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国家克雅氏病研究生物样本库,建立科学平台的新方法:患者权益倡导组织、科学家、监管机构和医生之间的合作。

National Creutzfeldt-Jakob disease research biobank, a novel approach to the establishment of the scientific platform: collaboration between patient advocacy group, scientists, regulators and physicians.

作者信息

Anane Alice, Pasternak Doron, Reisner Shimon A, Novack Victor

机构信息

Creutzfeldt-Jakob Israel Foundation, Pardes Hanna, Israel.

Negev BioBank and Clinical Research Center, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, PO Box 151, Be'er-Sheva, 84101, Israel.

出版信息

Orphanet J Rare Dis. 2025 Apr 10;20(1):170. doi: 10.1186/s13023-025-03703-6.

Abstract

Creutzfeldt-Jakob disease (CJD) is a severe neurodegenerative disorder characterized by the abnormal accumulation of prion proteins. In Israel, a unique epidemiological pattern of CJD has been identified, specifically a genetic form (gCJD) associated with the E200K mutation in the PRNP gene. Investigating rare diseases such as CJD syndrome poses challenges due to their low prevalence, hindering the formation of an adequate patient cohort for comprehensive research and treatment trials. To overcome this limitation, biobanks have emerged as transformative tools for collecting and distributing biological specimens along with corresponding health data. Biobanks offer a solution to the inherent heterogeneity in rare diseases, allowing researchers to access diverse and extensive sample sets, thereby enhancing the understanding of disease nuances toward potential therapy. We introduce a novel collaborative model involving the Negev BioBank (NBB), the Creutzfeldt-Jakob Israel Foundation, the Israeli National BioBank for Research (MIDGAM), and the Israeli Ministry of Health. Each entity contributes unique expertise and resources to establish a comprehensive platform for studying the disease. The goal was to establish a participant pool of 500 individuals, including clinically diagnosed cases, confirmed carriers of the E200K mutation, and their first- and second-degree relatives. During the pilot phase of the last year, 250 participants were enrolled, with each family contributing between 1 and 25 participants. This collaborative approach involving communities, scientists, physicians, and regulatory bodies establishes a model applicable across various fields. These synergistic efforts aim to advance research on CJD and potentially serve as a blueprint for studying other rare diseases.

摘要

克雅氏病(CJD)是一种严重的神经退行性疾病,其特征是朊病毒蛋白异常积累。在以色列,已发现一种独特的克雅氏病流行病学模式,特别是与PRNP基因中的E200K突变相关的遗传形式(gCJD)。由于克雅氏病综合征等罕见疾病的患病率较低,对其进行研究面临挑战,这阻碍了形成足够规模的患者队列以进行全面研究和治疗试验。为克服这一限制,生物样本库已成为收集和分发生物标本以及相应健康数据的变革性工具。生物样本库为罕见疾病固有的异质性提供了解决方案,使研究人员能够获取多样且广泛的样本集,从而加深对疾病细微差别及其潜在治疗方法的理解。我们引入了一种新的合作模式,涉及内盖夫生物样本库(NBB)、以色列克雅氏病基金会、以色列国家研究生物样本库(MIDGAM)和以色列卫生部。每个实体都贡献独特的专业知识和资源,以建立一个研究该疾病的综合平台。目标是建立一个由500人组成的参与者群体,包括临床诊断病例、E200K突变的确诊携带者及其一级和二级亲属。在去年的试点阶段,招募了250名参与者,每个家庭贡献1至25名参与者。这种涉及社区、科学家、医生和监管机构的合作方法建立了一个适用于各个领域的模式。这些协同努力旨在推进对克雅氏病的研究,并有可能成为研究其他罕见疾病的蓝本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc24/11983892/d518c478fa8c/13023_2025_3703_Fig1_HTML.jpg

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