Sporadic Creutzfeldt-Jakob disease with glial PrPRes nuclear and perinuclear immunoreactivity

Neuropathology. 2018 Oct;38(5):561-567. doi: 10.1111/neup.12505. Epub 2018 Aug 19.

Abstract

Proteinase K-resistant prion protein (PrPRes ) nuclear and perinuclear immunoreactivity in oligodendrocytes of the frontal cortex is found in one case of otherwise typical sporadic Creutzfeldt-Jakob disease (sCJD) type VV2a. The PrP nature of the inclusions is validated with several anti-PrP antibodies directed to amino acids 130-160 (12F10), 109-112 (3F4), 97-102 (8G8) and the octarepeat region (amino acids 59-89: SAF32). Cellular identification and subcellular localization were evaluated with double- and triple-labeling immunofluorescence and confocal microscopy using antibodies against PrP, glial markers, and histone H3. Based on review of the literature and our own experience, this is a very odd situation that deserves further validation in other cases.

Keywords: Creutzfeldt-Jakob disease; astrocytes; oligodendrocytes; prion.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Creutzfeldt-Jakob Syndrome / metabolism
  • Creutzfeldt-Jakob Syndrome / pathology*
  • Frontal Lobe / metabolism
  • Frontal Lobe / pathology
  • Humans
  • Immunohistochemistry
  • Inclusion Bodies / pathology*
  • Male
  • Neuroglia / metabolism
  • Neuroglia / pathology*
  • Prion Proteins / metabolism*

Substances

  • Prion Proteins

Supplementary concepts

  • Creutzfeldt-Jakob Disease, Sporadic