A Naturally Occurring C-terminal Fragment of the Prion Protein (PrP) Delays Disease and Acts as a Dominant-negative Inhibitor of PrPSc Formation*

Background: C1 is the main physiological cleavage fragment of PrP, but its role in disease is unknown. Results: C1 is not toxic when expressed in mice and delays the onset of disease and PrPSc formation when co-expressed with WT PrP. Conclusion: C1 is a dominant-negative inhibitor of PrPSc formation. Significance: Modulation of C1 cleavage may represent a therapeutic strategy for combating PrPSc infection. The cellular prion protein (PrPC) undergoes constitutive proteolytic cleavage between residues 111/112 to yield a soluble N-terminal fragment (N1) and a membrane-anchored C-terminal fragment (C1). The C1 fragment represents the major proteolytic fragment of PrPC in brain and several cell types. To explore the role of C1 in prion disease, we generated Tg(C1) transgenic mice expressing this fragment (PrP(Δ23–111)) in the presence and absence of endogenous PrP. In contrast to several other N-terminally deleted forms of PrP, the C1 fragment does not cause a spontaneous neurological disease in the absence of endogenous PrP. Tg(C1) mice inoculated with scrapie prions remain healthy and do not accumulate protease-resistant PrP, demonstrating that C1 is not a substrate for conversion to PrPSc (the disease-associated isoform). Interestingly, Tg(C1) mice co-expressing C1 along with wild-type PrP (either endogenous or encoded by a second transgene) become ill after scrapie inoculation, but with a dramatically delayed time course compared with mice lacking C1. In addition, accumulation of PrPSc was markedly slowed in these animals. Similar effects were produced by a shorter C-terminal fragment of PrP(Δ23–134). These results demonstrate that C1 acts as dominant-negative inhibitor of PrPSc formation and accumulation of neurotoxic forms of PrP. Thus, C1, a naturally occurring fragment of PrPC, might play a modulatory role during the course of prion diseases. In addition, enhancing production of C1, or exogenously administering this fragment, represents a potential therapeutic strategy for the treatment of prion diseases.

Transmissible spongiform encephalopathies such as Creutzfeldt-Jakob disease and bovine spongiform encephalopathy are fatal neurodegenerative disorders whose pathology is associated with propagation of prions, novel infectious agents whose transmission is based on changes in protein conformation rather than inheritance of nucleic acid sequence (1). Prion propagation depends on conversion of an endogenous cellular glycoprotein (PrP C ) 2 into an aggregated, protease-resistant isoform (PrP Sc ) that is rich in ␤-sheet structure (1)(2)(3)(4). PrP C is synthesized on endoplasmic reticulum-attached ribosomes and transits the secretory pathway to the cell surface, where most molecules are attached to the outer leaflet of the lipid bilayer via a C-terminal glycosylphosphatidylinositol (GPI) anchor (5). Most of the protein resides in lipid rafts on the plasma membrane, although some molecules are constitutively endocytosed via clathrin-coated pits and are then recycled back to the cell surface (6 -9).
After its synthesis, PrP C is known to undergo proteolytic processing in at least three sites. One cleavage (sometimes referred to as the ␣-cleavage) occurs between residues 111/112 to yield a soluble N-terminal fragment called N1 and a GPIanchored, C-terminal fragment called C1 (10 -13). The N1/C1 cleavage occurs constitutively in 10 -50% of the molecules, but it can be stimulated by activators of protein kinase C (10,(13)(14)(15). There is disagreement about the cellular site and proteases responsible for the ␣-cleavage, with endosomal/lysosomal compartments, late compartments of the secretory pathway, and the cell surface (mediated by a disintegrin and metalloproteases (ADAMs)) having all been suggested (6,(15)(16)(17)(18). A second cleavage occurs between residues 89/90, generating a soluble N2 fragment and a GPI-anchored C2 fragment (10). This so-called ␤-cleavage occurs at low levels under normal conditions, possibly catalyzed by reactive oxygen species acting on cell-surface PrP, but it is enhanced during generation of PrP Sc (10, 19 -21). A third cleavage, catalyzed by members of the ADAM protease family, occurs near the site of GPI anchor attachment (residue 230), shedding most of the polypeptide chain into the extracellular medium (11,22,23). Additional proteolytic cleavages may also occur at low levels (24). The proteolytic fragments generated by these different cleavage reactions may have a role in the physiological functions of PrP C , * This work was supported, in whole or in part, by National Institutes of Health such as protection against oxidative stress (20), although this remains unclear in part because of uncertainty about the normal biological role of PrP C . C1 is quantitatively the major proteolytic fragment of PrP present in brain and many cells types (10 -12, 20, 25). In this study, we sought to investigate the role of C1 by the creation of transgenic mice that express this fragment in the presence and absence of endogenous PrP. We demonstrate that although C1 itself is not inherently toxic nor convertible to PrP Sc after inoculation of Tg(C1) animals, it acts as a potent dominant-negative inhibitor, significantly delaying scrapie illness and decreasing PrP Sc production from wild-type PrP. These results indicate that the C1 cleavage product acts as a physiologically generated inhibitor of prion propagation, and therefore increasing production of this fragment represents a potential therapeutic strategy for treatment of prion diseases.
