Resistance to proteolytic digestion has long been considered a defining trait of prions in tissues of organisms suffering from transmissible spongiform encephalopathies. Detection of proteinase K-resistant prion protein (PrPSc) still represents the diagnostic gold standard for prion diseases in humans, sheep and cattle. However, it has become increasingly apparent that the accumulation of PrPSc does not always accompany prion infections: high titers of prion infectivity can be reached also in the absence of protease resistant PrPSc. Here, we describe a structural basis for the phenomenon of protease-sensitive prion infectivity. We studied the effect on proteinase K (PK) resistance of the amino acid substitution Y169F, which removes a single oxygen atom from the β2–α2 loop of the cellular prion protein (PrPC). When infected with RML or the 263K strain of prions, transgenic mice lacking wild-type (wt) PrPC but expressing MoPrP169F generated prion infectivity at levels comparable to wt mice. The newly generated MoPrP169F prions were biologically indistinguishable from those recovered from prion-infected wt mice, and elicited similar pathologies in vivo. Surprisingly, MoPrP169F prions showed greatly reduced PK resistance and density gradient analyses showed a significant reduction in high-density aggregates. Passage of MoPrP169F prions into mice expressing wt MoPrP led to full recovery of protease resistance, indicating that no strain shift had taken place. We conclude that a subtle structural variation in the β2–α2 loop of PrPC affects the sensitivity of PrPSc to protease but does not impact prion replication and infectivity. With these findings a specific structural feature of PrPC can be linked to a physicochemical property of the corresponding PrPSc.
Citation: Leske H, Hornemann S, Herrmann US, Zhu C, Dametto P, Li B, et al. (2017) Protease resistance of infectious prions is suppressed by removal of a single atom in the cellular prion protein. PLoS ONE 12(2): e0170503. https://doi.org/10.1371/journal.pone.0170503
Editor: Jiyan Ma, Van Andel Institute, UNITED STATES
Received: November 27, 2016; Accepted: December 16, 2016; Published: February 16, 2017
Copyright: © 2017 Leske et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: AA is a recipient of an Advanced Grant of the European Research Council (ERC: 670958 http://erc.europa.eu/advanced-grants) and the Swiss National Foundation (SNF: 160329 and 147660), the Clinical Research Priority Programs "Small RNAs" and "Human Hemato-Lymphatic Diseases", SystemsX.ch (2014/260 and 2015/320), the Novartis Research Foundation, and the JPND Neurodegenerative Disease Research "Reframe" and "CureALS". KW is the Cecil H. and Ida M. Green Professor of Structural Biology at The Scripps Research Institute. SH is the recipient of SystemsX.ch (2015/320) and the commission innovations of the University Hospital of Zurich. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Transmissible spongiform encephalopathies are fatal neurodegenerative diseases associated with the presence of prions . It is well-established that prions contain aggregates of misfolded cellular prion protein (PrPC). Such aggregates have been termed “PrPSc” because they were initially found in scrapie-affected sheep, or alternatively as “PrPres” to denote their extraordinary resistance to proteolytic digestion. Indeed, the carboxy-proximal core of PrPSc can largely withstand proteolysis with 500 μg/ml proteinase-K (PK) [2,3], and the detection of PK-resistant prion protein is commonly regarded as the definitive diagnostic method for prion diseases in humans and other species.
However, variably protease sensitive prionopathy (VPsPr) has been discovered in humans, characterized by atypical patterns of PrPSc detected by Western blots . PK-treated PrP from VPsPr shows bands in the range from 8 to 17 kDa, which are not observed in sporadic Creutzfeldt-Jakob Disease (sCJD). Furthermore, recent studies have identified prion diseases with high titers of prion infectivity in the absence of protease resistance . These observations point to heterogeneity in the structural arrangement of PrP aggregates, with looser aggregates being more solvent-accessible and therefore prone to proteolysis.
In all mammals, PrPC displays a long flexible tail (FT, residues 23–125; numbering for mouse PrP) and a globular domain (GD, residues 126–231) whose C-terminal end is membrane-tethered through a glycosyl phosphatidyl inositol anchor. The GD carries also two glycosyl moieties [6,7]. A wealth of knowledge is available on the structure of wild-type (wt) [8–19] and many mutant forms of PrPC [14–17,20–22]. Although the general architecture of the GD is conserved, there are substantial differences in the loop linking the β2 strand with the α2 helix (β2–α2 loop). The residue Y169 within this loop is strictly conserved, and its replacement with glycine or alanine results in a major change of the loop structure [20,21].
Here we investigate the phenotypes arising in transgenic mice that express a minimal modification of the residue in position 169, i.e., replacing tyrosine (Y) by phenylalanine (F). It should be stressed, in view of the unexpected results obtained in these experiments, that this variation of the protein structure includes the elimination of a single oxygen atom from the wt structure of mouse PrP.
Prion infection of Tg(MoPrP169F) and wild-type C57BL/6 mice results in similar phenotypes
To investigate the biological effect of the hydroxyl group at position Y169 (Fig 1A), we generated mice expressing MoPrP169F using a "half-genomic" Prnp minigene construct . B6D2 hybrid zygotes were microinjected with the hg-MoPrP169F construct, and four independent transgenic mouse lines were generated. Lines 171 and 173 were selected for mating with PrP-deficient Prnp-/- mice  over multiple generations, resulting in mice expressing only the transgene (MoPrP169F;Prnp-/-) or both the transgene and endogenous PrPC in a hemizygous state (MoPrP169F;Prnp+/-).
(A) Sequence comparison of the β2–α2 loop region in wild-type (wt) mouse PrP and Tg(MoPrP169F), and ribbon presentation of mPrP(121–231) at 37°C (PDB ID 2L39). The amino acid sequence is depicted by one-letter symbols, conserved residues by dots, and the amino acid substitution is indicated in red. In the 3D structure the backbone is shown in grey, except that the β2–α2 loop is highlighted in cyan. Tyr169 is blue, with the hydroxyl group in red. (B) Quantification, using a FRET assay, of PrP expression levels in wt Prnp+/+, Prnp+/-, Prnp-/- and two lines of Tg(MoPrP169F) mice, denoted as TgF171 and TgF173. FRET analysis was performed using the anti-PrP antibodies POM2, labeled with europium, and POM1, labeled with APC. Each symbol represents a biological replicate. Data are represented as the mean ± SEM. (C) Sciatic nerve myelination in 19-month old Prnp-/-, Prnp+/-, and Tg(MoPrP169F);Prnp-/- littermates. Teased fiber preparations from Prnp-/- mice showed segmental demyelination with shortened internodes and marked thinning of the myelin sheaths. There were no myelination abnormalities in Prnp+/- and Tg(MoPrP169F);Prnp-/- mice. Scale bar indicates 100 μm. Arrowheads indicate nodes of Ranvier.
