DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health Prospective Grant of Exclusive License: 
Detection of Infectious Prion Protein by Seeded Conversion of Recombinant 
Prion Protein
AGENCY: National Institutes of Health, HHS.
ACTION: Notice.
SUMMARY: This is notice, in accordance with 35 U.S.C. 209 and 37 CFR Part 
404, that the National Institutes of Health (NIH), Department of Health and 
Human Services, is contemplating the grant of an exclusive patent license to 
Amprion, Inc. located in Houston Texas, USA, to practice the inventions embodied 
in the following Patents and Patent Applications, each entitled ‘‘Detection of 
Infectious Prion Protein by Seeded Conversion of Recombinant Prion 
Protein’’:
1. US provisional Application 60/ 961,364 filed July 20, 2007 [HHS Ref. No. 
E–109–2007/0–US–01]
2. PCT/US2008/070656, filed July 21, 2008; [HHS Ref. No E–109–2007/1– 
PCT–01]
3. EPC application No 08796382.3 filed July 21, 2008 [HHS Ref. No E–109– 
2007/1–EP–03]
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NOTICES Federal Register /Vol. 79, No. 223 /Wednesday, November 19, 2014 
/Notices 6889311>
4. US Application No. 12/177,012, filed July 21, 2008 and issued as US 
patent 8,216,788 on July 10, 2012 [HHS Ref. No E–109–2007/1–US–02];
5. US Application No. 13/489,321, filed June 5, 2012 [E–109–2007/1–US– 
04];
6. US Application No. 14/263,703, filed April 28, 2014 [E–109–2007/1–US– 
011]
The patent rights in these inventions have been assigned to the United 
States of America.
The prospective exclusive licensed territory may be worldwide and the field 
of use may be limited to in vitro diagnostics of prion-associated diseases 
requiring FDA premarket approval, or the equivalent thereof outside of the 
United States, and USDA licensed veterinary diagnostics, or the equivalents 
thereof outside of the United States.
DATES: Only written comments and/or application for a license that are 
received by the NIH Office of Technology Transfer on or before 11:59 p.m. 
Eastern Time on December 19, 2014 will be considered.
ADDRESSES: Requests for a copy of the patents and applications, inquiries, 
comments and other materials relating to the contemplated license should be 
directed to: Tedd Fenn, Senior Licensing and Patenting Manager, Office of 
Technology Transfer, National Institutes of Health, 6011 Executive Boulevard, 
Suite 325, Rockville, MD 20852–3804; Email: fennea@mail.nih.gov; Telephone: 424–297– 
0336; Facsimile: 301–402–0220.
SUPPLEMENTARY INFORMATION: The invention relates to methods and 
compositions for the detection of infectious prions and diagnosis of prion 
related diseases. Currently, available tests for disease-causing prions are 
incapable of detecting low concentrations and must be confirmed post-mortem. 
This technology enables rapid and economical detection of sublethal 
concentrations of prions by using recombinant protein (rPrP-sen) as a marker. A 
seeded sample polymerizes rPrP-sen, which is detected as an amplified indicator 
of prions in the sample. This assay does not require multiple amplification 
cycles unless a higher degree of sensitivity is required. This technology 
potentially may be combined with additional prion-detection technologies to 
further improve the sensitivity of the assay.
The prospective exclusive license will be royalty bearing and will comply 
with the terms and conditions of 35 U.S.C. 209 and 37 CFR Part 404. The 
prospective exclusive license may be granted unless within thirty (30) days from 
the date of this published notice, the NIH receives written evidence and 
argument that establishes that the grant of the license would not be consistent 
with the requirements of 35 U.S.C. 209 and 37 CFR Part 404.
Any additional applications for a license in the field of use, filed in 
response to this notice, will be treated as objections to the grant of the 
contemplated exclusive license. Comments and objections submitted to this notice 
will not be made available for public inspection and, to the extent permitted by 
law, will not be released under the Freedom of Information Act, 5 U.S.C. 
552.
