Manuelidis Laura
Yale Medical School, New Haven, CT 06510, USA.
J Cell Biochem. 2007 Mar 1;100(4):897-915. doi: 10.1002/jcb.21090.
The transmissible spongiform encephalopathies (TSEs) such as endemic sheep scrapie, sporadic human Creutzfeldt-Jakob disease (CJD), and epidemic bovine spongiform encephalopathy (BSE) may all be caused by a unique class of "slow" viruses. This concept remains the most parsimonious explanation of the evidence to date, and correctly predicted the spread of the BSE agent to vastly divergent species. With the popularization of the prion (infectious protein) hypothesis, substantial data pointing to a TSE virus have been largely ignored. Yet no form of prion protein (PrP) fulfills Koch's postulates for infection. Pathologic PrP is not proportional to, or necessary for infection, and recombinant and "amplified" prions have failed to produce significant infectivity. Moreover, the "wealth of data" claimed to support the existence of infectious PrP are increasingly contradicted by experimental observations, and cumbersome speculative notions, such as spontaneous PrP mutations and invisible strain-specific forms of "infectious PrP" are proposed to explain the incompatible data. The ability of many "slow" viruses to survive harsh environmental conditions and enzymatic assaults, their stealth invasion through protective host-immune defenses, and their ability to hide in the host and persist for many years, all fit nicely with the characteristics of TSE agents. Highly infectious preparations with negligible PrP contain nucleic acids of 1-5 kb, even after exhaustive nuclease digestion. Sedimentation as well as electron microscopic data also reveal spherical infectious particles of 25-35 nm in diameter. This particle size can accommodate a viral genome of 1-4 kb, sufficient to encode a protective nucleocapsid and/or an enzyme required for its replication. Host PrP acts as a cellular facilitator for infectious particles, and ultimately accrues pathological amyloid features. A most significant advance has been the development of tissue culture models that support the replication of many different strains of agent and can produce high levels of infectivity. These models provide new ways to rapidly identify intrinsic viral and strain-specific molecules so important for diagnosis, prevention, and fundamental understanding.
诸如地方性绵羊瘙痒病、散发性人类克雅氏病(CJD)和流行性牛海绵状脑病(BSE)等传染性海绵状脑病(TSEs)可能均由一类独特的“慢”病毒引起。这一概念仍是迄今为止对现有证据最为简洁的解释,并且正确地预测了疯牛病病原体向多种差异极大的物种传播。随着朊病毒(感染性蛋白质)假说的普及,大量指向TSE病毒的数据在很大程度上被忽视了。然而,没有任何一种形式的朊病毒蛋白(PrP)符合科赫感染法则。病理性PrP与感染不成比例,也不是感染所必需的,并且重组和“扩增”的朊病毒未能产生显著的感染性。此外,声称支持感染性PrP存在的“大量数据”越来越多地与实验观察结果相矛盾,于是有人提出一些繁琐的推测性概念,如自发的PrP突变和“感染性PrP”的不可见菌株特异性形式,来解释这些不相符的数据。许多“慢”病毒能够在恶劣的环境条件和酶攻击下存活,它们能悄无声息地突破宿主的保护性免疫防御,还能潜藏在宿主体内并持续多年,所有这些都与TSE病原体的特征十分契合。即使经过彻底的核酸酶消化,具有极低PrP含量的高传染性制剂仍含有1 - 5 kb的核酸。沉降以及电子显微镜数据还揭示了直径为25 - 35 nm的球形感染性颗粒。这种颗粒大小能够容纳1 - 4 kb的病毒基因组,足以编码一种保护性核衣壳和/或其复制所需的一种酶。宿主PrP作为感染性颗粒的细胞促进因子,最终会呈现出病理性淀粉样特征。一个最重要的进展是开发出了组织培养模型,该模型能支持多种不同毒株病原体的复制,并能产生高水平的感染性。这些模型为快速识别对诊断、预防和基础理解至关重要的内在病毒分子和毒株特异性分子提供了新方法。