Line 171 showed the highest transgene expression in the brain, with mice hemizygous for the transgene showing a PrP protein expression slightly higher than C57BL/6 wild-type (wt) mice (Fig 1B, S1 Fig and S12 Fig), and was therefore chosen for further experiments. Clinical and histological examinations failed to reveal any pathological phenotype or deviation from the characteristics of wt mice up to the age of 2 years and 6 months (S2 Fig). In particular, in 19 month old littermates, myelination of the sciatic nerve was similar to that of hemizygous Prnp+/- mice, whereas Prnp-/- mice displayed a chronic demyelinating neuropathy (Fig 1C) . Since the latter is a universal phenotype common to all investigated Prnp-/- mouse strains, we concluded that MoPrP169F was physiologically equivalent to wt PrPC.
We then sought to assess whether these mice showed any alteration of prion susceptibility after PrPSc infection. After intracerebral (i.c.) administration of 3 x 105 ID50 units of prions (Rocky Mountain Laboratory strain, passage 6, henceforth denoted RML), both wt and Tg(MoPrP169F) mice developed signs of scrapie with similar latencies (Fig 2A), whereas Prnp-/- mice died of intercurrent disease without developing scrapie. Reinoculation of 1% brain homogenates from prion-infected wt and Tg(MoPrP169F) mice into Tga20 mice, which express 10 fold higher amounts of PrP than C57BL/6 mice , again resulted in scrapie (Fig 2C and S3A Fig).
(A) Survival of RML-inoculated Tg(MoPrP169F);Prnp-/-, Tg(MoPrP169F);Prnp+/-, and wild-type control mice with median survival times of 161.5, 177 and 170 days, respectively. The letters a, b, c and d within the graph indicate individual mice that were used for further passaging. Prnp-/- mice were used as control. Dashed line: deaths by intercurrent disease. (B) Survival of Tg(MoPrP169F);Prnp+/-, Tg(MoPrP169F);Prnp-/-, wild-type and Prnp-/- mice after intracerebral (i.c.) inoculation of brain homogenates from 263K-inoculated Tg81 mice. Mice did not develop any clinical signs of a prion disease within 500 days post inoculation. Letters e, f, g and h within the graph indicate mice that were used for subsequent passaging. (C) Passage of brain homogenates from RML-infected Tg(MoPrP169F);Prnp-/- (mice a and b), Tg(MoPrP169F);Prnp+/- (mouse c) and wt Prnp+/+ (mouse d) animals into Tga20 mice evoked a prion disease with median survival times between 79 and 97 days. Tga20 mice re-inoculated with noninfectious brain homogenates (NBH) from either Tg(MoPrP169F);Prnp-/-, Tg(MoPrP169F);Prnp+/- or Prnp-/- mice did not show any signs of a prion disease (h.i. = heat inactivated). (D) Same as (C), but passage of brain homogenate from 263K-infected Tg(MoPrP169F);Prnp-/- (mice e, f and g) animals into Tg81. Tg81 mice inoculated with brain homogenate from mouse “g” developed prion disease with a median survival time of 91 days, whereas for the other brain homogenates a median survival time was not reached.
We next sought to determine whether the MoPrP169F mutation could have an influence on the species barrier. After intracerebral inoculation with hamster-adapted prions (strain 263K ; 3 x 106 ID50 units), mice failed to develop signs of disease within 500 days of observation (Fig 2B). However, brain homogenates from these animals inoculated into Tg81 mice overexpressing Syrian hamster Prnp  occasionally led to prion disease and death, similarly to what was reported for wt mice  (Fig 2D and S3B Fig).
We next asked whether the MoPrP169F mutation would have any effect on antibody-mediated neurotoxicity [28,29]. We therefore injected the monovalent fragment Fab1 of the anti-prion antibody POM1 into the brains of Tg(MoPrP169F);Prnp-/- and C57BL/6 wt mice (S4 Fig). Transgenic and wt mice showed similar neurotoxic effects, which could be suppressed by pre-incubating Fab1-POM1 with a 5-fold molar excess of recombinant murine PrP fragment encompassing residues 90–231.
PrPSc of RML infected Tg(MoPrP169F);Prnp-/- mice is protease sensitive
Treatment of brain homogenates from RML-infected, approximately 1-year-old, terminally sick Tg(MoPrP169F);Prnp-/- mice with PK (25 μg/ml, 37°C, 30 min) led to almost complete loss of PrP immunoreactivity in Western blots (Fig 3A and S10A Fig), indicating that very little or no PrPres was formed. Further assessment of PK sensitivity with decreasing PK concentrations showed that PrPres from Tg(MoPrP169F);Prnp-/- mice was sensitive to PK treatment down to a concentration of 6.25 μg/ml (Fig 3B and S10B Fig). In contrast, homogenates of terminally scrapie-sick wt mice showed PrPres even after treatment with a 20-fold higher PK concentration (S5 Fig and S13 Fig). To assess the presence of shorter PK-resistant fragments that might go undetected by POM1, we also probed the Western blots with a panel of additional anti-PrP antibodies (POM3, POM5, POM6, POM15 and POM19) targeting different regions of the PrP molecule . All antibodies recognized similar differences in PK sensitivity between RML infected wt- and Tg(MoPrP169F);Prnp-/- animals (S6 Fig and S14 Fig) and no alternative bands. Tg(MoPrP169F);Prnp+/- mice showed reduced levels of PrPres compared to wt animals, yet showed the same pattern of enhanced electrophoretic motility resulting from N-terminal proteolysis and the typical triplet bands corresponding to unglycosylated, monoglycosylated, and diglycosylated isoforms (Fig 3, S7 Fig, S10 Fig and S15 Fig). Trypsin treatment also resulted in a major reduction of signal in transgenic mice but not in wt PrPC expressing animals (Fig 3C and S10C Fig). However, thermolysin (TL) treated samples (100 μg/ml) retained PrP immunoreactivity (Fig 3D and S10D Fig), as published previously for PK sensitive PrP , albeit without the characteristic shift in gel mobility caused by PK.
(A) Western blot analysis of brain homogenates from RML-inoculated Tg(MoPrP169F) mice showed increased sensitivity to PK digestion (25 μg/ml PK for 30 min at 37°C) compared to wt Prnp+/+ mice. (B) A gradient of different PK concentrations showed that PrPSc in the brain homogenates from Tg(MoPrP169F);Prnp-/- was sensitive to PK concentrations up to 6.25 μg/ml. (C) Same as (B) for trypsin (Try) digestion. Brain homogenates (10%) from Tg(MoPrP169F);Prnp-/- mice showed a reduction of PrP signal after trypsin treatment up to a concentration of 2.5μg/ml. (D) Same as (B) for thermolysin (TL) digestion. Thermolysin showed no significant effect on PrPSc in the brain homogenate from Tg(MoPrP169F);Prnp-/- at a concentration of 100μg/ml (70°C, 30 min), which is in contrast to 10% brain homogenate from wild-type Prnp+/+ mice inoculated with NBH, where no PrP could be detected at this concentration. (E) Western blot analysis of brain homogenates from Tga20 mice infected with prions from Tg(MoPrP169F);Prnp-/- or wt mice. Homogenates were treated with increasing GdnHCl concentrations and PK-digested. (F) Quantitative analysis of the Western blot data shown in panel E. Each data point is the mean of three biological replicates ± SD. WT and PrP169F prions showed similar GdnHCl stability (p = 0.8526, unpaired t-test). The antibody POM1 was used for detection. Molecular sizes are indicated in kDa. NBH: noninfectious brain homogenate.
