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MINIREVIEW
The reconstitutionofmammalianprioninfectivityde novo
Ilia V. Baskakov
Medical Biotechnology Center, University of Maryland Biotechnology Institute, and Department of Biochemistry and Molecular Biology,
University of Maryland School of Medicine, Baltimore, MD, USA
Prion diseases are a group of fatal neurodegenerative
maladies that can arise spontaneously or be inherited,
and can also be infectious. Theprion hypothesis postu-
lates that the infectious agent ofthe diseases is an
abnormally folded isoform oftheprion protein (PrP
Sc
)
that propagates its abnormal conformation in an auto-
catalytic manner by recruiting the normal isoform of
the same protein (PrP
C
) [1,2]. Potential infectivity of
prion diseases raised major public concern owing
mainly to the spread of mad cow disease in Europe, as
well as to chronic wasting disease of deer and elk in
North America and the possibility of transmission of
prion diseases through blood and surgical instruments.
This article summarizes our current knowledge about
the biochemical nature oftheprion infectious agent,
and describes potential strategies and challenges rela-
ted to thedenovo generation ofprion infectivity
in vitro.
Biochemical nature ofthe prion
infectious agent
While formal proof ofthe protein-only hypothesis [i.e.
generation of synthetic prions in vitro using prion pro-
tein (PrP) produced in Escherichia coli or PrP
C
purified
from normal brains and achieving an infectivity titer
high enough to cause disease in wild-type animals] has
not yet been presented, substantial progress has been
made in the last couple of years towards reaching this
goal [3,4]. On the other hand, the opponents of the
Keywords
amyloid fibrils; conformational adaptation;
in vitro conversion; prion diseases; prion
protein; synthetic prions
Correspondence
I. Baskakov, 725 W. Lombard St., Baltimore,
MD 21201, USA
Fax: +1 410 706 8184
Tel: +1 410 706 4562
E-mail: Baskakov@umbi.umd.edu
(Received 2 August 2006, revised 30
November 2006, accepted 1 December
2006)
doi:10.1111/j.1742-4658.2007.05630.x
The discovery ofprion disease transmission in mammals, as well as a non-
Mendelian type of inheritance in yeast, has led to the establishment of a
new concept in biology, theprion hypothesis. Theprion hypothesis postu-
lates that an abnormal protein conformation propagates itself in an auto-
catalytic manner using the normal isoform ofthe same protein as a
substrate and thereby acts either as a transmissible agent of disease (in
mammals), or as a heritable determinant of phenotype (in yeast and fun-
gus). While theprion biology of yeast and fungus supports this idea
strongly, the direct proof oftheprion hypothesis in mammals, specifically
the reconstitutionofthe disease-associated isoform oftheprion protein
(PrP
Sc
) in vitro denovo from noninfectious prion protein, has been difficult
to achieve despite many years of effort. The present review summarizes our
current knowledge about the biochemical nature oftheprion infectious
agent and structure of PrP
Sc
, describes potential strategies for generating
prion infectivitydenovo and provides some insight on why the reconstitu-
tion ofinfectivity has been difficult to achieve in vitro. Several hypotheses
are proposed to explain the apparently low infectivityofthe first genera-
tion of recently reported synthetic mammalian prions.
Abbreviations
CJD, Creutzfeldt–Jakob disease; PrP, prion protein; PrP*, an intermediate form oftheprion protein formed on the pathway toward PrP
Sc
;
PrP
C
, normal cellular isoform oftheprion protein; PrP
Sc
, disease-associated isoform oftheprion protein; rPrP, recombinant prion protein;
a-rPrP, a-helical isoform of rPrP; PK, proteinase K; PrP
res
, PK-resistant form of PrP; Tg, transgenic; TSE, transmissible spongiform
encephalopathy.
576 FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS
prion hypothesis have not put forward any strong
experimental evidence to invalidate this hypothesis,
despite many years of trials. To date, most prion
researchers agree that the PrP is the major and essen-
tial, if not the only, component oftheprion infectious
agent. The ongoing discussions no longer dispute the
key role of PrP, but rather revolve around the ques-
tions of whether additional cellular components are
involved in prion replication and what role they may
play. These cellular components could be divided into
two large categories, namely (a) cofactors that are
important for stabilizing PrP
Sc
structure and therefore
are a constituent part of PrP
Sc
and ⁄ or (b) cofactors
that are required for conversion from PrP
C
to PrP
Sc
,
but are not necessarily incorporated into PrP
Sc
aggre-
gates.