Dated: November 10, 2014. Richard U. Rodriguez, Acting Director, Office of 
Technology Transfer, National Institutes of Health. [FR Doc. 2014–27342 Filed 
11–18–14; 8:45 am] BILLING CODE 4140–01–P
Development of a Biochemical Diagnosis for Creutzfeldt-Jakob disease
Period of Performance: 09/01/2014 - 08/31/2015 
$501K Phase 2 STTR 
Recipient Firm Amprion, Inc. Houston, TX 77019 Principal Investigator 
Claudio Soto 
Principal Investigator Russell M Lebovitz 
Research Topics Affect Age Animals Antibodies authority Autopsy base 
Biochemical Biological Biological Assay Biological Availability Blinded Blood 
Blood specimen Blood Tests Blood Transfusion Bovine Spongiform Encephal Brain 
Businesses Cattle Cerebrospinal Fluid Clinical clinical Diagnosis Code 
commercialization Communicable Diseases Abstract DESCRIPTION (provided by 
applicant): Human prion diseases are infectious and invariably fatal forms of 
neurodegenerative diseases, including sporadic Creutzfeldt-Jakob disease (sCJD), 
the most common form, and variant CJD (vCJD) which is associated to consumption 
of cattle meat infected by bovine spongiform encephalopathy. Currently there is 
not sensitive, objective and non-invasive biochemical diagnosis for these 
diseases, and even less a procedure to detect people incubating the disease in 
the pre-symptomatic period. This is a major problem for public health, because 
prion diseases are known to transmit iatrogenically between human-to-human and 
because due to the long pre-symptomatic stage of the disease-which may span five 
decades-the asymptomatic carriers far outnumber the clinically affected 
individuals. To make the situation even more complicated, the infectious agent 
responsible for these diseases, termed prion, is composed exclusively of a 
conformationally altered form of a naturally occurring protein, named PrPSc, 
which has the unique ability to infect individuals and propagate in the body 
without the need for genetic material. PrPSc is not only the infectious agent 
and the likely culprit of neurodegeneration, but also the best surrogate marker 
for the disease. The challenge is that its quantity is high only in the brain at 
late stages of the disease However, compelling evidences indicate that PrPSc is 
present in minute amounts in various peripheral tissues and biological fluids. 
The main goal of this proposal is to develop a blood- and cerebrospinal fluid 
(CSF)-based detection assay for PrPSc associated with sCJD and vCJD. Our 
strategy utilizes two pioneering proprietary technologies developed in our lab: 
First the protein misfolding cyclic amplification (PMCA) technique which enables 
to amplify the amount of PrPSc present in the sample to detect as little as a 
single molecule of PrPSc. PMCA, has a similar power of amplification as PCR and 
allowed us to detect, for the first time, prions in blood and urine, even at the 
pre-symptomatic stages of the disease. Second, PrPSc-specific monoclonal 
antibodies (called PrioC) raised against prion-infected brain homogenates in PrP 
knock out mice. In this project we will optimize a technology combining PMCA 
amplification of PrPSc with detection by sandwich ELISA using the PrioC 
conformational antibodies. The assay will be optimized using animal and human 
samples for high throughput detection of prions in biological fluids, and will 
be validated for sensitivity and specificity according to the requiremets of the 
regulatory authorities with the aim to obtain approval for commercialization. 
The results generated in this project may lead to the first biochemical test 
validated for the diagnosis of CJD. With this validated technology, Amprion will 
establish an International Reference Laboratory for the Detection and 
Eradication of human prion diseases. 
Contact Information Claudio Soto, PhD claudio.soto@uth.tmc.edu Phone: 
713-5007086 Houston, United States 
Professional Information Professor and Center Director University of Texas 
Medical School at Houston 
Financial Disclosure Member reports the following financial or other 
potential conflicts of interest: [Last updated: May 6, 2009]
I am Founder, Vice-President and Chief Scientific Officer of Amprion Inc, a 
company focusing on development sensitive biochemical diagnosis for 
neurodegenerative diseases
UTHealth researchers discover infectious prion protein in urine of patients 
with variant Creutzfeldt-Jakob disease 
Claudio Soto, Ph.D., in one of his labs at The University of Texas Health 
Science Center at Houston (UTHealth) Claudio Soto, Ph.D., in one of his labs at 
The University of Texas Health Science Center at Houston (UTHealth)
HOUSTON – (August 7, 2014) – The misfolded and infectious prion protein 
that is a marker for variant Creutzfeldt-Jakob disease – linked to the 
consumption of infected cattle meat – has been detected in the urine of patients 
with the disease by researchers at The University of Texas Health Science Center 
at Houston (UTHealth) Medical School.
