[HN Gopher] New Brunswick monitoring more than 40 cases of unkno...
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       New Brunswick monitoring more than 40 cases of unknown neurological
       disease
        
       Author : curmudgeon22
       Score  : 100 points
       Date   : 2021-03-18 14:51 UTC (8 hours ago)
        
 (HTM) web link (www.cbc.ca)
 (TXT) w3m dump (www.cbc.ca)
        
       | sprainedankles wrote:
       | Yikes, I grew up in that area (on the U.S. side) and my neighbor
       | down the street passed away from a disease related to mad cow
       | disease about 10 years ago. The article lists mad cow as a
       | variant of Creutzfeldt-Jakob disease...I wonder if this is what
       | he had?
       | 
       | The area is largely agricultural, and the cancer rate for that
       | region is high compared to the rest of the state (Maine). Hmm.
        
         | ars wrote:
         | Maybe contact them and report it:
         | https://www.canada.ca/en/public-health/services/surveillance...
         | 
         | Can't hurt.
        
           | sprainedankles wrote:
           | I'll look into it. Thanks for the link!
        
         | tyingq wrote:
         | _" The article lists mad cow as a variant of Creutzfeldt-Jakob
         | disease"_
         | 
         | That's not quite right, though they are both prion diseases.
         | See https://www.cdc.gov/prions/
        
           | sprainedankles wrote:
           | Good call, thanks for the clarification!
        
           | dnautics wrote:
           | No mad cow disease is quite literally Creutzfeld-Jakob
           | disease, it's vCJD, with v standing for "variant", to
           | specifically distinguish it from "normal" CJD which is
           | heritable. usually CJD is caused by a specific mutation in
           | the human prion protein that renders its susceptible to
           | turning into plaques; vCJD does not require this mutation and
           | happens in wild type protein, though it's unclear if other
           | heritable factors can contribute to susceptibility.
           | 
           | (I worked in a protein plaque lab and did a small,
           | inconclusive experiment about cross species CJD transfer)
        
         | sedachv wrote:
         | > The area is largely agricultural, and the cancer rate for
         | that region is high compared to the rest of the state (Maine).
         | Hmm.
         | 
         | That is probably related to Irving (largest landowner in Maine)
         | forestry practices:
         | https://news.ycombinator.com/item?id=26507652
        
           | m00x wrote:
           | I grew up there and worked at the NB ministry of agriculture
           | before heading to tech.
           | 
           | While Irving does have a chokehold on everything in NB,
           | there's also a lot of agriculture in NB with very little
           | resources to properly regulate. During my time there, small
           | farmers would spray crops with unregulated
           | herbicides/pesticides/fungicides, and even if we reported
           | them, nothing would get done.
           | 
           | The area was also a huge test site for Agent Orange:
           | https://www.canada.ca/en/department-national-
           | defence/corpora...
           | 
           | People aren't very rich and don't take good care of
           | themselves. The education level is low and most people smoke
           | and the rate of obesity is incredibly high: https://www2.gnb.
           | ca/content/dam/gnb/Departments/h-s/pdf/en/P...
        
       | goatcode wrote:
       | >Creutzfeldt-Jakob disease and some of its variants, including
       | mad cow disease, or bovine spongiform encephalopathy, or BSE.
       | 
       | I thought CJD and BSE were the same thing.
        
         | ThePowerOfFuet wrote:
         | vCJD is the human variant of BSE.
        
           | goatcode wrote:
           | Not being a biologist, I'll ask what might be a dumb
           | question: If the essential elements of each disease are
           | compared, is there a difference? Are the prions associated
           | with each disease different from one another? If so, is there
           | a difference elsewhere that defines between one disease and
           | the other?
        
             | m00x wrote:
             | Here's good information on the matter: https://emedicine.me
             | dscape.com/article/1169688-overview#:~:t....
        
       | wiz21c wrote:
       | Not entirely related, but how many new diseases are discovered
       | every year ? For example we have new coronavirus every now and
       | then, but what else ?
        
         | InitialLastName wrote:
         | I don't know the answer, but I suspect this is actually
         | multiple questions:
         | 
         | - How many diseases do we learn to distinguish (i.e. from other
         | diseases) every year as our biological laboratory technology
         | improves. You can imagine that once upon a time, there were
         | multiple strains of coronaviruses in humans, but we had no way
         | to tell them apart (the strains look the same to whatever scale
         | of study is available), which we can now tell apart.
         | 
         | - How many diseases do we discover as we apply modern medical
         | technology to an ever-wider portion of the global human
         | population (again, that are already in humans but which are
         | "discovered" in that year)?
         | 
         | - How many new diseases develop for humans every year? For
         | example, we have no evidence that any of the current strains of
         | Covid-19 were present in humans prior to late 2019.
        
