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In spite of a long history of intense investigation the
transmissible spongiform encephalopathies remain a poorly
understood family of neurodegenerative diseases. This group of
diseases has been described in a wide variety of animal species and
includes kuru, Creutzfeldt-Jakob disease, and Gerstmann-Straussler
syndrome in humans, and scrapie, bovine spongiform encephalopathy,
and related syndromes in ruminants and rodents. In all cases
spongiform degeneration and astrocytosis are seen in specimens of
brain and a filterable transmissible agent is present in the brain
and some other tissues of affected individuals. However, the
precise nature of this agent remains unknown. Agent infectivity,
which can so far only be assayed by serial transmission to new
individuals, be remarkably resistant to inactivation has been shown
to by heat, chemicals, and irradiation. These properties create
significant biohazard possibilities during exposure to infected
tissues. Transmission between humans was originally reco gnized in
the unique epidemiology of kuru in New Guinea tribesmen, and
concern about transmission from animals to humans has re-emerged as
a result of the current epidemic of bovine spongiform
encephalopathy in dairy cattle in Great Britain. Although
interspecies transmission has often been achieved experimentally,
its efficiency is highly variable. There fore, the possibility of
spread of bovine spongiform encephalopathy from cattle to humans or
various animal populations cannot be accurately predicted at this
time. This volume presents a comprehensive update of know ledge
concerning the transmissible spongiform encephalo pathies."
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