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Genotype-dependent Molecular Evolution of Sheep Bovine Spongiform Encephalopathy (BSE) Prions in Vitro Affects Their Zoonotic Potential * Received for publication, May 19, 2014, and in revised form, July 29, 2014 Published, JBC Papers in Press, August 6, 2014, DOI 10.1074/jbc.M114.582965 Zuzana Krejciova , Marcelo A. Barria , Michael Jones § , James W. Ironside , Martin Jeffrey , Lorenzo Gonza ´lez , and Mark W. Head ‡1 From the National Creutzfeldt-Jakob Disease Research and Surveillance Unit, The University of Edinburgh, Edinburgh EH4 2XU, United Kingdom, § Scottish National Blood Transfusion Service, Edinburgh EH17 7QT, United Kingdom, and Animal Health and Veterinary Laboratories Agency, Lasswade, Edinburgh EH26 0PZ, United Kingdom Background: The results of serial passage of BSE in sheep are unknown. Results: In vitro modeling shows a sheep genotype-dependent switch in prion protein type and loss of the ability to convert human prion protein. Conclusion: Molecular evolution of sheep BSE prions in vitro is genotype-dependent and affects zoonotic potential. Significance: Zoonotic risk might be predicted from cell-free modeling. Prion diseases are rare fatal neurological conditions of humans and animals, one of which (variant Creutzfeldt-Jakob disease) is known to be a zoonotic form of the cattle disease bovine spongiform encephalopathy (BSE). What makes one ani- mal prion disease zoonotic and others not is poorly understood, but it appears to involve compatibility between the prion strain and the host prion protein sequence. Concerns have been raised that the United Kingdom sheep flock may have been exposed to BSE early in the cattle BSE epidemic and that serial BSE trans- mission in sheep might have resulted in adaptation of the agent, which may have come to phenotypically resemble scrapie while maintaining its pathogenicity for humans. We have modeled this scenario in vitro. Extrapolation from our results suggests that if BSE were to infect sheep in the field it may, with time and in some sheep genotypes, become scrapie-like at the molecular level. How- ever, the results also suggest that if BSE in sheep were to come to resemble scrapie it would lose its ability to affect humans. Prion diseases are transmissible fatal neurodegenerative dis- orders of the central nervous system that occur in animals and humans and are caused by unconventional agents termed pri- ons. A hallmark of acquired prion diseases is a prolonged asymptomatic phase followed by the appearance of neurologi- cal signs, neuropathological changes, and the accumulation of a misfolded pathogenic isoform (PrP Sc ) 2 of the cellular prion pro- tein (PrP C ) in the central nervous system (1). Prion diseases can be transmitted within and between species, but crossing a so- called “species barrier” often results in prolonged incubation periods (2). It is only after adaptation of the agent to the new host that the incubation period shortens and the disease phe- notype stabilizes. This species barrier effect is thought to be determined at least in part by prion protein sequence homology between the species involved (3). Bovine spongiform encephalopathy (BSE) is the prototypic acquired prion disease of cattle, first recognized in 1986 in the United Kingdom (4) and reaching epidemic proportions before being brought under control (5). The appearance of a new form of Creutzfeldt-Jakob disease (variant Creutzfeldt-Jakob disease (vCJD)) in the United Kingdom during the following decade was strongly suspected to result from dietary exposure of the human population to the BSE agent (6), and subsequent inves- tigations of its transmission properties are consistent with this explanation (7–9). The number of cases of vCJD occurring in the United Kingdom peaked in the year 2000 and has declined since. All cases of definite clinical vCJD are of one prion protein genotypic group (PRNP codon 129 MM). BSE is the only known zoonotic animal prion disease (5). Scrapie is the most intensively researched animal prion dis- ease. It is endemic in sheep in many countries, including the United Kingdom. Scrapie prion strain diversity can be inferred from differences in incubation period, in PrP Sc profile and dis- tribution, and in vacuolar lesions in the brain (11). Scrapie sus- ceptibility and incubation period are largely determined by polymorphic variation in the sheep prion protein gene (Prnp) with those at 136, 154, and 171 and the VRQ, ARQ, and ARR alleles having the greatest effect (12). Depending on the infect- ing source or strain (11), VRQ/VRQ and ARQ/ARQ sheep are the most susceptible to classical scrapie, whereas ARR/ARR is considered to be effectively resistant (13). It was recognized early on that if BSE were to have infected sheep then its presence could be masked by endemic scrapie with potentially serious and long term effects for animal and * This work was largely supported by Grant “SheepBSE” from the Alliance BioSecure Research Foundation (Paris, France). 1 To whom correspondence should be addressed: National CJD Research and Surveillance Unit, The University of Edinburgh, The Bryan Matthews Bldg., Western General Hospital, Edinburgh EH4 2XU, UK. Tel.: 44-131-5371980; Fax: 44-131-3431404; E-mail: [email protected]. 2 The abbreviations used are: PrP Sc , prion protein scrapie isoform; PrP C , cellular prion protein; PrP res , protease-resistant prion protein; PrP, prion protein; BSE, bovine spongiform encephalopathy; CJD, Creutzfeldt-Jakob disease; vCJD, variant Creutzfeldt-Jakob disease; PMCA, protein misfolding cyclic amplifica- tion; sPMCA, serial PMCA; TSE, transmissible spongiform encephalopathy; sCJD, sporadic CJD; PK, proteinase K; Bis-Tris, 2-[bis(2-hydroxyethyl)amino]-2- (hydroxymethyl)propane-1,3-diol. THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 289, NO. 38, pp. 26075–26088, September 19, 2014 © 2014 by The American Society for Biochemistry and Molecular Biology, Inc. Published in the U.S.A. SEPTEMBER 19, 2014 • VOLUME 289 • NUMBER 38 JOURNAL OF BIOLOGICAL CHEMISTRY 26075 by guest on January 21, 2020 http://www.jbc.org/ Downloaded from

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Genotype-dependent Molecular Evolution of Sheep BovineSpongiform Encephalopathy (BSE) Prions in Vitro AffectsTheir Zoonotic Potential*

Received for publication, May 19, 2014, and in revised form, July 29, 2014 Published, JBC Papers in Press, August 6, 2014, DOI 10.1074/jbc.M114.582965

Zuzana Krejciova‡, Marcelo A. Barria‡, Michael Jones§, James W. Ironside‡, Martin Jeffrey¶, Lorenzo Gonzalez¶,and Mark W. Head‡1

From the ‡National Creutzfeldt-Jakob Disease Research and Surveillance Unit, The University of Edinburgh, Edinburgh EH4 2XU,United Kingdom, §Scottish National Blood Transfusion Service, Edinburgh EH17 7QT, United Kingdom, and ¶Animal Health andVeterinary Laboratories Agency, Lasswade, Edinburgh EH26 0PZ, United Kingdom

Background: The results of serial passage of BSE in sheep are unknown.Results: In vitro modeling shows a sheep genotype-dependent switch in prion protein type and loss of the ability to converthuman prion protein.Conclusion: Molecular evolution of sheep BSE prions in vitro is genotype-dependent and affects zoonotic potential.Significance: Zoonotic risk might be predicted from cell-free modeling.

