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Speaker Notes Bovine Spongiform Encephalopathy S l i d Bovine Spongiform e Encephalopathy Mad Cow Disease 1 S In today’s presentation we will cover information regarding the l Overview organism that causes bovine spongiform encephalopathy (BSE) and its i • Organism epidemiology. We will also talk about the economic impact the disease d • Economic Impact has had in Canada and the UK. Additionally, we will talk about how it • Epidemiology is transmitted, the species it affects, human repercussions, clinical and e • Transmission • Clinical Signs necropsy signs seen, as well as diagnosis and treatment of the disease. • Diagnosis and Finally, we will address prevention and control measures for the disease 2 Treatment • Prevention and Control put in place by the USDA and FDA, and actions to take if BSE is • Actions to Take suspected. Center for Food Security and Public Health, Iowa State University, 2011 [Photo: Holstein cow. Source: Peggy Greb-USDA-ARS] S l i d e THE ORGANISM 3 S Prions are smaller than the smallest known virus and have not yet been l Prion completely characterized. The most widely accepted theory is that i • Smaller than smallest known virus prions are mutated proteins, although not all scientists accept they are d • Not yet completely characterized the cause of disease. Professor Stanley Prusiner, the Nobel prize e • Most widely accepted theory winning scientist who first proposed that prion proteins could cause – Prion = Proteinaceous infectious particle disease, says that today "a wealth of experimental and clinical data" • Normal Protein 4 – PrPC (C for cellular) proves his ideas were right. The idea of a protein-only infectious agent – Glycoprotein normally found at cell was first proposed by Griffiths in 1967; however, it was only after the surface inserted in plasma membrane co-purification of the prion protein with hamster scrapie infectivity that Center for Food Security and Public Health, Iowa State University, 2011 Prusiner was able to distinguish it from a virus. The normal protein is designated as PrPC ; the C stands for cellular. The glycoprotein is normally found at the cell surface and is inserted in the plasma membrane. Center for Food Security and Public Health 2012 1 Bovine Spongiform Encephalopathy S The secondary structure of the normal protein is dominated by alpha l Normal protein helices. There are likely three of these structures. The normal protein is i • Secondary structure easily soluble and digested by proteases. This gene in humans is d dominated by alpha helices designated PRNP and located on our chromosome 20. • Easily soluble e • Easily digested by proteases • Encoded by PRNP gene 5 (in humans) – Located on human chromosome 20 Center for Food Security and Public Health, Iowa State University, 2011 S The abnormal protein is designated as PrPSc; the Sc stands for scrapie, a l Abnormal Protein spongiform encephalopathy in sheep. This protein has the same amino i • PrPSc (Sc for scrapie) acid sequence as the normal protein and the primary structures are – Same amino acid identical. However, the secondary structure is dominated by a beta d sequence and e primary structure conformation. When the abnormal protein comes in contact with the as normal protein normal protein (PrPC) it converts the normal protein to the abnormal – Secondary structure 6 dominated by form. This diagram depicts the normal prion on left and the abnormal beta conformation prion on right. • When PrPSc contacts PrPC – Converts it to the abnormal form Center for Food Security and Public Health, Iowa State University, 2011 [Photo: This photo shows a 3-dimentional image of a normal prion (left) and abnormal prion (right). The normal prion protein (left) has many alpha-helix regions that are fairly soluble while the abnormal prion protein (right) has many beta-pleated sheet regions and make it insoluble. Source: A S The abnormal protein is insoluble in all but the strongest solvents and is l Abnormal Protein highly resistant to digestion by proteases. It survives in tissues post- i • Insoluble in all but strongest solvents mortem and is not destroyed by various rendering processes. The d • Highly resistant to digestion abnormal form of the protein is extremely resistant to heat, normal by proteases sterilization processes, and sunlight. It is also very resistant to most e – Survives in tissues post-mortem disinfectants and is stable over a wide pH range. The abnormal protein • Extremely resistant – Heat, normal sterilization processes, does not evoke a detectable immune or inflammatory response in its 7 sunlight • No detectable immune response host, so the body does not react to it as an invader. Center for Food Security and Public Health, Iowa State