With respect to the first group, polysaccharides that
consist of an a-linked polyglucose were shown to be
permanent components ofprion rods purified from
scrapie brains [5,6]. Approximately 5–15% of PrP
Sc
is
composed of polysaccharides, which are believed to
form a structural scaffold. This scaffold should have a
significant impact on the accessibility of PrP to proteo-
lytic digestion and stability in a cell [5]; it might also
impact strain diversity. In addition to polysaccharides,
small amounts of sphingolipids and cholesterol were
found in purified preparations ofprion rods, which is
not surprising considering that lipids represent the cel-
lular environment for prion conversion [7].
After nearly two decades of searching, the attempts
to identify nucleic acids as constituent components
that are either essential for prioninfectivity or specify
strain-dependent properties, have not been successful
[8,9]. While not essential for prion infectivity, nucleic
acids might play some role in a complex process of pri-
on conversion. Recent studies showed that antibody to
DNA immunocaptured PrP
Sc
in brain homogenates,
suggesting that PrP
Sc
might have high affinity for bind-
ing to nucleic acids [10]. Another study that exploited
an in vitro conversion assay suggested that RNA mole-
cules might be involved in facilitating prion replication
[11]. However, it is more likely that the stimulating
effects of RNA are related to its polyanionic nature,
rather than being dependent on specific sequences or
types of RNAs [12]. Sulfated polysaccharides are
another class of polyanions that have been found to
stimulate prion conversion in a cell-free system [13].
In vitro, polyanions may provide a frame for aligning
PrP
C
and PrP
Sc
molecules in a mutually favorable ori-
entation via interacting with the positively charged
N-terminal region. It is well known that the N-ter-
minal region is not directly involved in the formation
of the proteinase K (PK)-resistant b-sheet rich core in
PrP
Sc
, but remains solvent-exposed in both PrP
Sc
and
PrP
C
. There are six positively charged and no negat-
ively charged residues within a short region spanning
residues 23–48, which will probably bind to polyanions
[14]. The functional roles ofthe DNA–PrP
Sc
complex,
the a-linked polyglucose–PrP
Sc
complex, or other com-
plexes that PrP
Sc
may form, need to be clarified in
future studies, as it remains uncertain whether these
complexes are formed in vivo or are only present in
homogenized tissues.
Structural models of PrP
Sc
In contrast to PrP
C
, little is known about the structure
of PrP
Sc
. Several structural models of PrP
Sc
have been
proposed recently [15–19]. Based on electron microsco-
py (EM) imaging of 2D crystals produced from highly
infectious brain fractions, Govaerts and co-authors
proposed a model in which residues 89–175, including
helix A, adopt a b-helical conformation in PrP
Sc
form
[15,16]. The rest ofthe C terminus maintained a-helical
structures, which formed a fibrillar interface in mature
PrP
Sc
. Molecular dynamics simulations by DeMarco &
Daggett [17] were in overall agreement with this
model, which, however, was inconsistent with several
experimental observations. First, incubation of PrP
Sc
with 2–3 m GndHCl was shown to destabilize the cen-
tral region (residues 90–140), which acquired a
PK-sensitive conformation, whereas the C-terminal
region (residues 143–230) remained PK resistant [20].
Second, upon conversion from PrP
C
to PrP
Sc
, the epi-
topes between residues 90–110 were found to become
partially secluded [21]. However, this region still
remained exposed to the solvent to such an extent that
antibodies specific to this region immunoprecipitated
native PrP
Sc
[22]. Taken together, these data argue that
the central region (residues 90–140) may not be a
constitutive part ofthe b -sheet-rich core in PrP
Sc
, but
rather accounts for fibrillar interfaces.
Contrary to this model of Govaerts et al., a simula-
tion by Dima & Thirumalai suggests that residues
172–224, which correspond to helices B and C in the
native PrP
C
form, have a high propensity to adopt a
b-sheet-rich conformation in PrP* form, a possible
intermediate produced on the pathway towards forma-
tion of PrP
Sc
[18]. The result of these simulations were
indirectly supported by crystallographic studies of the
a-helical PrP monomer, which indicated that region
188–204 is able to undergo a partial a-helix- to
b-sheet-switch within the monomeric state, presumably
giving rise to early intermediate species [23]. These
simulations were also consistent with the remarkably
high intrinsic helix propensity of residues within the
I. V. Baskakov Reconstitutionofprioninfectivityde novo
FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS 577
helix A (residues 144–154), which are highly stable
against environmental changes and therefore less likely
to initiate transition into PrP
Sc
[24]. Future studies on
the PrP
Sc
ultrastructure should resolve the controversy
regarding PrP regions that acquire the b-structure in
mature PrP
Sc
form.