To determine whether the increased PK sensitivity of MoPrP169F prions was heritable (and hence indicative of a new prion strain), we passaged MoPrP169F prions into Tga20 mice and investigated the properties of the resulting prions in a conformational stability assay  (Fig 3E and S10E Fig). The GdnHCl denaturation curves showed no significant difference (p = 0.8526, unpaired t-test) between RML and MoPrP169F prions passaged through Tga20 mice (Fig 3E and 3F and S10E Fig). Crucially, infection of Tga20 mice with MoPrP169F prions caused the generation of PrPSc with PK resistance. Similar results were seen after passage of 263K-infected transgenic mice into hamster PrP-expressing Tg81 mice (S8 Fig and S16 Fig). Hence passage of PK-sensitive Tg(MoPrP169F);Prnp-/- prions into Tga20 or Tg81 mice led to reappearance of the original strain properties. PK sensitivity of MoPrP169F prions is therefore a phenotype due to recruitment of host expressed PrPC into PrPSc, rather than a prion-encoded strain.
Histological analyses of RML-infected mice (Tg(MoPrP169F);Prnp-/- (n = 7), Tg(MoPrP169F);Prnp+/- (n = 9); wt Prnp+/+ (n = 6)) consistently showed vacuolated brains with severe astrogliosis (GFAP) and microglial activation (Fig 4A). Immunohistochemistry for PrPSc (with antibody SAF84 upon antigen retrieval with protease 2 (Roche, Ventana medical systems) for 16 min) showed few weakly stained plaque-like PrP deposits in Tg(MoPrP169F);Prnp-/- animals, whereas the typical synaptic pattern of PrP was observed in mice expressing wt PrPC. Occasionally stronger signals of more compact SAF84-positive plaque-like deposits (asterisk) could be observed in Tg(MoPrP169F);Prnp+/- mice (Fig 4A). The passage into Tg81 and Tga20 mice histologically confirmed the presence of PrPSc in the cortex. Frozen hippocampal sections of RML-infected Tg(MoPrP169F) and C57BL/6 mice were also stained with the luminescent conjugated polythiophene, LIN5050, which specifically detects amyloid aggregates [32,33]. In RML-infected MoPrP169F transgenic mice (with or without endogenous PrPC expression), small plaque-like LIN5050-positive deposits were observed (Fig 4B and 4C), and fluorescence emission spectra with an emission maximum Emax at a wavelength of 565nm were recorded. In RML-inoculated C57BL/6 mice, the synaptic pattern of PrPSc (detectable by SAF84 immunostaining) could not be visualized with LIN5050, which primarily stains plaques and plaque-like deposits , showing that RML-infected Tg(MoPrP169F) and C57BL/6 mice display different morphological patterns of PrPSc deposition.
(A) Brain sections from RML-infected Tg(MoPrP169F);Prnp-/-, Tg(MoPrP169F);Prnp+/-, Prnp-/- and Prnp+/+ mice, as well as Tga20 and Tg81 mice inoculated with Tg(MoPrP169F);Prnp-/- brain homogenates. Hallmarks of prion disease including vacuolation (hematoxylin and eosin; HE), astrogliosis (glial fibrillary acidic protein; GFAP) and microglial activation (activated microglial marker; IBA1), were detected in terminally sick Tg(MoPrP169F) and RML-infected wild-type Prnp+/+ mice. RML-infected wild-type (wt) mice showed the typical diffuse synaptic pattern of SAF84 positive signals (first row), and Tg(MoPrP169F);Prnp+/- showed some plaque-like deposits (asterisk; third row). Few weakly stained PrPSc deposits were visible in Tg(MoPrP169F);Prnp-/- and no PrP signals in Prnp-/- brains (rows 2 and 4). After passage of Tg(MoPrP169F);Prnp-/- brain homogenate into Tga20 mice, synaptic and plaque-like PrP deposits were observed in the cortex (5th row). Passage of 263K-infected Tg(MoPrP169F);Prnp-/- into Tg81 mice resulted in a prion disease with PrP plaque formation in the cortex (6th row). Scale bar: 50 μm. (B) Frozen section (10 μm) of Tg(MoPrP169F);Prnp-/- brain showed LIN5050 stained aggregates. Fluorescence emission spectra were recorded in 5 regions (M0-M4) at 500–800 nm and compared to the surrounding tissue (M5-M6) (magnification 100x). (C) Same as (B) but from a Tg(MoPrP169F);Prnp+/- mouse (magnification 40x).
Decreased high-density aggregates in RML-inoculated Tg(MoPrP169F) mice
To better understand the physical and morphological properties of the pathological MoPrP169F in RML-infected mice, we analyzed brain homogenates by density gradient ultracentrifugation followed by Western blotting of each fraction . In uninfected mice, most PrP was present in the low-density fractions (1–5), whereas all RML inoculated mice showed additional PrP signals in high-density fractions (10–20) (Fig 5A, S9A Fig, S11 Fig and S17 Fig). In contrast to RML-inoculated wt Prnp+/+ and Tg(MoPrP169F);Prnp+/- mice, animals expressing only the transgenic PrP showed a strong reduction of high-density PrP aggregates. PK digestion confirmed the presence of PrPres in the high-density fractions (S9B Fig and S18 Fig) and reduced amounts of PrPres in Tg(MoPrP169F).
(A) Western blot analysis of differentially fractionated brain homogenates from RML-infected Tg(MoPrP169F);Prnp-/- and Tg(MoPrP169F);Prnp+/- mice showed reduced signals of high density PrP aggregates compared to RML-infected wild-type (wt) mice (fractions 10 to 20; OptiPrep 7 to 28%). Wild-type Prnp+/+ mice inoculated with noninfectious brain homogenate (NBH) displayed only signals in the low density fractions (Fractions 2 and 4). Every second fraction was analyzed by Western blotting. PrP was detected by the anti-PrP antibody POM1. Molecular sizes are indicated in kDa. (B) Quantification of the PrP signal, using two technical duplicates per mouse (Western blots are shown in Fig 5A and S9 Fig; mean ± SEM).
The relative quantity of PrP signals was calculated, with the highest amount of dense PrP deposits in RML-inoculated wt Prnp+/+ mice followed by transgenic mice with a hemizygous Prnp background (Fig 5B). In transgenic mice without endogenous PrPC expression, only weak bands of PrP deposits in the high-density range could be detected. These findings indicate that Tg(MoPrP169F);Prnp-/- mice contain reduced amounts of compact PrP aggregates in the brain.
One major goal of prion research is to better understand the relationship between PrPSc structure and pathogenesis. A powerful approach towards this goal relies on developing variants of PrPC with well-defined structural features and molecular dynamics, and analyzing the consequences of their in vivo expression under conditions of health and disease. The design of such in vivo experiments is supported by the availability of atomic-resolution PrPC structures [8–22]. Here we focused on the β2-α2 loop because its conformation affects cross-species transmission of prions and is even associated with the spontaneous generation of prions [35–37].
