The prion strain, surface type, and matrix containing PrPSc can influence PrPSc surface adsorption. The cumulative effect of these factors can result in strain- and soil-specific differences in prion bioavailability. Environmental weathering processes can result in decreases in PrPSc conversion efficiency and infectivity. Little is known about how incomplete inactivation of surface-bound PrPSc affects transmission and prion strain emergence. Here, we show that strain interference occurs with soil-bound prions and that altering the ratios of prion strains by strain-specific inactivation can affect strain emergence. Additionally, we identify a novel mechanism of inhibition of prion conversion by environmental treatment-induced changes at the soil-protein interface altering strain emergence. These novel findings suggest that environmental factors can influence strain emergence of surface-bound prions.
KEYWORDS: prion, strain, strain emergence
ABSTRACT
Prions can persist in the environment for extended periods of time after adsorption to surfaces, including soils, feeding troughs, or fences. Prion strain- and soil-specific differences in prion adsorption, infectivity, and response to inactivation may be involved in strain maintenance or emergence of new strains in a population. Extensive proteinase K (PK) digestion of Hyper (HY) and Drowsy (DY) PrPSc resulted in a greater reduction in the level of DY PrPSc than of HY PrPSc. Use of the PK-digested material in protein misfolding cyclic amplification strain interference (PMCAsi) resulted in earlier emergence of HY PrPSc than of undigested controls. This result established that strain-specific alteration of the starting ratios of conversion-competent HY and DY PrPSc can alter strain emergence. We next investigated whether environmentally relevant factors such as surface binding and weathering could alter strain emergence. Adsorption of HY and DY PrPSc to silty clay loam (SCL), both separately and combined, resulted in DY interfering with the emergence of HY in PMCAsi in a manner similar to that seen with unbound controls. Similarly, repeated cycles of wetting and drying of SCL-bound HY and DY PrPSc did not alter the emergence of HY PrPSc compared to untreated controls. Importantly, these data indicate that prion strain interference can occur when prions are bound to surfaces. Interestingly, we found that drying of adsorbed brain homogenate on SCL could restore its ability to interfere with the emergence of HY, suggesting a novel strain interference mechanism. Overall, these data provide evidence that the emergence of a strain from a mixture can be influenced by nonhost factors.
IMPORTANCE The prion strain, surface type, and matrix containing PrPSc can influence PrPSc surface adsorption. The cumulative effect of these factors can result in strain- and soil-specific differences in prion bioavailability. Environmental weathering processes can result in decreases in PrPSc conversion efficiency and infectivity. Little is known about how incomplete inactivation of surface-bound PrPSc affects transmission and prion strain emergence. Here, we show that strain interference occurs with soil-bound prions and that altering the ratios of prion strains by strain-specific inactivation can affect strain emergence. Additionally, we identify a novel mechanism of inhibition of prion conversion by environmental treatment-induced changes at the soil-protein interface altering strain emergence. These novel findings suggest that environmental factors can influence strain emergence of surface-bound prions.
INTRODUCTION
Prion diseases are emerging zoonotic transmissible neurodegenerative disorders of animals, including humans. The causative agent of prion disease is PrPSc, a misfolded isomer of the normal cellular prion protein, PrPC (1–5). Prion diseases can have a familial, sporadic, or infectious etiology and, with no effective treatments, are inevitably fatal. Prion conversion occurs when PrPSc binds to PrPC, and, through an unknown mechanism, PrPSc directs the conversion of PrPC to PrPSc (6, 7). This process is shared among several protein misfolding diseases, including Parkinson’s and Alzheimer’s diseases (8, 9). Prion strains can differ in neuropathology, incubation period, host range, and pathogenicity and are hypothesized to be encoded by strain-specific conformations of PrPSc (10–17).
Prions adsorb to surfaces and remain infectious. Prions can contaminate surgical instruments and remain infectious following standard sterilization procedures, enabling iatrogenic transmission in medical settings (18, 19). In prion diseases of sheep and cervids, prions can be shed into the environment via a variety of biological matrices and can bind to surfaces, including soils, plants, feeding troughs, and fences (20–27). The adsorption of PrPSc to a surface is influenced by numerous factors, including the prion strain, the species of origin, the biological matrix that contains PrPSc, and the surface type, with no predictable behavior for any singular criterion (20, 22, 28, 29). Prions in the environment can remain infectious for extended periods of time as indicated by transmission of chronic wasting disease (CWD) and scrapie to cervids and sheep, respectively, in pastures unoccupied by prion-infected animals for many years (30, 31).
Prion exposure to external treatments can alter PrPSc properties. Standard sterilization procedures, such as autoclaving, can partially inactivate PrPSc adsorbed to medical instruments (32–34). Exposure of soil-bound PrPSc to repeated cycles of wetting and drying can reduce PrPSc abundance and protein misfolding cyclic amplification (PMCA) conversion efficiency and prion infectivity (35). Importantly, the effect of weathering on prion infectivity can vary with prion strain as well as soil type (35). Prions bound to soil and surgical instruments may undergo similar structural changes that facilitate disease transmission. For example, dehydration of PrPSc on soil and stainless-steel surgical tools was previously shown to render the protein less sensitive to weathering and decontamination processes, respectively (36–38). Little is known about how strain-specific incomplete inactivation of surface-bound PrPSc affects strain emergence.
Many factors can influence the emergence of a dominant strain from a mixture. When a host is infected with multiple prion strains, interference can occur where a slowly converting strain delays or blocks the emergence of a quickly converting strain (39–42). The relative times of onset of conversion of two strains in the same cell govern the outcome of strain interference (41). Mechanistically, this is due to prion strains competing for a limiting cellular resource, PrPC (43). The emergence of a strain from a mixture can be influenced by the ratio of the prion strains that initially infected the host (41, 44, 45). While it is known that strain selection can occur within a prion-infected host, it is unknown if environmental factors would favor the survival and transmission of a subset of strains that are introduced into the environment. Here, we investigate the effect of simulated weathering and degradation conditions on prion stain emergence.
RESULTS
Increased sensitivity of DY PrPSc to degradation compared to HY PrPSc.