       | en4bz wrote:
       | I wonder if Chronic Wasting Disease has finally jumped to humans
       | given that NB has a large number of Deer/Moose hunters.
        
         | stonecraftwolf wrote:
         | Fuck I hope not. I just googled the CWD occurrence map in the
         | US. It's...very scary.
        
         | mc32 wrote:
         | CWD is a prion disease. Mad cow disease is also a prion
         | disease. In humans it's called vCJD so we know prion diseases
         | in cattle affect people.
        
         | bryanlarsen wrote:
         | All known prion based chronic wasting diseases have been rules
         | out, according to the article.
        
         | frabbit wrote:
         | Not to mention Rappie Pie
         | https://www.thestar.com/life/food_wine/2020/03/17/some-in-qu...
        
       | goda90 wrote:
       | >A first case was diagnosed in 2015, according to the memo. Three
       | years later, in 2019, 11 additional cases were discovered, with
       | 24 more cases discovered in 2020 and another six cases in 2021.
       | Five people have died.
       | 
       | So not 40 cases all at once in case anyone was worried.
        
         | thatguy0900 wrote:
         | That would probably be less worrying to me, would indicate
         | whatever got them is now gone, right? Rather than it is
         | something that has stuck around to poison more people within 5
         | years
        
           | bawolff wrote:
           | Or it just takes a variable amount of time for symptoms to
           | show up. (Wikipedia says kuro which is a prion disease can
           | take up to 50 years! Although maybe thats related to immunity
           | which seems irrelavent here)
        
             | thatguy0900 wrote:
             | Didn't think about that, fair point
        
           | JauntTrooper wrote:
           | If it's a prion disease, they sometimes take years or
           | possibly decades to develop.
           | 
           | The big question is how they were all infected. Is it in the
           | food supply (meat, milk)? Was it tainted blood donations?
           | 
           | 42 people is a lot of people... The vCJD outbreak in the 90s
           | (mad cow) ended up with less than 250 cases total.
        
             | droopyEyelids wrote:
             | Also, the prions themselves are not easily deactivated, and
             | can linger in the environment, in an infectious state, for
             | decades.
        
             | me_me_me wrote:
             | Jeez don't even suggest that. If that shit jumped to humans
             | we are fucked.
             | 
             | I'd rather not imagine how that would look like in
             | comparison to covid
        
               | dwohnitmok wrote:
               | It already jumped to humans. Mad cow disease infects
               | humans as well.
               | 
               | The difference in infection levels is that mad cow
               | disease is transmitted through ingestion, so the usual
               | avenue for human-to-human transmission is cannibalism
               | (see e.g. the outbreak of Kuru that resulted from ritual
               | funerary cannibalism), which is rare. Animal-to-animal
               | cannibalism in animal feed is more common.
        
             | michael1999 wrote:
             | We weren't cleanly segregating brain/spine tissue during
             | meat processing in Canada until fairly recently. Given that
             | CJD is only diagnosed by autopsy, I assume some fraction of
             | dementia/Alzheimer's cases are actually prion diseases.
             | 
             | And since we have no treatment, assigning liability is
             | impossible, and it would destroy the beef industry, there's
             | not much enthusiasm for learning more. The premier of
             | Alberta was very clear: shoot, shovel, and shut up.
        