The replacement of tyrosine with phenylalanine at position 169 amounts to the removal of a single oxygen atom from the tyrosine residue. NMR studies showed that the conformation of the β2–α2 loop is unaffected by this amino acid exchange, whereas substitution by alanine or glycine results in a major rearrangement of the 310-helical β2–α2 loop to a type-I β–turn conformation . The Y169F mutation decreases the melting temperature by only 2.6°C , whereas for the variants with alanine or glycine at position 169 the melting temperature was lowered by ca. 10°C . The substitution of Y169 by glycine in Tg(MoPrP169,170,174)  mice also prevented the development of the spontaneous TSE that was observed in Tg(MoPrP170,174) mice expressing the double mutation S170N and N174T[36,37]. Tg(MoPrP169,170,174) mice additionally showed a markedly enhanced transmission barrier , suggesting that residue 169 plays a crucial role in prion conversion, as was also demonstrated by in vitro conversion experiments .
After inoculation with two different prion strains, RML and 263K, mice expressing the Y169F mutant developed prion infectivity similarly to wt mice. Moreover, prions extracted from the brains of these mice were transmissible to Tga20 and Tg81 mice, respectively. This indicates that the Y169F variant prion protein is fully competent to enable the acquisition and multiplication of prions as well as the transmission of de novo synthesized prions to additional hosts.
In addition to typical clinical signs of scrapie, infected Y169F mice showed neuronal vacuolation and extensive astrogliosis similar to wt mice, and RML-infected mice developed polythiophene-stainable plaques . Moreover, injection with Fab1-POM1 induced similar toxicity in Y169F transgenic mice and wt mice. Finally, expression of MoPrP169F suppressed the progressive demyelination seen in Prnp-/- mice . We conclude that both the physiological and pathogenic properties of MoPrP169F are indistinguishable from those of wt MoPrP.
Despite their unabated pathogenicity, MoPrP169F prions were surprisingly sensitive to PK and trypsin, and were less dense/smaller when compared to RML prions. Rather than representing a strain shift, these traits were host-encoded, and the original strain properties of RML re-emerged after passage of MoPrP169F into Tga20 mice (Fig 6). Furthermore, co-expression of PrP169F did not conspicuously interfere with the conversion of wt PrPC into PrPSc. This is in contrast to other PrP variants which often exert a dominant-negative effect on prion propagation [39–41]. Therefore, a subtle structural variation in the β2–α2 loop of PrPC affected sensitivity of PrPSc to proteases and reduced the amounts of large/compact aggregates arising after prion infection. Although the overall structure of monomeric MoPrP169F is similar to that of wt PrPC, the Y169F mutation causes the loss of the side-chain hydrogen bond formed between Tyr169 and Asp178, which stabilizes the π-stacking interactions formed between the aromatic residues Tyr169, Phe175, and Tyr218 [21,42,43]. MD simulations for PrPs carrying pathological mutations demonstrated that a loss of the π-stacking interactions could lead to a rearrangement of residue 169 to a more solvent exposed trans conformation, which affects the distance between the β2–α2 loop and α3 helix and leads to a more flexible α3 helix [21,42,43]. Further simulations also showed that this effect can be determined by the presence of either methionine or valine at position 129, as Tyr128 forms a hydrogen bond with Asp178, which can be affected by the kind of amino acid at position 129 . Hence, a plausible explanation might be that a modulation of this network in PrPC also affects the aggregational PrPSc states, leading to looser packing and increased PK sensitivity of MoPrP169F aggregates. This is also in agreement with the feature of MoPrP170,174 prions being mostly PK-sensitive after passaging them into Tga20 mice , as the conformation and dynamics induced by residue 170 also plays a crucial role in the preservation of this network .
Triangles: PrP; red circle: oxygen atom of Y169; yellow rectangle: aggregation interface of PrPSc. A: Exposure of wild-type (wt) mice to RML prions catalyzes the templated conversion of PrPC into PrPSc. The hydroxyl group of Y169 participates in the formation of tightly packed PrPSc aggregates that form a PK-resistant core (PrP27–30). B: Infection of mice overexpressing wt PrPC again induces infectious PK-resistant PrPSc aggregates, which results from recruiting wt PrPC of the host into PrPSc. C: The Y169F mutation impairs the packing of PrPSc(169F) molecules. This leads to infectious, yet PK-sensitive, PrP aggregates. D: Transmission of PrP169F prions to mice expressing wt PrPC results again in tightly packed aggregates, which form PrP27–30 after PK digestion. E: In mice co-expressing both wt PrPC and PrPC(169F), prion infection leads to reduced amounts of PK resistant PrPSc, indicative of hybrid PrP/PrP169F aggregates or of coexisting loosely and tightly packed PrPSc aggregates.
The physical basis of PK resistance is likely to reside in steric crowding, which would limit contacts with solvent water and the protease. The removal of the hydroxyl group at residue 169 could thus ease the accessibility of water and proteolytic enzymes, and loss of packing density resulting from the elimination of the–OH group could provide a rationale for the results of density-gradient centrifugation (S9A Fig and S17 Fig). The reduced density of MoPrP169F prions is also in agreement with other studies, which demonstrated that PK-sensitive forms of PrPSc are found in lower-density fractions. This could also be rationalized by the assumption that PK-sensitive forms consist of smaller aggregates of PrP molecules [45–47]. Our findings thus yield another example of a prion disease that generates infective PK-sensitive aggregates, as was previously seen in several familial human prion diseases and related mouse models [37,48–52].
In conclusion, our findings demonstrate that a subtle change in the prion protein covalent structure, i.e. the removal of a single oxygen atom, has a significant effect on a physicochemical property of PrPSc without abolishing its infectivity. Further studies using structurally well-defined PrP variants may yield direct insights into prion generation, thereby advancing the development of novel diagnostic and therapeutic procedures.
Materials and methods
Generation of Tg(MoPrP169F) mice
Half-genomic PrP vector was genetically modified to exchange tyrosine of PrPY169 against phenylalanine by using the Quick change lightning site-directed mutagenesis kit (Stratagene) and the primer set fwd: AGG CCA GTG GAT CAG TTC AGC AAC CAG AAC AAC. Rev: GTT GTT CTG GTT GCT GAA CTG ATC CAC TGG CCT. PCR was performed according to the company´s protocol. The linearized transgenic construct (NOT1/ Sal1) was injected into 296 fertilized Prnp+/+ (B6D2F1) oocytes, resulting into four transgene positive and 15 transgene negative mice that reached weaning age. The generated transgene positive mice were backcrossed 3 times with Prnp0/0 (B6.129-Prnp<tm1ZH1>) and maintained in a hemizygous transgenic background.
Quantification of transgene expression using Förster Resonance Energy Transfer (FRET)
A FRET based assay was established for the purpose of quantifying transgene expression by measuring PrP levels of 10% brain homogenates from Tg(MoPrP169F); Prnp-/-, wt Prnp+/+, wt Prnp+/- and Prnp-/- mice. Europium (Eu3+) donor and allophycocyanin (APC) acceptor fluorophores were coupled to anti-PrP holoantibodies POM1 and POM2 recognizing the globular domain and the octarepeats, respectively. The donor POM1-Eu3+ conjugate is excited at wavelength 340 nm and transfers energy to the acceptor conjugate POM2-APC when the distance between acceptor and donor is <10 nm. POM2-APC then emits light at wavelength 665 nm, which can be measured with a suitable time-resolving spectrofluorimeter. For PrP level detection in homogenates, the Eu2+-POM1 and APC-POM2 antibody pair was added, measured immediately using a FRET reader and normalized to total protein.