Following digestion of brain homogenate with proteinase K (PK), we failed to detect PrPC in the uninfected brain homogenate (Fig. 1A). Digestion of Hyper (HY)- or Drowsy (DY)-infected brain homogenates with PK resulted in N-terminal truncation of PrPSc with the characteristic strain-specific migration of the unglycosylated PrPSc polypeptide at 21 or 19 kDa, respectively (46) (Fig. 1A). A 24-h PK digestion of DY-infected brain homogenates (n = 3) resulted in an 80% reduction in PrPSc abundance, and digestion of HY-infected brain homogenates (n = 3) resulted in a 5% reduction in PrPSc abundance, compared to 1-h PK digests of DY and HY, respectively (Fig. 1B). DY PrPSc was significantly (P < 0.05) more sensitive to PK digestion than HY PrPSc (Fig. 1B).
Preferential removal of DY PrPSc enhances the emergence of HY PrPSc.
To determine if altering the ratio of HY and DY by selective degradation could alter strain emergence, PK-digested or mock-digested HY-infected and DY-infected brain homogenates were used as seeds for PMCA strain interference (PMCAsi). Positive non-PK-digested control PMCA reaction mixtures seeded with either 0.05 μg eq of HY-infected or 500 μg eq DY-infected brain homogenate resulted in amplification of PrPSc that maintained the strain-specific migration pattern (Fig. 2). Unseeded negative-control PMCA reaction mixtures did not amplify PrPSc (Fig. 2A). To test strain interference in vitro, 0.05 μg eq of HY-infected and 500 μg eq of DY-infected brain homogenates were mixed together as the seed for PMCAsi. This ratio of HY-infected and DY-infected brain homogenate was used for all described PMCAsi reactions and was chosen based on past PMCAsi experiments (43). In the strain interference positive-control group, HY PrPSc emerged after 4 rounds of PMCA (Fig. 2). In the PK-digested experimental group (Fig. 2), HY PrPSc emerged after 2 rounds of PMCAsi (Fig. 2). Overall, alteration of the effective ratio of HY to DY PrPSc by PK digestion results in the earlier emergence of HY PrPSc.
The PMCA conversion activity of PK-digested PrPSc is not altered.
PK-digested HY PrPSc may have an increased level of PMCA conversion activity per unit PrPSc compared to mock-digested PrPSc that may contribute to the earlier emergence of HY PrPSc in PMCAsi. To test this possibility, determinations of the PMCA conversion coefficient (PMCA-CC) of equal amounts of PK-digested and undigested PrPSc, as determined by Western blotting, were performed. Following one round of PMCA, the PK-digested PrPSc and mock-digested DY PrPSc both amplified to a dilution factor of 0.0625 (Fig. 3A) and the mock-digested PrPSc and PK-digested HY PrPSc both amplified to a dilution factor of 1 × 10−5 (Fig. 3B). Overall, we found that the PMCA conversion activity of the PrPSc that remained after PK digestion was similar to that of the undigested PrPSc.
Prions bound to soil participate in strain interference.
Prions can bind to a variety of soil types, and adsorption to silty clay loam (SCL) decreases PMCA-CC of HY and DY PrPSc (22, 47). To investigate the effects of this environmentally relevant condition on strain emergence, HY and DY was adsorbed to SCL (SCL-HY and SCL-DY, respectively) prior to five rounds of PMCAsi. After five rounds of PMCAsi, PrPSc was not observed in the negative-control samples, and HY and DY positive-control PMCA reactions maintained the strain-specific migration of 21- and 19-kDa PrPSc, respectively (Fig. 4, lanes 1, 2, 8, 9, and 15). When DY and HY PrPSc were bound to SCL, either separately (Fig. 4A) or together (Fig. 4B), DY PrPSc was able to interfere with the emergence of HY PrPSc similarly to unbound control PMCAsi reactions (Fig. 4). Overall, SCL-bound prions were able to participate in strain interference and binding of HY and DY PrPSc to silty clay loam did not alter strain emergence under the conditions tested.
Repeated cycles of dehydration and rehydration of unbound prions do not alter prion strain emergence.
In the environment, prions encounter various weathering processes, including repeated cycles of dehydration and rehydration (referred to as “treated” in the following experiment descriptions). To investigate whether a natural weathering process can affect strain emergence, 0.05 μg eq of unbound HY and 500 μg eq of unbound DY PrPSc were mixed prior to five rounds of PMCAsi. PrPSc was not detected in negative-control reactions after five rounds of PMCA, and HY-seeded and DY-seeded positive-control PMCA reaction mixtures maintained the strain-specific migration of 21- and 19-kDa PrPSc, respectively (Fig. 5A). In control untreated samples, HY emerged in round 4 of PMCAsi (Fig. 5B). When unbound HY and DY were exposed to 10 repeated cycles of wetting and drying treatment (t = 10) prior to PMCAsi, HY emerged in round 4 of PMCAsi similarly to untreated control PMCAsi reactions (Fig. 5B). Overall, 10 cycles of wetting and drying treatment did not alter the emergence of unbound HY in PMCAsi.
Repeated cycles of wetting and drying of brain homogenate to silty clay loam alter prion strain emergence.