Prion diseases are rare fatal neurological conditions ofhumans and animals, one of which (variant Creutzfeldt-Jakobdisease) is known to be a zoonotic form of the cattle diseasebovine spongiform encephalopathy (BSE). What makes one ani-mal prion disease zoonotic and others not is poorly understood,but it appears to involve compatibility between the prion strainand the host prion protein sequence. Concerns have been raisedthat the United Kingdom sheep flock may have been exposed toBSE early in the cattle BSE epidemic and that serial BSE trans-mission in sheep might have resulted in adaptation of the agent,which may have come to phenotypically resemble scrapie whilemaintaining its pathogenicity for humans. We have modeledthis scenario in vitro. Extrapolation from our results suggests thatif BSE were to infect sheep in the field it may, with time and in somesheep genotypes, become scrapie-like at the molecular level. How-ever, the results also suggest that if BSE in sheep were to come toresemble scrapie it would lose its ability to affect humans.

Prion diseases are transmissible fatal neurodegenerative dis-orders of the central nervous system that occur in animals andhumans and are caused by unconventional agents termed pri-ons. A hallmark of acquired prion diseases is a prolongedasymptomatic phase followed by the appearance of neurologi-cal signs, neuropathological changes, and the accumulation of amisfolded pathogenic isoform (PrPSc)2 of the cellular prion pro-

tein (PrPC) in the central nervous system (1). Prion diseases canbe transmitted within and between species, but crossing a so-called “species barrier” often results in prolonged incubationperiods (2). It is only after adaptation of the agent to the newhost that the incubation period shortens and the disease phe-notype stabilizes. This species barrier effect is thought to bedetermined at least in part by prion protein sequence homologybetween the species involved (3).

Bovine spongiform encephalopathy (BSE) is the prototypicacquired prion disease of cattle, first recognized in 1986 in theUnited Kingdom (4) and reaching epidemic proportions beforebeing brought under control (5). The appearance of a new formof Creutzfeldt-Jakob disease (variant Creutzfeldt-Jakob disease(vCJD)) in the United Kingdom during the following decadewas strongly suspected to result from dietary exposure of thehuman population to the BSE agent (6), and subsequent inves-tigations of its transmission properties are consistent with thisexplanation (7–9). The number of cases of vCJD occurring inthe United Kingdom peaked in the year 2000 and has declinedsince. All cases of definite clinical vCJD are of one prion proteingenotypic group (PRNP codon 129 MM). BSE is the only knownzoonotic animal prion disease (5).

Scrapie is the most intensively researched animal prion dis-ease. It is endemic in sheep in many countries, including theUnited Kingdom. Scrapie prion strain diversity can be inferredfrom differences in incubation period, in PrPSc profile and dis-tribution, and in vacuolar lesions in the brain (11). Scrapie sus-ceptibility and incubation period are largely determined bypolymorphic variation in the sheep prion protein gene (Prnp)with those at 136, 154, and 171 and the VRQ, ARQ, and ARRalleles having the greatest effect (12). Depending on the infect-ing source or strain (11), VRQ/VRQ and ARQ/ARQ sheep arethe most susceptible to classical scrapie, whereas ARR/ARR isconsidered to be effectively resistant (13).

It was recognized early on that if BSE were to have infectedsheep then its presence could be masked by endemic scrapiewith potentially serious and long term effects for animal and

* This work was largely supported by Grant “SheepBSE” from the AllianceBioSecure Research Foundation (Paris, France).

1 To whom correspondence should be addressed: National CJD Research andSurveillance Unit, The University of Edinburgh, The Bryan Matthews Bldg.,Western General Hospital, Edinburgh EH4 2XU, UK. Tel.: 44-131-5371980;Fax: 44-131-3431404; E-mail: [email protected].

2 The abbreviations used are: PrPSc, prion protein scrapie isoform; PrPC, cellularprion protein; PrPres, protease-resistant prion protein; PrP, prion protein; BSE,bovine spongiform encephalopathy; CJD, Creutzfeldt-Jakob disease; vCJD,variant Creutzfeldt-Jakob disease; PMCA, protein misfolding cyclic amplifica-tion; sPMCA, serial PMCA; TSE, transmissible spongiform encephalopathy;sCJD, sporadic CJD; PK, proteinase K; Bis-Tris, 2-[bis(2-hydroxyethyl)amino]-2-(hydroxymethyl)propane-1,3-diol.

THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 289, NO. 38, pp. 26075–26088, September 19, 2014© 2014 by The American Society for Biochemistry and Molecular Biology, Inc. Published in the U.S.A.

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human health (14, 15). Sheep were confirmed to be experimen-tally susceptible to BSE (16 –19). The clinical signs of scrapieand ovine BSE are indistinguishable (20); however, the diseasescan be distinguished by careful immunohistochemical analysisof PrPSc accumulation patterns in the brain and lymphoid tis-sues (21–25) and by the biochemical characteristics of the pro-tease-resistant prion protein (PrPres) in the brain (26, 27). Sus-ceptibility to experimental BSE is associated with the ARQ/ARQ genotype, but BSE in VRQ/VRQ sheep can likewise beobtained (28), and infection of ARR/ARR sheep has also beenreported (19, 29 –31). Discriminatory tests for sheep BSE basedon differences in molecular profile were shown to remain effec-tive after three serial experimental passages of the BSE agent inARQ/ARQ sheep, but there was an indication of a shift in thebiochemical properties of PrPres during these passages awayfrom that associated with BSE (27). It is therefore possible thatadaptation of the BSE agent to an ovine host involves a changein the molecular properties of the BSE prions and that thischange may have occurred prior to the introduction of statu-tory testing. In this scenario, sheep BSE in the field may havebecome indistinguishable from scrapie, but it may haveretained its pathogenicity for humans.

PrP misfolding and prion replication can be mimicked incell-free PrP conversion assays such as protein misfoldingcyclic amplification (PMCA) (32, 33). PMCA can be used tomodel the transmission and strain adaptation phenomena asso-ciated with prion replication in vivo but at an accelerated rate(34 – 40). The results from these studies suggest that species,strain, and genotypic barriers to prion disease can be modeledin vitro. We have modeled serial passage of the BSE agent insheep by conducting serial PMCA (sPMCA) using sheep BSEbrain homogenates to seed ovine brain substrate of three Prnpgenotypes and then testing whether this in vitro adaptationprocess results in changes in the potential of sheep BSE to con-vert human PrPC in a further PMCA reaction.

EXPERIMENTAL PROCEDURES

Ethics Statement—Human tissues were obtained from theCJD Brain and Tissue Bank, which is part of the MedicalResearch Council Edinburgh Brain Banks. Tissues were col-lected with consent for research use. Ethical approval for theuse of the human tissues in this study was covered by LREC2000/4/157 (Professor James Ironside). All studies, includingexperimental inoculations, care of animals, and euthanasia,were carried out in accordance with the United Kingdom Ani-mal (Scientific Procedures) Act 1986. Sheep were obtainedfrom one of two facilities. Experiments performed at the More-dun Research Institute were carried out under licenses from theUnited Kingdom Government Home Office number 60/2656(renewed in 2005 with number 60/3646). The remaining sheepwere obtained from experiments carried out at the AgriculturalDevelopment and Advisory Service facilities at High Mowthorpeunder project license number 70/5155. Animals were moni-tored daily for the presence of neurological signs compatiblewith TSE and were euthanized once those signs reached a pre-determined end point, when showing signs of intercurrent dis-ease unresponsive to treatment, or for welfare reasons. In all

cases, euthanasia was performed by intravenous injection ofbarbiturate overdose followed by exsanguination.