Animal experimentation, animal welfare and ethics statement
All animal experiments were conducted in strict accordance with the Rules and Regulations for the Protection of Animal Rights (Tierschutzgesetz and Tierschutzverordnung) of the Swiss Bundesamt für Lebensmittelsicherheit und Veterinärwesen BLV. All animal protocols and experiments performed were specifically approved for this study by the responsible institutional animal care committee, namely the Animal Welfare Committee of the Canton of Zurich (permit numbers 41/2012). All efforts were made to minimize animal discomfort and suffering.
Transgenic mice (F3), Prnp-/- mice or B6 Prnp+/+ mice were anaesthetized using isofluorane and inoculated with 30μl of 0.1% brain homogenate, diluted in sterile PBS/ 5% BSA, from Rocky Mountain Laboratory infected CD1 (3x105 ID50 units) or 263K (3x106 ID50 units) injected SHaPrP mice (Tg81). Inoculated mice were monitored every other day and actions were taken to minimize animal suffering and distress as indicated in S1 Table. To euthanize mice CO2 inhalation was used on the day of appearance of terminal clinical signs of scrapie. For confirmation of infectivity, the brains of inoculated mice were homogenized and heat inactivated for 25 min at 80°C. Heat inactivated and non-heat inactivated brain homogenates were diluted in PBS/ 5% BSA to a final concentration of 1%wt/vol. and injected (30μl) into Tga20 mice (for RML inoculated animals) or Tg81 mice (for 263K treated transgenic mice).
Terminally sick mice were sacrificed and organs were taken. The brain was sectioned sagittally, and one hemisphere was fixed in 4% formalin. A coronal section of brain containing hippocampus was placed in HANKS buffer and the rest was snap frozen in liquid nitrogen. Brain homogenates from snap frozen samples (10% wt/vol. in 0.32M sucrose diluted in PBS) were used for further analyses.
Proteolytic digestion with PK, thermolysin, or trypsin
Brain homogenates (10 or 20 μg in 20 μl) were optionally treated with a final concentration of 25, 12.5 or 6.25μg/ml of trypsin or proteinase-K (37°C), or 1000, 100 or 10 μg/ml of thermolysin (70°C) for 30 min. Samples were subsequently mixed with 4x loading dye and denatured at 95°C for 5 min. Fifteen microliters of each sample were separated on a 4–12% Bis-Tris SDS polyacrylamide gel (NuPAGE, Invitrogen) and electrotransferred to nitrocellulose membranes. Membranes were blocked for 1 hour in 5% Topblock (Fluka) in Tris-buffered saline supplemented with Tween 20 [150 mM NaCl, 10 mM Tris-HCl, 0.05% Tween 20 (v/v)] and incubated overnight with anti-PrP antibodies POM1, POM3, POM5, POM6, POM15 or POM19 (200 ng/ml). As secondary antibody, horseradish peroxidase-conjugated goat anti mouse IgG (H+L) (1:10.000, Invitrogen) was used and immunoreactivity was visualized using chemiluminescence (Luminata crescendo, Merck Millipore).
Conformational stability assay
Brain homogenates (10% w/v) from Tga20 mice inoculated with brain homogenates from RML infected B6 wt Prnp+/+ or Tg(MoPrP169F);Prnp-/- mice were dissolved in equal volumes of solubilization buffer (4% sarcosyl, 100 mM Tris HCl, pH7.4,) and incubated for 1h at 37°C. Aliquots of 20 μl were treated with 20 μl of GdnHCl solutions at final concentrations ranging from 0 to 2 M and incubated for 1h at 37°C. Final GdnHCl concentration was adjusted to 0.4 M in equal volumes. Samples were treated with PK at a final concentration of 25μg/ml for 30min at 37°C. Protease activity was blocked by adding 50% volume of protease inhibitor cocktail (complete Mini, Roche) dissolved in 10ml deionized H2O. A fourfold excess of methanol for protein precipitation was added and incubated overnight at -40°C. Samples were centrifuged for 1h at 20.000 g and 4°C. The pellets were resuspended in 4x loading dye (NuPAGE LDS sample buffer, Thermo Fisher Scientific) and analyzed on a 4–12% Bis-Tris SDS polyacrylamide gel (NuPAGE, Invitrogen) followed by Western blotting as described above.
Protein density gradient analysis
For each tested sample, 400 μg of brain homogenate diluted in PBS was solubilized in an equal volume of solubilization buffer [50 mM HEPES (pH 7.4), 300 mM NaCl, 10 mM EDTA, 2 mM dithiothreitol (DTT), 4% (wt/vol) dodecyl-d-maltoside (Sigma)] and incubated for 45 min on ice. Sarkosyl (N-lauryl sarcosine; Fluka) was added to a final concentration of 2% (wt/vol), followed by additional 30 min incubation on ice. Four hundred microliters of the samples were loaded on a 3.6 ml continuous 7 to 28% density gradient (OptiPrep, Sigma), with a final concentration of 25 mM HEPES (pH 7.4), 150 mM NaCl, 2 mM EDTA, 1 mM DTT, and 0.5% sarkosyl. Samples were centrifuged at 52,000 rpm for 90 min at 4°C (with a Discovery M150SE Micro-Ultracentrifuge and S52-ST swinging bucket). Fractions of 200 μl were collected and 20 μl per fraction was analyzed on 4–12% Bis-Tris SDS polyacrylamide gel (NuPAGE, Invitrogen) followed by Western blotting as described above. The signal was quantified with the freeware analysis program image studio lite (Li-cor).
Formalin fixed brain hemispheres were decontaminated in formic acid for 60 min to eliminate prion infectivity. After additional fixation in formalin, the tissue was paraffin embedded. Paraffin sections (3 μm) were stained with H&E. Immunohistochemical stainings for GFAP (1:13000 DAKO) and IBA1 (1:1000) were performed using standard methods. For SAF84 immunostains, sections were incubated in 98% formic acid for an additional 6 min after deparaffinization and washed in distilled water for 30 min. Sections were treated with citrate buffer (pH 6.0) for 3 min at 100°C. After adapting to room temperature, sections were incubated in Ventana buffer, and stained with the NEXEX immunohistochemistry robot (Ventana Instruments) using an iVIEW DAB Detection Kit (Ventana). After incubation with protease 2 (Ventana) for 16 min, sections were incubated with anti-PrP SAF-84 (SPI-Bio, A03208, 1:200) for 32 min and counterstained with hematoxylin.
LCP staining on frozen sections
Brain samples, frozen in HANKS buffered salt solution, were cut (10 μm) and dried for 1h at room temperature. Tissue was fixed on slides with 100% ethanol for 10 min and subsequently washed in deionized water. Slides were preincubated for 10 min in PBS followed by staining with LIN5050 diluted in PBS ([4 μM] final concentration) for 30 min at room temperature. Sections were embedded with fluorescent mounting medium (DAKO) and stored at 4°C.