The results of the international study, led by Claudio Soto, Ph.D., 
professor of neurology at the UTHealth Medical School, is published in the Aug. 
7 issue of the New England Journal of Medicine.
Variant Creutzfeldt-Jakob disease in humans and bovine spongiform 
encephalopathy in animals – also known as Mad Cow disease – are fatal 
neurodegenerative disorders. There are currently no noninvasive tools available 
to diagnose the disease and there are no treatments.
Sporadic Creutzfeldt-Jakob disease occurs worldwide at a rate of around 1 
new case per million people per year. The variant form is a new disease 
occurring in people who either ate the beef of cows with bovine spongiform 
encephalopathy or, in the case of three patients in the United Kingdom, received 
blood transfusions from asymptomatic infected donors.
The international team of researchers analyzed urine samples from 68 
patients with sporadic Creutzfeldt-Jakob disease, 14 patients with variant 
Creutzfeldt-Jakob disease, four patients with genetic prion diseases, 50 
patients with other neurodegenerative diseases, 50 patients with nondegenerative 
neurologic diseases and 52 healthy persons.
Soto’s laboratory used a protein misfolding cyclic amplification assay, 
invented in the lab, which mimics the prion replication process in vitro that 
occurs in prion disease. The misfolded prion proteins were detected in the urine 
of 13 of 14 patients with variant Creutzfeldt-Jakob disease. The single patient 
whose urine was negative had been receiving an experimental treatment of 
pentosan polysulfate directly into the brain. No misfolded prion proteins were 
detected in the urine of any the other study subjects, including the patients 
who had sporadic Creutzfeldt-Jakob disease.
“What could be less invasive than detecting this disease in urine? The fact 
that we were able to detect just the variant Creutzfeldt-Jakob disease form in 
the urine is very important. This could lead to the development of commercial 
technology for diagnosis as well as to determine the safety of donated blood and 
urinary products,” said Soto, who is the director of The George and Cynthia 
Mitchell Center for Research in Alzheimer’s disease and Related Brain Disorders, 
and founder of Amprion Inc, a biotech company developing the cyclic 
amplification technology for commercial application.
According to the World Health Organization (WHO), variant Creutzfeldt-Jakob 
disease affects younger patients, who have a median age of 28 at death, compared 
to sporadic Creutzfeldt-Jakob disease with a median age of 68. Most patients, 
after diagnosis of either form, live less than a year before death.
As of June 2, 2014, 177 of 229 people in the world with Creutzfeldt-Jakob 
disease were from the United Kingdom. A 2013 study published in the British 
Medical Journal has estimated that approximately 30,000 people in the United 
Kingdom might be carriers of the variant form of the disease.
“This study reports, for the first time, the detection of the abnormal 
prion protein in the urine from patients with variant Creutzfeldt-Jakob disease 
using the protein misfolding amplification technique pioneered by Dr. Claudio 
Soto,” said co-author James W. Ironside, FMedSci, FRSE, professor of clinical 
neuropathology at the National CJD Research and Surveillance Unit at the 
University of Edinburgh. “This has great potential to allow the development of a 
highly sensitive and specific non-invasive test that can be used for the 
diagnosis of variant Creutzfeldt-Jakob disease, and potentially as a screening 
tool for variant Creutzfeldt-Jakob disease infection in asymptomatic 
individuals, which is a topic of current interest in the United Kingdom.”
First author is Fabio Moda, Ph.D., who was a post-doctoral fellow in Soto’s 
lab at the UTHealth Medical School and is now with the Istituto Neurologico 
Carlo Besta in Milan.
Co-authors include Luis Concha-Marambio and Kyung-Won Park, Ph.D., from the 
UTHealth Medical School; and Fabrizio Tagliavini, M.D.; Marcella Catania, Ph.D.; 
Emanuela Maderna and Silvia Suardi from Istituto Neurologico Carlo Besta. 
Pierluigi Gambetti, M.D., and Silvio Notari, Ph.D. are co-authors from the 
National Prion Disease Pathology Surveillance Center at Case Western Reserve 
University. Co-author Richard Knight, M.D., is with the National CJD Research 
and Surveillance Unit at the University of Edinburgh. Stephanie Haik, M.D., 
Ph.D., and Jean-Philippe Brandel, M.D., are co-authors from the Assistance 
Publique-Hopitaux de Paris.
