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Prions and Prion Diseases: Current Perspectives Chapter Abstracts

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Chapter 1. A Functional Role for a Copper Binding Prion Protein
Andrew R. Thompsett and David R. Brown

Abstract
It is now widely accepted that the normal cellular prion protein (PrPC) binds copper. While the extent, affinities and sites of binding are still disputed evidence suggests that PrP binds four coppers in the highly conserved histidine rich repeat domain and possibly at a fifth site outside the repeat region. Here we review the characteristics of the cupro-prion protein in relation to the normal function of the PrP and discuss a role for PrP in the relief of neuronal oxidative stress. Various mechanisms including copper signaling, metal ion homeostasis, and roles for PrP as a copper chaperone and enzymatic superoxide dismutase are considered to explain how PrP may perform this function. Finally, loss of PrP function is compared to the disease state and related to other neurological disorders in which copper is implicated.


Chapter 2. Binding and Conversion Reactions Between Prion Protein Isoforms
Byron Caughey, Jay R. Silveira, Jonathan O. Speare and Gerald S. Baron

Abstract
A fundamental process in the transmissible spongiform encephalopathies (TSE) or prion diseases is the conversion of PrPC to abnormal and usually protease-resistant forms such as PrPSc. A variety of in vitro experiments have shown that TSE-associated forms of PrP can cause PrPC to convert to forms that are similarly protease-resistant. These observations have shown that pathologic forms of PrP have at least limited capacity to propagate themselves, which would be necessary for them to be infectious proteins. However, it has not been shown that new infectivity is generated in any such reactions. Nonetheless, PrP conversion reactions are highly specific and may account, at least in part, for TSE species barriers and the propagation of strains. Such in vitro conversion systems have yielded insights into the molecular mechanisms of TSE disease and are being exploited as screens for anti-TSE drugs and as bases for diagnostic tests.


Chapter 3. The Prion Protein in Cell Culture
Jeremy P. Brockes and Nnennaya Kanu

Abstract
Cell culture models have afforded an accessible context in which to study the biosynthesis and trafficking of the prion protein (PrP) with respect to its glycosylation, conformation, membrane topology, aggregation and disulfide bonding. These mechanisms may impinge directly or indirectly on the propensity of the normal form of PrP, referred to as PrPC to undergo conversion to the disease-associated isoform, PrPSc during de novo infection of cells, or in a stably infected cell. Studies in cell culture have also delineated several mechanisms by which an infected cell might convert a neighbouring target cell, and have specifically suggested cell contact as an important aspect of this process.


Chapter 4. PrP Deletion Mutants
Surachai Supattapone and Judith R. Rees

Abstract
A number of investigators have successfully used deletion mutagenesis of the prion protein (PrP) to investigate the mechanisms of prion propagation, PrP folding, and PrPSc-induced neurotoxicity. Several of these studies have shown that PrP is comprised of at least three distinct domains. The N-terminal domain spanning residues 23-88 facilitates efficient prion propagation. The central, hydrophobic region spanning residues 89-140 is amyloidogenic and mediates neurotoxicity. The C-terminal domain is structured and helps prevent PrPC from misfolding. Other deletion mutagenesis studies have shown that a 106 amino acid molecule, PrP (D23-88, D141-176) can form infectious miniprions in transgenic (Tg) mice with an artificial transmission barrier. In vitro translation experiments demonstrated that deletion of the signal sequence spanning residues 1-22 increases production of the pathogenic topologic variant CtmPrP, indicating that CtmPrP is generated by post-translational translocation into endoplasmic reticulum membranes.


Chapter 5. Targeting the Murine PrP Gene
Rona M. Barron and Jean C. Manson

Abstract
The prion protein (PrP) is known to be central to the Transmissible Spongiform Encephalopathies (TSE) and point mutations and polymorphisms in the PrP gene have a major effect in defining the incubation time of TSE disease and the susceptibility of the host to TSE infection. In mice, polymorphisms at amino acids 108 and 189 of PrP have been implicated in the control of TSE incubation time. In humans, point mutations in the PrP protein are linked to the occurrence of familial forms of TSE disease, such as P102L Gerstmann-Straussler-Scheinker Syndrome (P102L GSS). In order to study the role of these point mutations and polymorphisms in PrP in TSE disease, we have developed several transgenic lines in which specific mutations have been introduced into the endogenous murine PrP protein by gene targeting. These transgenic mice express PrP at the same level and under the same regulatory controls as wild type mice, and all transgenic lines are directly comparable as the mutations have been introduced on the same genetic background. Inoculation of these mice has shown that amino acids 108 and 189 in murine PrP do indeed control scrapie incubation time in mice, and that the 101L mutation alters the susceptibility of the mice to several strains of TSE agent from different species.


Chapter 6. Transgenic Mouse Models of Prion Diseases
Karah Nazor and Glenn C. Telling

Abstract
Manipulation of prion protein (PrP) genes by transgenesis in mice has provided important insights into mechanisms of prion propagation and the molecular basis of prion strains and species barriers. Despite these advances, our understanding of these unique pathogens is far from complete. Transgenic approaches will doubtless remain one of the cornerstones of investigations into the prion diseases in the coming years which will include mechanistic studies of prion pathogenesis and prion transmission barriers. Transgenic models will also be important tools for the evaluation of potential therapeutic agents.


