Baker H F, Duchen L W, Jacobs J M, Ridley R M
Division of Psychiatry, MRC Clinical Research Centre, Harrow, Middlesex, UK.
Brain. 1990 Dec;113 ( Pt 6):1891-909. doi: 10.1093/brain/113.6.1891.
A comparison was made of the effects of experimental intracerebral inoculation into marmosets of brain homogenates from a case of Creutzfeldt-Jakob disease (CJD) and from a member of the Wo. family with cerebral amyloid and spongiform encephalopathy--the Gerstmann-Sträussler-Scheinker (GSS) syndrome. All the inoculated marmosets developed spongiform encephalopathy (SE) after incubation times of 20-23 months in the CJD group and 25-32 months in the GSS group. Subsequent passage from 1 affected animal in each group resulted in SE developing after 17 months incubation. In every animal inoculated with CJD or GSS material and in the 2 passage experiments the most severely affected region of the brain was the thalamus which in all cases was almost totally occupied by vacuoles. Other grey matter masses were less severely and less consistently affected. Vacuolation was observed in the cerebellar granule cell layer as well as in the molecular layer and the brain stem was finely vacuolated in all cases. There were only minor and inconsistent differences between the disease transmitted from CJD compared with GSS and some differences between the original transmissions and the SE caused by passaged inocula. Severe astrocytic gliosis accompanied the spongiform changes but no amyloid was identified in any of the marmosets with experimentally transmitted disease. The pathogenesis of the spongiform change in the thalamus was studied in a series of marmosets by light and electron microscopy 3-22 months after the intracerebral inoculation of CJD or GSS homogenates and was compared with controls. Dilated irregularly-shaped cisternae and the large complex vacuoles typical of SE, present in abundance after 18 and 22 months incubation, were considered most probably to be derived from cisternae of neuronal smooth endoplasmic reticulum.
对将克雅氏病(CJD)患者以及患有脑淀粉样血管病和海绵状脑病——格斯特曼-施特劳斯勒-谢克尔(GSS)综合征的沃氏家族成员的脑匀浆实验性脑内接种到狨猴体内的效果进行了比较。所有接种的狨猴在CJD组潜伏期20 - 23个月、GSS组潜伏期25 - 32个月后均出现了海绵状脑病(SE)。每组从1只患病动物进行后续传代,在潜伏期17个月后出现了SE。在每只接种CJD或GSS材料的动物以及两次传代实验中,大脑受影响最严重的区域是丘脑,在所有病例中丘脑几乎完全被空泡占据。其他灰质团块受影响程度较轻且不太一致。在小脑颗粒细胞层以及分子层观察到空泡化,并且在所有病例中脑干都有细微的空泡化。与GSS传播的疾病相比,CJD传播的疾病之间只有微小且不一致的差异,并且原始传播与传代接种引起的SE之间存在一些差异。严重的星形细胞胶质增生伴随海绵状改变,但在任何实验性传播疾病的狨猴中均未发现淀粉样蛋白。在脑内接种CJD或GSS匀浆后3 - 22个月,通过光镜和电镜对一系列狨猴丘脑海绵状改变的发病机制进行了研究,并与对照组进行了比较。在潜伏期18个月和22个月后大量出现的、典型的SE扩张不规则形状的池和大的复合空泡,最有可能被认为源自神经元平滑内质网的池。