The research was supported by grants from the National Institutes of Health 
(P01AI077774, R42NS079060, R01NS049173 and R01NS078745 to Soto); PrioNet Canada 
and Merck Serono (to Soto); the Italian Ministry of Health, Associazione 
Italniana Encfalopatie da Prioni and Minesterio dell’Universita e della Ricerca 
(to Tagliavini); the Charles S. Britton Fund (to Gambetti) and the U.K 
Department of Health and Scottish Government (to Ironside and Knight).
Deborah Mann Lake 
Media Hotline: 713-500-3030
Original Article
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob 
Disease
Fabio Moda, Ph.D., Pierluigi Gambetti, M.D., Silvio Notari, Ph.D., Luis 
Concha-Marambio, B.Sc., Marcella Catania, Ph.D., Kyung-Won Park, Ph.D., Emanuela 
Maderna, B.Sc., Silvia Suardi, B.Sc., Stéphane Haïk, M.D., Ph.D., Jean-Philippe 
Brandel, M.D., James Ironside, M.D., Richard Knight, M.D., Fabrizio Tagliavini, 
M.D., and Claudio Soto, Ph.D.
N Engl J Med 2014; 371:530-539August 7, 2014DOI: 10.1056/NEJMoa1404401 
Background
Prions, the infectious agents responsible for transmissible spongiform 
encephalopathies, consist mainly of the misfolded prion protein (PrPSc). The 
unique mechanism of transmission and the appearance of a variant form of 
Creutzfeldt–Jakob disease, which has been linked to consumption of 
prion-contaminated cattle meat, have raised concerns about public health. 
Evidence suggests that variant Creutzfeldt–Jakob disease prions circulate in 
body fluids from people in whom the disease is silently incubating. 
Methods
To investigate whether PrPSc can be detected in the urine of patients with 
variant Creutzfeldt–Jakob disease, we used the protein misfolding cyclic 
amplification (PMCA) technique to amplify minute quantities of PrPSc, enabling 
highly sensitive detection of the protein. We analyzed urine samples from 
several patients with various transmissible spongiform encephalopathies (variant 
and sporadic Creutzfeldt–Jakob disease and genetic forms of prion disease), 
patients with other degenerative or nondegenerative neurologic disorders, and 
healthy persons. 
Results
PrPSc was detectable only in the urine of patients with variant 
Creutzfeldt–Jakob disease and had the typical electrophoretic profile associated 
with this disease. PrPSc was detected in 13 of 14 urine samples obtained from 
patients with variant Creutzfeldt–Jakob disease and in none of the 224 urine 
samples obtained from patients with other neurologic diseases and from healthy 
controls, resulting in an estimated sensitivity of 92.9% (95% confidence 
interval [CI], 66.1 to 99.8) and a specificity of 100.0% (95% CI, 98.4 to 
100.0). The PrPSc concentration in urine calculated by means of quantitative 
PMCA was estimated at 1×10−16 g per milliliter, or 3×10−21 mol per milliliter, 
which extrapolates to approximately 40 to 100 oligomeric particles of PrPSc per 
milliliter of urine. 
Conclusions
Urine samples obtained from patients with variant Creutzfeldt–Jakob disease 
contained minute quantities of PrPSc. (Funded by the National Institutes of 
Health and others.) 
The views expressed in this article are those of the authors and not 
necessarily those of the U.K. Department of Health.
Supported by grants from the National Institutes of Health (P01AI077774, 
R42NS079060, R01NS049173, and R01NS078745, to Dr. Soto), PrioNet Canada and 
Merck Serono (to Dr. Soto), the Italian Ministry of Health, Associazione 
Italiana Encefalopatie da Prioni, and Ministero dell'Università e della Ricerca 
(RBAP11FRE9, to Dr. Tagliavini), the Charles S. Britton Fund (P01AG14359, to Dr. 
Gambetti), and the U.K. Department of Health and the Scottish Government (to 
Drs. Ironside and Knight).
Disclosure forms provided by the authors are available with the full text 
of this article at NEJM.org.
