Incubation period of Creutzfeldt-Jakob disease in human growth hormone recipients in France

To estimate the statistical distribution of the incubation period of Creutzfeldt-Jakob disease (CJD) in human growth hormone (hGH) recipients in France. Published papers suggest that the median incubation period of hGH-related CJD is approximately 15 years, but there are as yet no statistical data t...

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Veröffentlicht in:Neurology 1999-10, Vol.53 (6), p.1197-1201
Hauptverfasser: HUILLARD D'AIGNAUX, J, COSTAGLIOLA, D, ALPEROVITCH, A, MACCARIO, J, BILLETTE DE VILLEMEUR, T, BRANDEL, J. P, DESLYS, J. P, HAUW, J. J, CHAUSSAIN, J. L, AGID, Y, DORMONT, D
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container_issue 6
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container_title Neurology
container_volume 53
creator HUILLARD D'AIGNAUX, J
COSTAGLIOLA, D
ALPEROVITCH, A
MACCARIO, J
BILLETTE DE VILLEMEUR, T
BRANDEL, J. P
DESLYS, J. P
HAUW, J. J
CHAUSSAIN, J. L
AGID, Y
DORMONT, D
description To estimate the statistical distribution of the incubation period of Creutzfeldt-Jakob disease (CJD) in human growth hormone (hGH) recipients in France. Published papers suggest that the median incubation period of hGH-related CJD is approximately 15 years, but there are as yet no statistical data that support this assertion. Of the 1,361 hGH recipients who were included in this study, 55 had developed CJD at the time of the study. Individual data on hGH treatment history were available. Different mathematical models were used to estimate the statistical distribution of the incubation period. One main feature of the models was to take into account the occurrence of future CJD cases. Models showed that the mean incubation period was 9 to 10 years, and the 95th percentile of the distribution was 15 to 16 years. Data and models indicated that the incubation period was significantly shorter in homozygotes at codon 129 of the prion protein gene than in heterozygotes. The short mean incubation period of CJD in French hGH recipients may be due to high infectivity in hormone lots. Estimates of the 95th percentile indicate that the number of hGH-related CJD cases may continue to increase in the coming years.
doi_str_mv 10.1212/wnl.53.6.1197
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Models showed that the mean incubation period was 9 to 10 years, and the 95th percentile of the distribution was 15 to 16 years. Data and models indicated that the incubation period was significantly shorter in homozygotes at codon 129 of the prion protein gene than in heterozygotes. The short mean incubation period of CJD in French hGH recipients may be due to high infectivity in hormone lots. 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source MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Biological and medical sciences
Creutzfeldt-Jakob Syndrome - epidemiology
Drug toxicity and drugs side effects treatment
Female
France - epidemiology
Human Growth Hormone
Humans
Incidence
Male
Medical sciences
Models, Neurological
Pharmacology. Drug treatments
Time Factors
Toxicity: nervous system and muscle
title Incubation period of Creutzfeldt-Jakob disease in human growth hormone recipients in France
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