Adsorbing prions to soil before dehydration and rehydration cycles protects PrPSc from degradation but results in a significant decrease in PMCA conversion efficiency (35). To examine if this decrease in conversion efficiency would alter strain emergence in vitro, 10 serial rounds of wetting and drying were performed on SCL-uninfected, SCL-HY-infected, or SCL-DY-infected brain homogenate. Negative-control PMCA reaction mixtures containing uninfected brain homogenate bound to SCL did not amplify PrPSc (Fig. 6A). PMCA reaction mixtures containing SCL-DY treated with 10 serial rounds of wetting and drying did not result in detection of PrPSc after five rounds (Fig. 6B). In samples containing treated SCL-HY, detectable conversion occurred as early as round 3 of PMCA (Fig. 6C). PMCAsi reaction mixtures containing treated SCL-DY and SCL-HY resulted in detection of HY PrPSc at round 4 (Fig. 6D), suggesting that in the absence of DY PrPSc conversion (Fig. 6B), HY PrPSc emergence was delayed (Fig. 6D) compared to the results seen with PMCA reaction mixtures containing treated SCL-HY alone (Fig. 6C). To test whether this phenomenon were specific to dehydrated SCL-DY, PMCAsi reaction mixtures were seeded with treated SCL-uninfected brain homogenate (Fig. 6A) or treated SCL-HY (Fig. 6C) and resulted in HY PrPSc emergence at round 5 (Fig. 6E). This suggested that the interference effect was independent of DY PrPSc. To test if this was due to the hydration state of the brain homogenate, PMCAsi reaction mixtures were seeded with SCL-uninfected brain homogenate without wetting and drying treatment and treated SCL-HY (Fig. 6C). This resulted in the emergence of HY PrPSc in round 3 (Fig. 6F) similarly to PMCA reaction mixtures containing only treated SCL-HY (Fig. 6C). Overall, these data suggest that dried, surface-adsorbed brain homogenate can delay the emergence of HY PrPSc.
SCL-bound prions retain infectivity after wetting and drying treatment.
To investigate the effect of repeated cycles of wetting and drying on unbound and SCL-bound HY or DY infectivity, the incubation period and attack rate of groups of 5 hamsters per inoculum were determined. Negative-control hamsters inoculated with uninfected hamster brain homogenate did not develop clinical signs of prion disease at 240 days postinfection (p.i.), when the experiment was terminated (Table 1). Brain material from these animals did not contain detectable PrPSc by Western blotting (see Fig. S2 in the supplemental material). All of the hamsters inoculated with untreated or treated unbound HY-infected brain homogenate developed clinical signs of hyperexcitability and ataxia at 62 ± 3 or 73 ± 3 days p.i., respectively. All of the animals inoculated with untreated or treated SCL-bound HY-infected brain homogenate developed clinical signs of hyperexcitability and ataxia at 81 ± 3 or 96 ± 3 days p.i., respectively (Table 1). Brain material from all hamsters that developed clinical signs of hyperexcitability and ataxia contained an unglycosylated PrPSc polypeptide that migrates at 21 kDa, consistent with HY infection (Fig. S2). In the HY-infected animals, 10 cycles of wetting and drying, binding to SCL, and the combination of SCL binding and treatment resulted in a significant (P < 0.0001) increase in the incubation period compared to untreated controls (Table 1).
TABLE 1.
Inoculum | A/Ib | Incubation period (days)c |
---|---|---|
UN | 0/5 | >240 |
HY at t = 0 | 5/5 | 62 ± 3 |
HY at t = 10 | 5/5 | 73 ± 3 |
HYSCL at t = 0 | 5/5 | 81 ± 3 |
HYSCL at t = 10 | 5/5 | 96 ± 3 |
DY at t = 0 | 5/5 | 176 ± 3 |
DY at t = 10 | 5/5 | 185 ± 3 |
DYSCL at t = 0 | 5/5 | 217 ± 4 |
DYSCL at t = 10 | 5/5 | 221 ± 3 |
DYSCL, DY PrPSc adsorbed to silty clay loam; HYSCL, HY PrPSc adsorbed to silty clay loam; UN, mock infection.
Number affected/number inoculated.
Time from inoculation to onset of clinical signs (mean incubation period ± standard errors of the means [SEM]).
All of the hamsters inoculated with untreated or treated bound DY-infected brain homogenate developed clinical signs of progressive lethargy at 176 ± 3 or 185 ± 3 days p.i., respectively, and untreated or treated SCL-DY-infected brain homogenate developed clinical signs of lethargy at 217 ± 3 or 221 ± 3 days p.i., respectively (Table 1). Brain material from all hamsters that developed clinical signs of lethargy contained an unglycosylated PrPSc polypeptide that migrates at 19 kDa, consistent with DY infection (Fig. S2). In the DY-infected animals, binding to SCL resulted in a significant (P < 0.0001) extension in the length of the incubation period; however, 10 cycles of wetting and drying did not significantly (P = 0.1986 and P = 0.7654, respectively) extend the incubation period in both the unbound and SCL-bound groups compared to untreated controls (Table 1).
DISCUSSION
Prion strain interference can occur when PrPSc is bound to a surface. Environmental transmission of prions in cervids and sheep can involve PrPSc bound to soil, and iatrogenic prion diseases of humans can be transmitted by PrPSc bound to stainless steel surgical instruments (48). The effect of prions binding to surfaces on strain selection is unknown. Here, we show that when HY PrPSc and DY PrPSc are bound to SCL, either separately or as a mixture, SCL-DY PrPSc can interfere with the emergence of SCL-HY PrPSc similarly to unbound control PMCAsi reactions (Fig. 3). These data suggest that soil-bound PrPSc can compete for PrPC, which is thought to be the limiting factor in strain interference (43, 49). We hypothesize that the PrPC binding site on PrPSc is different from the site at which PrPSc binds to the soil surface, allowing adequate conversion activity during the initial round of PMCAsi, when PrPSc exists largely in the adsorbed state (50, 51). This observation suggests that strain interference between different strains of soil-bound prions in natural settings can influence the emergence of a strain from a mixture.
Altering the ratio of prion strains in a mixture by strain-specific selective degradation can alter prion strain emergence. The increased susceptibility of DY PrPSc to enzymatic degradation compared to HY PrPSc resulted in earlier emergence of HY PrPSc in vitro (Fig. 2). This result suggests that in the environment, PrPSc from strains that can survive environmental weathering conditions may be more likely to be transmitted to a new host and therefore be favored in a population. However, it is possible that the subpopulation of PrPSc that survives has an increased titer per unit PrPSc and that this may explain the observed results. To investigate this possibility, we determined the PMCA conversion activity of PrPSc after digestion and found similar levels of PMCA conversion efficiency of undigested and digested samples when normalized for PrPSc abundance. This indicates that the subpopulation of PrPSc that survives digestion has conversion activity similar to that of the untreated controls. This is consistent with a previous report indicating that PK digestion does not alter strain properties (10). Therefore, we conclude that the enhanced emergence of HY following PK digestion is explained solely by the relatively larger decrease in the amount of DY PrPSc, compared to HY PrPSc, seeding the initial PMCA reaction mixture. This finding that partial inactivation of prions may allow the emergence of a more highly pathogenic strain may also provide mechanistic insight into the emergence of thermostable strains following incomplete inactivation of prions during rendering which may have contributed to the emergence of bovine spongiform encephalopathy (52–58).
