These results open the door to more physiological models of a prophylactic or therapeutic use of blocking peptides. A diverse range of compounds has been investigated for experimental TSE prophylaxis or therapy13xCongo red prolongs the incubation period in scrapie-infected hamsters. Ingrosso, L. et al. J. Virol. 1995; 69: 506–508PubMedSee all References, 14xProphylactic potential of pentosan polysulphate in transmissible spongiform encephalopathies. Farquhar, C. et al. Lancet. 1999; 353: 117Abstract | Full Text | Full Text PDF | PubMed | Scopus (90)See all References, 15xProlongation of scrapie incubation period by an injection of dextran sulphate 500 within the first month before or after injection. Farquhar, C. et al. J. Gen. Virol. 1986; 67: 463–473Crossref | PubMedSee all References, 16xAmphotericin B delays both scrapie agent replication and PrPres accumulation in Syrian hamster scrapie. McKenzie, D. et al. J. Virol. 1994; 68: 7534–7536PubMedSee all References, 17xMS-8209, a water soluble amphotericin B derivative, affects both scrapie agent replication and PrPres accumulation in Syrian hamster scrapie. Adjou, K.T. et al. J. Gen. Virol. 1999; 80: 1079–1085PubMedSee all References, 18xEffectiveness of anthracycline against experimental prion disease in Syrian hamsters. Tagliavini, F. et al. Science. 1997; 276: 1119–1122Crossref | PubMed | Scopus (149)See all References, 19xScrapie-induced neuronal loss is reduced by treatment with basic fibroblast growth factor. Fraser, J.R. et al. Neuroreport. 1997; 8: 2405–2409Crossref | PubMedSee all References (Table 1Table 1). Although most appear to influence the incubation period in experimental models, some (including pentosan polysulphate and MS-8209) have been shown to inhibit TSE infection when administered prophylactically under certain experimental conditions. A single study in which basic fibroblast growth factor was administered towards the end of the incubation period following intraocular injection of scrapie found enhanced survival of retinal photoreceptors, suggesting a potential late-stage therapeutic effect. These compounds are under further evaluation, but the conceptually elegant approach of Chesebro and colleagues10xSpecific inhibition of in vitro formation of protease-resistant prion protein by synthetic peptides. Chabry, J. et al. J. Biol. Chem. 1998; 273: 13203–13207Crossref | PubMed | Scopus (133)See all References, 11xSpecies-independent inhibition of prion protein (PrP) formation by a peptide containing conserved PrP sequence. Chabry, J. et al. J. Virol. 1999; 73: 6245–6250PubMedSee all References also merits further study in vitro, and perhaps eventually in vivo. Given the probable widespread exposure of the UK human population to the BSE agent (which, in some cases, has resulted in variant CJD after an unknown but presumably lengthy incubation period), any compound which offers prophylactic potential should be rigorously explored. However, the logistics and ethics of implementing such a regime, even if of proven efficacy, will be formidable.Table 1Compounds which have a demonstrable prophylactic or potential therapeutic effect in experimental TSEaaCompoundExampleRef.Anionic dyes (amyloid stain)Congo red13xCongo red prolongs the incubation period in scrapie-infected hamsters. Ingrosso, L. et al. J. Virol. 1995; 69: 506–508PubMedSee all References13Sulphated glycansPentosan polysulphate14xProphylactic potential of pentosan polysulphate in transmissible spongiform encephalopathies. Farquhar, C. et al. Lancet. 1999; 353: 117Abstract | Full Text | Full Text PDF | PubMed | Scopus (90)See all References14Dextran sulphate 50015xProlongation of scrapie incubation period by an injection of dextran sulphate 500 within the first month before or after injection. Farquhar, C. et al. J. Gen. Virol. 1986; 67: 463–473Crossref | PubMedSee all References15Polyene antibioticsAmphotericin B16xAmphotericin B delays both scrapie agent replication and PrPres accumulation in Syrian hamster scrapie. McKenzie, D. et al. J. Virol. 1994; 68: 7534–7536PubMedSee all References16MS-820917xMS-8209, a water soluble amphotericin B derivative, affects both scrapie agent replication and PrPres accumulation in Syrian hamster scrapie. Adjou, K.T. et al. J. Gen. Virol. 1999; 80: 1079–1085PubMedSee all References17Anthracycline4-iodo-4-deoxy-doxorubicin18xEffectiveness of anthracycline against experimental prion disease in Syrian hamsters. Tagliavini, F. et al. Science. 1997; 276: 1119–1122Crossref | PubMed | Scopus (149)See all References18Growth factorsBasic fibroblast growth factor19xScrapie-induced neuronal loss is reduced by treatment with basic fibroblast growth factor. Fraser, J.R. et al. Neuroreport. 1997; 8: 2405–2409Crossref | PubMedSee all References19aAbbreviation: TSE, transmissible spongiform encephalopathy.
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