Uninfected Animal Brain Tissues—Nine samples of ovinebrain tissue of the three major scrapie-susceptible or -resistantvariants, differing in their Prnp polymorphism at codons 136,154, and 171 (both PBS-perfused or non-perfused; two VRQ/VRQ, three ARQ/ARQ, and four ARR/ARR) were obtainedfrom a scrapie-free flock (ARSU flock) at the Animal Health andVeterinary Laboratories Agency (Weybridge, UK). The bovine(BSE-negative) sample came from cow with limited or no expo-sure to BSE reared under controlled conditions, and the tissueswere provided by the Animal Health and Veterinary LaboratoriesAgency TSE Archive (Weybridge, UK). All brain tissues werestored at �80 °C immediately after animals were sacrificed. Thedisease status of these animals was confirmed at source by prionprotein immunohistochemistry and Western blot.

Experimental Sheep BSE, Cattle BSE, and Sheep ScrapieTissues—Brain stem samples from five sheep experimentallyinfected with BSE (homozygous VRQ/VRQ, ARQ/ARQ, andARR/ARR BSE-infected sheep), the scrapie-infected sheep, andthe BSE-infected cattle brain tissues were produced or collectedby Animal Health and Veterinary Laboratories Agency (Lass-wade and Weybridge, UK). The BSE-positive cow was a fieldsuspect that had been identified through passive surveillance,and the tissues were provided by the Animal Health and Veter-inary Laboratories Agency TSE Archive. The disease status ofthe animals was confirmed at source by prion protein immuno-histochemistry and Western blot.

Prnp Sequencing—Prnp genotyping of the sheep involved inthis study was performed on blood samples by PCR amplifica-tion and sequencing of the whole open reading frame of thePrnp gene on a 3130 Genetic Analyzer with the BigDye� termi-nator v3.1 cycle sequencing kit according to the manufacturer’sprotocol (Applied Biosystems).

Human Brain Tissues—All tissues were handled exclusivelyin the category 3* biosafety containment facility according tostringent health and safety protocols. Human brain tissues(frontal cortex) were sampled from a frozen half-brain collectedat autopsy with the appropriate consent for tissue retention andresearch use. The vCJD specimen was from a patient (PRNPcodon 129 MM) with definite variant CJD diagnosis as definedby established criteria. The sCJD sample was from a patientwith a diagnosis of sporadic CJD (VV2 subtype). The non-CJDhuman brain specimens used for PMCA substrate preparationwere from frontal cortex from patients with Guillain-Barre syn-drome (PRNP codon 129 MM) and dementia with Lewy bodies(PRNP codon 129 VV), and their use as PMCA substrates hasbeen described previously (39).

Preparation of Brain Homogenates—Bovine, ovine, and humantissue homogenates (10%, w/v) were prepared by manual homog-enization of brain tissues using glass grinders (Fisher ScientificLtd.) in PMCA conversion buffer (PBS, 1% Triton X-100, 150mM NaCl) containing protease inhibitors (Complete MiniEDTA-free, Roche Applied Science). A non-ionic detergent-insoluble nucleocytoskeletal fraction was cleared by centrifuga-tion at 424 � g for 40 s. The supernatants were divided intoaliquots and stored at �80 °C until use as PMCA substrate.

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Protein Misfolding Cyclic Amplification—EDTA (Fluka, Sig-ma-Aldrich) was added to all brain homogenate substrates at afinal concentration of 5 mM prior to conducting the PMCAreaction. When human tissue was used as substrate, heparin(LKT Laboratories) (10) was added to the samples at a finalconcentration 1 mM. Substrates were seeded at 4 °C with a dilu-tion of brain homogenate (previously titrated by Western blot-ting) such that the seed material contained sufficient PrPres tobe detectable at the lower end of the linear range of a standardWestern blot. A negative control aliquot not subjected toPMCA (20 �l) was immediately frozen at �80 °C, and theremainder (sample of 100 �l) was subjected to PMCA using aMisonix model 4000 sonicator. A single round of PMCA com-prised 96 cycles of 20-s sonication at 80% total power outputand a 29-min 40-s incubation at 37 °C. When serial PMCA reac-tions were performed, each new round was seeded at a 1:10dilution with the product of the previous PMCA round (i.e. a10-fold dilution of the PMCA product in fresh brain homoge-nate substrate). An aliquot of each sPMCA reaction productwas retained for a use as a seed for human brain tissue substratein phase III of the study.

Sample Preparation for Western Blot Analysis—Equal vol-umes of PMCA products and their corresponding negative con-trols were digested using proteinase K (PK; Novagen�, EMDMillipore) at a final concentration of 50 �g/ml at 37 °C for 1 h.Protease digestion was terminated by the addition of PefablocSC (Roche Applied Science) to a final concentration of 1 mM,and the samples were then collected by centrifugation at20,817 � g for 1 h at 4 °C. Pellets were then resuspended inPMCA conversion buffer, and an equal volume of 4�NuPAGE� lithium dodecyl sulfate sample buffer (Invitrogen)was added to each sample aliquot to a final concentration 1�.

PrP-specific Antibodies—The primary antibodies used weremouse monoclonal antibodies 6H4 (IgG1; recognizing ovinePrP amino acids 148 –155; Prionics), 12B2 (IgG1; recognizingovine PrP amino acids 89 –107) (41), and 3F4 (IgG2a; recogniz-ing human PrP amino acids 106 –112; EMD Millipore).

Western Blot Analysis—Samples were boiled at 100 °C for 10min and loaded onto a NuPAGE 10% Bis-Tris gel (Invitrogen)and subjected to electrophoresis for 50 min at 200 V using pre-set gel cassettes (Invitrogen) and NuPAGE MES-SDS 1� run-ning buffer (Invitrogen). A BenchMark prestained protein lad-der (Invitrogen) and a MagicMarkTM XP Western proteinstandard (Invitrogen) were run alongside the samples. The gelswere then electroblotted onto polyvinylidene difluoride(PVDF) membrane (Hybond-P, GE Healthcare) for 1 h at 30 Vusing 1� transfer buffer consisting of 4% 20� NuPAGE trans-fer buffer (Invitrogen), 16% MeOH, 80% distilled H2O. Forimmunodetection, the PVDF membrane was blocked with asolution of 5% (w/v) nonfat milk powder (Sigma-Aldrich) dis-solved in TBS-T (200 mM Tris/HCl, 150 mM NaCl, pH 7.6)containing 0.1% Tween 20 (polyoxyethelenesorbitan monolau-rate, Fisher Scientific Ltd.) for 60 min. Then the PVDF mem-brane was incubated with anti-PrP monoclonal antibody 6H4,12B2, or 3F4 in TBS-T for 60 min and subsequently with horse-radish peroxidase-conjugated sheep anti-mouse IgG (GEHealthcare) antibody for 60 min. The membranes were devel-oped using ECL Plus (GE Healthcare) and imaged using the

ChemiDocTM XRS� System (Bio-Rad) following the manufa-cturer’s instructions.

Quantitative Densitometry and Statistical Analysis—Thedifference in sheep BSE PrPres amplification efficiency in ovinesubstrates of different genotype was analyzed from three inde-pendent identical experiments. Serial PMCA products wereanalyzed by Western blot, and densitometry of the appropriatebands was performed using a volume tool of the XRS� SystemImage LabTM 2.0 software. The background signal values ofindividual blots were subtracted before data were analyzed andportrayed using GraphPad Prism version 6.01 software.

Comparison of PrPC Levels in Substrate Brain Homogenates—The total protein concentration of the brain homogenates wasobtained using DCTM Protein Assay kit (Bio-Rad). Equalamounts of protein were analyzed by Western blot using anti-PrP primary antibody 6H4. The PrPC concentration was thenobtained by densitometry using a known amount of recombi-nant PrPC run on the same blot. In experiments designed tonormalize PrPC levels in sheep brain homogenates to be used asPMCA substrates, equivalent volumes of 10% brain homoge-nates were analyzed by Western blotting using the anti-PrPprimary antibody 6H4, the PrPC signal was quantitated by den-sitometry, and the dilution factors to reach equivalence werecalculated.