Repeated cycles of dehydration and rehydration can affect prion strain emergence. Environmental weathering processes such as wetting and drying or freezing and thawing can decrease PrPSc conversion efficiency and enhance PrPSc degradation (35, 36); however, it is unknown if these changes can alter the emergence of a strain from a mixture. Here, we show that the emergence of HY from a mixture exposed to 10 repeated cycles of wetting and drying was unaltered compared to untreated controls (Fig. 4). Therefore, the relative decrease in PrPSc conversion efficiency between HY and DY was insufficient to affect the emergence of HY. Interestingly, we found that 10 serial rounds of wetting and drying of SCL-DY did not alter the abundance of DY PrPSc but resulted in an extinction of PMCA conversion activity under the conditions tested (PMCA conversion-incompetent SCL-DY) (Fig. 6). This observation of preservation of a PK-resistant population of SCL-bound PrPSc that had reduced conversion activity with repeated cycles of wetting and drying or freezing and thawing was previously observed (35, 36). On the basis of this observation, we reasoned that PMCA conversion-incompetent SCL-DY would be unable to inhibit HY conversion, thereby allowing HY to emerge more rapidly when present in a mixture. This would also be consistent with our findings showing selective digestion of DY PrPSc allowing the more rapid emergence of HY PrPSc (Fig. 1 and 2). Unexpectedly, we found that the presence of PMCA conversion-incompetent SCL-DY was able to interfere with the emergence of HY PrPSc similarly to positive-control PMCA replication-competent populations of DY PrPSc (Fig. 6). To investigate the mechanism of this finding, we found that 10 serial rounds of wetting and drying of SCL-uninfected brain homogenate had the same interference effect as that seen with the conversion-incompetent SCL-DY. While prions are not present in uninfected brain homogenate, the dried SCL-adsorbed homogenate was able to interfere with HY emergence, suggesting a prion-independent effect. Importantly, SCL-uninfected brain homogenate without serial rounds of wetting and drying and SCL alone did not have this effect (Fig. 6). These data suggest that dehydration of brain homogenate at the soil surface may allow further protein adsorption, leading to the observed delay in HY PrPSc emergence. Soil in areas with high animal density such as salt licks and feeding troughs is frequently exposed to prion shedding. The infectivity of soil in these areas may be higher due to additional surface binding of protein after cycles of drying and wetting. Overall, incomplete degradation of PrPSc and the physical state of a protein bound to a surface can influence the effective ratios of strains in the environment and affect the emergence of a strain from a mixture.
Prions bound to SCL and treated with 10 serial rounds of wetting and drying remain infectious. Changes in the infectivity of bound and unbound treated HY PrPSc were consistent with a previous report (35). PMCA conversion-incompetent SCL-DY retained DY infectivity (Table 1), and there was no extension in the incubation period compared to untreated SCL-bound control inoculated animals (Table 1). These data are in contrast with the lack of PMCA conversion observed in PMCAsi experiments involving treated SCL. There are several possible explanations for this observation. In bioassay experiments, changes in incubation period are correlated to changes in the titer of inoculum (59–61); however, 10-fold to 100-fold differences in titer can result in similar incubation periods (59, 62, 63). PMCA is more precise than bioassay at measuring changes in infectious PrPSc units; therefore, it is possible that the observed reduction in PMCA is insufficient for measurement by animal bioassay. Alternatively, it is possible that cellular processes that occur in the animal and not in PMCA can disassociate PrPSc from SCL, resulting in a higher measured titer by animal bioassay than by PMCA (64). Further experiments are necessary to further define these relationships.
Multiple strains of CWD prions exist in nature; however, the conditions that influence the abundances and distributions of strains are unknown (65–69). Here, we show that degradation or exposure to wetting and drying treatment can enhance the emergence of a more stable, highly pathogenic strain in vitro. The potential for multiple prion exposure and binding events should be taken into consideration in modeling prion transmission dynamics.
MATERIALS AND METHODS
Ethics statement.
All procedures involving animals were approved by the Creighton University Institutional Animal Care and Use Committee and comply with the Guide for the Care and Use of Laboratory Animals.
Prion sources and tissue preparation.
Brains from clinically affected hamsters infected with either the Hyper (HY) strain or the Drowsy (DY) prion strain causing hamster-adapted transmissible mink encephalopathy (TME) were homogenized in Dulbecco’s phosphate-buffered saline (DPBS) (Mediatech, Herndon, VA) to 10% (wt/vol) using strain-dedicated tissue grinders (Tenbroeck, Vineland, NJ). Uninfected hamster brain was homogenized to 10% (wt/vol) in PMCA conversion buffer (phosphate-buffered saline [pH 7.4] containing 5 mM EDTA, 1% [vol/vol] Triton X-100, and complete protease inhibitor tablet [Roche Diagnostics, Mannheim, Germany]) using a dedicated Tenbroeck tissue grinder. The brain homogenate was centrifuged at 1,500 × g for 30 s, and the supernatant was collected and stored at –80°C.
Prion adsorption to soil.
HY and DY PrPSc adsorption to gamma-irradiated silty clay loam (SCL) (farm in Iowa [40°55’08.2”N, 91°10’08.1”W] with no previously reported incidence of prion disease; courtesy of Shannon Bartelt-Hunt) was performed as previously described (29, 70). Briefly, gamma-irradiated SCL was mixed with 10% (wt/vol) brain homogenates and DPBS and rotated at 24 rpm for 24 h at room temperature before being subjected to 5 cycles of centrifugation (1,500 × g for 30 s) and washing in DPBS prior to collection of the final pellet.
Dehydration and rehydration of environmental samples.