We thank Suzanne Lowrie, F.I.B.M.S., for assistance in collecting urine 
samples, Denisse Gonzalez-Romero, M.Sc., of the University of Texas Medical 
School at Houston for technical assistance, and Dr. Glenn Telling of Colorado 
State University for providing colonies of transgenic mice expressing human 
prion protein. 
Source Information
From the Mitchell Center for Research in Alzheimer's Disease and Related 
Brain Disorders, University of Texas Medical School at Houston, Houston (F.M., 
L.C.-M., K.-W.P., C.S.); Foundation Carlo Besta Neurologic Institute, Milan 
(F.M., M.C., E.M., S.S., F.T.); National Prion Disease Pathology Surveillance 
Center, Case Western Reserve University, Cleveland (P.G., S.N.); Universidad de 
los Andes, Facultad de Medicina, Santiago, Chile (L.C.-M.); Assistance 
Publique–Hôpitaux de Paris, Cellule Nationale de Référence des Maladies de 
Creutzfeldt–Jakob, Groupe Hospitalier Pitié–Salpêtrière, INSERM Unité 1127, 
Université Pierre et Marie Curie–Paris 6, and Centre Nationale de la Recherche 
Scientifique, Unité Mixte de Recherche — all in Paris (S.H., J.-P.B.); and the 
National CJD Research and Surveillance Unit, Western General Hospital, 
University of Edinburgh, Edinburgh (J.I., R.K.).
Address reprint requests to Dr. Soto at the University of Texas Medical 
School at Houston, 6431 Fannin St., Houston, TX77030, or at 
claudio.soto@uth.tmc.edu. 
Original Article
A Test for Creutzfeldt–Jakob Disease Using Nasal Brushings
Christina D. Orrú, Ph.D., Matilde Bongianni, Ph.D., Giovanni Tonoli, M.D., 
Sergio Ferrari, M.D., Andrew G. Hughson, M.S., Bradley R. Groveman, Ph.D., 
Michele Fiorini, Ph.D., Maurizio Pocchiari, M.D., Salvatore Monaco, M.D., Byron 
Caughey, Ph.D., and Gianluigi Zanusso, M.D., Ph.D.
N Engl J Med 2014; 371:519-529August 7, 2014DOI: 
10.1056/NEJMoa1315200
Background
Definite diagnosis of sporadic Creutzfeldt–Jakob disease in living patients 
remains a challenge. A test that detects the specific marker for 
Creutzfeldt–Jakob disease, the prion protein (PrPCJD), by means of real-time 
quaking-induced conversion (RT-QuIC) testing of cerebrospinal fluid has a 
sensitivity of 80 to 90% for the diagnosis of sporadic Creutzfeldt–Jakob 
disease. We have assessed the accuracy of RT-QuIC analysis of nasal brushings 
from olfactory epithelium in diagnosing sporadic Creutzfeldt–Jakob disease in 
living patients.
Methods
We collected olfactory epithelium brushings and cerebrospinal fluid samples 
from patients with and patients without sporadic Creutzfeldt–Jakob disease and 
tested them using RT-QuIC, an ultrasensitive, multiwell plate–based fluorescence 
assay involving PrPCJD-seeded polymerization of recombinant PrP into amyloid 
fibrils.
Results
The RT-QuIC assays seeded with nasal brushings were positive in 30 of 31 
patients with Creutzfeldt–Jakob disease (15 of 15 with definite sporadic 
Creutzfeldt–Jakob disease, 13 of 14 with probable sporadic Creutzfeldt–Jakob 
disease, and 2 of 2 with inherited Creutzfeldt–Jakob disease) but were negative 
in 43 of 43 patients without Creutzfeldt–Jakob disease, indicating a sensitivity 
of 97% (95% confidence interval [CI], 82 to 100) and specificity of 100% (95% 
CI, 90 to 100) for the detection of Creutzfeldt–Jakob disease. By comparison, 
testing of cerebrospinal fluid samples from the same group of patients had a 
sensitivity of 77% (95% CI, 57 to 89) and a specificity of 100% (95% CI, 90 to 
100). Nasal brushings elicited stronger and faster RT-QuIC responses than 
cerebrospinal fluid (P<0 .001="" 105="" 107="" approximately="" at="" between-group="" brushings="" cerebrospinal="" comparison="" concentrations="" contained="" div="" fluid.="" for="" greater="" in="" individual="" logs10="" of="" prion="" response="" seeds="" several="" strength="" than="" the="" to="">
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Wednesday, September 10, 2014
Creutzfeldt-Jakob disease (CJD) biannual update (August 2014), with updated guidance on decontamination of gastrointestinal endoscopy equipment
Research and analysishttp://creutzfeldt-jakob-disease.blogspot.com/2014/09/creutzfeldt-jakob-disease-cjd-biannual.html
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
0>
Conclusions
In this preliminary study, RT-QuIC testing of olfactory epithelium samples 
obtained from nasal brushings was accurate in diagnosing Creutzfeldt–Jakob 
disease and indicated substantial prion seeding activity lining the nasal vault. 
