Laboratory of Persistent Viral Diseases, Rocky Mountain Laboratories, NIH,NIAID, Hamilton, MT 59840, USA.
Expert Rev Proteomics. 2015 Apr;12(2):171-84. doi: 10.1586/14789450.2015.1019481.
Prion diseases are a heterogeneous class of fatal neurodegenerative disorders associated with misfolding of host cellular prion protein (PrP(C)) into a pathological isoform, termed PrP(Sc). Prion diseases affect various mammals, including humans, and effective treatments are not available. Prion diseases are distinguished from other protein misfolding disorders - such as Alzheimer's or Parkinson's disease - in that they are infectious. Prion diseases occur sporadically without any known exposure to infected material, and hereditary cases resulting from rare mutations in the prion protein have also been documented. The mechanistic underpinnings of prion and other neurodegenerative disorders remain poorly understood. Various proteomics techniques have been instrumental in early PrP(Sc) detection, biomarker discovery, elucidation of PrP(Sc) structure and mapping of biochemical pathways affected by pathogenesis. Moving forward, proteomics approaches will likely become more integrated into the clinical and research settings for the rapid diagnosis and characterization of prion pathogenesis.
朊病毒病是一类具有异质性的致命神经退行性疾病,与宿主细胞朊蛋白(PrP(C))错误折叠成称为 PrP(Sc) 的病理性异构体有关。朊病毒病影响包括人类在内的各种哺乳动物,目前尚无有效的治疗方法。朊病毒病与其他蛋白质错误折叠疾病(如阿尔茨海默病或帕金森病)不同,它具有传染性。朊病毒病散发性发生,没有任何已知的接触感染性物质的情况,也有记录表明遗传性病例是由朊蛋白的罕见突变引起的。朊病毒和其他神经退行性疾病的机制基础仍知之甚少。各种蛋白质组学技术在早期 PrP(Sc)检测、生物标志物发现、PrP(Sc)结构阐明以及受发病机制影响的生化途径映射方面发挥了重要作用。展望未来,蛋白质组学方法可能会更多地融入临床和研究环境中,用于快速诊断和表征朊病毒发病机制。