Repeated cycles of drying and wetting were performed as described previously (35). Briefly, 20 μl of each sample was placed in an uncapped 200-μl tube (Thermo Scientific) and incubated at 40°C for 12 h and rehydrated with 20 μl of ultrafiltered deionized water. A cycle is defined as one drying cycle followed by rewetting. After 10 cycles, samples were stored at –80°C.
Proteinase K treatment.
HY-infected and DY-infected (5% [wt/vol]) brain homogenates were incubated with 50 μg/ml of proteinase K (PK) (Roche Diagnostics) for 24 h or subjected to mock digestion in DPBS. After incubation, samples were treated with 100 units/ml of Benzonase (Sigma-Aldrich) at 37°C for 1 h. Benzonase and PK were removed by a series of centrifugation steps (10,000 × g for 30 min at 10°C) and washing steps in 20% (wt/vol) N-lauryl-sarcosine (NLS) (3 times) and DPBS (2 times) (10,000 × g for 30 min at 10°C and 200,000 × g for 1 h at 10°C, respectively) before resuspension of the final pellet in 0.1% (wt/vol) NLS.
Protein misfolding cyclic amplification.
Protein misfolding cyclic amplification (PMCA) was performed as previously described (71). Samples (n ≥ 3) in PMCA conversion buffer were placed into polypropylene tubes in a Misonix 3000 sonicator (Misonix, Farmingdale, NY). The average output of the sonicator was 165 W during each sonication cycle. A PMCA round consisted of 144 cycles of a 5-s sonication, followed by an incubation of 9 min 55 s at 37°C. After each round of PMCA, an aliquot of sonicated sample was added to fresh 10% (wt/vol) uninfected brain homogenate in PMCA conversion buffer before the next round of sonication. The ratio of seed to uninfected brain homogenate was 1:20 for the first round of PMCA, 1:10 for the second round, and 1:2 for the remaining rounds. Aliquots (n ≥ 3) of uninfected brain homogenate were included in all rounds of PMCA as a negative control.
Western blotting.
Detection of PrPSc by Western blotting was performed as previously described (71). Briefly, PMCA reaction samples were digested with PK at a final concentration of 50 μg/ml (Roche Diagnostics Corporation, Indianapolis, IN) at 37°C for 60 min. Digestion was terminated by boiling samples at 100°C for 10 min in sample loading buffer (4% [wt/vol] SDS, 2% [vol/vol] β-mercaptoethanol, 40% [vol/vol] glycerol, 0.004% [wt/vol] bromophenol blue, 0.5 M Tris buffer, pH 6.8). Samples were size fractionated on 4% to 12% bis-Tris-acrylamide (NuPAGE; Invitrogen, Carlsbad, CA) and transferred to a polyvinylidene difluoride (PVDF) membrane (Immobilon P; MilliporeSigma, MS). Membranes were incubated with 5% (wt/vol) nonfat dry milk–Tween Tris-buffered saline (TTBS) (Bio-Rad Laboratories, Hercules, CA) for 30 min. Mouse monoclonal anti-PrP antibody 3F4 (Chemicon, Temecula, CA) (0.1 μg/ml) was used to detect hamster prion protein. Western blots were developed with Pierce SuperSignal West Femto maximum-sensitivity substrate (Pierce, Rockford, IL) and imaged using a Li-Cor Odyssey Fc imaging system (Li-Cor, Lincoln, NE) or Kodak 4000R imaging station (Kodak, Rochester, NY) as previously described (71). PrP abundance was quantified using Kodak molecular imaging software v.5.0.1.27 (Kodak, New Haven, CT) or Li-Cor Image Studio software v.1.0.36 (Li-Cor, Lincoln, NE). Migration analysis of the unglycosylated PrPSc polypeptide was determined using NIH ImageJ Fiji software (NIH, USA) and the lane analysis function.
Statistical analysis.
Two-tailed Student’s t tests and one-way analysis of variance (ANOVA) were carried out using Prism 7 software (GraphPad Software Inc., San Diego, CA). A value was considered statistically significant if the P value was less than or equal to 0.05. One-way ANOVA and Tukey’s multiple-comparison test were used for analyzing animal bioassay data.
REFERENCES
- 1.Deleault NR, Harris BT, Rees JR, Supattapone S. 2007. Formation of native prions from minimal components in vitro. Proc Natl Acad Sci U S A 104:9741–9746. doi: 10.1073/pnas.0702662104. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Makarava N, Kovacs GG, Bocharova O, Savtchenko R, Alexeeva I, Budka H, Rohwer RG, Baskakov IV. 2010. Recombinant prion protein induces a new transmissible prion disease in wild-type animals. Acta Neuropathol 119:177–187. doi: 10.1007/s00401-009-0633-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Castilla J, Saa P, Hetz C, Soto C. 2005. In vitro generation of infectious scrapie prions. Cell 121:195–206. doi: 10.1016/j.cell.2005.02.011. [DOI] [PubMed] [Google Scholar]
- 4.Prusiner SB. 1982. Novel proteinaceous infectious particles cause scrapie. Science 216:136–144. doi: 10.1126/science.6801762. [DOI] [PubMed] [Google Scholar]
- 5.Bolton DC, McKinley MP, Prusiner SB. 1982. Identification of a protein that purifies with the scrapie prion. Science 218:1309–1311. doi: 10.1126/science.6815801. [DOI] [PubMed] [Google Scholar]
- 6.Caughey B, Raymond GJ. 1991. The scrapie-associated form of PrP is made from a cell surface precursor that is both protease- and phospholipase-sensitive. J Biol Chem 266:18217–18223. [PubMed] [Google Scholar]
- 7.Stahl N, Borchelt DR, Prusiner SB. 1990. Differential release of cellular and scrapie prion proteins from cellular membranes by phosphatidylinositol-specific phospholipase C. Biochemistry 29:5405–5412. doi: 10.1021/bi00474a028. [DOI] [PubMed] [Google Scholar]
