva_i_rol_v_prirode

13. Koshy S.M., Kincaid A.E., Bartz J.C. Transport of Prions in the Peripheral Nervous System: Pathways, Cell Types, and Mechanisms. Viruses. 2022;14:630. doi: 10.3390/v14030630

14. Notari S., Moleres F.J., Hunter S.B., Belay E.D., Schonberger L.B., Cali I., Parchi P., Shieh W.-J., Brown P., Zaki S., Zou W.-Q., Gambetti P. Multiorgan detection and characterization of protease-resistant prion protein in a case of variant CJD examined in the United States. PLoS ONE. 2010;5(1):e8765. doi: 10.1371/journal.pone.0008765

15. Stoyda N.I., Zavalishin I.A. Prion diseases. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2012;112(9-2):59–63. (In Russ.). https://www.mediasphera.ru/issues/zhurnal-nevrologii-i-psikhiatrii-im-s-s-korsakova-2/2012/9-2/031997-72982012930

16. Gajdusek D.C., Zigas V. Degenerative disease of the central nervous system in New Guinea; the endemic occurrence of kuru in the native population. New England Journal of Medicine. 1957;257(20):974–978. doi: 10.1056/NEJM195711142572005

17. Zuev V.A. Prions — a special class of slow infection agents in humans and animals. Russian Medical Journal (Russkiy meditsinskiy zhurnal). 2013;30:1559. (In Russ.). https://www.rmj.ru/articles/nevrologiya/Priony__osobyy_klass_vozbuditeley_medlennyh_infekciy_cheloveka_i_ghivotnyh/?ysclid = m84c5vr9yi725670314

18. Mazurenko E.V., Solovey N.V., Danilkovich L.S. Creutzfeldt–Jakob disease: the role of modern methods of examination in the life-time diagnosis of the disease. Medical news (Meditsinskie Novosti). 2019;4:35–41. (In Russ.). https://www.researchgate.net/publication/343019006_Bolezn_Krejtcfeldta_-Akoba_rol_sovremennyh_metodov_obsledovania_v_priziznennoj_diagnostike_zabolevania

19. Zavadenko N.N., Khondkaryan G.Sh., Bembeeva R.Ts., Kholin A.A., Saverskaya E.N. Human prion diseases: current aspects. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2018;118(6):88–94. (In Russ.)

20. doi: 10.17116/jnevro20181186188

21. Bregman N., Shiner T., Kavé G., Alcalay R., Gana-Weisz M., Goldstein O., Glinka T., Aizenstein O., Ben Bashat D., Alcalay Y., Mirelman A., Thaler A., Giladi N., Omer N. Natural history of preclinical genetic Creutzfeldt-Jakob disease (CJD): a prospective longitudinal study protocol. BMC Neurology. 2023;23:151. doi: 10.1186/s12883-023-03193-8

22. Ostapchuk E.S., Korol V.R., Verbakh T.E. Prion diseases. Creutzfeldt–Jakob disease. Effective Pharmacotherapy (Effektivnaya Farmakoterapiya). 2024;20(14):50–55. (In Russ.). doi: 10.33978/2307-3586-2024-20-14-50-55

23. Manix M., Kalakoti P., Henry M., Thakur J., Menger R., Guthikonda B., Nanda A. Creutzfeldt-Jakob disease: updated diagnostic criteria, treatment approaches, and research. Frontiers in Neurology. 2015;6:158. doi: 10.3389/fneur.2015.00158

24. Appleby B.S., Appleby K.K., Crain B.J., Onyike C.U., Wallin M.T., Rabins P.V. Epilepsy in Creutzfeldt-Jakob disease. Epilepsy & Behavior. 2009;14(3):438–441. doi: 10.1016/j.yebeh.2008.12.008

25. Ershova A.A., Kotov A.S. Creutzfeldt–Jakob disease: description of three clinical cases. Neurological Journal named after L.O. Badalyan (Nevrologicheskiy Zhurnal imeni L.O. Badalyana). 2022;3(1):42–48. (In Russ.). doi: 10.46563/2686-8997-2022-3-1-42-48

26. St-Amant M., Sharma R., Gaillard F., et al. Hockey stick sign (Creutzfeldt-Jakob disease). Reference article. Radiopaedia.org. 2015. doi: 10.53347/rID-19930

