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Science and Technology
Creutzfeldt-Jakob disease
Breaking down the barrier
A glimmer of hope for a drug that treats disease caused by prions
THE epidemic of mad-cow disease in people that some forecast in the 1990s has not, fortunately, come to pass.
But Creutzfeldt-Jakob disease (CJD), to give its proper name, is still a nasty illness that humanity would be better off without.
It is also a strange illness.
CJD and a handful of similar neurological conditions are caused by the misfolding of a particular protein that is found in the membranes of certain nerve cells.
The strangeness is that the misfolded protein, known as a prion, somehow catalyses other molecules of the protein to misfold in the same way. The result is a chain reaction in which more and more protein ends up as prions.
Nerve cells containing the prions stop working. The sufferer endures memory loss, personality changes and spontaneous, jerky bodily movements.
Eventually, the disease kills him.
A drug to treat CJD would therefore be welcome. And chemicals that seem either to prevent the misfolding, or to help the body clear away misfolded molecules, do, indeed, exist. The problem is turning at least one of those chemicals into an effective medicine.
Adam Renslo of the University of California, San Francisco, and his colleagues (who include Stanley Prusiner, the Nobel laureate who discovered prions) have been trying to do so.
科技
克雅氏病
攻破屏障
药物治疗朊病毒感染疾病的一线希望
时至今日,疯牛病没有像上世纪90年代的某些预言说的那样在人群中流行,真是幸运。
这种严重损害人类性情的疾病的准确名称叫克雅氏病(CJD),治疗起来仍然棘手。
克雅氏病是一种奇怪的疾病。
该病以及类似的一些神经症状是由于某种神经细胞的细胞膜上的一个特殊蛋白发生错误折叠所致。
这种错误折叠的蛋白称为朊病毒,令人奇怪的是它可以催化其他蛋白分子发生相同的错误折叠,这个链式反应使越来越多的蛋白质变成朊病毒。
含有朊病毒的神经细胞失去正常功能,罹患者出现记忆减退、人格改变和自发的躯体急速抽动等症状,最后患者死亡。
所以,能够治疗CJD的药物将大受青睐。
能阻止分子错误折叠或帮助机体清除错误折叠分子的化学药品似乎确实存在,困难在于如何用至少一种这样的化学药品进行有效治疗。
旧金山加利福尼亚大学的Adam Renslo与其同事(包括因发现朊病毒获得诺贝尔奖的Stanley Prusiner)一直在进行将化学药品用于治疗CJD的尝试,
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