- 8.Walker LC, Schelle J, Jucker M. 2016. The prion-like properties of amyloid-beta assemblies: implications for Alzheimer’s disease. Cold Spring Harb Perspect Med 6:a024398. doi: 10.1101/cshperspect.a024398. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Tarutani A, Suzuki G, Shimozawa A, Nonaka T, Akiyama H, Hisanaga SI, Hasegawa M. 5 July 2016, posting date Effect of fragmented pathogenic alpha-synuclein seeds on prion-like propagation. J Biol Chem doi: 10.1074/jbc.M116.734707. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Bessen RA, Marsh RF. 1994. Distinct PrP properties suggest the molecular basis of strain variation in transmissible mink encephalopathy. J Virol 68:7859–7868. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Caughey B, Raymond GJ, Bessen RA. 1998. Strain-dependent difference in beta-sheet conformations of abnormal prion protein. J Biol Chem 273:32230–32235. doi: 10.1074/jbc.273.48.32230. [DOI] [PubMed] [Google Scholar]
- 12.Bartz JC, Dejoia C, Tucker T, Kincaid AE, Bessen RA. 2005. Extraneural prion neuroinvasion without lymphoreticular system infection. J Virol 79:11858–11863. doi: 10.1128/JVI.79.18.11858-11863.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Kimberlin RH, Walker CA, Fraser H. 1989. Temporary and permanent modifications to a single strain of mouse scrapie on transmission to rats and hamsters. J Gen Virol 70:2017–2025. doi: 10.1099/0022-1317-68-7-1875. [DOI] [PubMed] [Google Scholar]
- 14.Fraser H, Dickinson AG. 1967. Distribution of experimentally induced scrapie lesions in the brain. Nature 216:1310–1311. doi: 10.1038/2161310a0. [DOI] [PubMed] [Google Scholar]
- 15.Fraser H, Dickinson AG. 1968. The sequential development of the brain lesions of scrapie in three strains of mice. J Comp Pathol 78:301–311. doi: 10.1016/0021-9975(68)90006-6. [DOI] [PubMed] [Google Scholar]
- 16.Bessen RA, Kocisko DA, Raymond GJ, Nandan S, Lansbury PT, Caughey B. 1995. Non-genetic propagation of strain-specific properties of scrapie prion protein. Nature 375:698–700. doi: 10.1038/375698a0. [DOI] [PubMed] [Google Scholar]
- 17.Telling GC, Parchi P, DeArmond SJ, Cortelli P, Montagna P, Gabizon R, Mastrianni J, Lugaresi E, Gambetti P, Prusiner SB. 1996. Evidence for the conformation of the pathologic isoform of the prion protein enciphering and propagating prion diversity. Science 274:2079–2082. doi: 10.1126/science.274.5295.2079. [DOI] [PubMed] [Google Scholar]
- 18.Will RG, Matthews WB. 1982. Evidence for case-to-case transmission of Creutzfeldt-Jakob disease. J Neurol Neurosurg Psychiatry 45:235–238. doi: 10.1136/jnnp.45.3.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Collins S, Law MG, Fletcher A, Boyd A, Kaldor J, Masters CL. 1999. Surgical treatment and risk of sporadic Creutzfeldt-Jakob disease: a case-control study. Lancet 353:693–697. doi: 10.1016/s0140-6736(98)08138-0. [DOI] [PubMed] [Google Scholar]
- 20.Maddison BC, Baker CA, Terry LA, Bellworthy SJ, Thorne L, Rees HC, Gough KC. 2010. Environmental sources of scrapie prions. J Virol 84:11560–11562. doi: 10.1128/JVI.01133-10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Konold T, Hawkins SA, Thurston LC, Maddison BC, Gough KC, Duarte A, Simmons HA. 2015. Objects in contact with classical scrapie sheep act as a reservoir for scrapie transmission. Front Vet Sci 2:32. doi: 10.3389/fvets.2015.00032. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Johnson CJ, Phillips KE, Schramm PT, McKenzie D, Aiken JM, Pedersen JA. 2006. Prions adhere to soil minerals and remain infectious. PLoS Pathog 2:e32. doi: 10.1371/journal.ppat.0020032. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Angers RC, Seward TS, Napier D, Green M, Hoover E, Spraker T, O'Rourke K, Balachandran A, Telling GC. 2009. Chronic wasting disease prions in elk antler velvet. Emerg Infect Dis 15:696–703. doi: 10.3201/eid1505.081458. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Mathiason CK, Powers JG, Dahmes SJ, Osborn DA, Miller KV, Warren RJ, Mason GL, Hays SA, Hayes-Klug J, Seelig DM, Wild MA, Wolfe LL, Spraker TR, Miller MW, Sigurdson CJ, Telling GC, Hoover EA. 2006. Infectious prions in the saliva and blood of deer with chronic wasting disease. Science 314:133–136. doi: 10.1126/science.1132661. [DOI] [PubMed] [Google Scholar]
- 25.Seeger H, Heikenwalder M, Zeller N, Kranich J, Schwarz P, Gaspert A, Seifert B, Miele G, Aguzzi A. 2005. Coincident scrapie infection and nephritis lead to urinary prion excretion. Science 310:324–326. doi: 10.1126/science.1118829. [DOI] [PubMed] [Google Scholar]
- 26.Race R, Jenny A, Sutton D. 1998. Scrapie infectivity and proteinase K-resistant prion protein in sheep placenta, brain, spleen, and lymph node: implications for transmission and antemortem diagnosis. J Infect Dis 178:949–953. doi: 10.1086/515669. [DOI] [PubMed] [Google Scholar]
- 27.Pritzkow S, Morales R, Moda F, Khan U, Telling GC, Hoover E, Soto C. 2015. Grass plants bind, retain, uptake, and transport infectious prions. Cell Rep 11:1168–1175. doi: 10.1016/j.celrep.2015.04.036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Saunders SE, Bartelt-Hunt SL, Bartz JC. 2008. Prions in the environment: occurrence, fate and mitigation. Prion 2:162–169. doi: 10.4161/pri.2.4.7951. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Saunders SE, Bartz JC, Bartelt-Hunt SL. 2009. Influence of prion strain on prion protein adsorption to soil in a competitive matrix. Environ Sci Technol 43:5242–5248. doi: 10.1021/es900502f. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Georgsson G, Sigurdarson S, Brown P. 2006. Infectious agent of sheep scrapie may persist in the environment for at least 16 years. J Gen Virol 87:3737–3740. doi: 10.1099/vir.0.82011-0. [DOI] [PubMed] [Google Scholar]