Nerve fibre preparations
Sciatic nerves were fixed in 2% glutaraldehyde supplemented with 0.1 M sodium phosphate buffer at pH 7.4 and processed following standard procedures. At least 8 axons per nerve were teased on a glycerine gelatine covered glass slide.
S1 Fig. PrP expression level by Western blot.
Western blot analysis of Tg(MoPrP169F);Prnp-/- expression reveals PrP levels comparable to wild-type (wt) Prnp+/+ mice. For Tg(MoPrP169F) each lane represents a biological replicate. PrP was stained with the anti-PrP antibody POM1 (200ng/ml). Actin was stained as loading control (1:10000). Quantitative analysis of these samples was performed by FRET assay as shown in Fig 1B.
S2 Fig. Survival chart of Tg(MoPrP169F);Prnp-/-, Prnp-/- and Tg(MoPrP169F);Prnp+/- mice.
The median survival of Tg(MoPrP169F);Prnp-/- (767.5 days), Prnp-/- (663.5 days) or Tg(MoPrP169F);Prnp+/- (801 days) mice failed to show any significant difference.
S3 Fig. Survival chart of passaged RML or 263K inoculated mice without heat-inactivation of the inoculum.
In (A) 1% brain homogenate from RML inoculated mice was intracerebrally injected (30μl) into Tga20 mice (mouse “a” and “b” correspond to Tg(MoPrP169F);Prnp-/-, mouse “c” to Tg(MoPrP169F);Prnp+/- and mouse “d” to wt Prnp+/+ (see Fig 2A). (B) 1% brain homogenate from Tg(MoPrP169F);Prnp-/- (mouse e, f and g; see Fig 2B) and Prnp-/- (mouse h; see Fig 2B) inoculated with 263K were intracerebrally passaged into Tg81 mice. Heat inactivated noninfectious brain homogenate from Tg(MoPrP169F);Prnp+/- or Tg(MoPrP169F);Prnp-/- mice was used as control.
S4 Fig. Fab1 POM1 injection into the brains of wt Prnp+/+ and Tg(MoPrP169F);Prnp-/- mice.
As expected, injection of 8μg of Fab1 POM1 into the left hemisphere of wt Prnp+/+ mice or Tg(MoPrP169F);Prnp-/- mice resulted in lesions detected by MRI (4.7 tesla) without significant differences between the two groups. The effect could be blocked by preincubation of Fab1 POM1 with 5 molar excess of the recombinant murine PrP fragment (encompassing residues 90–231) diluted in PBS before administration into the brain. Each dot represents a biological replicate. Data are presented as mean ± SD.
S5 Fig. Proteolytic digestion with PK.
Brain homogenates (20 μg total protein per well) from RML infected B6 Prnp+/+, Tg(MoPrP169F);Prnp+/- or Tg(MoPrP169F);Prnp-/- mice were treated with concentrations of proteinase K ranging from 25 to 200 μg/ml for 30 min at 37°C. Samples were subsequently mixed with 4x loading dye (NuPAGE, invitrogen), denatured at 95°C for 5 min, separated on a 4–12% Bis-Tris SDS polyacrylamide gel and blotted onto a nitrocellulose membrane. Membranes were blocked for 1 h in 5% Topblock (Fluka) diluted in Tris-buffered saline supplemented with Tween 20 [150 mM NaCl, 10 mM Tris-HCl, 0.05% Tween 20 (v/v)] and incubated overnight at 4°C with anti PrP antibody POM1 (200 ng/ml). Horseradish peroxidase conjugated goat anti mouse IgG (H+L) (1:10.000, Invitrogen) was used as the secondary antibody and immunoreactivity was visualized using chemiluminescence (Luminata crescendo, Merck Millipore).
S6 Fig. PrP detection using a panel of anti PrP antibodies.
PK Western blot analysis of brain homogenates from RML-infected Tg(MoPrP169F);Prnp-/- mice probed with a panel of different anti-PrP antibodies (POMs), covering different epitopes of PrP, compared to brain homogenates from RML-infected wt Prnp+/+ mice. All antibodies detected increased sensitivity to PK digestion and no shorter PK-fragments for MoPrP169F prions. POM5 which recognizes the β2-α2 loop of PrP (residues 168–174) was not able to detect MoPrP169F, because of the point mutation in its recognition site. Brain homogenates from RML-infected wt Prnp+/+ mice were used as controls. 10 μg of total protein was treated with 25 μg/ml PK for 30 min at 37°C and loaded onto the gel. Non-digested samples from RML-infected wt and Tg(MoPrP169F);Prnp-/- were used as controls. Bands were detected with the different anti-PrP antibodies as indicated in the Figure at a concentration of 200 ng/ml.
S7 Fig. PrP detection using anti PrP antibody SAF84.
Western blot analysis of 10% brain homogenates (10 μg total protein per well) from wt Prnp+/+, Tg(MoPrP169F);Prnp+/- and Tg(MoPrP169F);Prnp-/- mice treated with or without RML. Bands in the PrP region differed from the Prnp-/- control. PrP was stained with the anti-PrP antibody SAF84 (1:1000). Actin is depicted as loading control (1:10000).
S8 Fig. Passage of 263K inoculated mice into Tg81 mice.
Passage of brain homogenate from 263K inoculated Tg((MoPrP169F);Prnp-/- mouse (g) (previously shown in Figs 2B and S3B) into hamster PrP expressing Tg81 mice led to death and accumulation of PK resistant PrP. In contrast Tg(MoPrP169F);Prnp-/- mice showed marked reduction of PK resistant material. In Tg(MoPrPF169F);Prnp+/- mice the amount of PK resistant material was also reduced compared to the passaged Tg81 mice, but showed some interindividual variability. 20 μg of total protein per lane was treated or not with 25 μg/ml PK for 30 min at 37°C. Bands were detected with the anti PrP antibody POM1 (200 ng/ml).
S9 Fig. Fractionation- and PK resistance analysis of brain homogenates from prion infected mice.
(A) Western blot analyses of total PrP from differentially fractionated brain homogenate samples of wt Prnp+/+ mice inoculated with noninfectious brain homogenate or RML and RML inoculated Tg(MoPrP169F);Prnp-/- and Tg(MoPrP169F);Prnp+/- mice to confirm data from Fig 5. A technical replicate of the data presented in Fig 5 is shown with all fractions (1–20) loaded to a SDS-PAGE from a 7–28% OptiPrep gradient. (B) Effect of proteinase K on PrP aggregates migrating in low and high density fractions. Western blot analysis of pooled low (fractions 1–4) and high (fractions 12–15) density fractions from the ultracentrifugation experiment show PK (2 μg/ml) sensitive PrP in the low-density fractions. In high density fractions, PK resistance is maintained in wt Prnp+/+, whereas reduced resistance is observed in Tg(MoPrP169F) mice. Fractions were methanol precipitated and adjusted to 190 ng of total protein per lane. PrP was detected using the anti-PrP antibody POM1 (200 ng/ml).