27. Khan F., Sharma N., Ud Din M., Bansal V. Isolated Pulvinar/Hockey Stick Sign in Nonalcoholic Wernicke’s Encephalopathy. American Journal of Case Reports. 2020;21:e928272. doi: 10.12659/AJCR.928272

28. Ostapchuk E.S., Korol V.R., Verbakh T.E. Prion diseases. Creutzfeldt-Jakob disease. Effective Pharmacotherapy (Effektivnaya farmakoterapiya). 2024;20(14):50–55. (In Russ.). doi: 10.33978/2307-3586-2024-20-14-50-55

29. Baba Y., Sharma R., Thibodeau R., et al. Cerebral cortical restricted diffusion. Reference article. Radiopaedia.org. 2022. doi: 10.53347/rID-86418

30. Brutyan A.G., Korepina O.S., Abramova A.A., Belyakova-Bodina A.I. Rol’ elektroentsefalografii v diagnostike bolezni Krejtsfeldta-Jakoba. Nervous diseases (Nervnye bolezni). 2019;4. (In Russ.). URL: https://cyberleninka.ru/article/n/rol-elektroentsefalografi i-v-diagnostike-bolezni-kreyttsfeldta-yakoba

31. Shevchuk D.V., Grishina D.A., Nuzhny E.P., Zakharova M.N. Gerstmann–Sträussler–Scheinker syndrome with phenotype transformation over time and misdiagnosis as motor neuron disease (clinical case report). Neurology, Neuropsychiatry, Psychosomatics (Nevrologiya, Neiropsikhiatriya, Psikhosomatika). 2024;16(4):68–75. (In Russ.). doi: 10.14412/2074-2711-2024-4-68-75

32. Shin M., Kim D., Heo Y.J., Baek J.W., Yun S., Jeong H.W. Gerstmann–Sträussler–Scheinker disease: a case report. Journal of the Korean Society of Radiology. 2023;84(3):745–749. doi: 10.3348/jksr.2022.0089

33. Irie K.-I., Honda H., Tateishi T., Mori S., Yamamoto A., Morimitsu M., Shinsuke K., Moritaka T., Kurata S., Kumazoe H., Shijo M., Sasagasako N., Taniwaki T. Dopaminergic neurodegeneration in Gerstmann–Sträussler–Scheinker (P102L) disease: insights from imaging and pathological examination. Frontiers in Neurology. 2024;15:1452709. doi: 10.3389/fneur.2024.1452709

34. Notari S., Appleby B.S., Gambetti P. Variably protease-sensitive prionopathy. Handbook of Clinical Neurology. 2018;153:175–190. doi: 10.1016/B978-0-444-63945-5.00010-6

35. Myskiw J., Bailey-Elkin B.A., Avery K., et al. Characterization of variably protease-sensitive prionopathy by capillary electrophoresis. Scientifi c Reports. 2024;14:27867. doi: 10.1038/s41598-024-79217-1

36. Chen Y., Li Y., Zhou Y., Zhao T., Wang N., Sun L., Han J., Ren Z., Wang B., Han X. Fatal familial insomnia: a new case description with response to thoracic sympathetic nerve thermocoagulation and stellate ganglion block. Sleep Medicine. 2024;110:102015. doi: 10.1016/j.sleep.2024.12.034

37. Khan Z., Sankari A., Bollu P.C. Fatal familial insomnia. Stat-Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. [Updated 2024 Feb 25]. https://www.ncbi.nlm.nih.gov/books/NBK482208/

38. Mahat S., Asuncion R.M.D. Kuru. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. [Updated 2023 May 29]. https://www.ncbi.nlm.nih.gov/books/NBK559103/

39. Mead S., Gandhi S., Beck J., Caine D., Gallujipali D., Carswell C., Hyare H., Joiner S., Ayling H., Lashley T., Linehan J.M., Al-Doujaily H., Sharps B., Revesz T., Sandberg M.K., Reilly M.M., Koltzenburg M., Forbes A., Rudge P., Brandner S., Warren J., Wadsworth J.D.F., Wood N., Holton J.L., Collinge J., Gajulapalli R.D. A novel prion disease associated with diarrhea and autonomic neuropathy. The New-England Medical Review and Journal. 2013;369(20):1904–1914. doi: 10.1056/NEJMoa1214747