- 31.Miller MW, Williams ES, Hobbs NT, Wolfe LL. 2004. Environmental sources of prion transmission in mule deer. Emerg Infect Dis 10:1003–1006. doi: 10.3201/eid1006.040010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Lemmer K, Mielke M, Kratzel C, Joncic M, Oezel M, Pauli G, Beekes M. 2008. Decontamination of surgical instruments from prions. II. In vivo findings with a model system for testing the removal of scrapie infectivity from steel surfaces. J Gen Virol 89:348–358. doi: 10.1099/vir.0.83396-0. [DOI] [PubMed] [Google Scholar]
- 33.Yan ZX, Stitz L, Heeg P, Pfaff E, Roth K. 2004. Infectivity of prion protein bound to stainless steel wires: a model for testing decontamination procedures for transmissible spongiform encephalopathies. Infect Control Hosp Epidemiol 25:280–283. doi: 10.1086/502392. [DOI] [PubMed] [Google Scholar]
- 34.Fichet G, Comoy E, Duval C, Antloga K, Dehen C, Charbonnier A, McDonnell G, Brown P, Ida Lasmézas C, Deslys J-P. 2004. Novel methods for disinfection of prion-contaminated medical devices. Lancet 364:521–526. doi: 10.1016/S0140-6736(04)16810-4. [DOI] [PubMed] [Google Scholar]
- 35.Yuan Q, Eckland T, Telling G, Bartz J, Bartelt-Hunt S. 2015. Mitigation of prion infectivity and conversion capacity by a simulated natural process–repeated cycles of drying and wetting. PLoS Pathog 11:e1004638–18. doi: 10.1371/journal.ppat.1004638. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Yuan Q, Telling G, Bartelt-Hunt SL, Bartz JC. 28 March 2018, posting date Dehydration of prions on environmentally relevant surfaces protects them from inactivation by freezing and thawing. J Virol doi: 10.1128/JVI.02191-17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Secker TJ, Herve R, Keevil CW. 2011. Adsorption of prion and tissue proteins to surgical stainless steel surfaces and the efficacy of decontamination following dry and wet storage conditions. J Hosp Infect 78:251–255. doi: 10.1016/j.jhin.2011.03.021. [DOI] [PubMed] [Google Scholar]
- 38.Secker TJ, Pinchin HE, Herve RC, Keevil CW. 2015. Efficacy of humidity retention bags for the reduced adsorption and improved cleaning of tissue proteins including prion-associated amyloid to surgical stainless steel surfaces. Biofouling 31:535–541. doi: 10.1080/08927014.2015.1067686. [DOI] [PubMed] [Google Scholar]
- 39.Dickinson AG, Fraser H, Meikle VM, Outram GW. 1972. Competition between different scrapie agents in mice. Nat New Biol 237:244–245. doi: 10.1038/newbio237244a0. [DOI] [PubMed] [Google Scholar]
- 40.Manuelidis L. 1998. Vaccination with an attenuated Creutzfeldt-Jakob disease strain prevents expression of a virulent agent. Proc Natl Acad Sci U S A 95:2520–2525. doi: 10.1073/pnas.95.5.2520. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Bartz JC, Kramer ML, Sheehan MH, Hutter JA, Ayers JI, Bessen RA, Kincaid AE. 2007. Prion interference is due to a reduction in strain-specific PrPSc levels. J Virol 81:689–697. doi: 10.1128/JVI.01751-06. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Haldiman T, Kim C, Cohen Y, Chen W, Blevins J, Qing L, Cohen ML, Langeveld J, Telling GC, Kong Q, Safar JG. 2013. Co-existence of distinct prion types enables conformational evolution of human PrPSc by competitive selection. J Biol Chem 288:29846–29861. doi: 10.1074/jbc.M113.500108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Shikiya RA, Ayers JI, Schutt CR, Kincaid AE, Bartz JC. 2010. Coinfecting prion strains compete for a limiting cellular resource. J Virol 84:5706–5714. doi: 10.1128/JVI.00243-10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Bartz JC, Aiken JM, Bessen RA. 2004. Delay in onset of prion disease for the HY strain of transmissible mink encephalopathy as a result of prior peripheral inoculation with the replication-deficient DY strain. J Gen Virol 85:265–273. doi: 10.1099/vir.0.19394-0. [DOI] [PubMed] [Google Scholar]
- 45.Dickinson AG, Fraser H, McConnell I, Outram GW, Sales DI, Taylor DM. 1975. Extraneural competition between different scrapie agents leading to loss of infectivity. Nature 253:556. doi: 10.1038/253556a0. [DOI] [PubMed] [Google Scholar]
- 46.Bessen RA, Marsh RF. 1992. Biochemical and physical properties of the prion protein from two strains of the transmissible mink encephalopathy agent. J Virol 66:2096–2101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Saunders SE, Shikiya RA, Langenfeld K, Bartelt-Hunt SL, Bartz JC. 2011. Replication efficiency of soil-bound prions varies with soil type. J Virol 85:5476–5482. doi: 10.1128/JVI.00282-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Bernoulli C, Siegfried J, Baumgartner G, Regli F, Rabinowicz T, Gajdusek DC, Gibbs CJ Jr. 1977. Danger of accidental person-to-person transmission of Creutzfeldt-Jakob disease by surgery. Lancet i:478–479. doi: 10.1016/S0140-6736(77)91958-4. [DOI] [PubMed] [Google Scholar]