Deglycosylation of Ovine PrPC—Ovine brain homogenates ofequal PrPC amount (20 �g) were denatured at 100 °C for 10 minand then incubated with 500 units/�l peptide-N-glycosidase F(PNGase F kit, New England Biolabs) for 2 h at 37 °C accordingto the manufacturer’s instructions. Deglycosylated proteinswere precipitated using 4 volumes of ice-cold 80% MeOH andcollected by centrifugation at 18,787 � g for 30 min at 4 °C. Thesupernatant was removed, and the pellets were resuspended inNuPAGE sample reducing agent (Novex�, Invitrogen) andNuPAGE lithium dodecyl sulfate sampling buffer and analyzedby Western blot.

RESULTS

Overall Study Design—Fig. 1 gives an overview of the study.Phase I established the PMCA conditions that resulted in effi-cient amplification of cattle PrPres in normal cattle brain sub-strate and in normal ovine brain substrates of the VRQ/VRQ,ARQ/ARQ, and ARR/ARR genotypes. Phase II tested whetherthe BSE-like molecular signature of ovine BSE PrPres was stablewhen serially amplified in ovine substrates or whether therewas a shift toward a scrapie-like molecular signature. Classicalscrapie brain homogenates from VRQ/VRQ and ARQ/ARQsheep were used to seed all three ovine polymorphic groups,providing a positive control for amplification and PrPres-typeconservation. Phase III determined whether any molecularswitch from a BSE-like to a scrapie-like molecular signaturealtered the ability of the sheep-adapted BSE PrPres to convertPrPC in human brain substrates. In this phase, the sPMCAproducts from rounds 1 and 8 produced in phase II were used toseed human brain substrates of the PRNP codon 129 MM andVV genotypes and subjected to a single round of PMCA. ThePMCA products were then analyzed by Western blot after PKtreatment using the anti-PrP mAb 3F4 (which detects humanbut not ovine or bovine PrP).

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BSE Agent Replication Modeled by Amplification in OvineSubstrates—Sheep BSE brain homogenates and positive controlbrain homogenates of cattle BSE and classical sheep scrapiegave the expected protein banding pattern corresponding tothe three glycoforms of PrPres on Western blot analysis. Thediglycosylated form of the protein (top band) exhibited thestrongest signal followed by the mono- (middle band) and non-glycosylated (lower band) forms, which exhibited weaker sig-nals (Fig. 2A). The non-glycosylated band of PrPres of cattle BSEand sheep BSE had an apparent molecular mass of around 19kDa (Fig. 2A, lane 1– 6), whereas in classical scrapie, it wasaround 20 –21 kDa (Fig. 2A, lane 7). Next, we established thePMCA conditions needed to amplify BSE PrPres efficiently innormal bovine brain (Fig. 2B) and PrPres from classical scrapiein ovine brain (Fig. 2C). The results confirmed that the PrPres

type of PMCA products resembled that of the seed (Fig. 2, B and

C). In subsequent PMCA reactions, the initial seed dilution wassometimes adjusted, but the duration and power output of son-ication, duration of incubation period, and number of sonica-tion/incubation cycles per round were kept identical for allexperiments of this study. We then used these standardizedconditions to amplify BSE PrPres in ovine substrates of the threemain ovine Prnp polymorphic genotypes (Fig. 2, D and E). Wecompared the efficiency of amplification in ovine brain sub-strates from animals that had been perfused with PBS (Fig. 2D)with those that had not (Fig. 2E). Amplification was observedafter a single round of PMCA in ovine substrate of the VRQ/VRQ (Fig. 2, D and E, lane 2) and the ARQ/ARQ (Fig. 2, D andE, lane 4) genotypes but not in ARR/ARR (Fig. 2, D and E, lane6) genotype substrates. Amplification was found to be slightlymore efficient using substrates from perfused animals (Fig. 2D,lanes 2 and 4) when compared with the non-perfused brains

FIGURE 1. Diagrammatic overview of the study. Phase I established the PMCA conditions needed to efficiently amplify BSE PrPres in ovine substrates. PhaseII modeled propagation of the BSE agent in sheep using serial PMCA. Phase III modeled the zoonotic potential of sheep-adapted BSE. WB, Western blotting.

FIGURE 2. PMCA conditions supporting amplification of BSE PrPres. A, comparison of PrPres types of sheep BSE (lane 1–5), cattle BSE (lane 6), and classicalsheep scrapie (lane 7). B, bovine substrate seeded with BSE PrPres subjected to a 24- (lane 2) or 48-h (lane 3) PMCA reaction. C, ovine substrate seeded with PrPres

of classical scrapie subjected to a 24- (lane 2) or 48-h (lane 3) PMCA reaction. D, PBS-perfused ovine brain substrates of VRQ/VRQ, ARQ/ARQ, and ARR/ARRgenotype seeded with BSE PrPres and subjected to a single round of PMCA reaction. The dotted line indicates montaged individual Western blot results. E,non-perfused ovine brain tissue homogenates were seeded with BSE PrPres (same as in D) in single round (48-h) PMCA. �, corresponding controls not subjectedto PMCA. Samples were analyzed after PK treatment using anti-PrP mAb 6H4. The molecular mass (in kDa) is marked to the left of each blot.

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(Fig. 2E, lanes 2 and 4), and all further experiments were carriedout using the former. Given the failure of the ARR/ARR sub-strate to support PrPres amplification, we sought to determinewhether the PrPC levels present in all nine ovine substrates usedwere the same. The ARR/ARR brain substrates were found tohave a consistently lower level of PrPC than the VRQ/VRQ andARQ/ARQ brain substrates (Fig. 3, A and B).

BSE Agent Adaptation to a VRQ/VRQ Ovine Host Modeled bySerial PMCA—Next, we modeled sheep BSE agent adaptationby conducting sPMCA of experimental sheep BSE brain homo-genate seeded in ovine brain substrates of different Prnp geno-types (Fig. 1, phase II). Each round was composed of 96 cycles ofsonication and incubation (as described under “ExperimentalProcedures”). Samples from each round were analyzed forPrPres by Western blotting using the anti-PrP mAb 6H4 (whichrecognizes both BSE and scrapie PrPres) and 12B2 (which, afterprotease digestion, detects scrapie but not BSE PrPres) (41).When the VRQ/VRQ ovine brain substrate was seeded withBSE brain homogenate from either VRQ/VRQ, ARQ/ARQ, orARR/ARR sheep (Fig. 4A), amplification of sheep BSE PrPres

was maintained, and a clear molecular switch of PrPres typefrom a BSE-like to scrapie-like molecular signature occurred atrounds 6 – 8. The sheep-adapted BSE PrPres PMCA productexhibited a non-glycosylated band of higher molecular massthan that of the cattle BSE and was comparable with that of thenatural scrapie positive controls (Fig. 4A, marked Sc). Thisswitch from BSE-like to scrapie-like PrPres was confirmed byanalyses using the scrapie PrPres-specific mAb 12B2. The sheepBSE PMCA products were only poorly detected with this anti-

body during rounds 1 to 5 or 6, but a strong PrPres signalappeared at rounds 6 – 8 (Fig. 4A, right). The experiment wasconducted using identical conditions on three independentoccasions (the last time in triplicate), and the switch from BSE-like to scrapie-like PrPres type was found on each occasion.Semiquantitative densitometric assessment of the PrPres signalin the nine sPMCA reactions of ovine VRQ/VRQ substrateseeded with sheep BSE isolates (n � 9 per substrate genotype)confirmed the visual observations (Fig. 4B). PrPres was effi-ciently amplified throughout the sPMCA (Fig. 4B, 6H4 analysis,blue bars), and a clear rise of scrapie-like PrPres signal detectedby 12B2 was evident at rounds 6 – 8 (Fig. 4B, red bars).