       | sedachv wrote:
       | "the disease is not genetic and could be contracted from water,
       | food or air."
       | 
       | New Brunswick is basically a lumber colony for the Irving
       | companies (also, so is Northern Maine, see sprainedankels'
       | comment elsewhere in this thread:
       | https://news.ycombinator.com/item?id=26506784). On average 1% of
       | the forest cover of New Brunswick (at least 85% of the province
       | is forest cover) is clear-cut every year, and then the clear cut
       | is drenched in herbicides from the air. The current herbicide is
       | glyphosate, which has been linked to neurological disorders, but
       | aerial spraying of herbicides in other forms dates back to the
       | 1950s.
       | 
       | Here is a linkdump for more information:
       | 
       | http://www.stopsprayingnb.ca/
       | 
       | http://isourforestreallyours.com/Isourforestreallyours/Start...
       | 
       | https://web.archive.org/web/20160322213243/http://dearbriang...
       | 
       | https://www.cbc.ca/news/canada/new-brunswick/forests-and-flo...
       | 
       | https://www.cbc.ca/news/canada/new-brunswick/louis-lapierre-...
       | 
       | https://www.cbc.ca/news/canada/new-brunswick/forestry-deal-r...
       | 
       | This even comes up in the comments section on satire websites:
       | 
       | "Back around 1973 or 1974, I knew of a photographer who had a
       | summer contract with Irving, documenting the effect of spraying.
       | He photographed deformities, poisoned animals, etc. The company
       | was very secretive and made sure that every single roll of film
       | was handed back to them." https://themanatee.net/firing-of-dr-
       | cleary-proves-once-for-a...
       | 
       | https://themanatee.net/new-brunswicks-10-most-beautiful-clea...
        
         | sprainedankles wrote:
         | Interesting. Will take a look at the links, thanks for the
         | info!
        
         | sschueller wrote:
         | The people responsible for the damage causes by the herbicides
         | will be long gone and their decedent's wealth safe before
         | anyone will ever get held responsible.
         | 
         | Chevron (Texaco) killed and poisoned hundreds and when they
         | finally lost in court they went after the laywer which is
         | currently still under illegal house arrest in NY. [1]
         | 
         | [1] https://www.youtube.com/watch?v=a5RZLyLCTo0
        
         | m00x wrote:
         | I'm not sure why you're linking all these when the disease has
         | been identified to most likely be a prion disease, and not a
         | side-effect of herbicides.
        
         | graeme wrote:
         | Has glyphosate or pesticides ever been linked to prions?
        
           | sedachv wrote:
           | As far as I can tell only very tangentially. There is this
           | study: https://people.csail.mit.edu/seneff/2017/SamselSeneff_
           | Glypho...
           | 
           | And possibly exposure to chronic wasting disease from deer
           | being driven from forests (Irving re-plants clear-cuts with
           | spruce monoculture that provides no food for deer) into
           | proximity to humans:
           | 
           | https://www.cbc.ca/news/canada/new-brunswick/deer-st-
           | andrews...
           | 
           | https://www.cbc.ca/news/canada/new-brunswick/deer-mobs-
           | bathu...
           | 
           | https://www.ctvnews.ca/canada/n-b-town-overrun-by-deer-
           | consi...
        
       | tyingq wrote:
       | Should be interesting to see how long it takes to figure out how
       | it's being transmitted. What all those 40 people had in
       | common...some lake, or medical procedure, etc, that they all had.
       | Assuming it is a prion disease...
       | 
       | Apparently prions are pretty hard to kill off, the sterilization
       | procedures are pretty long.
       | https://www.cdc.gov/prions/cjd/infection-control.html
        
         | ahelwer wrote:
         | An interesting quote from the wikipedia article on prions:
         | 
         | "In 2015, researchers at The University of Texas Health Science
         | Center at Houston found that plants can be a vector for prions.
         | When researchers fed hamsters grass that grew on ground where a
         | deer that died with chronic wasting disease (CWD) was buried,
         | the hamsters became ill with CWD, suggesting that prions can
         | bind to plants, which then take them up into the leaf and stem
         | structure, where they can be eaten by herbivores, thus
         | completing the cycle. It is thus possible that there is a
         | progressively accumulating number of prions in the
         | environment."
         | 
         | Dark dreams of a planet's biosphere irreversibly becoming
         | utterly hostile to organisms that use neurons to function,
         | through accumulation of immortal zombie nanoparticles that
         | convert more and more proteins to their side.
        
           | Skgqie1 wrote:
           | That's actually a terrifying and seemingly feasible dystopian
           | future
        
           | UncleOxidant wrote:
           | > found that plants can be a vector for prions. When
           | researchers fed hamsters grass that grew on ground where a
           | deer that died with chronic wasting disease (CWD) was buried,
           | the hamsters became ill with CWD
           | 
           | OMG.
           | 
           | I recall watching a PBS show on prions back in the 90s where
           | they tried to destroy them in various ways : burning,
           | burying, etc, and they were extremely difficult to destroy.
        