(Funded by the Intramural Research Program of the National Institute of Allergy 
and Infectious Diseases and others.)
Supported by the Intramural Research Program of the National Institute of 
Allergy and Infectious Diseases (NIAID), by a grant from Fondazione Cariverona 
(Disabilità cognitiva e comportamentale nelle demenze e nelle psicosi, to Dr. 
Monaco), by a grant from the Italian Ministry of Health (RF2009-1474758, to Drs. 
Zanusso and Pocchiari), by a grant from the Creutzfeldt–Jakob Disease Foundation 
(to Dr. Orrú), by a fellowship from Programma Master and Back–Percorsi di 
rientro (PRR-MAB-A2011-19199, to Dr. Orrú), and by donations to the NIAID Gift 
Fund from Mary Hilderman Smith, Zoë Smith Jaye, and Jenny Smith Unruh, in memory 
of Jeffrey Smith.
Disclosure forms provided by the authors are available with the full text 
of this article at NEJM.org.
Drs. Orrú and Bongianni contributed equally to this article.
We thank our many colleagues (see Acknowledgments in the Supplementary 
Appendix) for their support of this project and for assistance with the 
preparation of earlier versions of the manuscript.
Source Information From the Laboratory of Persistent Viral Diseases, Rocky 
Mountain Laboratories, National Institute of Allergy and Infectious Diseases 
(NIAID), National Institutes of Health, Hamilton, MT (C.D.O., M.B., A.G.H., 
B.R.G., B.C.); and the Department of Biomedical Sciences, University of 
Cagliari, Cagliari (C.D.O.), the Department of Neurologic and Movement Sciences, 
University of Verona, Verona (M.B., S.F., M.F., S.M., G.Z.), Clinica 
Otorinolaringoiatrica, Policlinico G.B. Rossi, Azienda Ospedaliera Universitaria 
Integrata, Verona (G.T.), and the Department of Cell Biology and Neurosciences, 
Istituto Superiore di Sanità, Rome (M.P.) — all in Italy.
Address reprint requests to Dr. Caughey at Rocky Mountain Laboratories, 
NIAID, 903 S. 4th St., Hamilton, MT 59840, or at bcaughey@nih.gov; or to Dr. 
Zanusso at Policlinico G.B. Rossi, Piazzale L.A. Scuro, 10, 37134 Verona, Italy, 
or at gianluigi.zanusso@univr.it.
Wednesday, July 23, 2014 
After the storm? UK blood safety and the risk of variant Creutzfeldt-Jakob 
Disease
Monday, June 02, 2014 
Confirmed Human BSE aka mad cow Variant CJD vCJD or nvCJD Case in Texas 
Jeff Schwan, sporadic cjd, clustering, and BSE aka mad cow type disease, is 
there a link ? *video*
Monday, November 3, 2014
USA CJD TSE PRION UNIT, TEXAS, SURVEILLANCE UPDATE NOVEMBER 2014 
National Prion Disease Pathology Surveillance Center Cases Examined1 
(October 7, 2014) 
***6 Includes 11 cases in which the diagnosis is pending, and 19 
inconclusive cases; 
***7 Includes 12 (11 from 2014) cases with type determination pending in 
which the diagnosis of vCJD has been excluded. 
