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支持散发性传染性海绵状脑病集群的生态系统显示出产生自由基的二价阳离子锰过量,以及抗氧化辅助因子铜、硒、铁、锌缺乏。朊病毒蛋白铜结构域的外来阳离子取代会引发传染性海绵状脑病吗?

Ecosystems supporting clusters of sporadic TSEs demonstrate excesses of the radical-generating divalent cation manganese and deficiencies of antioxidant co factors Cu, Se, Fe, Zn. Does a foreign cation substitution at prion protein's Cu domain initiate TSE?

作者信息

Purdey M

机构信息

High Barn Farm, Elworthy, Taunton, UK.

出版信息

Med Hypotheses. 2000 Feb;54(2):278-306. doi: 10.1054/mehy.1999.0836.

Abstract

Analyses of food chains supporting isolated clusters of sporadic TSEs (CWD in N Colorado, scrapie in Iceland, CJD in Slovakia) demonstrate a consistent 2 1/2+ fold greater concentration of the pro-oxidant divalent cation, manganese (Mn), in relation to normal levels recorded in adjoining TSE-free localities. Deficiencies of the antioxidant co factors Cu/Se/Zn/Fe and Mg, P and Na were also consistently recorded in TSE foodchains. Similarities between the clinical/pathological profile of TSEs and Mn delayed psycho-neurotoxicity in miners are cited, and a novel theory generated which suggests that sporadic TSE results from early life dependence of TSE susceptible genotypes on ecosystems characterised by this specific pattern of mineral imbalance. Low Cu/Fe induces an excessive absorption of Mn in ruminants and an increased oxidation of Mn2+ into its pro oxidant species, Mn3+, which accumulates in mitochondria of CNS astrocytes in Mn SOD deficient genotypes. Deficiencies of scavenger co factors Cu/Zn/Se/Fe in the CNS permits Mn3+ initiated chain reactions of auto-oxidant mediated neuronal degeneration to proliferate, which, in turn, up-regulates the expression of the Cu-metalloprotein, prion protein (PrP). Once the rate of PrP turnover and its demand for Cu exceeds the already depleted supply of Cu within the CNS, PrP can no longer bind sufficient Cu to maintain its conformation. Mn3+ substitutes at the vacated Cu domain on PrP, thus priming up a latent capacity for lethal auto-oxidative activity to be carried along with PrP like a 'trojan horse'; where Mn 3+ serves as the integral 'infectious' transmissible component of the misfolded PrP-cation complex. The Mn overactivation of concanavalin A binding to glycoprotein and Mn-initiated autoxidation results in a diverse pathological profile involving receptor capping, aggregation/modification of CNS membrane/cytoskeletal proteins. TSE ensues. The BSE/nv CJD strain entails a 'synthetic' induction of the same CNS mineral disturbance, where 'in utero' exposure to Cu-chelating insecticides/Mn supplements accelerates the onset of a more virulent 'strain' of adolescent TSE.

摘要

对支持散发性传染性海绵状脑病孤立集群(科罗拉多州北部的慢性消耗病、冰岛的羊瘙痒症、斯洛伐克的克雅氏病)的食物链分析表明,与相邻无传染性海绵状脑病地区记录的正常水平相比,促氧化剂二价阳离子锰(Mn)的浓度始终高出2.5倍以上。在传染性海绵状脑病食物链中也始终记录到抗氧化辅助因子铜/硒/锌/铁和镁、磷和钠的缺乏。文中引用了传染性海绵状脑病的临床/病理特征与矿工中锰延迟神经精神毒性之间的相似性,并提出了一种新理论,该理论认为散发性传染性海绵状脑病是由于传染性海绵状脑病易感基因型在生命早期依赖以这种特定矿物质失衡模式为特征的生态系统所致。低铜/铁会导致反刍动物过度吸收锰,并使二价锰(Mn2+)更多地氧化为其促氧化形式三价锰(Mn3+),而在缺乏锰超氧化物歧化酶的基因型中,三价锰会在中枢神经系统星形胶质细胞的线粒体中积累。中枢神经系统中清除剂辅助因子铜/锌/硒/铁的缺乏会使三价锰引发的自氧化介导的神经元变性连锁反应扩散,进而上调铜金属蛋白朊病毒蛋白(PrP)的表达。一旦朊病毒蛋白的周转速率及其对铜的需求超过中枢神经系统中已经耗尽的铜供应,朊病毒蛋白就无法再结合足够的铜来维持其构象。三价锰会在朊病毒蛋白上 vacated 的铜结构域处替代,从而引发一种潜在的致死性自氧化活性能力,这种能力会像“特洛伊木马”一样随朊病毒蛋白一起携带;其中三价锰是错误折叠的朊病毒蛋白 - 阳离子复合物不可或缺的“传染性”可传播成分。伴刀豆球蛋白A与糖蛋白结合的锰过度激活以及锰引发的自氧化会导致多种病理特征,包括受体帽化、中枢神经系统膜/细胞骨架蛋白的聚集/修饰。继而发生传染性海绵状脑病。牛海绵状脑病/变异型克雅氏病毒株会“合成”诱导相同的中枢神经系统矿物质紊乱,其中“子宫内”接触铜螯合杀虫剂/锰补充剂会加速更具毒性的青少年传染性海绵状脑病“毒株”的发病。

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