Two strategies for denovo generation
of prioninfectivity in vitro
In an attempt to generate the infectious form of PrP,
two different strategies have been pursued, namely (a)
amplification of PrP
Sc
in PrP
Sc
-dependent conversion
reactions, and (b) conversion of PrP
C
or recombinant
PrP (rPrP) in the absence of a PrP
Sc
template.
There are many technical challenges related to the
generation ofprioninfectivity in vitro. Despite sub-
stantial conformational differences between PrP
C
and
PrP
Sc
(PrP
C
is a PK-sensitive a-helical monomer,
whereas PrP
Sc
is an assembled multimer characterized
by enhanced resistance towards PK digestion and an
increased amount of b-structure [25,26]), it is still
unclear which physical property can be used as a valid
probe for monitoring the formation of PrP
Sc
de novo
in a cell-free system. While the PK-digestion assay
remains the common method for detecting PrP
Sc
,
numerous studies have demonstrated that PK resist-
ance, in fact, does not correlate well with the prion
infectious titer [27–30]. It is well known that acquiring
a b-sheet-rich conformation by PrP molecules, or
aggregation into insoluble fibrillar states, are not exclu-
sively associated with the generation ofprion infectiv-
ity. The fact that PrP
Sc
is intrinsically polymorphic
and heterogeneous with respect to conformation, PK
resistance and aggregation state creates additional con-
fusion and challenges for generating prion infectivity
de novo. It will be beneficial if future studies can deter-
mine whether any specific physical property, such as a
unique pattern of surface-exposed epitopes, distingui-
shes the infectious subpopulation of PrP from the
broad range of abnormally folded noninfectious PrP
species [31]. PrP
Sc
-specific antibodies might be useful
in this respect. In the past, three different strategies
have been exploited successfully by different laborator-
ies to produce antibodies that specifically recognize
PrP
Sc
, but not PrP
C
[32–34].
Amplification of PrP
Sc
Several in vitro amplification protocols have been
developed, in which PrP
Sc
was used for seeding the
conversion of PrP
C
into nascent PrP
Sc
[11,35,36]. As
differences in PK resistance have been used historically
to distinguish PrP
C
from PrP
Sc
isoforms, all previously
established amplification protocols exploited an
increase in the PK resistance of PrP to track the con-
version reactions.
In 1995, Caughey and coworkers demonstrated that
PrP
C
can be converted into the PK-resistant form,
referred to as PrP
res
, in the presence of PrP
Sc
in a cell-
free system [37,38]. Conversion of PrP
C
into PrP
res
was
found to display two peculiar features ofprion replica-
tion: species barrier and strain-specificity [35,39,40].
However, in these studies, only small amounts
( 20%) of PrP
C
supplied in the reaction mixtures
were converted into the PrP
res
form, despite a 50-fold
molar excess of PrP
Sc
used as a seed. A detailed review
of these studies has been published [41]. In the studies
that followed, Soto and coworkers developed a cyclic
amplification system, where 30-fold amplification of
PrP
res
was obtained upon repetitive cycles of sonica-
tion of brain homogenate containing PrP
Sc
and PrP
C
at molar ratios less than 1 : 100 [36]. In the most
recent studies, unlimited amplification of PrP
res
was
achieved upon subsequent serial dilution-amplification
cycles ofthe miniscule amounts of initial PrP
Sc
seeds
[4,42]. These elegant approaches demonstrated that
PrP
res
molecules generated in vitro were able to cata-
lyze the formation of new PrP
res
molecules, confirming
the autocatalytic properties ofde novo-generated
PrP
res
. Amplification of PrP
res
was accompanied by
amplification ofprion infectivity. Without sonication,
substantially lower levels of PrP
res
amplification were
achieved, suggesting that sonication generates active
replication centers [11,43]. The mechanisms for frag-
mentation of PrP
Sc
aggregates and generation of active
replication centers in vivo are currently unknown.
Amplification of PrP
res
was also found to be less effi-
cient in mixtures of purified PrP
C
and PrP
Sc
than in
crude brain homogenates, suggesting that additional
cellular cofactors may be necessary for prion conver-
sion in vivo [12]. Future experiments on the amplifica-
tion of PrP
res
in mixtures of purified components may
eventually reveal all the molecular factors required for
the efficient replication oftheprion infectious agent.