             | dnautics wrote:
             | this is well known. Co-grazing scrapie sheep will cross
             | over into cows as mad cow disease. However, co-grazing CWD
             | deer will not cross over into cows or sheep (this is also
             | well known). The determinants of why X can or can't cross
             | over into Y are not well-understood, yet.
        
           | Mediterraneo10 wrote:
           | Incidentally, Kim Stanley Robinson's novel _Aurora_ , which
           | aims to deflate optimism that human beings will ever expand
           | past our solar system, describes an attempt to colonize an
           | Earth-like planet that fails because its environment is rich
           | in prions.
        
             | abraxas wrote:
             | And you spoiled an excellent book for others on the site,
             | why?
        
               | Mediterraneo10 wrote:
               | Mentioning this isn't a spoiler - it comes fairly early
               | on, and before KSR gets to what are arguably his main
               | points - unless you are one of those people who think
               | that any mention whatsoever of a book's plot is a
               | spoiler. Plus, it was widely discussed in reviews at the
               | time.
        
               | abraxas wrote:
               | It's in the middle of the book and is a very important
               | spoiler.
        
         | davesque wrote:
         | Yeah, I'm not an expert but I've heard experts discuss it as
         | though they're almost impossible to sterilize. As a layman, I
         | imagine this has something to do with the fact that your task
         | is essentially to break down a molecule (a protein) instead of
         | a structure of molecules (a virus or bacteria particle). Heat
         | may not be very effective and the likelihood that you eliminate
         | all the prions to the point that they'd have no effect is
         | lower.
        
           | [deleted]
        
           | ben_w wrote:
           | Also not a chemist, but you've made me notice my confusion:
           | 
           | Aren't proteins generally easy to denature? Isn't that what
           | most cooking does? And what alcohol does?
        
             | dnautics wrote:
             | OK, so I worked seven years in this field. Prions (and
             | amyloid diseases in general, like alzheimer's, diabetes,
             | and a ton of diseases you probably haven't heard of [0])
             | happen when a "normally folded protein" denatures into a
             | flat ribbon [1]. These ribbons become a sheet when you get
             | many of them side-by-side, and this it turns out is an
             | extremely stable configuration. Also, it's autocatalytic
             | (exponential growth), because these sheets will fragment
             | and recruit well-folded proteins (that are of the same
             | molecule) to become ribbons at their ends, extending and
             | growing the sheet.
             | 
             | So, yes, it is protein denaturation. But it's a very
             | specific denaturation endpoint that not all proteins are
             | capable of, and it's such a favored endpoint that even
             | heating won't quantitatively destroy it (and heating could
             | make it worse by fragmenting it into a bunch of smaller
             | sheets).
             | 
             | [0] Incidentally, this denaturation is probably also used
             | by cells in a productive fashion, it's pretty likely IMO
             | that your melanin cells use these sheets to template
             | melanin formation and sequester away the melanin molecule
             | (the melanin precursor is highly toxic). I would link to
             | the paper, but I think all of the data have been
             | essentially cherry picked from shittily-done experiments,
             | even though I think their conclusion is correct -- I have
             | personally repeated the experiments "correctly" and reached
             | the same endpoints in one shot without cherry picking
             | (unpublished for my experiment, also n == 1) -- so I don't
             | want to draw more unhealthy attention to the paper until
             | someone else does the experiment "correctly".
             | 
             | [1] how does this happen? It can happen either due to a
             | mutation that destabilizes the parent, well-folded protein,
             | or, just by bad luck / time. Mutation examples: Fatal
             | Familial Insomnia, non-variant CJD. Bad luck/Time example,
             | insulin in a bottle in a fridge will turn into white flecks
             | (these are sheets). The time at which this happens is
             | highly variable (luck). You can accelerate this by
             | agitating the bottle, and creating an air-water surface
             | that catalyzes the denaturation of insulin. Also note, that
             | insulin is not the protein in sheets in diabetes :biology
             | trollface: (the insulin situation is strictly in vitro, and
             | pH-dependent, as far as we can tell)
        
               | greenwich26 wrote:
               | Probably a very ignorant question, but don't protease
               | enzymes break proteins down to the amino acids? Suppose
               | my lab bench is infected with prions or flat protein
               | sheets or something. If I spray it over with a bunch of
               | protease, would I be able to "disinfect" it?
        
