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From the Laboratories of Pathophysiology (Drs. Minghetti, Greco, Puopolo, and Levi) and Virology (Drs. Cardone and Pocchiari), Istituto Superiore di Sanità, Rome, Italy; and National CJD Surveillance Unit (Drs. Green and Knight), Western General Hospital, Edinburgh, United Kingdom.
Address correspondence and reprint requests to Prof. Maurizio Pocchiari, Laboratory of Virology, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy; e-mail: pocchia{at}iss.it
The concentration of the cyclooxygenase product prostaglandin E2 was sixfold higher in CSF samples from 18 cases of variant CreutzfeldtJakob disease (CJD) than in a group of eight subjects with other noninflammatory neurologic diseases, and comparable to those found in a group of six patients affected by diseases with a known inflammatory component. This finding suggests that cyclooxygenase activity may have a role in variant CJD pathogenesis, as previously reported in sporadic CJD.
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