The invention of a cyclic amplification system
opened new opportunities for the detection of ultra-
low levels ofprioninfectivity in blood and for rapid
testing oftheprion transmission barrier between dif-
ferent mammalian species [44]. Utilizing rPrP, instead
of PrP
C
, as a substrate for cyclic amplification would
simplify this assay and expand the range of potential
applications. However, to date, attempts to use rPrP
have not been successful [45,46] (C Soto, University of
Texas Medical Branch at Galveston, TX; personal
communication). The inability of rPrP to replace PrP
C
Reconstitution ofprioninfectivitydenovo I. V. Baskakov
578 FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS
in the cyclic amplification reaction is quite puzzling as
it appears that this deficiency is unlikely to be caused
by the lack of glycosylation or a GPI anchor [47–51].
In its a-helical conformation, rPrP resembles PrP
C
,as
both proteins were shown to have very similar, if not
identical, secondary and tertiary structures [52]. The
PrP conformation does not change if the protein is
placed in the vicinity ofthe membrane. Recombinant
a-PrP that was attached to the lipid membrane via a
GPI anchor mimetic was shown to have similar struc-
ture to that of PrP
C
[53].
Subtle differences in configuration ofthe proline
peptide backbone between rPrP and PrP
C
might
account for their markedly different efficiency in
amplifying PrP
Sc
in vitro. Because rPrP is expressed in
E. coli and purified from inclusion bodies, this mole-
cule could differ from PrP
C
in the amount of cis- ver-
sus trans-isomers of proline. In proteins synthesized in
mammalian cells, proline is found predominantly in
trans-conformation, and the balance between cis- and
trans-isomers is strictly controlled by prolyl isomerases
[54]. It is unclear whether recombinant proteins,
expressed as inclusion bodies in E. coli, display the
same proportion of trans- versus cis-isomers of proline.
Backbone isomerization of a conserved proline was
recently found to induce a conformational change that
initiated amyloid fibril formation of b2-microglobulin
[55]. There are several conservative prolines in PrP,
including those located at positions 102 or 105,
replacement of which with a leucine was found to
cause inherited forms ofprion disease [56]. It remains
to be determined why rPrP is deficient, and whether
rPrP can eventually be used in cyclic amplification.
In vitro conversion of recombinant PrP
or PrP
C
in the absence of PrP
Sc
An alternative strategy for thedenovo generation of
PrP
Sc
in vitro involves the conversion of PrP
C
or rPrP
in the absence of PrP
Sc
. This approach has more paral-
lels with the sporadic formation of prions, rather than
with prion diseases acquired through transmission. In
contrast to the amplification approach, where the
physical properties of PrP
res
are expected to mimic that
of PrP
Sc
seeds, conversions in the absence of PrP
Sc
pose uncertainty regarding the conformation of the
final products ofthe reaction. To monitor conversion,
most researchers have followed an increase in the
PK resistance or b-sheet-rich structures. It is not sur-
prising, that in the absence of a PrP
Sc
template, the
conversion of rPrP or PrP
C
produced a large diversity
of abnormal b-sheet-rich isoforms, which acquired
some, but not all, characteristics ofthe PrP
Sc
[57–65].
Together, these studies illustrate the intrinsic propen-
sity ofthe PrP molecule to adopt a diverse range of
conformations depending on solvent conditions and
cofactors supplemented in the conversion reactions.
Effect of cofactors on PrP conversion
The conversion of PrP
C
to PrP
Sc
in vivo is believed to
occur through at least partial unfolding of PrP
C
.
Therefore, the cofactors that either destabilize the
native state or stabilize the transition state may facili-
tate the conversion process in vitro. Several classes of
bioorganic molecules were found to be capable of
assisting in the transition ofthe a-helical isoform
of rPrP (a-rPrP) into b-sheet-rich states. In 2001, Silva
and co-authors demonstrated that double-stranded
DNA facilitates the conversion of a-rPrP23-231 into a
soluble b-sheet-rich isoform [64]. Interestingly, a small
molecule, 4,4¢-dianilino-1,1¢-binaphthyl-5,5¢-sulfonate
(bis-ANS), had a similar effect on the conversion of
a-rPrP23-231 to the b-isoform [66]. In addition to
DNA, rPrP was shown to interact with other polyani-
ons, including sulfated glycans [14,67] and RNA
[68,69]. RNA was found to stimulate the conversion of
rPrP into an aggregated, partially PK resistant, form
[69]. Using hamster rPrP90-231, Pinheiro and co-
authors showed that PrP has a high affinity for the
negatively charged lipid membranes of palmitoyloleoyl-
phosphatidylglycerol [1-palmitoyl-2-oleoyl-sn-glycero-3-
phospho-rac-(1-glycerol), and that the binding of rPrP
to palmitoyloleoylphosphatidylglycero membranes pro-
motes the conversion into b-sheet structures [70,71].