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S1 File. Excel sheet containing data that led to Fig 1B, Fig 2, Fig 3F, Fig 4B and 4C, Fig 5B, S2 Fig, S3 Fig and S4 Fig.
S1 Table. Clinical assessment and scoring of mice inoculated with prions.
The mice were observed every other day after prion inoculation for clinical signs including gait, grooming, activity, rough hair coat, limb paresis and ataxia. Once the mice showed the first sign of scrapie (grade 1), they were monitored every day and wet food was supplied in the cage. When the mice reached score grade 2 that hampered the mice reaching the water bottle, they were euthanized by CO2 inhalation.
We thank Mirzet Delic for animal husbandry, Brigitte Piccapietra for nerve fiber preparations, Marianne König for immunohistochemical stains and Peter Nilsson for providing LIN5050.
- Conceptualization: AA KW SH HL.
- Formal analysis: AA SH HL.
- Funding acquisition: AA.
- Investigation: HL USH CZ BL PD FL RRR PS.
- Project administration: AA SH HL.
- Resources: PP.
- Supervision: AA KW SH.
- Validation: HL.
- Visualization: AA KW SH USH HL.
- Writing – original draft: AA KW SH MP EJR HL.
- Writing – review & editing: AA KW SH MP EJR HL.
- 1. Prusiner SB. Novel proteinaceous infectious particles cause scrapie. Science. 1982;216: 136–144. pmid:6801762
- 2. Groschup MH, Lacroux C, Buschmann A, Lühken G, Mathey J, Eiden M, et al. Classic scrapie in sheep with the ARR/ARR prion genotype in Germany and France. Emerg Infect Dis. 2007;13: 1201–1207. pmid:17953092
- 3. Breyer J, Wemheuer WM, Wrede A, Graham C, Benestad SL, Brenig B, et al. Detergents modify proteinase K resistance of PrP Sc in different transmissible spongiform encephalopathies (TSEs). Vet Microbiol. 2012;157: 23–31. pmid:22226540
- 4. Saverioni D, Notari S, Capellari S, Poggiolini I, Giese A, Kretzschmar H a., et al. Analyses of protease resistance and aggregation state of abnormal prion protein across the spectrum of human prions. J Biol Chem. 2013;288: 27972–27985. pmid:23897825
- 5. Miyazawa K, Emmerling K, Manuelidis L. High CJD infectivity remains after prion protein is destroyed. J Cell Biochem. 2011;112: 3630–3637. pmid:21793041
- 6. Bolton DC, Meyer RK, Prusiner SB. Scrapie PrP 27–30 is a sialoglycoprotein. J Virol. 1985;53: 596–606. pmid:3918176
- 7. Rudd PM, Endo T, Colominas C, Groth D, Wheeler SF, Harvey DJ, et al. Glycosylation differences between the normal and pathogenic prion protein isoforms. Proc Natl Acad Sci U S A. 1999;96: 13044–13049. pmid:10557270
- 8. Riek R, Hornemann S, Wider G, Billeter M, Glockshuber R, Wüthrich K. NMR structure of the mouse prion protein domain PrP(121–231). Nature. 1996;382: 180–2. pmid:8700211
- 9. James TL, Liu H, Ulyanov NB, Farr-Jones S, Zhang H, Donne DG, et al. Solution structure of a 142-residue recombinant prion protein corresponding to the infectious fragment of the scrapie isoform. Proc Natl Acad Sci U S A. 1997;94: 10086–10091. pmid:9294167
- 10. Zahn R, Liu a, Lührs T, Riek R, von Schroetter C, López Garcia F, et al. NMR solution structure of the human prion protein. Proc Natl Acad Sci. 2000;97: 145–150. pmid:10618385
- 11. López Garcia F, Zahn R, Riek R, Wüthrich K. NMR structure of the bovine prion protein. Proc Natl Acad Sci U S A. 2000;97: 8334–8339. pmid:10899999
- 12. Haire LF, Whyte SM, Vasisht N, Gill AC, Verma C, Dodson EJ, et al. The crystal structure of the globular domain of sheep prion protein. J Mol Biol. 2004;336: 1175–1183. pmid:15037077
- 13. Lysek D a, Schorn C, Nivon LG, Esteve-Moya V, Christen B, Calzolai L, et al. Prion protein NMR structures of cats, dogs, pigs, and sheep. Proc Natl Acad Sci U S A. 2005;102: 640–5. pmid:15647367
- 14. Gossert AD, Bonjour S, Lysek D a, Fiorito F, Wüthrich K. Prion protein NMR structures of elk and of mouse/elk hybrids. Proc Natl Acad Sci U S A. 2005;102: 646–50. pmid:15647363
- 15. Christen B, Pérez DR, Hornemann S, Wüthrich K. NMR structure of the bank vole prion protein at 20 degrees C contains a structured loop of residues 165–171. J Mol Biol. 2008;383: 306–12. pmid:18773909
- 16. Christen B, Hornemann S, Damberger FF, Wüthrich K. Prion protein NMR structure from tammar wallaby (Macropus eugenii) shows that the β2-α2 loop is modulated by long-range sequence effects. J Mol Biol. 2009;389: 833–845. pmid:19393664
- 17. Pérez DR, Damberger FF, Wüthrich K. Horse prion protein NMR structure and comparisons with related variants of the mouse prion protein. J Mol Biol. 2010;400: 121–8. pmid:20460128
- 18. Wen Y, Li J, Yao W, Xiong M, Hong J, Peng Y, et al. Unique structural characteristics of the rabbit prion protein. J Biol Chem. 2010;285: 31682–31693. pmid:20639199
- 19. Riek R, Hornemann S, Wider G, Glockshuber R, Wüthrich K. NMR characterization of the full-length recombinant murine prion protein, mPrP(23–231). FEBS Lett. 1997;413: 282–288. pmid:9280298
- 20. Damberger FF, Christen B, Pérez DR, Hornemann S, Wüthrich K. Cellular prion protein conformation and function. Proc Natl Acad Sci U S A. 2011;108: 17308–17313. pmid:21987789
- 21. Christen B, Damberger FF, Pérez DR, Hornemann S, Wüthrich K. Structural plasticity of the cellular prion protein and implications in health and disease. Proc Natl Acad Sci U S A. 2013;110: 8549–54. pmid:23650394
- 22. Christen B, Hornemann S, Damberger FF, Wüthrich K. Prion protein mPrP[F175A](121–231): Structure and stability in solution. J Mol Biol. Elsevier Ltd; 2012;423: 496–502. pmid:22922482
- 23. Fischer M, Rülicke T, Raeber a, Sailer a, Moser M, Oesch B, et al. Prion protein (PrP) with amino-proximal deletions restoring susceptibility of PrP knockout mice to scrapie. EMBO J. 1996;15: 1255–1264. pmid:8635458
- 24. Büeler H, Fischer M, Lang Y, Bluethmann H, Lipp HP, DeArmond SJ, et al. Normal development and behaviour of mice lacking the neuronal cell-surface PrP protein. Nature. 1992;356: 577–582. pmid:1373228
