Proteins. They’re a major part of our everyday diet - they’re in chicken, eggs, and my favorite cottage cheese.
Proteins are needed to make your
muscles move, to make your nerves fire, they’re pretty much involved in almost everything
that your body does. So, surely something that is a major chunk of our food
intake, and a big deal in the makeup of our bodies, couldn’t hurt us, could
they?
Well, yeah. There is a protein that could kill
you. And it’s called a prion.
All proteins
are made from long chains of building blocks, amino acids. That is
intricately folded up into specific three-dimensional shapes. The shape
determines a protein’s function, so if the shape changes, the protein doesn’t
work.
A prion, it turns out, is a normal protein that has somehow been folded up wrongly.
like tangled-up headphones in
your pocket, and we all know how frustrating that can be. But the real problem
comes when the misfolded prion comes into contact with other proteins. Just
like putting a neat set of headphones in with your tangled set, you know it's
going to end up in one huge mess.
The misfolded prion protein acts
as a template to tell its neighbors to also twist and contort incorrectly. Each
of those then changes its neighbor, and it starts an exponential cascade of pathologic
proportions.
Without the
right shape, the proteins in the brain can’t do their job properly, and the brain
itself grinds to an erratic, but inevitable halt.
But where do
these chaos-causing proteins come from?
For that, we
need to turn to two very different groups of people. The cannibalistic Fore tribe
of Papua New Guinea, and the family of an 18th Century Venetian
doctor.
Both the Fore
and the Venetians were once medical mysteries, thanks to the strange and
terrible diseases that afflicted them. At first glance, the symptoms were very,
very different. Many of the members of the Venetian family were
completely unable to sleep, for months at a time, until they died of apparent
exhaustion and organ failure. Their affliction became known as Fatal
Familial Insomnia.
Whereas, on
the other side of the world, the Papua New Guineans were struck with uncontrollable
shaking and laughter along with mental decline. Their disease was named Kuru,
which means ‘to shake’, or alternatively named the macabre ‘Laughing
Disease’.
Despite their differences though, autopsies of
both groups revealed that all of their brains were full of tiny holes, where
normal grey and white matter should have been.
Both groups
had forms of what’s known now as TSE – transmissible spongiform
encephalopathy. A human version of mad cow disease in cattle and
Scrapie in sheep. Other symptoms of TSE included difficulty
speaking, unsteadiness when walking, and severe mental deterioration over a
couple of months before, invariably, death.
It was vicious and unstoppable, and for a long
time, medical professionals had no idea what caused it. Most infectious
diseases are caused by pathogenic agents like bacteria, viruses,
parasites. But the sufferers of TSE seemed to have no such
infection. What could be so powerful to cause a brain to so suddenly and
irreversibly begin to eat itself?
Theories were thrown around, but for many
years there was simply no proof. It wasn’t until the 1980s that an
American scientist, Stanley B. Prusiner, managed to find and isolate the
cause of TSE. And you’ve guessed it, it was the prion. One of the
things that makes prions so terrifying, is that there’s more than one
way they can get into your brain. Like many normal pathogens, they are infectious,
meaning that if you come into contact with affected tissues, the prions
can make the leap to you. That’s what happened to the Fore tribe. As a
mark of love and respect to their dead, their funeral rites involved extracting
and eating the brains of the deceased.
Once one
person died of Kuru, this morbid tradition led to countless more being
infected. Thankfully though, once it was found that literally eating brains was
the cause of the brain-eating disease, the Fore people found other ways
to honor their dead, and the Laughing Disease is all but gone from Papua New
Guinea.
However, the Venetians aren’t known for
eating brains, so they must have contracted their prion disease in
another way. As well as being infectious, prions are also hereditary,
meaning that the instructions for them can be carried in a family’s genes and
passed on to future generations. And so, thanks to a potently tangled protein, fatal
familial insomnia has been killing members of the same Italian family for
over 250 years. And sadly, it continues to do so today, because there is
no known cure for prion diseases.
The proteins
themselves are ridiculously difficult to destroy. And they can lay dormant for
decades before triggering the disease, and they can even be transmitted from
animals to humans.
In the UK, 150 people have died from TSE
to date, although several thousand are thought to be infected with dormant prions.
It’s genuinely scary stuff. But while we wait for science to fill the gaps in
our knowledge about these deadly proteins, the Fore tribe can give us at
least one ray of hope. A simple lesson, and one that I feel we should all try
to live by. Don’t, if you can manage it, eat other people’s brains… If
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