Chapter 7. Peripheral Pathogenesis of Prion Diseases
Adriano Aguzzi

Abstract
Prion neuroinvasion consists of an ordered sequence of events resulting in infection of the central nervous system (CNS). Successful oral challenge requires transepithelial migration of prions, which may be accomplished by M-cells. Depletion of lymphocytes from the intestinal mucosa by ablation of a4b7 integrins does not prevent pathogenesis, yet mice exhibiting reduced number of Peyer's patches are virtually uninfectible orally. After gaining access to the body from peripheral sites, prions colonize lymphoid organs of mice, humans, and sheep: the failure of peripherally administered prions to elicit disease in immune deficient mice indicates that this is crucial for pathogenesis. B-lymphocytes are required for neuroinvasion upon intraperitoneal administration, probably (but not necessarily only) because they provide lymphotoxins to secondary lymphoid organs, thereby maintaining follicular dendritic cells (FDCs): genetic or pharmacological interference with lymphotoxin signaling effectively impairs pathogenesis. The sympathetic nervous system appears to be involved in prion transfer to brain, since sympathectomy delays or prevents pathogenesis, whereas sympathetic hyperinnervation accelerates it. Various components of the complement system are modifiers of neuroinvasion efficiency, and their pharmacological or genetic ablation interferes with neuroinvasion. Although isogenic prions are immunologically inert, expression of anti-PrPC antibodies in transgenic mice has uncovered that autoreactivity to PrPC does not necessarily tolerize B-cells, and that sustained anti-PrPC IgM titers can prevent peripheral prion pathogenesis.


Chapter 8. Immunological Advances in Prion Diseases
R. Anthony Williamson

Abstract
The only known component of prions, the infectious agents causing transmissible spongiform encephalopathies (TSEs), is an abnormally folded conformer (PrPSc) of the cellular prion protein, PrPC. During prion propagation, PrPSc appears to act as a molecular template, sequestering endogenous PrPC and somehow triggering its conformational conversion, thereby yielding additional molecules of PrPSc. Presently, there are no effective approaches to either prevent or treat prion infections. However, antibodies specifically binding to certain regions of PrP have emerged as a class of potent inhibitors of prion replication, seemingly capable of resolving infection both in vitro and in vivo. Mechanistically, these molecules likely operate either by hindering PrPC-PrPSc interactions, or by stabilizing PrPC in its native conformation, thereby preventing its structural reconfiguration. These findings indicate that the immune system, which remains largely impassive throughout the course of a natural prion infection, may if stimulated correctly, yield meaningful protection from exposure to prions. Significantly, however, antibodies are generally excluded from central nervous system (CNS), and are therefore likely to be limited in their ability to readily reverse established prion infections that have spread to, or originated within, these tissues. Looking to the future, antibodies that efficiently inhibit prion propagation are now being harnessed as tools with which to rationally identify small molecules possessing equivalent anti-prion properties, but that may more readily gain access to the CNS.


Chapter 9. Prnd and the Doppel Protein
David Westaway

Abstract
Doppel (Dpl) is a PrP-related protein encoded by the Prnd gene downstream of Prnp. Like PrPC, Dpl is a GPI-anchored protein with two N-glycosylation sites and a globular C-terminus containing three a-helices and two short b-strands, and both proteins bind copper ions in vitro. Dpl is distinguished from PrPC by a shorter N-terminal region (lacking both octarepeats and an optional transmembrane region), a kink in helix B, and a different location and stoichiometry of Cu binding site. In vivo, Dpl is apparently unable to be converted to a PrPSc-like form. Also, whereas mouse PrPC is expressed abundantly in the CNS and is present in several peripheral tissues, Dpl expression in adult is restricted almost exclusively to the testis. When expressed in the CNS, however, Dpl produces neurodegeneration with similarities to phenotypes produced by some mutant forms of PrPC, and furthermore, the neurotoxic effects of Dpl are blocked by expression of wild type PrPC. These findings, as well as an unexpected parallel between Familial Creutzfeldt-Jakob disease mutations and conserved residues in Dpl suggest cross-talk between Dpl and PrPC in certain physiological and pathogenic situations. Defining the basis for the overlapping and complementary functions of Dpl and PrP isoforms comprises an important challenge for future research.


Chapter 10. Cellular Control of Prion Formation and Propagation in Yeast
Yury O. Chernoff

Abstract
Yeast prions provide a model for understanding both the molecular mechanisms of mammalian amyloidoses and the general principles of protein-based inheritance. In yeast, initial prion formation is induced by protein overproduction and facilitated in a cascade-like fashion by pre-existing prion isoforms of unrelated proteins, containing prion-forming domains of similar amino acid composition. Pre-existing yeast prions also increase aggregation and toxicity of the heterologous polyglutamine proteins, thus manifesting themselves as susceptibility factors for other aggregation disorders. Formation and propagation of yeast prions is modulated by various cellular regulatory networks, including the stress-defense systems (heat shock proteins [Hsps] and the ubiquitin pathway), cytoskeleton, and functional partners of the specific prion-forming proteins. The very ability of yeast prions to spread in cell divisions or by cytoplasmic exchanges, that turns them into "malignant" subcellular "tumors" and distinguishes prions from non-perpetuating protein aggregates, requires a certain level of Hsp activity. Thus, prions have "learned" how to use the cellular stress-defense systems to their own advantage. Stresses and chemical agents can cure yeast cells of prions by altering the Hsp levels or activities. The mechanism of prion curing by guanidine hydrochloride is specifically discussed. Curing yeast cells of prions via chaperone manipulations suggests an approach for development of new potential anti-prion treatments.

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