- 25. Bremer J, Baumann F, Tiberi C, Wessig C, Fischer H, Schwarz P, et al. Axonal prion protein is required for peripheral myelin maintenance. Nat Neurosci. Nature Publishing Group; 2010;13: 310–318. pmid:20098419
- 26. Kimberlin RH, Walker C a. Evidence that the transmission of one source of scrapie agent to hamsters involves separation of agent strains from a mixture. J Gen Virol. 1978;39: 487–496. pmid:96212
- 27. Scott M, Foster D, Mirenda C, Serban D, Coufal F, Walchli M, et al. Transgenic mice expressing hamster prion protein produce species-specific scrapie infectivity and amyloid plaques. Cell. 1989;59: 847–857. pmid:2574076
- 28. Sonati T, Reimann RR, Falsig J, Baral PK, O’Connor T, Hornemann S, et al. The toxicity of antiprion antibodies is mediated by the flexible tail of the prion protein. Nature. Nature Publishing Group; 2013;501: 102–106. pmid:23903654
- 29. Reimann RR, Sonati T, Hornemann S, Herrmann US, Arand M, Hawke S, et al. Differential toxicity of antibodies to the prion protein. PLOS Pathog. 2016;12: e1005401. pmid:26821311
- 30. Cronier S, Gros N, Tattum MH, Jackson GS, Clarke AR, Collinge J, et al. Detection and characterization of proteinase K-sensitive disease-related prion protein with thermolysin. Biochem J. 2008;416: 297–305. pmid:18684106
- 31. Peretz D, Scott MR, Groth D, Williamson R a, Burton DR, Cohen FE, et al. Strain-specified relative conformational stability of the scrapie prion protein. Protein Sci. 2001;10: 854–863. pmid:11274476
- 32. Sigurdson CJ, Nilsson KPR, Hornemann S, Manco G, Polymenidou M, Schwarz P, et al. Prion strain discrimination using luminescent conjugated polymers. Nat Methods. 2007;4: 1023–1030. pmid:18026110
- 33. Herrmann US, Schutz AK, Shirani H, Huang D, Saban D, Nuvolone M, et al. Structure-based drug design identifies polythiophenes as antiprion compounds. Sci Transl Med. 2015;7: 299ra123–299ra123. pmid:26246168
- 34. Laferrière F, Tixador P, Moudjou M, Chapuis J, Sibille P, Herzog L, et al. Quaternary structure of pathological prion protein as a determining factor of strain-specific prion replication dynamics. Agrimi U, editor. PLoS Pathog. 2013;9: e1003702. pmid:24130496
- 35. Kurt TD, Bett C, Fernández-Borges N, Joshi-Barr S, Hornemann S, Rülicke T, et al. Prion transmission prevented by modifying the β2-α2 loop structure of host PrPC. J Neurosci. 2014;34: 1022–7. pmid:24431459
- 36. Sigurdson CJ, Joshi-Barr S, Bett C, Winson O, Manco G, Schwarz P, et al. Spongiform encephalopathy in transgenic mice expressing a point mutation in the β2-α2 loop of the prion protein. J Neurosci. 2011;31: 13840–13847. pmid:21957246
- 37. Sigurdson CJ, Nilsson KPR, Hornemann S, Heikenwalder M, Manco G, Schwarz P, et al. De novo generation of a transmissible spongiform encephalopathy by mouse transgenesis. Proc Natl Acad Sci U S A. 2009;106: 304–309. pmid:19073920
- 38. Kurt TD, Jiang L, Bett C, Eisenberg D, Sigurdson CJ. A proposed mechanism for the promotion of prion conversion involving a strictly conserved tyrosine residue in the α2- β2 loop of PrPC. J Biol Chem. 2014;289: 10660–10667. pmid:24596090
- 39. Perrier V, Kaneko K, Safar J, Vergara J, Tremblay P, DeArmond SJ, et al. Dominant-negative inhibition of prion replication in transgenic mice. Proc Natl Acad Sci U S A. 2002;99: 13079–84. pmid:12271119
- 40. Telling GC, Scott M, Mastrianni J, Gabizon R, Torchia M, Cohen FE, et al. Prion propagation in mice expressing human and chimeric PrP transgenes implicates the interaction of cellular PrP with another protein. Cell. 1995;83: 79–90. pmid:7553876
- 41. Asante E a, Smidak M, Grimshaw A, Houghton R, Tomlinson A, Jeelani A, et al. A naturally occurring variant of the human prion protein completely prevents prion disease. Nature. 2015; 1–2.
- 42. Rossetti G, Giachin G, Legname G, Carloni P. Structural facets of disease-linked human prion protein mutants: A molecular dynamic study. Proteins Struct Funct Bioinforma. 2010;78: 3270–3280.
- 43. Rossetti G, Cong X, Caliandro R, Legname G, Carloni P. Common Structural Traits across Pathogenic Mutants of the Human Prion Protein and Their Implications for Familial Prion Diseases. J Mol Biol. Elsevier Ltd; 2011;411: 700–712. pmid:21689662
- 44. Gorfe A, Caflisch A. Ser170 controls the conformational multiplicity of the loop 166–175 in prion proteins: implication for conversion and species barrier. FASEB J. 2007;21: 3279–3287. pmid:17522379
- 45. Tzaban S, Friedlander G, Schonberger O, Horonchik L, Yedidia Y, Shaked G, et al. Protease-sensitive scrapie prion protein in aggregates of heterogeneous sizes. Biochemistry. 2002;41: 12868–12875. pmid:12379130
- 46. Pastrana M a, Sajnani G, Onisko B, Castilla J, Morales R, Soto C, et al. Isolation and characterization of a proteinase K-sensitive PrPSc fraction. Biochemistry. 2006;45: 15710–15717. pmid:17176093
- 47. Sajnani G, Silva CJ, Ramos A, Pastrana M a., Onisko BC, Erickson ML, et al. PK-sensitive PrPSc is infectious and shares basic structural features with PK-resistant PrPSc. PLoS Pathog. 2012;8.
- 48. Hsiao KK, Scott M, Foster D, Groth DF, DeArmond SJ, Prusiner SB. Spontaneous neurodegeneration in transgenic mice with mutant prion protein. Science. 1990;250: 1587–1590. pmid:1980379
- 49. Medori R, Tritschler H-J, LeBlanc A, Villare F, Manetto V, Chen HY, et al. Fatal familial insomnia, a prion disease with a mutation at codon 178 of the prion protein gene. N Engl J Med. 1992;326: 444–449. pmid:1346338
- 50. Colucci M, Moleres FJ, Xie Z-L, Ray-Chaudhury A, Gutti S, Butefisch CM, et al. Gerstmann-Sträussler-Scheinker: a new phenotype with “curly” PrP deposits. J Neuropathol Exp Neurol. 2006;65: 642–651. pmid:16825951
- 51. Gambetti P, Dong Z, Yuan J, Xiao X, Zheng M, Alshekhlee A, et al. A novel human disease with abnormal prion protein sensitive to protease. Ann Neurol. 2008;63: 697–708. pmid:18571782
- 52. Jackson WS, Borkowski AW, Faas H, Steele AD, King OD, Watson N, et al. Spontaneous generation of prion infectivity in fatal familial insomnia knock-in mice. Neuron. Elsevier Ltd; 2009;63: 438–450.