To create the transgenic mouse vector, a fragment encoding the C1 sequence was released from the pcDNA 3.1(ϩ) Hygro/C1 plasmid by digestion with XhoI and ligated into the XhoI site of MoPrP.Xho (26). Colony PCR was performed to select clones containing the insert in the correct orientation, using the following primers: P1 (5Ј-AACCGAGCTGAAGCA-TTCTGCC-3Ј) and P4 (5Ј-CACGAGAAATGCGAAGGAAC-AAGC-3Ј) (27). The transgene was released from the recombinant plasmid by NotI restriction digestion, purified on GFX PCR DNA columns (GE Healthcare), and injected into the pronuclei of fertilized eggs from mice on the C57BL6ϫCBA background. Transgenic founders were bred initially to Tga20 ϩ/ϩ mice on a C57BL6/CBA/129 background (obtained from the European Mouse Mutant Archive (EMMA)) and were then back-crossed to Prn-p 0/0 mice on a pure C57BL6 background (from EMMA).
Histology-Animals were perfused transcardially with 4% paraformaldehyde, after which brains were removed and postfixed in the same solution. Paraffin sections of brain were stained with hematoxylin and eosin or GFAP as described previously (28).
Biochemical Procedures-10% w/v brain homogenates were generated by mechanical dissociation of single hemispheres using plastic pestles (South Jersey Precision Tool and Mold Inc., Vineland, NJ) in phosphate-buffered saline (PBS) containing a protease inhibitor mixture (Roche Applied Science). For deglycosylation, 20 g of protein was treated with PNGase F for 3 h at 37°C. Western blots were performed using anti-PrP antibody 6H4 or D18 (kind gift of Dennis Burton (Scripps Institute, La Jolla, CA)).
For proteinase K treatment, 10% w/v brain homogenates prepared as above were centrifuged for 5 min at 2,300 ϫ g. The supernatant was diluted 1:10 in lysis buffer (10 mM Tris-HCl, pH 7.4, 0.5% Triton X-100, 0.5% sodium deoxycholate) and incubated with 20 g/ml of proteinase K (PK) at 37°C for 1 h prior to Western blotting with anti-PrP antibody 6H4.

Creation of Transgenic Mice Expressing the C1 Fragment of
PrP-To investigate the properties of the C-terminal cleavage product, C1, in the absence of full-length PrP or the N1 fragment, we generated transgenic mice (designated Tg(C1)) that express a PrP molecule deleted for residues 23-111 ( Fig. 1A) under control of a modified Prn-p promoter (26). After cleavage of the N-terminal signal peptide (residues 1-22) and attachment of the C-terminal GPI anchor (at residue 230) during biosynthesis, the transgenically encoded protein was predicted to correspond to the C1 fragment that is endogenously generated from full-length PrP by proteolytic cleavage.
Founders were bred onto the Prn-p 0/0 genetic background to obtain Tg(C1)/Prn-p 0/0 mice that expressed the C1 fragment in the absence of any WT PrP. Of five transgene-positive founders obtained, three transmitted the transgene to their progeny. Western blot analysis of brain homogenates revealed detectable PrP in only one of the lines (Fig. 1B). Quantification with the Odyssey infrared imaging system revealed that this line expressed the C1 protein at a level ϳ7 times that of WT PrP in Prn-p ϩ/ϩ mice and intermediate between the levels of WT PrP in Tga20 ϩ/ϩ and Tga ϩ/0 mice (data not shown, see Fig. 1B). The transgenically encoded protein exhibited three different glycoforms, analogous to WT PrP (Fig. 1B, lane 7). When samples were treated with PNGase to remove N-linked oligosaccharides, the protein migrated at the same position as the C1 fragment generated endogenously in the brains of Prn-p ϩ/ϩ and Tga20 mice (Fig. 1B, filled arrowhead).
