Evidence for the conformation of the pathologic isoform of the prion protein enciphering and propagating prion diversity
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Updated: Jul 25, 2026

Protein Misfolding Cyclic Amplification of Prions
Published on: November 7, 2012
G C Telling1, P Parchi, S J DeArmond
1Department of Neurology, University of California, San Francisco, CA 94143, USA.
Abstract:
The fundamental event in prion diseases seems to be a conformational change in cellular prion protein (PrPC) whereby it is converted into the pathologic isoform PrPSc. In fatal familial insomnia (FFI), the protease-resistant fragment of PrPSc after deglycosylation has a size of 19 kilodaltons, whereas that from other inherited and sporadic prion diseases is 21 kilodaltons. Extracts from the brains of FFI patients transmitted disease to transgenic mice expressing a chimeric human-mouse PrP gene about 200 days after inoculation and induced formation of the 19-kilodalton PrPSc fragment, whereas extracts from the brains of familial and sporadic Creutzfeldt-Jakob disease patients produced the 21-kilodalton PrPSc fragment in these mice. The results presented indicate that the conformation of PrPSc functions as a template in directing the formation of nascent PrPSc and suggest a mechanism to explain strains of prions where diversity is encrypted in the conformation of PrPSc.
Insights
Fatal familial insomnia (FFI) involves a distinct prion protein (PrPSc) conformation, differing from other prion diseases. This conformational difference dictates prion strain diversity and disease transmission.
Area of Science:
- Neuroscience
- Molecular Biology
- Protein Chemistry
Background:
- Prion diseases involve the misfolding of cellular prion protein (PrPC) into a pathogenic form (PrPSc).
- Fatal familial insomnia (FFI) is a distinct prionopathy characterized by a unique PrPSc fragment size (19 kDa) compared to other prion diseases (21 kDa).
Purpose of the Study:
- To investigate the role of PrPSc conformation in prion disease pathogenesis and strain diversity.
- To determine if FFI-associated PrPSc can induce disease with its characteristic conformation in a susceptible model.
Main Methods:
- Transmission of brain extracts from FFI and Creutzfeldt-Jakob disease (CJD) patients to transgenic mice expressing human-mouse chimeric PrP.
- Analysis of the protease-resistant PrPSc fragment size after deglycosylation in infected mice.
Main Results:
- FFI brain extracts transmitted disease to transgenic mice, inducing the 19 kDa PrPSc fragment.
- CJD brain extracts induced the 21 kDa PrPSc fragment in the same mouse model.
- Demonstrated that PrPSc conformation dictates the formation of nascent PrPSc.
Conclusions:
- The conformation of PrPSc acts as a template, guiding the conversion of normal PrPC.
- Prion strain diversity is encoded within the distinct conformations of PrPSc.
- This conformational templating mechanism explains the existence of different prion strains.
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