Thromb Haemost 1998; 80(06): 909-911
DOI: 10.1055/s-0037-1615387
Letters to the Editor
Schattauer GmbH

Retrospective Neuropathological Review of Prion Disease in UK Haemophilic Patients

Christine A. Lee
1   Royal Free Hospital, London
,
James W. Ironside
2   CJD Surveillance Unit, Edinburgh
,
Jeanne E. Bell
2   CJD Surveillance Unit, Edinburgh
,
Paul Giangrande
3   Haemophilia Centre, Oxford
,
Christopher Ludlam
4   Royal Infirmary, Edinburgh
,
Margaret M. Esiri
5   Radcliffe Infirmary, Oxford, UK
,
James E. McLaughlin
1   Royal Free Hospital, London
› Author Affiliations
Further Information

Publication History

Received 18 June 1998

Accepted after revision 01 September 1998

Publication Date:
07 December 2017 (online)

Summary

In 1996, the CJD surveillance unit in Edinburgh, UK described nvCJD which was thought to be the human equivalent of bovine spongiform encephalopathy (BSE). The identification of prion protein in the tonsil of an affected individual has raised the question of transmission of nvCJD via blood products. This study examines the post mortem brains of 33 patients who were treated with clotting factor concentrate of predominately UK donor source during the years 1962-1995. The brains were examined by conventional histological methods and also for the prion protein using monoclonal antibodies KG9 and 3F4. No evidence of spongiform encephalopathy was found and the immunocytochemistry was negative for PrP in all cases. It is concluded that, at present, there is no evidence for the transmission of nvCJD via clotting factor concentrate to patients with haemophilia.

 
  • References

  • 1 Prusiner SB. Novel proteinaceous infections particles cause scrapie.. Science. 1982: 136-44.
  • 2 Manuelidis EE, Kim JH, Mericangas JR, Manuelidis L. Transmission to animals of Creutzfeldt-Jakob disease from human blood.. Lancet 1985; 2 8460 896-7.
  • 3 Esmonde TFG, Will RG, Slattery JM. et al. Creutzfeldt-Jacob disease and blood transfusion.. Lancet 1993; 341: 205-6.
  • 4 Will RG, Ironside JW, Zeidler M. et al. A new variant of Creutzfeldt-Jakob disease in the United Kingdom.. Lancet 1996; 347: 921-5.
  • 5 Department of Health.. New variant of Creutzfeldt-Jakob disease.. CMO’s Update September 1998
  • 6 Bruce ME, Will RG, Ironside JW. et al. Transmissions of mice indicate that “new variant” CJD is caused by the BSE agent.. Nature 1997; 389: 448-50.
  • 7 Hill AF, Zeidler M, Ironside JW, Collinge J. Diagnosis of new variant Creutzfeldt-Jakob disease by tonsil biopsy.. Lancet 1997; 349: 99-100.
  • 8 Ludlam CA. New variant Creutzfeldt-Jakob disease and treatment of haemophilia.. Lancet 1997; 350: 1704.
  • 9 Department of Health: Press release 26th February 1998, 98/076.
  • 10 Bell JE, Gentleman SM, Ironside JW. et al. Prion protein immunocyto-chemistry – UK five-centre consensus report.. Neuropathology and Applied Neurobiology 1997; 23: 26-35.
  • 11 Department of Health: Press release 11th May 1998, 98/178. Monthly Creutzfeldt-Jakob figures.
  • 12 United Kingdom Haemophilia Centre Directors Organisation (UKHCDO) Registry held at Secretariat, Haemophilia Centre, Churchill Hospital, Oxford