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Table 2.  Compounds that have been studied using test tube, tissue culture, or animal assays. 

First group acts outside the brain; second group acts both inside and outside the brain.

 

 Studied compound

 

 

Effect on test tube conversion (precursor to PRP)

 

  Effect on PrP in tissue culture

  Effect on
 treated rodents

  Comment

Polyanions

 

Stimulate

Inhibit

Prolong incubation

Pentosan used in humans (other purposes)

Sulfonated dyes

Inhibit

Inhibit

Prolong  incubation

Bind to both precursor and PrP

Tetrapyrroles

Inhibit

Inhibit

Prolong incubation

Used in humans for other purposes.

Anthracyclines

 

Not tested

Not tested

Prolong incubation1

Iododoxyrubicin (IDX) used successfully in humans with other types of amyloidoses

Lymphotoxin ß- receptor-blocker

Not tested

Not tested

Prolongs incubation

Blocks replication in spleen cells (follicular dendritic cells)

 

Polyene antibiotics

Inhibit

Not tested

Prolong incubation

Amphotericin B congener effective when begun long after infection

Branched polyamines

Not tested

Eliminate

No disease transmission2

Disaggregate prion fibrils, reduce ß-sheet content of  PrP

Acridine derivatives

No effect

Eliminate

Not tested

Quinacrine under study in CJD patients

Phenothiazines

Not tested

Eliminate

Prolong

Structurally similar to acridine drugs

Cysteine protease inhibitors

No effect

 

Eliminate

Not tested

Bind to PrP

Anti-PrP antibodies

Inhibit

Eliminate

No disease transmission2

Bind to precursor of PrP on cell surface

ß-breaker peptides

Not tested

Not tested

Prolong incubation1

Used in humans for other purposes

Synthetic PrP peptides

Inhibit

Inhibit

Not tested

Block binding of PrPsen to PrPres

 

1Scrapie-infected brain homogenate was mixed with drug and then inoculated into animals.

2Cells were treated and then inoculated into animals.

 

 

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