***The sporadic cases include 2660 cases of sporadic Creutzfeldt-Jakob 
disease (sCJD), 
***50 cases of Variably Protease-Sensitive Prionopathy (VPSPr) 
***and 21 cases of sporadic Fatal Insomnia (sFI). 
Monday, November 3, 2014
The prion protein protease sensitivity, stability and seeding activity in 
variably protease sensitive prionopathy brain tissue suggests molecular overlaps 
with sporadic Creutzfeldt-Jakob disease 
Tuesday, November 04, 2014 
The pathological and molecular but not clinical phenotypes are maintained 
after second passage of experimental atypical bovine spongiform encephalopathy 
in cattle 
*** Singeltary reply ; Molecular, Biochemical and Genetic Characteristics 
of BSE in Canada Singeltary reply ; 
Tuesday, August 12, 2014 
MAD COW USDA TSE PRION COVER UP or JUST IGNORANCE, for the record AUGUST 
2014 
Thursday, October 02, 2014 
[Docket No. APHIS-2013-0064] Concurrence With OIE Risk Designations for 
Bovine Spongiform Encephalopathy
Saturday, August 14, 2010 
BSE Case Associated with Prion Protein Gene Mutation (g-h-BSEalabama) and 
VPSPr PRIONPATHY 
2009 UPDATE ON ALABAMA AND TEXAS MAD COWS 2005 and 2006 
http://bse-atypical.blogspot.com/2006/08/bse-atypical-texas-and-alabama-update.html 
Tuesday, November 04, 2014
Tuesday, November 04, 2014
Six-year follow-up of a point-source exposure to CWD contaminated venison 
in an Upstate New York community: risk behaviours and health outcomes 2005–2011 
Thursday, July 31, 2014 
EFSA Scrapie reduction unlikely without effective breeding programme 
http://efsaopinionbseanimalprotein.blogspot.com/2014/07/efsa-scrapie-reduction-unlikely-without.html
Sunday, July 06, 2014 
Dietary Risk Factors for Sporadic Creutzfeldt-Jakob Disease: A Confirmatory 
Case-Control Study 
Conclusions—The a priori hypotheses were supported. 
*Consumption of various meat products may be one method of transmission of 
the infectious agent for sCJD.
Tuesday, November 04, 2014 
Towards an Age-Dependent Transmission Model of Acquired and Sporadic Creutzfeldt-Jakob Diseasehttp://creutzfeldt-jakob-disease.blogspot.com/2014/11/towards-age-dependent-transmission.html
Towards an Age-Dependent Transmission Model of Acquired and Sporadic Creutzfeldt-Jakob Diseasehttp://creutzfeldt-jakob-disease.blogspot.com/2014/11/towards-age-dependent-transmission.html
Wednesday, September 10, 2014
Creutzfeldt-Jakob disease (CJD) biannual update (August 2014), with updated guidance on decontamination of gastrointestinal endoscopy equipment
Research and analysishttp://creutzfeldt-jakob-disease.blogspot.com/2014/09/creutzfeldt-jakob-disease-cjd-biannual.html
Transmissible Spongiform Encephalopathy TSE Prion Disease North America 
2014
Transmissible Spongiform Encephalopathy TSE Prion Disease have now been 
discovered in a wide verity of species across North America. typical C-BSE, 
atypical L-type BASE BSE, atypical H-type BSE, atypical H-G BSE, of the bovine, 
typical and atypical Scrapie strains, in sheep and goats, with atypical Nor-98 
Scrapie spreading coast to coast in about 5 years. Chronic Wasting Disease CWD 
in cervid is slowly spreading without any stopping it in Canada and the USA and 
now has mutated into many different strains. Transmissible Mink Encephalopathy 
TME outbreaks. These Transmissible Spongiform Encephalopathy TSE Prion Disease 
have been silently mutating and spreading in different species in North America 
for decades. 
The USDA, FDA, et al have assured us of a robust Triple BSE TSE prion 
Firewall, of which we now know without a doubt, that it was nothing but ink on 
paper. Since the 1997 mad cow feed ban in the USA, literally tons and tons of 
banned mad cow feed has been put out into commerce, never to return, as late as 
December of 2013, serious, serious breaches in the FDA mad cow feed ban have 
been documented. The 2004 enhanced BSE surveillance program was so flawed, that 
one of the top TSE prion Scientist for the CDC, Dr. Paul Brown stated ; Brown, 
who is preparing a scientific paper based on the latest two mad cow cases to 
estimate the maximum number of infected cows that occurred in the United States, 
said he has "absolutely no confidence in USDA tests before one year ago" because 
of the agency's reluctance to retest the Texas cow that initially tested 
positive. 
