Class 9A: Prions Flashcards

1
Q

What is a prion?

A

A proteinaceous infectious agent

-can transmit disease & replicate itself without the need
for a nucleic acid genome!

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2
Q

What makes a prion unique?

A

-can transmit disease & replicate itself without the need
for a nucleic acid genome!

-only a single species of protein
= prion protein (PrP)

= A new type of infectious agent

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3
Q

The discovery of prions

What animals?

A

sheep

cattle

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4
Q

The discovery of prions: sheep

Sheep developed a disease known as _______ in some flocks

A

–Sheep develop a disease known as “scrapie” in some flocks

  • animals itch, rub and scrape their skin
  • develop tremors and behavioural changes
  • usually fatal
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5
Q

What does examination of a scrapie brain show?

A
  • Examination of scrapie brain shows:
  • “holes” in the cortex & cerebellum –> spongiform encephalopathy
  • -> no conventional infectious agent

And yet…..
-animals who were infected could transmit this disease to healthy animals in the same or other flocks, if allowed contact with them

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6
Q

The discovery of prions: cattle

A

–Cattle have been fed meat & bone meal (sheep) since the 1920s in
Britain –> became more extensive in 1970s

-1980s – bovine spongiform encephalopathy (BSE) seen in cattle
= mad cow disease

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7
Q

Scrapie in sheep is a disease that is very similar to _______ in cattle.

A

mad cow disease

  • disease very similar to scrapie
  • infectious agent jumped a species barrier from sheep to cattle
  • cattle were fed infectious material
  • millions of cows slaughtered
  • risk of transmission to humans
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8
Q

Did bovine spongiform encephalopathy (BSE) cross the species barrier?

A

YES

However, BSE did jump the species barrier and causes a disease in humans

= new variant Creutzfeld-Jacob disease (nvCJD)

  • acquired through consumption of infected meat
  • 10-15 new cases each year in the UK since 1994
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9
Q

The discovery of prions: humans

A

–1950s – a transmissible spongiform encephalopathy discovered in
humans
-the Fore tribe in Papua new Guinea
-tremors, dementia and death within 1 year of onset of symptoms
-was wiping out the tribe = very high incidence
=Kuru (trembling disease)

  • Traced to a ritual cannibalism of brains of the deceased
  • infectious agent in brains transmitted to healthy members
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10
Q

The discovery of prions: humans

How was the transmissibility of this disease proven?

A

-Dr. Carleton Gajdusek proved the transmissibility of this disease
-injected brain tissue from the funeral ritual into chimps
= disease seen in animals

  • awarded the Nobel in 1976
  • convinced it was an unknown virus!

-transmissibility discovered after corneal transplants, intracerebral electrode use
(contaminated) and human growth hormone preparations from cadavers were used on
healthy humans

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11
Q

What does TSE stand for?

A

transmissible spongiform encephalopathies (TSEs)

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12
Q

The infectious agent in prion diseases

Name some of the key observations that were made (3) about the trasnfer of the infectious agent (from scrapie, BSE, to human TSE brain to chimps)

A

Transfer of the infectious agent from scrapie, BSE or human TSE brain
to chimps was a key part of this identification process
-disease often took months to appear –> long incubation times

Several key observations were made:

  1. Agents that damage nucleic acids had minimal effect on the
    transmissibility of prions (ionizing radiation)
2. Compounds that affected the integrity of proteins, however, did
impact transmission (SDS, strong alkali etc.)
  1. Infectious material was enriched in a 27-30Kd protein
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13
Q

What is the infectious agent in prion diseases?

A

27-30Kd protein, PrP

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14
Q

In humans, PrP is encoded by the ______ gene in humans

A

PrP is encoded by the PRNP gene in humans

  • expressed in almost all cell types
  • including neurons, dendritic cells and lymphocytes

-encodes a 207-amino acid protein called PrPc
for cellular isoform

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15
Q

What is PrPc?

A

Highly conserved among mammals

SYNTHESIS
-Synthesis begins in the ER = has N-terminal signal peptide

  • Has 2 glycosylation sites to which oligosaccharide chains are added
  • 24 AAs in the C-terminus are then cleaved = signal for GPI anchoring
  • A C-terminal GPI anchor is added to anchor the protein to the ER membrane
  • Moves to Golgi = complex glycans added
  • Secretory vesicle transport to the PM and anchored there by GPI lipid anchor
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16
Q

What is the function of PrP?

