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People usually succumb to death after 7 to 36 months from the onset of the first symptom.
If the amino acid which is bounded to the methionine at the 129th codon is a valine, then the course of the disease could be longer (around 24 months). If the binding is between two methionines, then the course of the disease could be short (around 12 months). The only thing we know is that the course of the disease can be determined by the type of amino acids which bind with the methionine at the 129th codon. People who were born with a defective PRNP gene will not show any signs of abnormality until they reach a specific age of onset which could not even be determined/predicted by the characteristic of the genetic mutation.
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One of the factors which would determine the kind of functionality a protein will carry out will depend on the way they were folded.
Plays an important role in cellular communication. Providing a neuroprotective effect to the brain to prevent injury. Providing a set of specific instruction to create a protein in the brain and other tissues called the prion. In FFI, however, the cause can be attributed to a sporadic mutation which affects a gene called the PRNP gene which is thought to have important functions in several metabolic processes such as: The causes of prion diseases were relatively unknown but the majority of them were thought to be caused by an infectious agent called prions or a bacterium species called the Spiroplasma.
The thing about prion disease is, they are fatal and usually left people with a severe neurocognitive degeneration which will result in a significant deterioration of the physical and mental abilities to perform activities. Oh yeah, I forgot to tell you, the name of the disease is Fatal Familial Insomnia (FFI) and it is caused by an abnormal folding of proteins called the prion in the brain specifically in the region called the thalamus. The mode of inheritance for this disease is autosomal dominant, which can simply be translated to if either one of the genes they inherited from either of their parents were defective, they will be affected by the disease. In the few families which I have mentioned before which were having some problems with sleeping off at night, they were having some kind of disease which can be inherited causing problems with their sleeping arrangement, some symptoms resembling a neurocognitive disorder called dementia and finally death. Sleep is one of the most important components of achieving a healthy life, hence, longevity.