Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene

Creutzfeldt-Jakob disease (CJD), the most known human prion disease, is usually sporadic but approximately 15% of the cases are familial. To date, seven CJD cases with codon 210 mutation (GTT to ATT) have been reported in the literature. We describe a case of a 57 year-old woman who presented gait d...

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Main Authors: Nancy Huang, Suely K.N. Marie, Fernando Kok, Ricardo Nitrini
Format: Article
Language:English
Published: Thieme Revinter Publicações 2001-12-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600017&tlng=en
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author Nancy Huang
Suely K.N. Marie
Fernando Kok
Ricardo Nitrini
author_facet Nancy Huang
Suely K.N. Marie
Fernando Kok
Ricardo Nitrini
author_sort Nancy Huang
collection DOAJ
description Creutzfeldt-Jakob disease (CJD), the most known human prion disease, is usually sporadic but approximately 15% of the cases are familial. To date, seven CJD cases with codon 210 mutation (GTT to ATT) have been reported in the literature. We describe a case of a 57 year-old woman who presented gait disturbances and rapidly progressive dementia, leading to death four months after onset. Electroencephalogram revealed periodic activity, diffusion-weighted magnetic resonance imaging showed hypersignal in basal ganglia, and test for 14-3-3 protein was strongly positive in the CSF. The complete prion protein gene coding region was sequenced after PCR amplification, showing a point mutation in codon 210. This is the first case of CJD with codon 210 mutation diagnosed in Brazil. We emphasize the role of genetic search for prion protein gene mutation, even in patients presenting clinical features resembling sporadic CJD.
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publishDate 2001-12-01
publisher Thieme Revinter Publicações
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-0e7266b48f9a4e3d8a47f6aa5fe62e0f2025-08-20T03:54:29ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272001-12-01594932935Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein geneNancy Huang0Suely K.N. Marie1Fernando Kok2Ricardo Nitrini3University of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloCreutzfeldt-Jakob disease (CJD), the most known human prion disease, is usually sporadic but approximately 15% of the cases are familial. To date, seven CJD cases with codon 210 mutation (GTT to ATT) have been reported in the literature. We describe a case of a 57 year-old woman who presented gait disturbances and rapidly progressive dementia, leading to death four months after onset. Electroencephalogram revealed periodic activity, diffusion-weighted magnetic resonance imaging showed hypersignal in basal ganglia, and test for 14-3-3 protein was strongly positive in the CSF. The complete prion protein gene coding region was sequenced after PCR amplification, showing a point mutation in codon 210. This is the first case of CJD with codon 210 mutation diagnosed in Brazil. We emphasize the role of genetic search for prion protein gene mutation, even in patients presenting clinical features resembling sporadic CJD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600017&tlng=enfamilial Creutzfeldt-Jakob diseaseprion protein gene mutationcodon 21014-3-3 protein
spellingShingle Nancy Huang
Suely K.N. Marie
Fernando Kok
Ricardo Nitrini
Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
Arquivos de Neuro-Psiquiatria
familial Creutzfeldt-Jakob disease
prion protein gene mutation
codon 210
14-3-3 protein
title Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
title_full Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
title_fullStr Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
title_full_unstemmed Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
title_short Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene
title_sort familial creutzfeldt jakob disease associated with a point mutation at codon 210 of the prion protein gene
topic familial Creutzfeldt-Jakob disease
prion protein gene mutation
codon 210
14-3-3 protein
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000600017&tlng=en
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AT fernandokok familialcreutzfeldtjakobdiseaseassociatedwithapointmutationatcodon210oftheprionproteingene
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