USDA APHIS CDC Cervids: Chronic Wasting Disease Specifics Updated 2019
USDA APHIS CDC Cervids: Chronic Wasting Disease Specifics Updated 2019
Exposure and Transmission
Cervids are exposed to chronic wasting disease (CWD) orally and/or intranasally by direct animal to animal contact, and/or indirectly by contact with infected items in the environment, such as soil, dust, or forage. Animals are able to shed infectious prions into the environment in feces, urine, and saliva during the incubation period. While the concentration of infectious prions are low in these excreta, accumulation in the environment can be significant, as infectious prions do not readily degrade in the environment. This environmental persistence can lead to robust levels of infectivity in areas where the disease is prevalent.Incubation
CWD enters the body either orally and/or intranasally and typically ends up in the lymph nodes of the head. Once inside the lymph nodes, the infectious prions proliferate, converting normal prion proteins to the misfolded form. From the head lymph nodes, the infectious prions make their way to the rest of body, including the lymphoid tis- sue around the rectum, and lastly the brain. It is important to note that infectious prion distribution can be different between deer and elk. In a percentage of elk, CWD is not detected in the head lymph nodes early in the disease, but it is detected in the brain. The incubation time of CWD is influenced by a number of factors such as dose, route of exposure, and the genetics of the animals. As a result, our general understanding of the CWD incubation period is informed by a combination of research studies where animals were dosed with infectious material, and by studies in which CWD negative animals were placed on CWD-infected sites.| White-tailed deer (Condon 96) | Elk (Condon 132) | |
| Most common, shortest incubation period | Glycine/Glycine (GG) | Methionine/Methionine (MM) |
| Less common, medium incubation period | Glycine/Serine (GS) | Methionine/Leucine (ML) |
| Least common, longest incubation period | Serine/Serine (SS) | Leucine/Leucine (LL) |
No CWD-resistant genotype has been discovered. The distribution of these genotypes is significantly different between wild and farmed populations. In wild deer and elk the most common genotypes are GG and MM, respectively. This is not necessarily true for farmed cervids where animals are bred for physical traits.
Detection
There are two approved tissue types for official CWD post mortem testing in cervids, the medial retropharyngeal lymph nodes (MRPLNs), and brainstem, also known as the obex. The MRPLNs are found in the head of cervids and lie under the back of the throat. Research has demonstrated that these lymph nodes contain infectious CWD prions early in the disease course. However, a percentage of CWD-positive elk are positive only in the brain early in the disease course. It is therefore essential to test both types of tissues for an accurate diagnosis.Chronic Wasting Disease (CWD) and the Infectious Prion Protein
Chronic wasting disease or CWD is part of a group of diseases known as transmissible spongiform ecephalopathies (TSEs) which includes bovine spongiform encephalopathy (BSE) more commonly known as mad cow disease, scrapie in sheep, variant Creutzfeldt-Jakob disease (vCJD) in humans, and others. As far back as 1967 scientists suspected that proteins could be infectious agents, but it wasn’t until 1982 that Dr. Stanley Prusiner proposed that a misfolded protein, which he dubbed the prion (pronounced pree-on) protein, was responsible for TSEs instead of a bacterium or virus as previously thought [1, 2]. The “Prion Hypothesis” and associated research ultimately resulted in the Nobel Prize for Prusiner. Since that time, a significant body of scientific research has been published which provides evidence supporting the hypothesis that the misfolded prion protein is the causative agent in TSEs. Highlights of that research are presented below. - Prusiner, S.B., Novel proteinaceous infectious particles cause scrapie. Science, 1982. 216(4542): p. 136-44.
- Griffith, J.S., Self-replication and scrapie. Nature, 1967. 215(5105): p. 1043-4.
- Oesch, B., et al., A cellular gene encodes scrapie PrP 27-30 protein. Cell, 1985. 40(4): p. 735-46.
- Chesebro, B., et al., Identification of scrapie prion protein-specific mRNA in scrapie-infected and uninfected brain. Nature, 1985. 315(6017): p. 331-3.
- Basler, K., et al., Scrapie and cellular PrP isoforms are encoded by the same chromosomal gene. Cell, 1986. 46(3): p. 417-28.
- Jackson, W.S., et al., Spontaneous generation of prion infectivity in fatal familial insomnia knockin mice.Neuron, 2009. 63(4): p. 438-50.
- Hsiao, K. and S.B. Prusiner, Inherited human prion diseases. Neurology, 1990. 40(12): p. 1820-7.
- Bueler, H., et al., Mice devoid of PrP are resistant to scrapie. Cell, 1993. 73(7): p. 1339-47.
- Richt, J.A., et al., Production of cattle lacking prion protein. Nat Biotechnol, 2007. 25(1): p. 132-8.
- Sigurdson, C.J., et al., De novo generation of a transmissible spongiform encephalopathy by mouse transgenesis. Proc Natl Acad Sci U S A, 2009. 106(1): p. 304-9.
- Legname, G., et al., Synthetic mammalian prions. Science, 2004. 305(5684): p. 673-6.