Unexpectedly, salt was found to decrease the thermo-
dynamic stability of a-rPrP23-230 [72]. This destabil-
izing effect may explain, in part, the observations that
transition into b-sheet-rich forms was stimulated in the
presence of salt [58,73], as well as by polyanions [74].
The effect of Cu
2+
and other bivalent metal ions on
the conformation of PrP is not discussed here, as it
has been summarized in a review article by Millhauser
[75] and in our recent study [76].
Generation of amyloid fibrils
By analogy to the studies where amyloid structure was
shown to be equivalent to a prion state for several
yeast prion proteins [77–79], converting rPrP into amy-
loid fibrils seemed to be one possible mechanism for
the denovo generation ofmammalianprion infectivity
in vitro. Over the last few years, several protocols for
converting rPrP or PrP
C
into a fibrillar shape have
been developed by different groups. In contrast to
yeast prion proteins, in which the amyloidogenic
I. V. Baskakov Reconstitutionofprioninfectivityde novo
FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS 579
regions are natively unfolded, the region associated
with mammalianprioninfectivity is structured and
thermodynamically stable. Because chemical denatu-
rants and elevated temperatures represent the most
common ways of manipulating the dynamic balance
between different unfolding intermediate states, the
first experimental protocol for generating amyloid
fibrils from the structured C-terminal domain of
a-rPrP (rPrP90-231) utilized partially denaturing con-
ditions using either chemical denaturants [57,58,65,80]
or combinations of elevated temperature and high
pressure [63]. Under partially denaturing conditions, a-
myloid fibrils were produced from both oxidized [80]
and reduced [57,60,81] forms of rPrP90-231. Further-
more, Riesner and coworkers established an alternative
refolding procedure, where amyloid fibrils were pro-
duced by incubating rPrP90-231 or PrP
C
in the pres-
ence of low concentrations of sodium dodecyl sulfate
or in the presence of lipids [82,83].
For a mechanistic understanding ofprion conversion
it is important for us to dissect the intermediate steps
of amyloid formation. In recent studies, Caughey and
co-authors showed that maximal converting activity
and infectivity belongs to a small oligomeric species,
rather than large fibrils [84]. Whether these oligomers
were produced via fragmentation of larger fibrils and
therefore possess amyloid substructure, or appeared
through an alternative amyloid-independent pathway,
remains to be determined. Fibrillar fragmentation
might occur as a result ofthe intensive sonication used
in aforementioned work. To our surprise, our early
studies of polymerization pathways in vitro revealed
that small soluble b-sheet-rich oligomeric species are
off the kinetic pathways to amyloid fibrils [80,85,86].
Synthetic mammalian prions
The most stringent criteria for judging whether prion
infectivity is generated in vitro denovo is a bioassay in
animals. There have been no reports showing the pro-
duction of infectious prions in vitro with an infectivity
titer high enough to cause disease directly in wild-type
animals. After many years of effort, this experiment
remains ‘the most wanted’ for providing formal proof
of theprion hypothesis.
In 2000, Kaneko and co-authors reported that a
chemically synthesized 55-residue peptide (residue nos
90–145) harboring a P101L mutation and refolded
in vitro into a b-sheet-rich state, induced disease sim-
ilar to Gerstmann)Straussler)Scheinker disease in
transgenic mice that express PrP (P101L mice) [87].
The disease-associated PrP conformer identified in
these mice, however, was conformationally indistin-
guishable from those found in P101L mice that devel-
oped disease spontaneously [28]. This finding raised a
concern as to whether the synthetic peptide caused the
disease denovo or just accelerated the spontaneous dis-
ease [88]. In subsequent studies, we found that amyloid
fibrils generated in vitro from wild-type mouse rPrP89–
230 induced prion disease in transgenic (Tg) mice over-
expressing PrP89–231 (Tg 9949) (Fig. 1) [3,80]. This
disease could be efficiently transmitted to the same line
of Tg mice, to Tg mice expressing full-length PrP23–
231 at an eight-fold higher level, or to wild-type mice
(Fig. 1). Unique biochemical and neuropathological
features indicated that amyloid fibrils induced a novel
strain of transmissible spongiform encephalopathy
(TSE) in experimental animals [89]. The incubation
times observed upon inoculation of fibrillar rPrP89–
230, however, were much longer than those exhibited
by most known PrP
Sc
strains. Why, despite a high
expression level of PrP89–231 in Tg 9949, does a long
incubation time precede the progression ofprion dis-
ease? The simplest explanation ofthe apparently lim-
ited infectivity titer is that only a tiny subfraction of
the fibrils generated in vitro were infectious (Fig. 2A).