BSE Agent Adaptation to an ARQ/ARQ Ovine Host Modeledby Serial PMCA—The ARQ/ARQ ovine brain substrate seededwith sheep BSE of the VRQ/VRQ, ARQ/ARQ, or ARR/ARRgenotype (the same as those used above) and subjected to eightrounds of sPMCA also supported PrPres amplification through-out sPMCA as seen in Western blotting using the 6H4 mAb(Fig. 4C, left). The sPMCA sheep BSE PrPres product exhibitedthe non-glycosylated band of the same molecular mass as thecattle BSE seeds when the 6H4 mAb was used, indicating reten-tion of the BSE-like signature. Analysis of the same samplesusing the 12B2 mAb (Fig. 4C, right) showed low levels of PrPres

with a molecular mass similar to that of the classical scrapiepositive control. This suggests that a minor subpopulation ofscrapie-type PrPres co-amplifies in the samples. This experi-ment was carried out using the same conditions on three sepa-rate occasions (the last time in triplicate), and the results werereproducible, and a semiquantitative densitometric assessmentof the Western blots (n � 9 per substrate genotype) is shown(Fig. 4D).

BSE Agent Adaptation to an ARR/ARR Ovine Host Modeledby Serial PMCA—In contrast, despite some evidence of ampli-fication in the firsts PMCA rounds, the ovine ARR/ARR sub-strate failed to support amplification in subsequent rounds withany of the three sheep BSE seeds used as above (Fig. 4E). ThePrPres signal was gradually lost whether the detection mAb was6H4 or 12B2. The experiment was conducted three times (lasttime in triplicate), and the loss of PrPres signal during sPMCAusing the ARR/ARR was found on each occasion. Densitomet-ric assessment of the Western blots (n � 9 per substrate geno-type) is shown (Fig. 4F).

Confirmatory and Control PMCA Experiments Using Addi-tional Seeds and Non-perfused Brain Substrates—The same setof experiments was repeated using non-perfused ovine brainsubstrates (VRQ/VRQ, ARQ/ARQ, and ARR/ARR), but thePrPres was lost after the third round in all experiments (data notshown). Amplification of scrapie PrPres in the perfused ovinesubstrates was also carried out as a control for sheep PrPres-typeconservation during sPMCA. The VRQ/VRQ ovine substrateseeded with VRQ/VRQ and ARQ/ARQ sheep scrapie amplifiedscrapie-like PrPres throughout sPMCA, whereas the ARQ/ARQovine substrate amplified the ARQ/ARQ but not the VRQ/VRQ sheep scrapie. The ARR/ARR substrate failed to supportscrapie PrPres amplification. An example of ovine VRQ/VRQsubstrates seeded with classical ARQ/ARQ scrapie, subjectedto eight rounds of sPMCA, and analyzed by Western blot usingmAbs 6H4 and 12B2 is shown (Fig. 5, A and B), demonstrating

FIGURE 3. Ovine brain substrates of the VRQ/VRQ and ARQ/ARQ geno-types exhibit higher levels of PrPC than the ARR/ARR genotype. A, repre-sentative Western blot of the nine ovine brain substrates used in this study.Samples were loaded at 5 �g of total protein/lane, and the Western blot wasprobed with mAb 6H4. B, graph portraying the levels of PrPC in the ovine brainsubstrates. Data were obtained by densitometry of three independent West-ern blot analyses (background-subtracted) of identical sample loading, anexample of which is shown in A. Data are means � S.D. (error bars).

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that the scrapie PrPres type was conserved during the sPMCAexperiment. Next, we used the cattle BSE brain sample (ratherthan experimental sheep BSE) to seed the same (perfused) ovinebrain substrates as used above and subjected them to sevenrounds of sPMCA (Fig. 6). The VRQ/VRQ ovine substrateseeded with cattle BSE showed efficient amplification through-out the sPMCA experiment, and a switch of PrPres type from aBSE-like to a scrapie-like signature was again observed, thistime at round 2–3 (Fig. 6, A and B). The ARQ/ARQ ovine sub-strate amplified both BSE-like and scrapie-like PrPres at lowerbut detectable levels (Fig. 6, C and D), and the ARR/ARR sub-strate again failed to amplify BSE PrPres to any readily detect-able extent (Fig. 6, E and F).

Reintroduction of the VRQ/VRQ Sheep-adapted BSE sPMCAProduct to a Bovine PMCA Substrate—The sheep substrategenotype-dependent switch of PrPres type can be seen mostclearly when round 1 and round 8 sPMCA products usingVRQ/VRQ and ARQ/ARQ substrates are compared on thesame Western blot along with classical sheep scrapie and cattleBSE PrPres as reference standards (Fig. 7A). To test whether thisswitch in PrPres type was a reversible phenomenon, we con-ducted an experiment using the sheep-adapted BSE sPMCAproduct that had acquired a scrapie-like PrPres molecular phe-notype to seed bovine brain substrate in sPMCA (Fig. 7, B–D).We seeded the bovine substrate with sPMCA-generated mate-rial (Fig. 4A, r8, final sPMCA product) and subjected it to fourrounds of sPMCA. Although the amplification level was poor,

Western blot analysis using the 6H4 mAb showed that the non-glycosylated band of PrPres in the amplified PMCA product wasof molecular mass typical for BSE (Fig. 7B, lanes 2–5) ratherthan of classical scrapie run alongside the sPMCA samples (Fig.7, B and C, lane 6, marked Sc) or of the scrapie-like seed (Figs.4A, r8, and 7A, lane 3) used to seed this reaction. Analysis usingthe 12B2 mAb confirmed this observation as the PrPres signaldetected by 12B2 antibody was lost in the subsequent passagesof the sPMCA (Fig. 7C, lanes 2–5). Graphical representation ofdensitometry data confirmed this visual observation (Fig. 7D).

Controlling Serial Protein Misfolding Cyclic Amplification forde Novo PrPres Formation—In each of the above experiments,unseeded control PMCA reactions were run in parallel with theseeded PMCA reactions to test for de novo PrPres formation. Atearly stages of the project, PrPres was found in some of theseunseeded controls. This only occurred when scrapie-seededsamples were run in the same sPMCA experiment. Results fromthese experiments were disregarded. After the introduction ofstringent liquid handling precautions to avoid cross-contami-nation, unseeded controls remained PrPres-negative (Fig. 8).We concluded that the appearance of PrPres in the unseededcontrol reactions at the early stages of the project representedcross-contamination rather than de novo formation.

Competence of the ARR/ARR Substrate to Support PrPres Rep-lication in PMCA—The failure of sheep ARR/ARR substrates tosupport amplification in any of the above sPMCA experimentsmight be attributed directly to the presence of arginine at posi-tion 171, but other aspects of PrPC expression may also be rel-evant. The ARR/ARR substrate contained lower levels of PrPC

compared with VRQ/VRQ or ARQ/ARQ (Fig. 3). Densitomet-ric analysis of a comparative Western blot indicated that theVRQ/VRQ substrate contained 2.2 times the amount of PrPC

found in the ARR/ARR substrate. Hence, we repeated thesPMCA experiment using the ARR/ARR brain homogenate at20% (w/v) instead of the standard 10%, effectively doubling thePrPC concentration inter alia. However, the results were againnegative (Fig. 9, A and B). The reverse strategy was alsoattempted in which the 10% (w/v) VRQ/VRQ substrate wasdiluted to match the PrPC concentration of the 10% (w/v) ARR/ARR substrate. Dilution of the VRQ/VRQ substrate reducedthe amplification efficiency of VRQ sheep BSE seed, result-ing in amplification in sPMCA rounds 1 and 2 that failed toovercome the effect of serial dilution in subsequent rounds(Fig. 9, C and D).

