Blood borne transit of CJD from brain to gut at early stages of infection

<p>Abstract</p> <p>Background</p> <p>In Creutzfeldt-Jakob disease (CJD) and other related transmissible spongiform encephalopathies it is critical to understand the various pathways by which the infectious agent spreads to different organs.</p> <p>Methods<...

Full description

Bibliographic Details
Main Authors: Martin Daniel, Chernyak Mark, Radebold Klaus, Manuelidis Laura
Format: Article
Language:English
Published: BMC 2001-10-01
Series:BMC Infectious Diseases
Online Access:http://www.biomedcentral.com/1471-2334/1/20
_version_ 1811265687429054464
author Martin Daniel
Chernyak Mark
Radebold Klaus
Manuelidis Laura
author_facet Martin Daniel
Chernyak Mark
Radebold Klaus
Manuelidis Laura
author_sort Martin Daniel
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In Creutzfeldt-Jakob disease (CJD) and other related transmissible spongiform encephalopathies it is critical to understand the various pathways by which the infectious agent spreads to different organs.</p> <p>Methods</p> <p>We injected a CJD agent into mice, either intracerebrally (ic) or intraperitoneally (ip) and monitored the progressive appearance of abnormal PrP in peripheral tissues over time.</p> <p>Results</p> <p>Abnormal PrP was detected in lymphoreticular tissues of the gastrointestinal tract as early as 28 to 32 days after infection by both routes. This change persisted until the terminal stages of disease. In contrast, abnormal PrP was not detected in brain or spinal cord until 80 to 120 days after ic inoculation, or until 170 days after ip inoculation.</p> <p>Conclusions</p> <p>Brain lacks significant lymphatic drainage, and has little infectivity before 40 days, even after ic inoculation. Thus the infectious inoculum must spread to the gut by a vascular route, a direction opposite to that generally assumed. This interpretation is consistent with previous studies demonstrating white blood cell infectivity as well as perivascular PrP accumulations in CJD. Notably, enteric infection at early as well as later stages of disease, and regardless of the route of agent entry, implicates potential environmental spread by fecal matter.</p>
first_indexed 2024-04-12T20:28:29Z
format Article
id doaj.art-9c28e3f2d9fc4a8a80700765bd15a05e
institution Directory Open Access Journal
issn 1471-2334
language English
last_indexed 2024-04-12T20:28:29Z
publishDate 2001-10-01
publisher BMC
record_format Article
series BMC Infectious Diseases
spelling doaj.art-9c28e3f2d9fc4a8a80700765bd15a05e2022-12-22T03:17:48ZengBMCBMC Infectious Diseases1471-23342001-10-01112010.1186/1471-2334-1-20Blood borne transit of CJD from brain to gut at early stages of infectionMartin DanielChernyak MarkRadebold KlausManuelidis Laura<p>Abstract</p> <p>Background</p> <p>In Creutzfeldt-Jakob disease (CJD) and other related transmissible spongiform encephalopathies it is critical to understand the various pathways by which the infectious agent spreads to different organs.</p> <p>Methods</p> <p>We injected a CJD agent into mice, either intracerebrally (ic) or intraperitoneally (ip) and monitored the progressive appearance of abnormal PrP in peripheral tissues over time.</p> <p>Results</p> <p>Abnormal PrP was detected in lymphoreticular tissues of the gastrointestinal tract as early as 28 to 32 days after infection by both routes. This change persisted until the terminal stages of disease. In contrast, abnormal PrP was not detected in brain or spinal cord until 80 to 120 days after ic inoculation, or until 170 days after ip inoculation.</p> <p>Conclusions</p> <p>Brain lacks significant lymphatic drainage, and has little infectivity before 40 days, even after ic inoculation. Thus the infectious inoculum must spread to the gut by a vascular route, a direction opposite to that generally assumed. This interpretation is consistent with previous studies demonstrating white blood cell infectivity as well as perivascular PrP accumulations in CJD. Notably, enteric infection at early as well as later stages of disease, and regardless of the route of agent entry, implicates potential environmental spread by fecal matter.</p>http://www.biomedcentral.com/1471-2334/1/20
spellingShingle Martin Daniel
Chernyak Mark
Radebold Klaus
Manuelidis Laura
Blood borne transit of CJD from brain to gut at early stages of infection
BMC Infectious Diseases
title Blood borne transit of CJD from brain to gut at early stages of infection
title_full Blood borne transit of CJD from brain to gut at early stages of infection
title_fullStr Blood borne transit of CJD from brain to gut at early stages of infection
title_full_unstemmed Blood borne transit of CJD from brain to gut at early stages of infection
title_short Blood borne transit of CJD from brain to gut at early stages of infection
title_sort blood borne transit of cjd from brain to gut at early stages of infection
url http://www.biomedcentral.com/1471-2334/1/20
work_keys_str_mv AT martindaniel bloodbornetransitofcjdfrombraintogutatearlystagesofinfection
AT chernyakmark bloodbornetransitofcjdfrombraintogutatearlystagesofinfection
AT radeboldklaus bloodbornetransitofcjdfrombraintogutatearlystagesofinfection
AT manuelidislaura bloodbornetransitofcjdfrombraintogutatearlystagesofinfection