see ; 
The BSE surveillance and testing have also been proven to be flawed, and 
the GAO and OIG have both raised serious question as to just how flawed it has 
been (see GAO and OIG reports). North America has more documented TSE prion 
disease, in different documented species (excluding the Zoo BSE animals in the 
EU), then any other place on the Globe. This does not include the very 
likelihood that TSE prion disease in the domestic feline and canine have been 
exposed to high doses of the TSE prion disease vid pet food. To date, it’s still 
legal to include deer from cwd zone into pet food or deer food. Specified Risk 
Material i.e. SRM bans still being breach, as recently as just last month. 
nvCJD or what they now call vCJD, another case documented in Texas last 
month, with very little information being released to the public on about this 
case? with still the same line of thought from federal officials, ‘it can’t 
happen here’, so another vCJD blamed on travel of a foreign animal disease from 
another country, while ignoring all the BSE TSE Prion risk factors we have here 
in the USA and Canada, and the time that this victim and others, do spend in the 
USA, and exposed to these risk factors, apparently do not count in any way with 
regard to risk factor. a flawed process of risk assessment. 
sporadic CJD, along with new TSE prion disease in humans, of which the 
young are dying, of which long duration of illness from onset of symptoms to 
death have been documented, only to have a new name added to the pot of prion 
disease i.e. sporadic GSS, sporadic FFI, and or VPSPR. I only ponder how a 
familial type disease could be sporadic with no genetic link to any family 
member? when the USA is the only documented Country in the world to have 
documented two different cases of atypical H-type BSE, with one case being 
called atypical H-G BSE with the G meaning Genetic, with new science now showing 
that indeed atypical H-type BSE is very possible transmitted to cattle via oral 
transmission (Prion2014). sporadic CJD and VPSPR have been rising in Canada, 
USA, and the UK, with the same old excuse, better surveillance. You can only use 
that excuse for so many years, for so many decades, until one must conclude that 
CJD TSE prion cases are rising. a 48% incease in CJD in Canada is not just a 
blip or a reason of better surveillance, it is a mathematical rise in numbers. 
More and more we are seeing more humans exposed in various circumstance in the 
Hospital, Medical, Surgical arenas to the TSE Prion disease, and at the same 
time in North America, more and more humans are becoming exposed to the TSE 
prion disease via consumption of the TSE prion via deer and elk, cattle, sheep 
and goats, and for those that are exposed via or consumption, go on to further 
expose many others via the iatrogenic modes of transmission of the TSE prion 
disease i.e. friendly fire. I pondered this mode of transmission via the victims 
of sporadic FFI, sporadic GSS, could this be a iatrogenic event from someone 
sub-clinical with sFFI or sGSS ? what if? 
Two decades have passed since Dr. Ironside first confirmed his first ten 
nvCJD victims in 1995. Ten years later, 2005, we had Dr. Gambetti and his first 
ten i.e. VPSPR in younger victims. now we know that indeed VPSPR is 
transmissible. yet all these TSE prion disease and victims in the USA and Canada 
are being pawned off as a spontaneous event, yet science has shown, the 
spontaneous theory has never been proven in any natural case of TSE prion 
disease, and scientist have warned, that they have now linked some sporadic CJD 
cases to atypical BSE, to atypical Scrapie, and to CWD, yet we don’t here about 
this in the public domain. We must make all human and animal TSE prion disease 
reportable in every age group, in ever state and internationally, we must have a 
serious re-evaluation and testing of the USA cattle herds, and we must ban 
interstate movement of all cervids. Any voluntary effort to do any of this will 
fail. Folks, we have let the industry run science far too long with regards to 
the TSE prion disease. While the industry and their lobbyist continues to funnel 
junk science to our decision policy makers, Rome burns. ...end 
REFERENCES 
Sunday, June 29, 2014 
Transmissible Spongiform Encephalopathy TSE Prion Disease North America 
2014 
THE SILENCE IS STILL DEAFENING !
CONFIRMED HUMAN BSE AKA MAD COW DISEASE vCJD TEXAS USA 
Monday, June 02, 2014 
Confirmed Variant CJD Case in Texas 
TSS
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