While searching for an explanation for the long
incubation time, it is important to acknowledge that
the natural strains of PrP
Sc
evolved through natural
selection and evolution [90]. It is quite possible that
TSE strains are the result of selection and evolution of
different conformational subtypes of PrP
Sc
of sporadic
origin. Only those strains that show a very fast rate of
replication and, correspondingly, shorter incubation
times, have a chance to ‘survive’ in the natural envi-
ronment and are also preferred by many laboratory
investigators. Moreover, most strains that are currently
used in laboratories were passaged numerous times
and adapt well to a particular host. Therefore, the long
incubation time observed in testing the in vitro-gener-
ated fibrils would not be that surprising if one consid-
ers that no selective pressure was applied to the
synthetic prions produced in a plastic tube. For the
above reasons, the first synthetic prions may simply
fall into a category of strains propagating very slowly.
One can argue, however, why then did the incubation
time become much shorter in subsequent passages of
synthetic prions? Here, we propose two hypotheses,
which reconcile this paradox, and will guide the future
studies on production ofthe next generation of syn-
thetic prions.
‘Maturation’ hypothesis
The idea that only a small subfraction ofthe amyloid
fibrils is infectious (referred to as ‘small-subfraction’
Reconstitution ofprioninfectivitydenovo I. V. Baskakov
580 FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS
hypothesis) does not explain substantial differences in
the incubation times observed in the first and second
passages ofthe synthetic prions (Fig. 1). Alternatively
to the ‘small-subfraction’ hypothesis, the ‘maturation’
hypothesis speculates that the amyloid fibrils generated
in vitro are not yet mature prions, but rather corres-
pond to a semi-infectious metabolic intermediate
referred to as PrP*, which is produced on the pathway
towards production of PrP
Sc
(Fig. 2B). Our previous
studies revealed that the amyloid fibrils are more
PK-sensitive than ‘classical’ PrP
Sc
and therefore further
conversion steps may be required for acquiring a
proper PK-resistant conformation [91]. Specifically, we
identified three major PK-resistant fragments in the
amyloid form. These fragments encompassed residues
138 ⁄ 141–230, 152 ⁄ 153–230 and 162–230 (Fig. 3), and
these fragments remained assembled in fibrillar struc-
tures after PK treatment and maintained high b-sheet
content with high seeding activity, as determined in a
cell-free conversion assay [91]. Similar PK-resistant
C-terminal fragments (starting at positions Y166 and
F174) were first identified in mice infected with the
ME7 strain of scrapie as minor products of digestion
of PrP
Sc
[92]. In recent studies, the PK-resistant
C-terminal fragments were also found in patients
with sporadic Creutzfeldt–Jakob disease (CJD) [93].
These fragments encompassed residues 152 ⁄ 154–231
and 162 ⁄ 167–231 and accounted for up to 24% of all
PK-resistant PrP polypeptides, including ‘classical’
PrP
Sc
in brains from patients with sporadic CJD
(Fig. 3).
To date, the relationship between the short C-ter-
minal PK-resistant fragments and ‘classical’ PrP
Sc
remains speculative, but the results of proteolytic
digestion of PrP
Sc
carried out under partially denatur-
ing conditions may provide an important link between
the two forms. Caughey and co-authors showed that
PK treatment of hamster PrP
Sc
, in the presence of
2.5 m guanidine hydrochloride, resulted in digestion of
the N-terminal regions encompassing residues 90–115
Incubation time: 516+27
(days)
Tg PrP 89-230
154+4
First
passage
Second
passage
258+25
Tg PrP 23-230
90+1
Tg PrP 89-230
16x
16x8x 1x
rPrP
89-230
Wild type
Fig. 1. Transmission of synthetic prions.
Amyloid fibrils were generated in vitro from
rPrP89–230 and inoculated into transgenic
(Tg) mice expressing PrP89–230 (Tg 9949).
The animals inoculated with the fibrils devel-
oped neurologic, clinical signs ofprion dis-
ease and died between days 380 and 620
following inoculation. The brain tissues of
these mice were injected into wild-type
mice and two groups of Tg mice expressing
PrP89–230 and PrP23-231. All three groups
of animals developed scrapie after a much
shorter incubation time, as indicated.