Nevertheless, amplification of the VRQ sheep BSE seed in the�5% (w/v) VRQ/VRQ sheep substrate was greater than ampli-fication of the same seed in the 10% (w/v) ARR/ARR substrate

FIGURE 4. VRQ/VRQ and ARQ/ARQ ovine brain substrates support amplification of sheep BSE PrPres in serial PMCA. A, ovine VRQ/VRQ substrate seededwith sheep BSE, subjected to eight rounds (r1–r8) of sPMCA and analyzed by Western blotting using anti-PrP mAb 6H4 (left) and 12B2 (right). C, the ARQ/ARQsubstrate seeded and analyzed as above. E, the ARR/ARR substrate seeded and analyzed as above. Ovine brain substrates were seeded with experimentalsheep BSE VRQ/VRQ, ARQ/ARQ, and ARR/ARR as indicated in the figure and subjected to eight rounds of sPMCA. �, corresponding controls not subjected toPMCA. Classical scrapie (Sc) and BSE standards were used as controls of PrPres migration, antibody specificity, and blotting procedure. Samples were analyzedafter PK treatment using anti-PrP mAb 6H4 (left) and 12B2 (right). Note that the signal from the classical scrapie control (Sc) that was included in each blot wasconsistently greater with 12B2 than with 6H4, indicative of a higher detection sensitivity of scrapie-like PrPres using the 12B2 antibody compared with 6H4.Dotted lines indicate montaged individual Western blot results. B, D, and F, graphical representation of semiquantitative densitometric analysis of PrPres

amplification efficiency in sPMCA. Western blots were probed with anti-PrP mAbs 6H4 (blue bars) and 12B2 (red bars) and analyzed by densitometry (n � 9 pergenotype; three independent but identical experiments). The data were background-subtracted. Means � S.D. (error bars) are shown. B, sheep BSE PrPres

amplification in ovine substrate of VRQ/VRQ genotype. D, sheep BSE PrPres amplification in ovine substrate of ARQ/ARQ genotype. F, sheep BSE PrPres

amplification in ovine substrate of ARR/ARR genotype.

FIGURE 5. Ovine substrate amplifies classical scrapie PrPres efficiently inserial PMCA. A and B, representative Western blot analysis of ovine VRQ/VRQsubstrate seeded with classical scrapie (ARQ/ARQ genotype) and subjectedto eight rounds (r1–r8) of sPMCA. Classical scrapie (Sc) and BSE standards wereused as a control for PrPres migration and the blotting procedure. Sampleswere analyzed after PK treatment using anti-PrP mAb 6H4 (A) and 12B2 (B).

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(Fig. 9, E and F) as shown by densitometric analysis (Fig. 9, Dand F). The 10% VRQ/VRQ substrate efficiently supportedthe sheep BSE PrPres amplification in all four rounds ofsPMCA in agreement with our earlier results (Fig. 9, G andH). Additionally, PrPC deglycosylation and Western blotanalysis showed that all VRQ/VRQ, ARQ/ARQ, and ARR/

ARR (Fig. 10, A, lanes 2, 4, and 6, respectively, and B) homo-genates contained full-length PrPC and the C1 fragment atapproximately equal relative amounts in all three polymor-phic variants, suggesting that differential proteolytic pro-cessing is not responsible for the failure of the ARR/ARRsamples to support amplification.

FIGURE 6. Ovine VRQ/VRQ and ARQ/ARQ substrates support PrPres amplification in sPMCA when seeded with cattle BSE PrPres. A and B, the VRQ/VRQovine substrate seeded with BSE PrPres, subjected to seven rounds (r1–r7) of sPMCA, and analyzed by Western blot using mAb 6H4 (A) and 12B2 (B). C and D, theARQ/ARQ substrate seeded with BSE PrPres, subjected to seven rounds of sPMCA, and analyzed by Western blot using mAb 6H4 (C) and 12B2 (D). E and F, theARR/ARR substrate seeded with BSE PrPres, subjected to seven rounds of sPMCA, and analyzed by Western blot using mAb 6H4 (E) and 12B2 (F). Conditions ofsPMCA were identical to those used throughout this study. Samples were analyzed by Western blotting after PK treatment. Corresponding controls for eachsample that were not subjected to PMCA are shown on the left of leach blot (�). Classical scrapie (Sc) and BSE samples were used as reference standards, forantibody specificity, and for the blotting procedure. The molecular mass (in kDa) is marked to the left of each blot.

FIGURE 7. Attempted amplification of a scrapie-like VRQ/VRQ sheep BSE sPMCA product by sPMCA in a bovine substrate. A, representative Western blotanalysis of initial (r1) and final round (r8) sPMCA products of VRQ/VRQ substrate (lanes 1-3) and ARQ/ARQ substrate (lanes 6-8) seeded with sheep BSE ARQ/ARQisolate. B and C, four rounds (r1–r4) of sPMCA of bovine brain substrate seeded with the sheep-adapted BSE sPMCA product (PrPres of scrapie-like molecularphenotype; Fig. 4A, lane 3). D, graphical representation of densitometric analysis of PrPres amplification level in the reversion experiment shown in B and C. Thedata were background-subtracted and normalized by the scrapie standard run alongside the samples (B and C, lane 6). sPMCA conditions were identical tothose used in previous sPMCA experiments. �, corresponding controls not subjected to PMCA. Classical scrapie (Sc) and BSE were used as reference standardsand as a control for antibody specificity and the blotting procedure. Samples were analyzed after PK treatment using anti-PrP mAb 6H4 (A and B) and 12B2 (C).The molecular mass (in kDa) is marked to the left of each blot.

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Zoonotic Transmission of in Vitro Sheep-adapted BSE AgentModeled by PMCA Using Human Substrates—In the thirdphase of the project (Fig. 1, phase III), we first seeded the humanbrain substrate of PRNP codon 129 MM and VV genotypes withexperimental sheep BSE, cattle BSE, and classical scrapie sam-ples and subjected these to a single round of PMCA (Fig. 11).Seeding with human vCJD (MM brain substrate) and sCJD (VVbrain substrate) brain samples served as positive controls forthe PMCA reactions. Samples were PK-treated and analyzed byWestern blotting using anti-PrP mAb 3F4. The human brainsubstrate of the codon 129 MM genotype supported amplifica-tion of the VRQ/VRQ, ARQ/ARQ, and ARR/ARR experimentalsheep BSE, cattle BSE, and vCJD PrPres but did not supportamplification of scrapie PrPres (Fig. 11A). The human brain sub-strate of the codon 129 VV genotype only poorly amplifiedPrPres from sheep or cattle BSE, and no PrPres amplification wasobserved when it was seeded with scrapie. However, efficientamplification of sCJD PrPres with a matching codon 129 VVgenotype was obtained (Fig. 11B), confirming the general com-petence of this substrate to support amplification. This con-firms previous observations and indicates that species, strain,and genotypic barriers to prion diseases were respected in ourin vitro system. Next, the sheep-adapted BSE sPMCA productsfrom rounds 1 and 8 generated in phase II of this study wereused to seed the human brain codon 129 MM and VV sub-strates. The sheep-adapted BSE PrPres that had retained itsBSE-like molecular signature was found to have also retained itsability to convert human PRNP codon 129 MM PrPC (Figs. 12A,lanes 2, 6, and 10, and 3, B, lanes 2, 4, 6, 8, 10, and 12, and C,lanes 6 and 10). In marked contrast, the in vitro sheep-adaptedBSE agent that had acquired a scrapie-like molecular signaturewas found to have lost its ability to convert human PrPC of thePRNP codon 129 MM genotype (Fig. 12A, lanes 4, 8, and 12).The result was confirmed in a second independent experimentconducted under identical conditions. The human brain sub-

strate of PRNP codon 129 VV genotype failed to amplify PrPres

when seeded with any of the sheep-adapted BSE sPMCA-gen-erated products (data not shown).