A

Function of PrP = largely unknown!
-knockout mice have no phenotype except for mild cognitive
dysfunction

  • best evidence: copper-dependent signaling or copper ion transport
  • likely regulates metal ion homeostasis
17
Q

Human prions: PrPc and PrPsc

Which is the normal protein?

A

The normal PrPc
protein does not display the characteristics of the
infectious agent discovered in kuru brains.

18
Q

The normal PrPc
protein does not display the characteristics of the
infectious agent discovered in kuru brains. What’s going on?

A

-PrPc
can exist as a different isomer PrPsc
–> PrPsc is the infectious prion and causative agent of disease = scrapie form

19
Q

Human prions: PrPc and PrPsc

Compare PrPc and PrPsc

A

Some differences:
1. PrPsc is resistant to digestion by proteinase K

  1. Forms aggregates in diseased brain (fibrils, crystals) unlike the highly
    soluble PrPc
  2. PrPc is highly α-helical while PrPsc has several β-strands in the same
    regions –> PrPsc is a conformer of PrP
20
Q

Name two models of the prion hypothesis.

Which of the two models is the preferred model?

A

Refolding model (preferred model)

Seeding model

21
Q

The prion hypothesis

What is the one piece of data that is consistent with the prion hypothesis?

A

One piece of data that is consistent with the prion hypothesis:

-ongoing synthesis of PrPc
in the host is require for susceptibility to
infection

  • mice who have PRNP knocked out, are resistant to infection with PrPsc from other infected mice
  • injecting large amount of PrPsc does not result in neurodegeration
    i. e. need substrate in host for conversion!
22
Q

What is PrPsc?

A

The misfolded form = the abnormal form = infectious form = proteinase
K resistant form = amyloid form = scrapie form = PrPsc

  • other cellular factors likely needed for the “refolding” process
  • would provide more definitive proof for the model
23
Q

Human prion diseases fall under what category?

A

Fall under the category of protein misfolding disorders

24
Q

What are protein misfolding disorders?

A

-Such diseases can be due to loss of function of a cellular protein upon
misfolding –> ex: cystic fibrosis

-Could also be due to some detrimental gain of function of the misfolded protein –> protein aggregates in cells –> can sequester away
other important cellular factors –> ex: Alzheimer’s disease

-Prion diseases characterized by aggregates that are almost only found in
the CNS –> reason unknown

25
Q

Prion diseases (TSEs) in humans: (Hint: I S G)

A
  • infectious
  • sporadic
  • genetic
26
Q

What is an example of how prion diseases (TSEs) in humans are

infectious?

A
  1. Infectious = Kuru, nvCJD

–> PrPsc consumed from external source

27
Q

What is an example of how prion diseases (TSEs) in humans are

sporadic?

A
  1. Sporadic = Creutzfeld-Jacob disease (CJD), GSS (Gerstmann–Sträussler–Scheinker syndrome)

–> sporadic conversion to PrPsc

28
Q

What is an example of how prion diseases (TSEs) in humans are

genetic?

A
  1. Genetic = familial CJD (fCJD), and FFI (fatal familial insomnia)

–> genetic mutation leads to generation of misfolded PrP in cells

29
Q

Genetic prion diseases (TSEs) in humans:

How many known muations

A

-more than 30 known mutations

30
Q

What is latrogenic CJD?

A

= illness caused by medical procedures

  • human growth hormone from cadavers
  • brain graft recipients
  • blood transfusion/corneal transplant recipients
  • unsterilized electrodes
31
Q

Do prions cross species barriers?

A

No - in general, prions seem to respect species barriers

  • sequence similarity between PrPc and PrPsc needed for infection

However, this barrier can be breached

  • scrapie material used to infect lab mice
  • sheep can be infected by BSE material
  • humans and BSE material?
  • perhaps also humans and elk?
32
Q

Prions and the species barrier:

CJD and nvCJD comparisons

A

-nvCJD has earlier age of onset and very different initial symptoms

  • different properties of the PrPsc in each of these diseases
  • glycosylation, proteinase resistance etc.
  • nvCJD a different strain that can cross the species barrier
  • pattern of PrPsc very similar to BSE animals!
33
Q

Name treatments for prion diseases.

A

No treatments have proven efficacious!

34
Q

What are some hopes for the future about treatments for prion diseases?

A

Hopes for future:

-agents that specifically target PrPsc for degradation

-agents that downregulate PrPc
in exposed individuals = no substrate

-antibodies specific for PrPsc that could bind and prevent interaction
with PrPc

  • pharmacologic chaperones that could prevent misfolding in inherited forms of disease
  • gene therapy