C1 Inhibits Disease Progression and PrP Sc Accumulation in Mice Co-expressing WT PrP-The observation that Tg(C1)/ Prn-p 0/0 mice are resistant to scrapie infection and cannot produce PrP Sc led us to wonder whether C1 might act as a domi-nant-negative inhibitor of prion propagation in mice co-expressing WT PrP encoded either by the endogenous Prn-p gene or the Tga20 transgene. To test this hypothesis, we intracerebrally inoculated Tg(C1)/Prn-p ϩ/ϩ and Tg(C1)/ Tga20 ϩ/0 mice with RML scrapie. We observed that survival time was significantly longer in these mice than in the corresponding Prn-p ϩ/ϩ and Tga20 ϩ/0 mice that lacked the C1 transgene (Fig. 4A). The mean survival time in Tg(C1)/Prnp ϩ/ϩ mice was 229.3 Ϯ 18.5 days compared with 171.8 Ϯ 16.2 days in Prn-p ϩ/ϩ mice and 112.1 Ϯ 10.9 days in Tg(C1)/ Tga20 ϩ/0 mice compared with 76.9 Ϯ 6.2 in Tga20 ϩ/0 mice. Importantly, we found that co-expression of mutant PrP with wild type did not impact expression levels of either protein and did not change WT PrP cleavage (Fig. 4B).
We also analyzed the effect of the C1 transgene on scrapieinduced pathology, in particular the extent of spongiform change and astrogliosis. Although survival times were longer in Tg(C1)/Prn-p ϩ/ϩ and Tg(C1)/Tga20 ϩ/0 mice, at the terminal stage of disease the degree of spongiform change in the cerebellum, hippocampus, and brainstem in these animals was compa-  rable with that seen in Prn-p ϩ/ϩ and Tga20 ϩ/0 mice, respectively (Fig. 5, A-H, and data not shown). GFAP staining was also similar in terminally ill Tg(C1)/Prn-p ϩ/ϩ and Prn-p ϩ/ϩ mice (Fig. 5, I and J). Interestingly, however, GFAP staining was much more intense in Tg(C1)/Tga20 ϩ/0 mice than in Tga20 ϩ/0 mice at the terminal stage (Fig. 5, K and L). Uninfected animals of all genotypes lacked detectable GFAP staining (data not shown).
To determine the effect of C1 expression on accumulation of PrP Sc , brain homogenates were treated with PK, and the amount of protease-resistant PrP was analyzed by Western blotting. Brains were collected from Tg(C1)/Prn-p ϩ/ϩ mice at two different time points as follows: during the pre-symptomatic stage (180 days post-inoculation (p.i.)) and at the terminal stage (250 days p.i.). At the earlier time point, there was substantially less PK-resistant PrP in Tg(C1)/Prn-p ϩ/ϩ mice than in terminally ill Prn-p ϩ/ϩ mice at 152 days p.i. (Fig. 6A). However, by the time Tg(C1)/Prn-p ϩ/ϩ mice reached the terminal phase, PrP Sc had accumulated to a level comparable with that seen in terminally ill Prn-p ϩ/ϩ mice (Fig. 6B). This result indicates that expression of C1 slows, but does not prevent, accumulation of PrP Sc , which eventually reaches levels seen in mice lacking the C1 transgene.
Interestingly, the presence of C1 had an even more profound effect on accumulation of PrP Sc in Tga20 ϩ/0 mice. Even at the terminal stage, Tg(C1)/Tga20 ϩ/0 mice (120 days p.i.) contained significantly less PrP Sc in their brains than terminally ill Tga20 ϩ/0 mice (80 days p.i.) (Fig. 6C). Despite this dramatic reduction in the amount of PrP Sc , the brains of terminally ill Tg(C1)/Tga20 ϩ/0 mice still contained infectious scrapie prions, as demonstrated by the ability of brain samples to transmit disease to Tga20 ϩ/ϩ indicator mice. Incubation times after A, survival was monitored in mice of the following genotypes after RML inoculation, with the number of animals indicated in parentheses: Prn-p 0/0 (9), Tg(C1)/Prn-p 0/0 (8), Prn-p ϩ/ϩ (8). B, sections from the cerebellum (panels 1 and 2) or hippocampus (panels 3 and 4) from 365 day-old mice of the indicated genotypes were stained with hematoxylin and eosin or anti-GFAP antibody, respectively. Insets show hippocampal sections stained with DAPI to reveal cell nuclei. Scale bar in panel 4 (applicable to all panels) is 1 mm. C, Western blotting for protease-resistant PrP. Brain homogenates containing equivalent amounts of protein from mice of the indicated genotypes were treated with or without 20 g/ml proteinase K for 1 h at 37°C (ϩ and Ϫ lanes, respectively), and were subjected to Western blotting with anti-PrP antibody 6H4.  (16), and Tg(C1)/Tga20 ϩ/0 (8). Significant differences were found between the following groups as determined by an unpaired student's t test: Tg(C1)/Prn-P ϩ/ϩ versus Prn-P ϩ/ϩ (p Ͻ 0.0001); Tg(C1)/ Tga20 ϩ/0 versus Tga20 ϩ/0 (p Ͻ 0.0001). B, brain homogenates containing equal amounts of total protein from mice of the indicated genotypes were treated with or without PNGase F to remove N-linked oligosaccharides (ϩ and Ϫ lanes, respectively), and subjected to Western blotting with anti-PrP antibody D18. Filled and open arrowheads indicate the positions of cleavage products C1 and C2, respectively. Molecular size markers are given in kDa.