               | dnautics wrote:
               | Great question. I'm going to answer in three stages.
               | 
               | 1. Theoretically speaking, yes. And there's probably a
               | biological protease that does it in the the body. Last I
               | checked, it's still unidentified; my money is on Insulin-
               | Degrading Enzyme.
               | 
               | 2. It's more complicated than that. If you just buy an
               | off the shelf protease, it probably won't work, because
               | those are used to cutting up floppy bits of peptide
               | sticking out of a protein, so to get there you would need
               | to pull the sheet apart ribbon by ribbon _first_ to be
               | effective.
               | 
               | 3. Given enough time, though, the ribbons ARE in
               | equilibrium between being on/off of the ends of the
               | sheet, so a protease could randomly catch the ribbon at
               | the right time. But the equilibrium is so low, that your
               | protease would probably self-digest faster than it takes
               | apart the flat protein sheet.
        
             | davesque wrote:
             | No idea, honestly. As I mentioned, I'm not an expert.
        
             | subungual wrote:
             | So denaturing a protein generally involves interfering with
             | the noncovalent interactions (e.g. hydrogen bonds,
             | attractions between internal charges) that allow it to fold
             | into the right functional shape. Often times, these
             | proteins folded under conditions that carefully facilitated
             | their coming out the right way, so simply removing the
             | denaturing stimulus (e.g. allowing them to cool) won't
             | result in a reversion to their former configuration. This
             | is what you see, for example, in cooking, where there's a
             | discrete change that doesn't revert.
             | 
             | Prions are generally much more stable and can revert back
             | to dangerous form once denaturing conditions change back.
             | It takes a lot more to denature them irreversibly than it
             | does most proteins. This stability is part of what makes
             | them so dangerous and difficult to remove.
        
               | dwohnitmok wrote:
               | > Prions are generally much more stable and can revert
               | back to dangerous form once denaturing conditions change
               | back.
               | 
               | Indeed I'd imagine that almost definitionally prions must
               | be difficult to denature. Since they are non-living and
               | therefore have no way of "seeking out food," durability
               | is the only way they can compete for reproduction. That
               | is they can only become infectious if their resistance to
               | denaturing was sufficiently high to resist environmental
               | damage until their next target comes around.
        
             | JauntTrooper wrote:
             | Here's an article on it:
             | 
             | https://www.scientificamerican.com/article/surgical-
             | exposure...
        
             | theideaofcoffee wrote:
             | Another commenter pointed out that the general idea of
             | denaturing a protein is interfering with noncovalent
             | interactions, generally by interrupting the structure that
             | the complete sequence takes after the folding process.
             | These structures give rise to the classic shapes that
             | proteins take, the loops and sheets and clumps of atoms you
             | see in renderings. The other commenter mentioned cooking,
             | and this process is the same that happens when you cook an
             | egg, the proteins in the egg white are denatured and turn
             | into amorphous strands of protein.
             | 
             | However there is a difference between a denaturing process
             | and a lysing (breaking) process, meaning that the actual
             | covalent, chemical bonds between the component amino acids
             | that make up a protein are broken. This bond is called the
             | peptide bond, and they are extremely stable, and to break
             | them without enzymes requires some crazy conditions like
             | strong acids or bases and high heat and long periods of
             | time. There is a class of enzymes called proteases that
             | catalyze and speed up this breaking-down process, which is
             | what cells use to digest and break down proteins.
        
         | jhayward wrote:
         | They're hard to 'kill' because they were never alive. They're
         | just a protein molecule.
        
           | tyingq wrote:
           | Ok, "render harmless". FWIW, "kill off" has pretty broad
           | established usage for non living things :)
        
       | sschueller wrote:
       | It's mad cow and I don't believe that the US has had only 6 cases
       | of mad cow with the insane way cattle get treated.
       | 
       | They just call them "downers" and terminate them and some most
       | likely end up in the food supply.
        
         | toss1 wrote:
         | You may be right about the US Mad Cow disease outbreak, but
         | they specifically eliminated that possibility here (middle of
         | the article):
         | 
         | The head of a research group on the subject, neurologist Alier
         | Marrero of Moncton's Dr. Georges-L.-Dumont University Hospital
         | Centre, said in an interview: These are patients who have
         | clinical features that correspond to prion diseases, of which
         | Creutzfeldt-Jakob disease is one, but show no evidence of
         | having Creutzfeldt-Jakob disease or any other form of prion
         | disease.
        
         | m00x wrote:
         | It says in the article that it's not CJD, but it's possibly a
         | new prion-based disease.
        
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       (page generated 2021-03-18 23:01 UTC)