University, 2011 S In addition to the ‘classical’ BSE prion, at least two atypical BSE l Abnormal Protein prions can be found in cattle. One has higher molecular mass fragments i • Atypical BSE prions than classical BSE and is called ‘H-type’; the other has a lower d −H-type: high molecular mass fragments molecular mass and is called ‘L-type’ or bovine amyloidotic −L-type (bovine amyloidotic spongiform e encephalopathy [BASE]): lower spongiform encephalopathy (BASE). Atypical BSE prions may molecular mass fragments represent additional strains of BSE or spontaneously occurring prions. −May represent additional strains or 8 spontaneously occurring prions Center for Food Security and Public Health, Iowa State University, 2011 Center for Food Security and Public Health 2012 2 Bovine Spongiform Encephalopathy S l i d e IMPORTANCE 9 S The first confirmed case of BSE occurred in 1986 in the United l History Kingdom. Following that discovery, in 1988 the U.K. banned meat and i • 1986 bone meal products rendered from ruminants from inclusion into cattle d – First confirmed case in United Kingdom feed. In 1989, the United States Department of Agriculture (USDA) • 1988 banned the importation of live ruminants and most ruminant products e – U.K. bans meat and bone meal from ruminants in cattle feed from countries that were known to have BSE. Major efforts were made • 1989 1 to stop the spread of this disease in the U.K. and continue today. – USDA bans importation of ruminants 0 from countries with BSE Center for Food Security and Public Health, Iowa State University, 2011 S The peak incidence of BSE in the U.K. occurred in January 1993 with l History more than a 1,000 cases being reported weekly. Since then, the number i • 1993 of new cases has been decreasing at a steady pace (number of cases – Peak of BSE in U.K reported in 1993 was 35,000; by 2009, only 9 cases were reported). In d • 1997 e – U.S. and Canada ban feeding ruminant 1997, Canada and the FDA of the United States instituted a ban on products to ruminants feeding ruminant meat, bone meal, and other ruminant proteins back to – U.S. importation ban extended to all of 1 Europe regardless of BSE status ruminants. Additionally, in 1997 the U.S. extended its ruminant import • 2001 ban to all of Europe regardless of BSE status. In 2001, the European 1 – E.U. orders mandatory tests on cattle > 30 months old Union ordered mandatory testing to be done on cattle older than 30 Center for Food Security and Public Health, Iowa State University, 2011 months of age that are destined for slaughter. (Information on U.K. case numbers obtained: http://www.oie.int/eng/info/en_esbru.htm) S Canada’s first case of BSE occurred in 1993 in a single cow imported l History: Canada from the U.K. In 2003, 2 cases of BSE were diagnosed in indigenous i • 1993: 1 case (imported from U.K.) cattle - the first occurring on May 20, 2003 in a 6-year old Angus beef d • 2003: 2 cases (one living in U.S.) cow. In January, this animal was recumbent and unable to rise. The e • 2004, 2005: 1 case each year owner opted for slaughter for personal use of the meat. It was • 2006: 5 cases condemned due to pneumonia and never entered the human food chain. • 2007: 3 cases The lag time from slaughter to diagnosis was due to other priorities, as 1 • 2008: 4 cases BSE was not a concern at the time. Tracebacks were done on 40 herds 2 • 2009: 1 case • 2010: 1 case (as of 6/2010) and 2,700 cattle were slaughtered, all of which were over 24 months of Center for Food Security and Public Health, Iowa State University, 2011 age; all were found to be BSE negative. In December 2003, a 6 ½ year old Holstein cow tested positive in Washington State in the U.S. It was later discovered that this cow, along with her cohorts, were shipped from Alberta, Canada. (See next slide for more details.) In January 2005, an 8 year old Holstein and a 6 year old beef cow were found to be BSE positive. None of their carcasses entered the human food chain. All birth cohorts and offspring were slaughtered and tested; all were negative. Canada continues to Center for Food Security and Public Health 2012 3 Bovine Spongiform Encephalopathy diagnose BSE as indicated on the slide. (Status of Canadian cases can be found at: http://www.oie.int/eng/info/en_esbmonde.htm) [Photo: cattle grazing. Source: Scott Bauer-USDA-ARS] S On December 23, 2003, the U.S. announced the discovery of its first l History: U.S. case of BSE. The case involved a 6-1/2 year old dairy cow sent to i • December 2003 slaughter on December 9, due to complications following calving d – Dairy cow from Washington state (“downer”). The cow was identified prior to slaughter as a BSE suspect – Confirmed by DNA tests for testing.
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