Twenty-five years ago, little was known about the causes ofneurodegenerative diseases. Now, however, it is clear that theyresult from abnormalities in the processing of proteins. Ineach of these diseases, defective processing causes the accumulationof one or more specific neuronal proteins.
Of all the laboratory research on neurodegenerative diseases,the studies that led to the discovery of prions have yieldedthe most unexpected findings. The idea that a protein can actas an infectious pathogen and cause degeneration of the centralnervous system was accepted only after a long and arduous battle.1The concept of prions not . . . [Full Text of this Article]
Prions
Prion Diseases
Epidemiologic Features
Neuropathological Features
Strains of Prions
Sporadic, Genetic, and Infectious Forms of Prion Disease
Other Neurodegenerative Diseases
Alzheimer's Disease
Frontotemporal Dementia and Pick's Disease
Parkinson's Disease
Amyotrophic Lateral Sclerosis
Huntington's Disease and Spinocerebellar Ataxias
Transgenic Mouse Models
Diagnostic Tests
Prevention and Treatment
Preventing Abnormal Processing of Proteins and Enhancing Their Clearance
Replacement Therapy
Speculation on the Spectrum of Degenerative Diseases
The Future
Source Information
Presented as the 110th Shattuck Lecture to the Annual Meeting of the Massachusetts Medical Society, Boston, May 20, 2000.From the Institute for Neurodegenerative Diseases and the Departments of Neurology and of Biochemistry and Biophysics, University of California, San Francisco.
Address reprint requests to Dr. Prusiner at the Institute for Neurodegenerative Diseases, Box 0518, University of California, San Francisco, CA 94143-0518.
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