DISCUSSION

BSE is a prion disease of cattle that has been shown to betransmissible to other animals and is zoonotic, causing vCJD inhumans. If BSE entered the United Kingdom sheep flock andhas been maintained since the 1980s and 1990s, it would cur-rently be at its �20th passage. It is possible that this processcould have resulted in an adaptation of the agent to the ovinehost that rendered BSE indistinguishable from scrapie at themolecular level. Because of the protracted nature (and theattendant financial and ethical considerations) of modelingsuch a process in vivo, we have chosen to model this scenario byconducting serial PMCA of ovine brain substrates seeded withexperimental sheep BSE brain homogenates. We estimate thatconducting eight serial passages in vivo using large animals(sheep) or small animals (appropriate ovinized transgenicmouse lines) followed by transmission to non-human primatesor humanized transgenic mice would take over 8 years (in mice)and over 20 years (in sheep) to conduct. In contrast, eight serialrounds of ovine PMCA followed by a single round of PMCA inhuman substrate can be completed in 1 month.

Using this in vitro approach, we found that the major factorinfluencing the propagation of the sheep BSE agent was thegenotype of the host sheep brain substrate (Table 1). The VRQ/VRQ substrate efficiently amplified sheep BSE PrPres duringserial rounds of PMCA. Inclusion of appropriate comparablecontrols (scrapie and BSE) on each Western blot was importantfor distinguishing between the molecular types of PrPres prop-agated in the ovine substrates. In addition, a discriminatoryantibody comparison method was used (mAbs 6H4 and 12B2)that, in conjunction with Western blotting, allowed us to unam-biguously classify the predominant PrPres types present beforeand after PMCA. The Western blotting results demonstrated aclear and reproducible switch of mobility from that of BSE insheep to that found in natural scrapie after five to six rounds ofsPMCA that was confirmed by the relative 6H4/12B2 antibodybinding. Aspects of the agent strain are often preserved for sev-eral passages following cross-species transmission (27, 42, 43).It has been proposed previously that a single round of PMCAreaction approximates to one in vivo passage, and a process ofadaptation of certain prion strains to a new host was reported tooccur following three to six rounds of serial PMCA (36, 37). Ourdata appear consistent with these observations. The ARQ/ARQsubstrate also supported efficient PrPres amplification through-out the serial rounds of PMCA, but in this substrate, a switch toa scrapie-like PrPres was not evident; instead a BSE-like PrPres

predominated accompanied by a less readily detectablescrapie-like PrPres component. This suggests a role for valine(as opposed to alanine) at position 136 in favoring a scrapie-like PrPSc conformation (Table 1). The relative genotypicspecificities of sheep BSE seeds and the substrate genotype-de-pendent switch in predominant PrPres type were replicatedwhen cattle BSE was used as a seed in sPMCA instead of theexperimental sheep BSE samples.

FIGURE 8. Unseeded control for sPMCA reactions. A and B, representativeWestern blot analysis of unseeded ovine VRQ/VRQ substrate subjected toeight rounds (r1–r8) of serial PMCA. Scrapie (Sc) is used as a reference stan-dard for PrPres migration and the blotting procedure. Corresponding controlsfor each sample that were not subjected to PMCA are shown to the left ofleach blot (�). Samples were analyzed after PK treatment using anti-PrP mAb6H4 (A) and 12B2 (B).

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In an effort to determine whether the VRQ/VRQ substrate-dependent switch from a BSE-like to a scrapie-like PrPres typewas reversible, we attempted to reamplify the sheep VRQ/VRQsPMCA product in a bovine brain substrate. Sustained amplifi-cation of PrPres was not achieved for either PrPres type in thebovine substrate. This outcome is consistent with a previousreport that sheep scrapie fails to amplify in a bovine PMCAsubstrate (44) and may reflect the known difficulty of transmit-ting scrapie to cattle (45).

sPMCA of the classical scrapie agent in the three ovine sub-strates served as a positive control in our experiments, and wesaw conservation of the expected molecular banding pattern oftypical scrapie PrPres. These results are in agreement with pre-vious reports of efficient amplification when the donor seed andthe host substrate are matched for the amino acid at position

136 (46) and more importantly with observations of scrapieagent propagation in vivo (13).

Our modeling of the sheep BSE agent amplification in ovinesubstrate is broadly consistent with experimental in vivo obser-vations in which sheep of the ARQ/ARQ genotype propagatedthe BSE agent for several passages (27). Our findings are also inagreement with recently published observations assessing spe-cies and ovine polymorphic barriers to BSE, including the effi-ciency of amplification of the BSE agent in ovine ARQ/ARQand VRQ/VRQ substrates by a single round PMCA (40). How-ever, we do note a discrepancy between our and others’ PMCAdata (40) and the experimental in vivo data concerning BSE andthe ARR/ARR genotype that show that sheep of the ARR/ARRgenotype are susceptible to experimental BSE infection (19, 31).The explanation for this difference between the in vitro and in

FIGURE 9. Correction for low PrPC level in the ARR/ARR ovine brain PMCA substrate. A, Western blot analysis of 20% ovine ARR/ARR substrate (doubledsubstrate concentration to match the PrPC level of the 10% VRQ/VRQ substrate) seeded with sheep BSE VRQ/VRQ seed and subjected to four rounds (r1–r4) ofsPMCA. C, the 5% VRQ/VRQ ovine substrate (substrate concentration diluted to match the PrPC level of the 10% ARR/ARR substrate) seeded with sheep BSEVRQ/VRQ seed and subjected to four rounds of sPMCA. E, the 10% ARR/ARR ovine substrate seeded with sheep BSE VRQ/VRQ seed and subjected to four roundsof sPMCA (r1–r4). G, the 10% VRQ/VRQ ovine substrate seeded with sheep BSE VRQ/VRQ seed and subjected to four rounds of sPMCA. A, C, E, and G, sampleswere analyzed after PK treatment using anti-PrP mAb 6H4 (left) and 12B2 (right). �, corresponding controls not subjected to PMCA. The molecular mass (in kDa)is marked to the left of each blot. B, D, F, and H, graphical representation of semiquantitative densitometric analysis of PrPres amplification efficiency in sPMCAshown in A, C, E, and G, respectively. Western blots were probed with anti-PrP mAbs 6H4 (blue bars) and 12B2 (red bars) and analyzed by densitometry. The datawere background-subtracted.

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vivo results is not clear at present, but we have investigatedsome of the potential causes. We discount proteolytic process-ing of ovine PrPC as an explanation of genotype-dependent

amplification potential (47, 48). We found that the ARR/ARRsubstrates had half the amount of PrPC found in the VRQ/VRQand ARQ/ARQ substrates, but doubling the concentration ofthe ARR/ARR substrate did not result in amplification. It there-fore seems likely that the failure of the ARR/ARR substrate tosupport sustained amplification of sheep BSE PrPres is due to agenuine relative molecular barrier to conversion associatedwith the substitution of arginine for glutamine at position 171(Table 1) but one that can be overcome in the more complexprocess of infection and disease progression in vivo.

