Horiuchi Motohiro
Laboratory of Prion Diseases, Graduate School of Veterinary Medicine, Hokkaido University.
Nihon Rinsho. 2005 Dec;63(12):2213-20.
Prion diseases such as bovine spongiform encephalopathy (BSE) have been recognized as zoonosis since the existence of variant Creutzfeldt-Jakob disease (vCJD) was reported in 1996. After then, BSE became a serious social problem all over the world. The incidence of BSE in EU and UK appears declining, and the vCJD incidence also shows a tendency to decrease. On the contrary, fears for the spread of BSE became actual problems: BSE occurrence outside of EU, introduction of BSE to other ruminants, and transmission of vCJD by blood transfusion. To prevent further spread of animal prion diseases and to reduce their risk to human being, active surveillance for animal prion diseases, removal of specified risk materials from food and feed chains, and effective feed regulation for livestock should be important. For the disclosure and elimination of prion-contaminated blood, materials for medical and pharmaceutical products, it is required to improve the sensitivity of prion detection methods. Furthermore, establishment of the therapeutics for human prion diseases is urgent problem.
自1996年报告存在变异型克雅氏病(vCJD)以来,牛海绵状脑病(BSE)等朊病毒病已被确认为人畜共患病。此后,BSE成为全球严重的社会问题。欧盟和英国的BSE发病率似乎在下降,vCJD发病率也呈下降趋势。相反,对BSE传播的担忧成为实际问题:欧盟以外地区出现BSE、BSE传入其他反刍动物以及通过输血传播vCJD。为防止动物朊病毒病进一步传播并降低其对人类的风险,对动物朊病毒病进行积极监测、从食品和饲料链中去除特定风险物质以及对牲畜实施有效的饲料监管应很重要。为了披露和消除受朊病毒污染的血液、医疗和药品材料,需要提高朊病毒检测方法的灵敏度。此外,建立人类朊病毒病的治疗方法是当务之急。