- Kim, J.I., et al., Mammalian prions generated from bacterially expressed prion protein in the absence of any mammalian cofactors. J Biol Chem, 2010. 285(19): p. 14083-7.
- Wang, F., et al., Generating a prion with bacterially expressed recombinant prion protein. Science, 2010. 327(5969): p. 1132-5.
- Alexeeva, I., et al., Absence of Spiroplasma or other bacterial 16s rRNA genes in brain tissue of hamsters with scrapie. J Clin Microbiol, 2006. 44(1): p. 91-7.
- Hamir, A.N., et al., Experimental inoculation of raccoons (Procyon lotor) with Spiroplasma mirum and transmissible mink encephalopathy (TME). Can J Vet Res, 2011. 75(1): p. 18-24.
- Immunobiology, in The Immune System in Health adn Disease, C.A. Janeway, Travers, P., Walport, M., Editor. 2001, Garland Science: New York.
- Zabel, M.D. and A.C. Avery, Prions--not your immunologist's pathogen. PLoS Pathog, 2015. 11(2): p. e1004624.
- Brown, P., et al., Infectivity studies of both ash and air emissions from simulated incineration of scrapie-contaminated tissues. Environ Sci Technol, 2004. 38(22): p. 6155-60.
- Edgeworth, J.A., et al., A standardized comparison of commercially available prion decontamination reagents using the Standard Steel-Binding Assay. J Gen Virol, 2011. 92(Pt 3): p. 718-26.
- Gough, K.C., et al., Rapid recontamination of a farm building occurs after attempted prion removal. Vet Rec, 2019. 184(3): p. 97.
- Gibbs, C.J., Jr., D.C. Gajdusek, and R. Latarjet, Unusual resistance to ionizing radiation of the viruses of kuru, Creutzfeldt-Jakob disease, and scrapie. Proc Natl Acad Sci U S A, 1978. 75(12): p. 6268-70.
- Hawkins, S.A., et al., Persistence of ovine scrapie infectivity in a farm environment following cleaning and decontamination. Vet Rec, 2015. 176(4): p. 99.
- Saa, P., J. Castilla, and C. Soto, Cyclic amplification of protein misfolding and aggregation. Methods Mol Biol, 2005. 299: p. 53-65.
Cervids: Chronic Wasting Disease
Chronic Wasting Disease (CWD) is an infectious, degenerative disease of animals in the family cervidae (elk, deer, and moose, etc.) that causes brain cells to die, ultimately leading to the death of the affected animal. First recognized in Colorado in 1967, CWD was described as a clinical 'wasting' syndrome of unknown cause. It later became clear that CWD was a member of a group of diseases known as transmissible spongiform encephalopathies or TSEs. TSEs include a number of different diseases that affect animals or humans, including bovine spongiform encephalopathy (BSE or “mad cow”) in cattle, scrapie in sheep and goats, and Creutzfeldt-Jacob disease (CJD), variant CJD, Kuru, fatal familial insomnia, and Gerstmann-Straussler-Scheinker syndrome in humans. Unlike other infectious diseases, TSEs are not caused by bacteria or viruses, but rather by a naturally occurring protein, that when folded incorrectly, becomes both infectious and deadly. The prion protein in its normal state is thought to have a role in functions such as cell signaling and neuroprotection. It is still unclear what initially causes the normal shaped protein to misfold into the infectious form. Once misfolded, the infectious prion proteins continue to convert more and more normal prion proteins to the misfolded form. Misfolding of prion proteins in the brain leads to the death of neurons (brain cells) resulting in dysfunction in the body, ultimately causing death. The incubation period can be long (several months to years) depending on species and genetic factors, and infected animals are in good body condition until the end stages of the disease, making them difficult to distinguish from healthy animals. Unfortunately, animals infected with CWD can transmit the disease to other animals during the “silent” incubationperiod.
In the final stages of disease, animals become thin, drink and urinate excessively, have poor balance and coordination, lack body fat, have drooping ears, and difficulty swallowing (which is responsible for the classic drooling associated with the disease). Inability to swallow leads to aspiration pneumonia and death. Currently there is no cure or preventative measure, such as a vaccine, available for CWD. Other disease may present in a similar manner so post mortem testing is required to verify disease.
Since its discovery in 1967 CWD has been found in a number of states, Canadian provinces, Korea, and Norway, in both wild and farmed populations.
Voluntary Herd Certification Program
Related Links
Transmission

(1) The classic CWD prion strain can infect humans at low levels in the brain and peripheral lymphoid tissues;
(2) The cervid-to-human transmission barrier is dependent on the cervid prion strain and influenced by the host (human) prion protein (PrP) primary sequence;
(3) Reliable essays can be established to detect CWD infection in humans; and
(4) CWD transmission to humans has already occurred. We will test these hypotheses in 4 Aims using transgenic (Tg) mouse models and complementary in vitro approaches.