- 49.Eckland TE, Shikiya RA, Bartz JC. 2018. Independent amplification of co-infected long incubation period low conversion efficiency prion strains. PLoS Pathog 14:e1007323. doi: 10.1371/journal.ppat.1007323. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Geoghegan JC, Miller MB, Kwak AH, Harris BT, Supattapone S. 2009. Trans-dominant inhibition of prion propagation in vitro is not mediated by an accessory cofactor. PLoS Pathog 5:e1000535. doi: 10.1371/journal.ppat.1000535. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Miller MB, Geoghegan JC, Supattapone S. 2011. Dissociation of infectivity from seeding ability in prions with alternate docking mechanism. PLoS Pathog 7:e1002128. doi: 10.1371/journal.ppat.1002128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Taylor DM, Woodgate SL. 2003. Rendering practices and inactivation of transmissible spongiform encephalopathy agents. Rev Sci Tech 22:297–310. doi: 10.20506/rst.22.1.1400. [DOI] [PubMed] [Google Scholar]
- 53.Biacabe AG, Laplanche JL, Ryder S, Baron T. 2004. Distinct molecular phenotypes in bovine prion diseases. EMBO Rep 5:110–115. doi: 10.1038/sj.embor.7400054. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Taylor DM. 1989. Scrapie agent decontamination: implications for bovine spongiform encephalopathy. Vet Rec 124:291–292. doi: 10.1136/vr.124.12.291. [DOI] [PubMed] [Google Scholar]
- 55.Wilesmith JW, Ryan JB, Hueston WD. 1992. Bovine spongiform encephalopathy: case-control studies of calf feeding practices and meat and bonemeal inclusion in proprietary concentrates. Res Vet Sci 52:325–331. doi: 10.1016/0034-5288(92)90032-W. [DOI] [PubMed] [Google Scholar]
- 56.Dickinson AG, Taylor DM. 1978. Resistance of scrapie agent to decontamination. N Engl J Med 299:1413–1414. doi: 10.1056/NEJM197812212992512. [DOI] [PubMed] [Google Scholar]
- 57.Marín-Moreno A, Aguilar-Calvo P, Moudjou M, Espinosa JC, Béringue V, Torres JM. 2019. Thermostability as a highly dependent prion strain feature. Sci Rep 9:11396. doi: 10.1038/s41598-019-47781-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Fernie K, Steele PJ, Taylor DM, Somerville RA. 2007. Comparative studies on the thermostability of five strains of transmissible-spongiform-encephalopathy agent. Biotechnol Appl Biochem 47:175–183. doi: 10.1042/BA20060249. [DOI] [PubMed] [Google Scholar]
- 59.Prusiner SB, Cochran SP, Groth DF, Downey DE, Bowman KA, Martinez HM. 1982. Measurement of the scrapie agent using an incubation time interval assay. Ann Neurol 11:353–358. doi: 10.1002/ana.410110406. [DOI] [PubMed] [Google Scholar]
- 60.Marsh RF, Hanson RP. 1978. The Syrian hamster as a model for the study of slow virus diseases caused by unconventional agents. Fed Proc 37:2076–2078. [PubMed] [Google Scholar]
- 61.Dickinson AG, Fraser H. 1969. Modification of the pathogenesis of scrapie in mice by treatment of the agent. Nature 222:892–893. doi: 10.1038/222892a0. [DOI] [PubMed] [Google Scholar]
- 62.Kimberlin RH, Walker C. 1977. Characteristics of a short incubation model of scrapie in the golden hamster. J Gen Virol 34:295–304. doi: 10.1099/0022-1317-34-2-295. [DOI] [PubMed] [Google Scholar]
- 63.Peretz D, Supattapone S, Giles K, Vergara J, Freyman Y, Lessard P, Safar JG, Glidden DV, McCulloch C, Nguyen HO, Scott M, Dearmond SJ, Prusiner SB. 2006. Inactivation of prions by acidic sodium dodecyl sulfate. J Virol 80:322–331. doi: 10.1128/JVI.80.1.322-331.2006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Flechsig E, Hegyi I, Enari M, Schwarz P, Collinge J, Weissmann C. 2001. Transmission of scrapie by steel-surface-bound prions. Mol Med 7:679–684. doi: 10.1007/BF03401958. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Duque Velasquez C, Kim C, Herbst A, Daude N, Garza MC, Wille H, Aiken J, McKenzie D. 2015. Deer prion proteins modulate the emergence and adaptation of chronic wasting disease strains. J Virol 89:12362–12373. doi: 10.1128/JVI.02010-15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 66.Angers RC, Kang HE, Napier D, Browning S, Seward T, Mathiason C, Balachandran A, McKenzie D, Castilla J, Soto C, Jewell J, Graham C, Hoover EA, Telling GC. 2010. Prion strain mutation determined by prion protein conformational compatibility and primary structure. Science 328:1154–1158. doi: 10.1126/science.1187107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Benestad SL, Mitchell G, Simmons M, Ytrehus B, Vikoren T. 2016. First case of chronic wasting disease in Europe in a Norwegian free-ranging reindeer. Vet Res 47:88. doi: 10.1186/s13567-016-0375-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68.Bian J, Christiansen JR, Moreno JA, Kane SJ, Khaychuk V, Gallegos J, Kim S, Telling GC. 2019. Primary structural differences at residue 226 of deer and elk PrP dictate selection of distinct CWD prion strains in gene-targeted mice. Proc Natl Acad Sci U S A 116:12478–12487. doi: 10.1073/pnas.1903947116. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 69.Pirisinu L, Tran L, Chiappini B, Vanni I, Di Bari MA, Vaccari G, Vikoren T, Madslien KI, Vage J, Spraker T, Mitchell G, Balachandran A, Baron T, Casalone C, Rolandsen CM, Roed KH, Agrimi U, Nonno R, Benestad SL. 2018. Novel type of chronic wasting disease detected in moose (Alces alces), Norway. Emerg Infect Dis 24:2210–2218. doi: 10.3201/eid2412.180702. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 70.Saunders SE, Bartz JC, Bartelt-Hunt SL. 2009. Prion protein adsorption to soil in a competitive matrix is slow and reduced. Environ Sci Technol 43:7728–7733. doi: 10.1021/es901385t. [DOI] [PubMed] [Google Scholar]
- 71.Shikiya RA, Langenfeld KA, Eckland TE, Trinh J, Holec SA, Mathiason CK, Kincaid AE, Bartz JC. 2017. PrPSc formation and clearance as determinants of prion tropism. PLoS Pathog 13:e1006298. doi: 10.1371/journal.ppat.1006298. [DOI] [PMC free article] [PubMed] [Google Scholar]
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