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Urine test for CJD 'a possibility' | Urine test for CJD 'a possibility' |
(2 days later) | |
Urine could potentially be used for a quick and simple way to test for CJD or "human mad cow disease", say scientists in the journal JAMA Neurology. | Urine could potentially be used for a quick and simple way to test for CJD or "human mad cow disease", say scientists in the journal JAMA Neurology. |
The Medical Research Council team say their prototype test still needs honing before it could be used routinely. | The Medical Research Council team say their prototype test still needs honing before it could be used routinely. |
Currently there is no easy test available for this rare but fatal brain condition. | Currently there is no easy test available for this rare but fatal brain condition. |
Instead, doctors have to take a sample of spinal fluid or brain tissue, or wait for a post-mortem after death. | Instead, doctors have to take a sample of spinal fluid or brain tissue, or wait for a post-mortem after death. |
What they look for is tell-tale deposits of abnormal proteins called prions, which cause the brain damage. | What they look for is tell-tale deposits of abnormal proteins called prions, which cause the brain damage. |
Building on earlier US work, Dr Graham Jackson and colleagues, from University College London, have now found it is also possible to detect prions in urine. | Building on earlier US work, Dr Graham Jackson and colleagues, from University College London, have now found it is also possible to detect prions in urine. |
This might offer a way to diagnose CJD rapidly and earlier, they say, although there is no cure. | This might offer a way to diagnose CJD rapidly and earlier, they say, although there is no cure. |
Creutzfeldt-Jakob disease (CJD): | Creutzfeldt-Jakob disease (CJD): |
CJD is a rare, but fatal degenerative brain disorder caused by abnormal proteins called prions that damage brain cells. | CJD is a rare, but fatal degenerative brain disorder caused by abnormal proteins called prions that damage brain cells. |
There are several forms of the disease: | There are several forms of the disease: |
In the 1990s it became clear that a brain disease could be passed from cows to humans. | In the 1990s it became clear that a brain disease could be passed from cows to humans. |
The British government introduced a ban on beef on the bone. | The British government introduced a ban on beef on the bone. |
Since then, officials have kept a close check on how many people have become sick or died from CJD. | Since then, officials have kept a close check on how many people have become sick or died from CJD. |
There is no known cure. | There is no known cure. |
The study looked at urine samples from 162 people. Of these: | The study looked at urine samples from 162 people. Of these: |
The urine test gave no "false-positive" results - meaning it did not falsely suggest there was CJD in any of the patients known not to have the disease. | The urine test gave no "false-positive" results - meaning it did not falsely suggest there was CJD in any of the patients known not to have the disease. |
But it was less reliable when it came to detecting actual cases. | But it was less reliable when it came to detecting actual cases. |
It accurately detected just under half of the sporadic CJD patients and even fewer of the vCJD patients. | It accurately detected just under half of the sporadic CJD patients and even fewer of the vCJD patients. |
The researchers hope they will be able to improve the test further so it can reliably detect all types of CJD. | The researchers hope they will be able to improve the test further so it can reliably detect all types of CJD. |
Dr Jackson said: "Although there is currently no cure for this disease, an accurate and early diagnosis is extremely important for patients and their families. | Dr Jackson said: "Although there is currently no cure for this disease, an accurate and early diagnosis is extremely important for patients and their families. |
"In the future, as trials of potential therapies become available, the earlier a patient can be diagnosed the more effective any treatment is likely to be. | "In the future, as trials of potential therapies become available, the earlier a patient can be diagnosed the more effective any treatment is likely to be. |
"This test could be a critical step forward." | "This test could be a critical step forward." |
To date, more than 2,000 UK people are thought to have died from CJD. The estimated toll for vCJD alone is 178. | |
In the UK, a person's lifetime risk for developing sporadic CJD is about one in 5,000. | In the UK, a person's lifetime risk for developing sporadic CJD is about one in 5,000. |
The government spends £5.5m a year on CJD surveillance and research. | The government spends £5.5m a year on CJD surveillance and research. |
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