Evidence map›Paper›PMID 32232565›Full record

ArticleActa neuropathologica2020

Prevalence in Britain of abnormal prion protein in human appendices before and after exposure to the cattle BSE epizootic.

O Noel Gill, Yvonne Spencer, Angela Richard-Loendt, Carole Kelly, David Brown, Katy Sinka, Nick Andrews, Reza Dabaghian, Marion Simmons, Philip Edwards and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Strain-specific propagation of variant Creutzfeldt-Jakob disease prions in humanized neural cells.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Biomarker-Based Approach to α-Synucleinopathies: Lessons from Neuropathology.Movement disorders : official journal of the Movement Disorder Society · 2024
    Article
  10. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Article
  11. BSE risk posed by ruminant collagen and gelatine derived from bones.EFSA journal. European Food Safety Authority · 2024
    Article
  12. Article
  13. Article
  14. Non-human primates in prion diseases.Cell and tissue research · 2023
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Genetic aspects of human prion diseases.Frontiers in neurology · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 1 country.

O Noel GillSTI and HIV Department and CJD Section' Blood Safety, Hepatitis, STIs and HIV Division Public Health England National Infection Service, 61 Colindale Avenue, London, NW9 5EQ, United Kingdom.
Yvonne SpencerPathology and Animal Sciences Department Science Directorate Animal and Plant Health Agency Addlestone, Surrey, KT15 3NB, United Kingdom.
Angela Richard-LoendtDepartment of Neurodegenerative Disease, UCL Queen Square Institute of Neurology Queen Square, London, WC1N 3BG, United Kingdom.
Carole KellySTI and HIV Department and CJD Section' Blood Safety, Hepatitis, STIs and HIV Division Public Health England National Infection Service, 61 Colindale Avenue, London, NW9 5EQ, United Kingdom.
David BrownVirus Reference Department Public, Health England National Infection Service, 61 Colindale Avenue, London, NW9 5HT, United Kingdom.
Katy SinkaSTI and HIV Department and CJD Section' Blood Safety, Hepatitis, STIs and HIV Division Public Health England National Infection Service, 61 Colindale Avenue, London, NW9 5EQ, United Kingdom.
Nick AndrewsSTI and HIV Department and CJD Section' Blood Safety, Hepatitis, STIs and HIV Division Public Health England National Infection Service, 61 Colindale Avenue, London, NW9 5EQ, United Kingdom.
Reza DabaghianVirus Reference Department Public, Health England National Infection Service, 61 Colindale Avenue, London, NW9 5HT, United Kingdom.
Marion SimmonsPathology and Animal Sciences Department Science Directorate Animal and Plant Health Agency Addlestone, Surrey, KT15 3NB, United Kingdom.
Philip EdwardsDepartment of Cellular and Anatomical, Pathology University Hospitals Plymouth, Plymouth, PL6 8DH, United Kingdom.
Peter BellerbyPathology and Animal Sciences Department Science Directorate Animal and Plant Health Agency Addlestone, Surrey, KT15 3NB, United Kingdom.
David J EverestPathology and Animal Sciences Department Science Directorate Animal and Plant Health Agency Addlestone, Surrey, KT15 3NB, United Kingdom.
Mark McCallSTI and HIV Department and CJD Section' Blood Safety, Hepatitis, STIs and HIV Division Public Health England National Infection Service, 61 Colindale Avenue, London, NW9 5EQ, United Kingdom.
Linda M McCardleNational Creutzfeldt-Jakob Disease Research and Surveillance Unit Centre for Clinical Brain Sciences, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, United Kingdom.
Jacqueline LinehanMRC Prion Unit at UCL, UCL Institute of Prion Diseases Courtauld Building, 33 Cleveland Street, London, W1W 7FF, United Kingdom.
Simon MeadMRC Prion Unit at UCL, UCL Institute of Prion Diseases Courtauld Building, 33 Cleveland Street, London, W1W 7FF, United Kingdom.
David A HiltonDepartment of Cellular and Anatomical, Pathology University Hospitals Plymouth, Plymouth, PL6 8DH, United Kingdom.
James W IronsideNational Creutzfeldt-Jakob Disease Research and Surveillance Unit Centre for Clinical Brain Sciences, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, United Kingdom.
Sebastian BrandnerDepartment of Neurodegenerative Disease, UCL Queen Square Institute of Neurology Queen Square, London, WC1N 3BG, United Kingdom. s.brandner@ucl.ac.uk.ORCID http://orcid.org/0000-0002-9821-0342
Public Health England · GBAnimal and Plant Health Agency · GBMRC Prion Unit · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospitals Plymouth NHS Trust · GBWestern General Hospital · GB

Funding

Medical Research Council MC_U123160651Medical Research Council MC_UU_00024/1
6 · The paper itself

Abstract

Widespread dietary exposure of the population of Britain to bovine spongiform encephalopathy (BSE) prions in the 1980s and 1990s led to the emergence of variant Creutzfeldt-Jakob Disease (vCJD) in humans. Two previous appendectomy sample surveys (Appendix-1 and -2) estimated the prevalence of abnormal prion protein (PrP) in the British population exposed to BSE to be 237 per million and 493 per million, respectively. The Appendix-3 survey was recommended to measure the prevalence of abnormal PrP in population groups thought to have been unexposed to BSE. Immunohistochemistry for abnormal PrP was performed on 29,516 samples from appendices removed between 1962 and 1979 from persons born between 1891 through 1965, and from those born after 1996 that had been operated on from 2000 through 2014. Seven appendices were positive for abnormal PrP, of which two were from the pre-BSE-exposure era and five from the post BSE-exposure period. None of the seven positive samples were from appendices removed before 1977, or in patients born after 2000 and none came from individuals diagnosed with vCJD. There was no statistical difference in the prevalence of abnormal PrP across birth and exposure cohorts. Two interpretations are possible. Either there is a low background prevalence of abnormal PrP in human lymphoid tissues that may not progress to vCJD. Alternatively, all positive specimens are attributable to BSE exposure, a finding that would necessitate human exposure having begun in the late 1970s and continuing through the late 1990s.

Indexed as

AnimalsAppendixBrainCattleCreutzfeldt-Jakob SyndromeEncephalopathy, Bovine SpongiformHumansPrevalencePrion ProteinsPrionsPrion ProteinsPrionsAppendixBovine spongiform encephalopathyBSELymphoreticular tissuePrion diseasePrion proteinPrPSubclinical infectionSurveillanceTonsilTransmissible proteinopathiesVariant CJDvCJD

Identifiers

PMID32232565
PMCPMC7244468
OpenAlexW3013219099

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.