The prion diseases

J Geriatr Psychiatry Neurol. 2010 Dec;23(4):277-98. doi: 10.1177/0891988710383576. Epub 2010 Oct 11.


The prion diseases are a family of rare neurodegenerative disorders that result from the accumulation of a misfolded isoform of the prion protein (PrP), a normal constituent of the neuronal membrane. Five subtypes constitute the known human prion diseases; kuru, Creutzfeldt-Jakob disease (CJD), Gerstmann-Sträussler-Scheinker syndrome (GSS), fatal insomnia (FI), and variant CJD (vCJD). These subtypes are distinguished, in part, by their clinical phenotype, but primarily by their associated brain histopathology. Evidence suggests these phenotypes are defined by differences in the pathogenic conformation of misfolded PrP. Although the vast majority of cases are sporadic, 10% to 15% result from an autosomal dominant mutation of the PrP gene (PRNP). General phenotype-genotype correlations can be made for the major subtypes of CJD, GSS, and FI. This paper will review some of the general background related to prion biology and detail the clinical and pathologic features of the major prion diseases, with a particular focus on the genetic aspects that result in prion disease or modification of its risk or phenotype.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Brain / pathology*
  • Brain Stem / pathology
  • Cerebellum / pathology
  • Creutzfeldt-Jakob Syndrome / genetics
  • Creutzfeldt-Jakob Syndrome / pathology
  • Gerstmann-Straussler-Scheinker Disease / genetics
  • Gerstmann-Straussler-Scheinker Disease / pathology
  • Humans
  • Insomnia, Fatal Familial / genetics
  • Insomnia, Fatal Familial / pathology
  • Kuru / genetics
  • Kuru / pathology
  • Mutation
  • Phenotype
  • Prion Diseases / classification*
  • Prion Diseases / diagnosis
  • Prion Diseases / genetics*
  • Prion Diseases / pathology*
  • Prion Diseases / psychology
  • Prion Proteins
  • Prions / genetics*
  • Risk Factors
  • Severity of Illness Index
  • Thalamus / pathology


  • PRNP protein, human
  • Prion Proteins
  • Prions