40. Vitali P., Maccagnano E., Caverzasi E., Henry R.G., Haman A., Torres-Chae C., Johnson D.Y., Miller B.L., Geschwind M.D. Diffusion-weighted MRI hyperintensity patterns differentiate CJD from other rapid dementias. Neurology. 2011;76(20):1711–1719. doi: 10.1212/WNL.0b013e31821a4439

41. Steinhoff B.J., Zerr I., Glatting M., Schulz-Schaeffer W., Poser S., Kretzschmar H.A. Diagnostic value of periodic complexes in Creutzfeldt-Jakob disease. Annals of Neurology. 2004;56(5):702–708. doi: 10.1002/ana.20262

42. Zerr I., Bodemer M., Gefeller O., Otto M., Poser S., Wiltfang J., Windl O., Kretzschmar H.A., Weber T. Detection of 14-3-3 protein in the cerebrospinal fl uid supports the diagnosis of Creutzfeldt–Jakob disease. Annals of Neurology. 1998;43(1):32–40. doi: 10.1002/ana.410430109

43. Van Everbroeck B., Green A., Vanmechelen E., Vanderstichele H., Pals P., Cras P., Martin J.J. Markers for Creutzfeldt-Jakob disease in cerebrospinal fl uid: tau protein and 14-3-3 protein. Journal of Neurology, Neurosurgery & Psychiatry. 1999;66(3):320–327. doi: 10.1136/jnnp.66.3.320

44. Atarashi R., Satoh K., Sano K., Fuse T., Yamaguchi N., Ishibashi D., Matsubara T., Nakagaki T., Yamanaka H., Shirabe S., Yamada M., Mizusawa H., Kitamoto T., Klug G., McGlade A., Collins S.J., Nishida N. Ultrasensitive human prion detection in cerebrospinal fluid by real-time quaking-induced conversion. Nature Medicine. 2011;17(2):175–178. doi: 10.1038/nm.2294

45. Green A.J.E. RT-QuIC: a new test for sporadic CJD. Practical Neurology. 2019;19(1):49–55. doi: 10.1136/practneurol-2018-001935

46. Mead S. Prion disease genetics. European Journal of Human Genetics. 2006;14(3):273–281. doi: 10.1038/sj.ejhg.5201544

47. Llewelyn C.A., Hewitt P.E., Knight R.S., Amar K., Cousens S., Mackenzie J., Will R.G. Possible transmission of variant Creutzfeldt–Jakob disease by blood transfusion. Lancet. 2004;363:417–421. doi: 10.1016/S0140-6736(04)15486-X

48. Ionis Pharmaceuticals. Ionis recommits to prion disease ASO program. CureFFI. 2023 Oct 4. (In Engl.) https://www.cureffi.org/2023/10/04/ionis-recommits

49. Jurcau M.C., Jurcau A., Diaconu R.G., Hogea V.O., Nunkoo V.S. A systematic review of sporadic Creutzfeldt–Jakob disease: pathogenesis, diagnosis, and therapeutic attempts. Neurology International. 2024;16(5):79. doi: 10.3390/neurolint16050079

50. University College London (UCL). Prion protein monoclonal antibody PRN100 therapy for Creutzfeldt-Jakob disease. UCL Prion Institute News. 2022 Mar. (In Engl.) https://www.ucl.ac.uk/prion/news/2022/mar/prion-protein-monoclonal-antibody-prn100-therapy-creutzfeldt-jakob-disease.

51. Takatsuki H., Imamura M., Mori T., Atarashi R. Pentosan polysulfate induces low-level persistent prion infection keeping measurable seeding activity without PrP-res detection in Fukuoka-1 infected cell cultures. Scientifi c Reports. 2022 May 13;12(1):7923. doi: 10.1038/s41598-022-12049-z

52. Liu F., Lü W., Liu L. New implications for prion diseases therapy and prophylaxis. Frontiers in Molecular Neuroscience. 2024;17:1324702. doi: 10.3389/fnmol.2024.1324702


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For citations:


Selyanina N.V., Boytsova M.A., Karakulova Yu.V., Baidina T.V. Modern view on prion diseases of the nervous system. Russian neurological journal. 2025;30(6):82-90. (In Russ.) https://doi.org/10.30629/2658-7947-2025-30-6-82-90

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ISSN 2658-7947 (Print)
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