I. V. Baskakov Reconstitutionofprioninfectivityde novo
FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS 581
and 90–143, whereas the C-terminal regions remained
intact (Fig. 3) [20]. The C-terminal fragments of PrP
Sc
generated under partially denaturing conditions [20]
were similar to the C-terminal fragments associated
with sporadic CJD [93]. Therefore, the C-terminal PK-
resistant fragments found in sporadic CJD and pro-
duced in vitro might be proteolytic products of PrP*, a
metabolic intermediate or byproduct ofthe formation
of ‘classical’ PrP
Sc
. Consistent with this hypothesis is
our recent observation that in vitro-generated fibrils
acquired the PK-resistant core (residues 97–230), sim-
ilar to that of ‘classical’ PrP
Sc
upon brief heating or
prolonged incubation with brain homogenate, a proce-
dure referred to as ‘maturation’ [94]. If the fibrils gen-
erated in vitro indeed represent PrP*, the long lag-
phase observed in the first passage of amyloid fibrils
simply reflects the additional incubation time required
for the conversion of PrP* into mature PrP
Sc
.
BCA
Fig. 2. Three hypotheses explaining long incubation time observed for the first passage of synthetic prions. (A) The ‘small subfraction’ hypo-
thesis proposes that only a small subfraction of amyloid fibrils generated in vitro are infectious. (B) The ‘maturation’ hypothesis postulates
that the amyloid fibrils generated in vitro correspond to an intermediate form ofprion protein (PrP*), which occurs on the pathway of conver-
sion from the cellular isoform oftheprion protein (PrP
C
) to the disease-associated isoform oftheprion protein (PrP
Sc
). Yet-unidentified cellu-
lar cofactors may be required for maturation. (C) The ‘adaptation’ hypothesis postulates that efficient propagation of synthetic prions in the
first passage is precluded owing to an apparent transmission barrier. Transmission barriers arise because the subset of abnormal conformers
that can be generated from recombinant prion proteins (rPrPs) in vitro does not overlap with the subset of PrP
Sc
strains produced in vivo.
The differences in the incubation time in the first and second passages ofthe synthetic prions are attributed to adaptation.
89 230
138/141
152/153 162
90 231
154/156 162/167
amyloid fibrils of Mo
rPrP 89-230
A
B
C
novel Hu PrP
Sc
subpopulation
Ha PrP
Sc
+ GdnHCl
90 231
115 143
Fig. 3. Diagram illustrating proteinase K (PK)-resistant fragments. (A) PK-resistant core ofthe amyloid fibrils of mouse (Mo) rPrP89–230; sites
of PK digestion were identified by epitope-mapping and LC ⁄ MS [91]. (B) PK-resistant core ofthe novel subpopulation ofthe disease-associ-
ated isoform oftheprion protein (PrP
Sc
) found in sporadic CJD; sites of PK digestion were identified by N-terminal sequencing using Edman
degradation [93]. (C) PK-resistant core of hamster (Ha) PrP
Sc
generated in the presence of 2.5 M guanidine hydrochloride. The approximate
location of PK cleavage was found within residues 115–143 by epitope mapping, and is represented by the light gray area [20]. PK-resistant
regions are represented by the dark gray area, and partial PK-resistant regions by the light gray area.
Reconstitution ofprioninfectivitydenovo I. V. Baskakov
582 FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS
Are there any molecules that may assist the matur-
ation and production of infectious prions? It is plaus-
ible that yet-unidentified cellular cofactors are required
for the maturation of PrP* and the generation of fully
infectious PrP
Sc
. Such a cofactor might promote
assembly by counteracting the electrostatic repulsion
of positively charged N-terminal regions that remain
exposed to the solvent in the amyloid form. Polyani-
ons, such as sulfated glycans or RNA, may serve this
function [95]. RNA and heparan sulfate have been
shown to bind to the N-terminal region of PrP
C
[14,68,96]. In summary, the ‘maturation’ hypothesis
assumes that the amyloid fibrils (or PrP*) and PrP
Sc
have a similar substructure, and that maturation may
involve binding of yet-unknown cellular cofactors that
can stabilize PK-sensitive regions of PrP*.
‘Adaptation’ hypothesis
There is an alternative hypothesis which postulates
that the shortening ofthe incubation times observed in
the second passage of synthetic prions may be attrib-
uted to adaptation to the host, suggesting that an
apparent transmission barrier precludes efficient propa-
gation ofthe synthetic prions in the first passage
(Fig. 2C). A transmission barrier is typically observed
when the sequence of PrP
Sc
in the inoculum does not
match that of PrP
C
in the recipient animals [97–99].