ZOONOTIC CHRONIC WASTING DISEASE CWD TSE PRION UPDATE
here is the latest;
PRION 2018 CONFERENCE
Oral transmission of CWD into Cynomolgus macaques: signs of atypical disease, prion conversion and infectivity in macaques and bio-assayed transgenic mice
Hermann M. Schatzl, Samia Hannaoui, Yo-Ching Cheng, Sabine Gilch (Calgary Prion Research Unit, University of Calgary, Calgary, Canada) Michael Beekes (RKI Berlin), Walter Schulz-Schaeffer (University of Homburg/Saar, Germany), Christiane Stahl-Hennig (German Primate Center) & Stefanie Czub (CFIA Lethbridge).
To date, BSE is the only example of interspecies transmission of an animal prion disease into humans. The potential zoonotic transmission of CWD is an alarming issue and was addressed by many groups using a variety of in vitro and in vivo experimental systems. Evidence from these studies indicated a substantial, if not absolute, species barrier, aligning with the absence of epidemiological evidence suggesting transmission into humans. Studies in non-human primates were not conclusive so far, with oral transmission into new-world monkeys and no transmission into old-world monkeys. Our consortium has challenged 18 Cynomolgus macaques with characterized CWD material, focusing on oral transmission with muscle tissue. Some macaques have orally received a total of 5 kg of muscle material over a period of 2 years.
After 5-7 years of incubation time some animals showed clinical symptoms indicative of prion disease, and prion neuropathology and PrPSc deposition were detected in spinal cord and brain of some euthanized animals. PrPSc in immunoblot was weakly detected in some spinal cord materials and various tissues tested positive in RT-QuIC, including lymph node and spleen homogenates. To prove prion infectivity in the macaque tissues, we have intracerebrally inoculated 2 lines of transgenic mice, expressing either elk or human PrP. At least 3 TgElk mice, receiving tissues from 2 different macaques, showed clinical signs of a progressive prion disease and brains were positive in immunoblot and RT-QuIC. Tissues (brain, spinal cord and spleen) from these and pre-clinical mice are currently tested using various read-outs and by second passage in mice. Transgenic mice expressing human PrP were so far negative for clear clinical prion disease (some mice >300 days p.i.). In parallel, the same macaque materials are inoculated into bank voles.
Taken together, there is strong evidence of transmissibility of CWD orally into macaques and from macaque tissues into transgenic mouse models, although with an incomplete attack rate.
The clinical and pathological presentation in macaques was mostly atypical, with a strong emphasis on spinal cord pathology.
Our ongoing studies will show whether the transmission of CWD into macaques and passage in transgenic mice represents a form of non-adaptive prion amplification, and whether macaque-adapted prions have the potential to infect mice expressing human PrP.
The notion that CWD can be transmitted orally into both new-world and old-world non-human primates asks for a careful reevaluation of the zoonotic risk of CWD..
***> The notion that CWD can be transmitted orally into both new-world and old-world non-human primates asks for a careful reevaluation of the zoonotic risk of CWD. <***
https://prion2018.org/
READING OVER THE PRION 2018 ABSTRACT BOOK, LOOKS LIKE THEY FOUND THAT from this study ;
P190 Human prion disease mortality rates by occurrence of chronic wasting disease in freeranging cervids, United States
Abrams JY (1), Maddox RA (1), Schonberger LB (1), Person MK (1), Appleby BS (2), Belay ED (1) (1) Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases, Atlanta, GA, USA (2) Case Western Reserve University, National Prion Disease Pathology Surveillance Center (NPDPSC), Cleveland, OH, USA..
SEEMS THAT THEY FOUND Highly endemic states had a higher rate of prion disease mortality compared to non-CWD
states.
AND ANOTHER STUDY;
P172 Peripheral Neuropathy in Patients with Prion Disease
Wang H(1), Cohen M(1), Appleby BS(1,2) (1) University Hospitals Cleveland Medical Center, Cleveland, Ohio (2) National Prion Disease Pathology Surveillance Center, Cleveland, Ohio..
IN THIS STUDY, THERE WERE autopsy-proven prion cases from the National Prion Disease Pathology Surveillance Center that were diagnosed between September 2016 to March 2017,
AND
included 104 patients. SEEMS THEY FOUND THAT The most common sCJD subtype was MV1-2 (30%), followed by MM1-2 (20%),
AND
THAT The Majority of cases were male (60%), AND half of them had exposure to wild game.
snip...
see more on Prion 2017 Macaque study from Prion 2017 Conference and other updated science on cwd tse prion zoonosis below...terry
https://prion2018.org/wp-content/uploads/2018/05/program.pdf
https://prion2018.org/
THURSDAY, OCTOBER 04, 2018
Cervid to human prion transmission 5R01NS088604-04 Update
http://grantome.com/grant/NIH/R01-NS088604-04
http://chronic-wasting-disease.blogspot.com/2018/10/cervid-to-human-prion-transmission.html
snip...full text;

2 Comments:
This comment has been removed by a blog administrator.
This comment has been removed by a blog administrator.
Post a Comment
Subscribe to Post Comments [Atom]
<< Home