Abstract

Prions are an unconventional form of infectious agents composed only of protein and involved in transmissible spongiform encephalopathies in humans and animals. The infectious particle is composed by PrPsc which is an isoform of a normal cellular glycosyl-phosphatidylinositol (GPI) anchored protein, PrPc, of unknown function. The two proteins differ only in conformation, PrPc is composed of 40% alpha helix while PrPsc has 60% beta-sheet and 20% alpha helix structure. The infection mechanism is trigged by interaction of PrPsc with cellular prion protein causing conversion of the latter's conformation. Therefore, the infection spreads because new PrPsc molecules are generated exponentially from the normal PrPc. The accumulation of insoluble PrPsc is probably one of the events that lead to neuronal death. Conflicting data in the literature showed that PrPc internalization is mediated either by clathrin-coated pits or by caveolae-like membranous domains. However, both pathways seem to require a third protein (a receptor or a prion-binding protein) either to make the connection between the GPI-anchored molecule to clathrin or to convert PrPc into PrPsc. We have recently characterized a 66-kDa membrane receptor which binds PrPc in vitro and in vivo and mediates the neurotoxicity of a human prion peptide. Therefore, the receptor should have a role in the pathogenesis of prion-related diseases and in the normal cellular process. Further work is necessary to clarify the events triggered by the association of PrPc/PrPsc with the receptor.

Highlights

  • A disease that affects sheep causing excitability, itching, ataxia, paralysis and death was recognized two hundred years ago and named scrapie due to the animals’ behavior of rubbing against the fences of their pens

  • Prions are an unconventional form of infectious agents composed only of protein and involved in transmissible spongiform encephalopathies in humans and animals

  • Collinge [22] showed that variant CJD (vCJD) has strain characteristics distinct from other types of Creutzfeldt-Jackob disease (CJD) and which resemble those of the bovine spongiform encephalopathy (BSE) transmitted to mice, domestic cats and macaques, consistent with BSE being the source of this new disease

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Summary

Introduction

A disease that affects sheep causing excitability, itching, ataxia, paralysis and death was recognized two hundred years ago and named scrapie due to the animals’ behavior of rubbing against the fences of their pens. It was recognized that the transmissible agent has an unusual resistance to high temperature, formaldehyde treatment and UV and Xray irradiation. These observations led Grifft [4] to hypothesize that the agent might consist of protein only, without a nucleic acid. Prusiner [5] isolated the infectious agent from brains of infected hamsters and confirmed Grifft’s observations. He designated the TSE agent as “proteinaceus infectious particles” or “prions” (PrP) to distinguish it from conventional pathogens such as bacteria and viruses

Characteristics of the infectious agent
Infection mechanism
Human prion diseases
Normal function of PrPc
Peripheral blood cell participation in prion infection
What is next?
Full Text
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