Besides the differences in the sequences of PrPs
between recipient and donor species, other factors,
such as strain-specific conformational differences, were
shown to account for the transmission barrier. Note-
worthy, different TSE strains have notably different
propensities to overcome the transmission barrier, pre-
sumably as a result of different conformations of PrP
Sc
[100]. Furthermore, some, but not all, recipient species
can propagate certain strains from donor species. It is
clear that the species barrier and the strain phenomena
are closely connected. Figure 4 illustrates a framework
that provides some insight into the strain-specificity of
the species barrier. This framework helps to describe,
at a very simplistic level, why some strains from donor
species can be transmitted to recipient species, whereas
other strains cannot; and why some, but not all, recipi-
ent species can propagate certain strains from donor
species.
Because the sequence of rPrP89–230 used to produce
the amyloid fibrils was identical to that of endogenously
expressed PrP
C
(mouse PrP89–230), it is probable that
the apparent transmission barrier may arise owing to
the unique conformational properties ofthe amyloid
fibrils and, in particular, as a result ofthe proteolytic
liability of residues 90–138 [91]. In addition, the lack of
glycosylation in rPrP89–230 may affect the conforma-
tional preferences ofthe PrP molecule for acquiring the
fibrillar form of a specific conformation in vitro.Asa
result, the subset of abnormal b-sheet-rich conformers
that can be produced in vitro from recombinant PrPs
may not overlap with those that are formed from PrP
C
in a brain under pathological conditions (Fig. 2C). If
this is correct, an apparent transmission barrier occurs
that may account for the slow propagation rate
observed in the first passage. Remarkably, after primary
passage was accomplished, substantially shorter incuba-
tion times were observed in the second passage of the
synthetic prions [3].
Several lines of experimental evidence are consistent
with the adaptation hypothesis. Among them is the
fact that the amyloid fibrils of rPrP89–230 produced a
novel strain of TSE. This strain is characterized by
distinct incubation time, a unique neuropathological
lesion profile and an unusually high thermodynamic
stability to chemical denaturation [89]. The C
½
value
[C
½
is the GdnHCl (guanidine hydrochloride) concen-
Species
AB C
PrPC
PrPSc
strains
Conformational
diversity
m
n
Fig. 4. The new conceptual framework postulates that (a) the pri-
mary structure ofprion protein (PrP) of each individual species (A,
B and C) determines, to a large extent, the conformational diversity
of disease-associated isoforms oftheprion protein (PrP
Sc
) strains.
(b) However, PrP
Sc
seed or template specifies a particular confor-
mation within a given conformational space. (c) Subsets of con-
formers (strains) formed by PrPs from different species may
overlap, suggesting that some PrP
Sc
strains are more universal and
can be shared by two or more species, whereas other strains are
more species-specific. For instance, strain n is shared by species
A, B, and C, while strain m is shared by species A and C. Only
those strains that occupy overlapping areas can be propagated by
more than one species.
I. V. Baskakov Reconstitutionofprioninfectivityde novo
FEBS Journal 274 (2007) 576–587 ª 2007 The Author Journal compilation ª 2007 FEBS 583
tration at the half-maximal denaturation] determined
for the nascent PrP
Sc
produced in the brains of Tg9949
mice after inoculation with amyloid fibrils was found
to be substantially higher than those displayed by nat-
ural prion strains [89,101]. Remarkably, the C
½
value
of seeds (i.e. amyloid fibrils generated in vitro) (4.2 m)
[91] was identical to the C
½
value of PrP
Sc
formed in
Tg9949 mice [89].
The ‘maturation’ and ‘adaptation’ hypotheses are
different in one key aspect. The ‘maturation’ hypothe-
sis postulates that amyloid fibrils or PrP* generated
in vitro have a substructure very similar to that of
PrP
Sc
, and that this substructure is largely preserved
upon maturation of PrP* into PrP
Sc
. The ‘adaptation’
hypothesis, on the other hand, suggests that the amy-
loid fibrils are primitive surrogates of PrP
Sc
and that
the substructure of amyloid fibrils may change dramat-
ically in the course of adaptation. The ‘maturation’
and ‘adaptation’ hypotheses are not mutually exclusive
of each other. Future studies should determine whether
either ofthe above hypotheses are correct.
Acknowledgements
IVB is supported by National Institute of Health grant
NS045585.
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