Ultrasensitive human prion detection in cerebrospinal fluid by real-time quaking-induced conversion

被引:439
作者
Atarashi, Ryuichiro [1 ,2 ]
Satoh, Katsuya [1 ]
Sano, Kazunori [1 ,3 ]
Fuse, Takayuki [1 ]
Yamaguchi, Naohiro [1 ]
Ishibashi, Daisuke [1 ]
Matsubara, Takehiro [1 ]
Nakagaki, Takehiro [1 ]
Yamanaka, Hitoki [4 ]
Shirabe, Susumu [5 ]
Yamada, Masahito [6 ]
Mizusawa, Hidehiro [7 ]
Kitamoto, Tetsuyuki [8 ]
Klug, Genevieve [9 ]
McGlade, Amelia [9 ]
Collins, Steven J. [9 ]
Nishida, Noriyuki [1 ,3 ]
机构
[1] Nagasaki Univ, Grad Sch Biomed Sci, Dept Mol Microbiol & Immunol, Nagasaki 852, Japan
[2] Nagasaki Univ, Res Ctr Genom Instabil & Carcinogenesis, Nagasaki 852, Japan
[3] Nagasaki Univ, Global Ctr Excellence Program, Nagasaki 852, Japan
[4] Nagasaki Univ, Ctr Frontier Life Sci, Div Comparat Med, Nagasaki 852, Japan
[5] Nagasaki Univ Hosp, Org Rural Med & Residency Educ, Nagasaki, Japan
[6] Kanazawa Univ, Grad Sch Med Sci, Dept Neurol & Neurobiol Aging, Kanazawa, Ishikawa, Japan
[7] Tokyo Med & Dent Univ, Grad Sch, Dept Neurol & Neurol Sci, Tokyo, Japan
[8] Tohoku Univ, Grad Sch Med, Dept Prion Res, Div Creutzfeldt Jakob Dis Sci & Technol, Sendai, Miyagi 980, Japan
[9] Univ Melbourne, Australian Natl Creutzfeldt Jakob Dis Registry, Dept Pathol, Melbourne, Vic, Australia
基金
奥地利科学基金会;
关键词
CREUTZFELDT-JAKOB-DISEASE; CYCLIC AMPLIFICATION; SEEDED CONVERSION; 14-3-3; PROTEIN; DIAGNOSIS;
D O I
10.1038/nm.2294
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The development of technologies for the in vitro amplification of abnormal conformations of prion protein (PrPSc) has generated the potential for sensitive detection of prions. Here we developed a new PrPSc amplification assay, called real-time quaking-induced conversion (RT-QUIC), which allows the detection of >= 1 fg of PrPSc in diluted Creutzfeldt-Jakob disease (CJD) brain homogenate. Moreover, we assessed the technique first in a series of Japanese subjects and then in a blind study of 30 cerebrospinal fluid specimens from Australia, which achieved greater than 80% sensitivity and 100% specificity. These findings indicate the promising enhanced diagnostic capacity of RT-QUIC in the antemortem evaluation of suspected CJD.
引用
收藏
页码:175 / 178
页数:4
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