Sporadic Creutzfeldt-Jakob disease (CJD) with 129M/M, and iatrogenic a
nd familial CJD with E200K and M232R, showed similar clinicopathologic
features, a synaptic type deposition of PrPCJD, and high transmission
frequencies to mice. Sporadic patients with 129M/V or 129V/V, and mut
ation cases with V180I, showed slightly different features and low or
null transmission frequencies to mice. Hereditary cases with P102L, P1
05L, A117V, Y145stop, and insertions had different features but all de
monstrated a long clinical duration and the presence of PrP plaques. T
he experimental transmission to mice of these mutant forms was difficu
lt, except for one-third of the cases with P102L. CJD and related dise
ases, even those that are hereditary, may thus be divided into two dif
ferent groups, those that are easily transmissible and those that are
either difficult to transmit or nontransmissible.