Abstract
BackgroundSub-clinical variant Creutzfeldt-Jakob disease (vCJD) infection and reports of vCJD transmission through blood transfusion emphasise the need for blood screening assays to ensure the safety of blood and transplanted tissues. Most assays aim to detect abnormal prion protein (PrPSc), although achieving required sensitivity is a challenge.MethodsWe have used innovative Atomic Dielectric Resonance Spectroscopy (ADRS), which determines dielectric properties of materials which are established by reflectivity and penetration of radio/micro waves, to analyse blood samples from patients and controls to identify characteristic ADR signatures unique to blood from vCJD and to sCJD patients. Initial sets of blood samples from vCJD, sCJD, non-CJD neurological diseases and normal healthy adults (blood donors) were screened as training samples to determine group-specific ADR characteristics, and provided a basis for classification of blinded sets of samples.ResultsBlood sample groups from vCJD, sCJD, non-CJD neurological diseases and normal healthy adults (blood donors) screened by ADRS were classified with 100% specificity and sensitivity, discriminating these by a co-variance expert analysis system.ConclusionADRS appears capable of recognising and discriminating serum samples from vCJD, sCJD, non-CJD neurological diseases, and normal healthy adults, and might be developed to provide a system for primary screening or confirmatory assay complementary to other screening systems.
Highlights
Sub-clinical variant Creutzfeldt-Jakob disease infection and reports of vCJD transmission through blood transfusion emphasise the need for blood screening assays to ensure the safety of blood and transplanted tissues
In this paper we report on the development and assessment of atomic dielectric resonance (ADR) spectroscopic techniques in an analysis of clinical blood samples from patients with CJD
First study In the first study Atomic Dielectric Resonance Spectroscopy (ADRS) spectra from 4 scans each were obtained from whole blood samples from clinical patients with sporadic Creutzfeldt-Jakob disease (sCJD) and vCJD and healthy adult donors and neurological control patients
Summary
Sub-clinical variant Creutzfeldt-Jakob disease (vCJD) infection and reports of vCJD transmission through blood transfusion emphasise the need for blood screening assays to ensure the safety of blood and transplanted tissues. The presence of PrPSc in the peripheral tissues of patients with vCJD [3,4] and experimental transmissions of BSE and natural scrapie between sheep by blood transfusion [5,6] raised the possibility that iatrogenic transmission in humans by blood transfusion could occur This risk has been confirmed by recent reports of transmission of vCJD by blood transfusion [7,8,9,10]. A screening assay that could be applied to a routine blood sample is urgently required
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