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NEUROLOGY 1996;46:1690-1693
© 1996 American Academy of Neurology

Early pathologic and biochemical changes in Creutzfeldt-Jakob disease

Study of brain biopsies

R. Castellani, MD, P. Parchi, MD, J. Stahl, MD, PhD, S. Capellari, MD, M. Cohen, MD and P. Gambetti, MD

From the Division of Neuropathology, Institute of Pathology (Drs. Castellani, Parchi, Capellari, Cohen, and Gambetti) and Department of Neurology (Dr. Stahl), Case Western Reserve University, Cleveland, OH.
Supported in part by National Institutes of Health grants AG08012, AG08155, and AG08992, and the Britton Fund.
Received August 4, 1995. Accepted in final form October 31, 1995.
Address correspondence and reprint requests to Dr. R. Castellani, Institute of Pathology (Division of Neuropathology), 2085 Adelbert Road, Cleveland, OH 44106.

We examined brain biopsy tissue from five patients with a neurologic syndrome consistent with Creutzfeldt-Jakob disease using Western blot analysis and immunohistochemistry for the detection of protease-resistant prion protein, in addition to histopathologic examination. Our results indicate that the formation of protease-resistant prion protein is an early event in disease pathogenesis and Western blot analysis can detect protease-resistant prion protein in the absence of structural lesions using a small amount of brain biopsy tissue.

NEUROLOGY 1996;46: 1690-1693




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