Another major objective of our study was to use PMCA toaddress molecular conversion barriers between potentiallyzoonotic animal diseases and humans. We have shown previ-ously that brain samples from vCJD (in humans), BSE in cattle,and experimental sheep BSE (ARQ/ARQ genotype) can con-vert codon 129 MM human PrPC in PMCA reactions, whereasARQ/ARQ scrapie does not do so to a measurable extent (38).This suggests that the known zoonotic potential of the BSEagent is recapitulated in this cell-free prion protein conversionassay irrespective of the host species (cow, sheep, or human).We have also shown that classical BSE cattle brain homoge-nates have a greater potential to convert human PrPC in PMCAthan any other tested animal prion disease (39). Here we showthat samples of experimental sheep BSE isolates of the VRQ/VRQ, ARQ/ARQ, and ARR/ARR genotypes are all able to con-vert human PrPC during a single round of PMCA and that thepreference is for the PRNP codon 129 M over the V allele (Table1). We also show that there is an association between the PrPres

type present and the ability to convert human PrPC: when sheepBSE of any genotype is amplified in an ARQ/ARQ substrate itretains its molecular signature and its ability to convert humanPrPC, whereas if the same starting seeds are amplified in a VRQ/VRQ substrate the PrPres adapts to a scrapie-like signature andloses its ability to convert human PrPC. This provides a morecomprehensive data set than previous transgenic animal-based

FIGURE 10. Relative levels of full-length and C1 fragment of PrPC present inbrain substrates of the ovine genotypes. A, representative Western blot ofVRQ/VRQ (lanes 1 and 2), ARQ/ARQ (lanes 3 and 4), and ARR/ARR (lanes 5 and 6)ovine brain substrates. Samples in lanes 1, 3, and 5 show the level of PrPC in thecrude brain homogenates. Corresponding samples in lanes 2, 4, and 6 weretreated with peptide-N-glycosidase F (PNGase F); the top band corresponds tofull-length PrPC, and the lower band corresponds to the C1 fragment. The West-ern blot was probed using anti-PrP mAb 6H4. The molecular mass (in kDa) ismarked to the left of the blot. B, graphical representation of densitometric analy-sis of ovine substrates treated with peptide-N-glycosidase F shown in A (lanes 2, 4,and 6). The positions of full-length PrPC and the C1 fragment are shown.

FIGURE 11. Western blot analysis of human brain tissue seeded with experimental sheep BSE, cattle BSE, and natural scrapie and subjected to a singleround of PMCA. A, human brain tissue (PRNP codon 129 MM) homogenate seeded with PrPres from experimental sheep BSE (VRQ/VRQ, ARQ/ARQ, andARR/ARR), cattle BSE, and classical scrapie. B, human brain tissue (PRNP codon 129 VV) homogenate seeded as above. �, corresponding control of each samplenot subjected to PMCA; �, samples that were subjected to a single round PMCA for 48 h. Unseeded (� ve) control and positive control (human MM seeded withvCJD and human VV seeded with sCJD) are shown. Samples were analyzed by Western blotting after PK treatment using the anti-PrP mAb 3F4. Dotted linesindicate individual montaged Western blot results.

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studies (49, 50) and points to a decisive role for the interactionof conformation-enciphered agent strain and host genotype indetermining prion replication.

Extrapolation from our results using the serial PMCAmethod would suggest that if BSE were to infect sheep in thefield the molecular phenotype of sheep BSE agent might,through time and in certain sheep genotypes, come to resemblescrapie; however, if this were the case, then there may be anassociated increase in the molecular barrier of disease transmis-sion to humans. The concepts of Darwinian evolution areincreasingly being applied to the epigenetic molecular evolu-tion of prions and amyloids, and the subject is becoming exper-imentally tractable (51, 52). The accelerated in vitro molecularevolution of BSE prions in sheep shown here strongly indicatesthat both replicative efficiency and zoonotic potential may be

determined in a direct manner by a combination of the PrPSc

conformation associated with the agent and aspects of hostprion protein genetics that determine key polymorphic resi-dues in the prion protein sequence.

Acknowledgments—BSE and control cattle tissues were generouslyprovided by the Animal Health Veterinary Laboratories Agency TSEArchive (Weybridge, UK). The 12B2 monoclonal antibody was a gen-erous gift from Dr. J. P. Langeveld (Central Veterinary Institute,Wageningen University and Research Centre, Lelystad, The Nether-lands). The National Creutzfeldt-Jakob Disease Research and Sur-veillance Unit is funded by the Policy Research Programme of theDepartment of Health, United Kingdom and by the Scottish Govern-ment (Grant DH121/5061). The production of the sheep tissues onwhich this project depended was conducted at the Animal Health andVeterinary Laboratories Agency and supported by the Department forEnvironment, Food, and Rural Affairs through Projects SE1950 andSE1946. Human tissues were obtained from the Edinburgh BrainBank (Medical Research Council Grant G0900580).

REFERENCES1. Prusiner, S. B. (2013) Biology and genetics of prions causing neurodegen-

eration. Annu. Rev. Genet. 47, 601– 6232. Hill, A. F., and Collinge, J. (2004) Prion strains and species barriers. Con-

trib. Microbiol. 11, 33– 493. Moore, R. A., Vorberg, I., and Priola, S. A. (2005) Species barriers in prion

diseases— brief review. Arch. Virol. Suppl. 19, 187–2024. Wells, G. A., Scott, A. C., Johnson, C. T., Gunning, R. F., Hancock, R. D.,

Jeffrey, M., Dawson, M., and Bradley, R. (1987) A novel progressive spon-giform encephalopathy in cattle. Vet. Rec. 121, 419 – 420

FIGURE 12. Sheep-adapted BSE-like but not scrapie-like PrPres is capable of converting human PrPC to PrPres. Human brain substrate of the PRNP codon129 MM genotype was seeded at a 1:10 dilution with the initial (r1) and final round (r8) sPMCA products from an experiment in which sheep BSE isolates fromVRQ/VRQ, ARQ/ARQ, and ARR/ARR sheep were seeded in ovine VRQ/VRQ (A), ARQ/ARQ (B), and ARR/ARR (C) brain substrates. Each sample was either notsubjected to PMCA (�) or subjected to a single round PMCA for 48 h (�). Samples were analyzed after PK treatment using anti-PrP mAb 3F4. The molecularmass (in kDa) is marked to the left of each blot. Dotted lines indicate montaged individual Western blot results.

TABLE 1The relevant polymorphic residues in the human and ovine prion pro-tein, and the amino acids present at equivalent position in the human,ovine, and bovine proteinsThe MARX genotype of cattle, humans, and sheep that is permissive to in vitroreplication and associated with BSE PrPres type fidelity is shown in blue. The Val-136substitution in sheep that is permissive to in vitro replication but is associated witha switch in PrPres type is shown in red. The Arg-171 and Val-129 residues in sheepand humans, respectively, that are associated with poor conversion in vitro areshown in green.

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Jeffrey, Lorenzo González and Mark W. HeadZuzana Krejciova, Marcelo A. Barria, Michael Jones, James W. Ironside, Martin

Affects Their Zoonotic Potentialin VitroEncephalopathy (BSE) Prions Genotype-dependent Molecular Evolution of Sheep Bovine Spongiform

doi: 10.1074/jbc.M114.582965 originally published online August 6, 20142014, 289:26075-26088.J. Biol. Chem. 

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