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Updated: Jul 10, 2026

Detection of Abnormal Prion Protein by Immunohistochemistry
Published on: May 5, 2023
Disease-associated prion protein is not detectable in human systemic amyloid deposits
G A Tennent1, M W Head, M Bishop
1Centre for Amyloidosis and Acute Phase Proteins (incorporating the UK NHS National Amyloidosis Centre), Department of Medicine, University College London, London NW3 2PF, UK. g.tennent@medsch.ucl.ac.uk
Abstract:
Cerebral and cardiac amyloid deposits have been reported after scrapie infection in transgenic mice expressing variant prion protein (PrP(C)) lacking the glycophosphatidylinositol anchor. The amyloid fibril protein in the systemic amyloid deposits was not characterized, and there is no clinical or pathological association between prion diseases and systemic amyloidosis in humans. Nevertheless, in view of the potential clinical significance of these murine observations, we tested both human amyloidotic tissues and isolated amyloid fibrils for the presence of PrP(Sc), the prion protein conformation associated with transmissible spongiform encephalopathy (TSE). We also sequenced the complete prion protein gene, PRNP, in amyloidosis patients. No specific immunohistochemical staining for PrP(Sc) was obtained in the amyloidotic cardiac and other visceral tissues of patients with different types of systemic amyloidosis. No protease-resistant prion protein, PrP(res), was detectable by Western blotting of amyloid fibrils isolated from cardiac and other systemic amyloid deposits. Only the complete normal wild-type PRNP gene sequence was identified, including the usual distribution of codon 129 polymorphisms. These reassuringly negative results do not support the idea that there is any relationship of prions or TSE with human systemic amyloidosis, including cardiac amyloid deposition.
Insights
This study investigated the link between prion diseases and human systemic amyloidosis. Researchers found no evidence of prion protein (PrPSc) in human amyloid tissues, ruling out a connection.
Area of Science:
- Neurology
- Pathology
- Biochemistry
Background:
- Transgenic mice studies suggested a link between prion protein (PrP) and systemic amyloidosis.
- The prion protein conformation associated with transmissible spongiform encephalopathy (TSE) is PrPSc.
- Previous research lacked characterization of amyloid fibril protein in murine models and human associations.
Purpose of the Study:
- To investigate the presence of PrPSc in human systemic amyloidosis tissues.
- To determine if amyloid fibrils in human systemic amyloidosis contain protease-resistant prion protein (PrPres).
- To analyze the prion protein gene (PRNP) in patients with systemic amyloidosis.
Main Methods:
- Immunohistochemistry was used to detect PrPSc in human amyloidotic tissues.
- Western blotting was employed to detect PrPres in isolated amyloid fibrils.
- Complete PRNP gene sequencing was performed on patients with amyloidosis.
Main Results:
- No specific immunohistochemical staining for PrPSc was observed in cardiac and visceral tissues from patients with systemic amyloidosis.
- Protease-resistant prion protein (PrPres) was undetectable in amyloid fibrils from systemic amyloid deposits.
- Analysis revealed only the wild-type PRNP gene sequence, including common polymorphisms, in amyloidosis patients.
Conclusions:
- The study found no evidence supporting a relationship between prions or TSE and human systemic amyloidosis.
- These findings do not support the hypothesis that PrPSc is involved in the pathogenesis of human systemic amyloidosis.
- The research provides reassurance against a prion-related etiology for human systemic amyloid deposition.
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