inoculation of Tga20 ϩ/ϩ mice with 1% brain homogenates derived from Tg(C1)/Tga20 ϩ/0 mice were indistinguishable from those for homogenates derived from Tga20 ϩ/0 mice lacking the C1 transgene (62. 3 Ϯ 5.3 versus 61.6 Ϯ 6.7 days, respectively, p Ͼ 0.7, by Student's t test). Moreover, the recipient mice accumulated similar amounts of protease-resistant PrP in their brains after inoculation with both sets of samples (data not shown). This result implies that, although Tg(C1)/Tga20 ϩ/0 mice accumulate greatly reduced levels of PrP Sc in their brains, these animals accumulate infectious prions with the ability to propagate in Tga20 ϩ/ϩ host mice expressing WT PrP.
To see if the shorter C-terminal fragment produced in Tg(⌬23-134) mice was capable of sustaining prion propagation, we inoculated two lines, L and H, that express the trun-cated protein at 0.2 and 1ϫ levels, respectively, with RML scrapie prions. Like Tg(C1) mice, Tg(⌬23-134)/Prn-p 0/0 mice did not exhibit any clinical illness for Ͼ1 year after inoculation (Fig. 7A, pink line/squares and green line/triangles). Moreover, the brains of inoculated animals did not display any abnormalities by hematoxylin/eosin staining (Fig. 7B) or GFAP histochemistry (data not shown) and did not contain any PK-resistant PrP by Western blotting (data not shown).

DISCUSSION
In this study, we have used transgenic mice expressing the C1 cleavage fragment of PrP C to investigate the role of this naturally occurring proteolytic product in the normal biology of PrP C as well as its role in prion illness. In transgenic mice expressing PrP(⌬23-111) (C1) on a Prn-p 0/0 background, we observed no spontaneous clinical or histological abnormalities, indicating that C1 alone is not inherently neurotoxic. We also demonstrate that although C1 is not itself convertible to a PK-resistant form, scrapie-inoculated mice co-expressing C1 and WT PrP show a significant delay in scrapie illness as well as decreased PrP Sc formation. These results have important implications for the role of the physiologically generated C1 fragment and its use as a target for therapeutic intervention in prion diseases.
C1 Is Not Neurotoxic-Transgenic mice expressing PrP with specific deletions in the N-terminal half of the protein display spontaneous neurodegenerative phenotypes that are suppressed by co-expression of WT PrP. This phenomenon is observed for PrP molecules harboring deletions of amino acids 32-121, 32-134, 94 -134, and 105-125 (28,29,31). On the Prn-p 0/0 background, animals expressing these truncated forms of PrP exhibit ataxia, accompanied by extensive degeneration of the cerebellar granule neurons, as well as degenerative changes in white matter areas of the brain and spinal cord. Ectopic expression in the brain of the PrP paralog Doppel (Dpl), which is structurally homologous to N-terminally truncated PrP, also results in a neurodegenerative illness that is overcome by the presence of WT PrP (32)(33)(34)(35). Taken together, these results indicate that deletion of the highly conserved central region of PrP (particularly residues 105-125) endows the protein with potent neurotoxic activity. This activity may be related in some way to the normal function of PrP C , because it is reversible by FIGURE 6. C1 inhibits accumulation of protease-resistant PrP in animals expressing WT PrP. Uninoculated or scrapie-inoculated mice (Ϫ and ϩ lanes, respectively) of the indicated genotypes were sacrificed at the times shown below each lane. Brain homogenates containing equivalent amounts of protein were treated with (lower blots) or without (upper blots) 20 g/ml proteinase K for 1 h at 37°C, and were subjected to Western blotting with anti-PrP antibody 6H4. A shows samples from presymptomatic animals, and B and C show samples from terminally ill mice. Samples from two different mice at 180d, 80d, and 120d are shown. Actin is shown as a loading control in all panels.

FIGURE 7. Scrapie-inoculated Tg(⌬23-134)/Prn-p 0/0 mice do not develop clinical Illness or histopathology.
A, survival was monitored in mice of the following genotypes after scrapie inoculation, with the number of animals indicated in parentheses: Prn-p 0/0 (9), Tg(PrP⌬23-134L)/Prn-p 0/0 (7), Tg(PrP⌬23-134H)/Prn-p 0/0 (9), Prn-p ϩ/ϩ (8). Data from RML-inoculated Prnp 0/0 and Prn-p ϩ/ϩ mice shown in Fig. 4 are reproduced here to allow for direct comparison. B, mice were taken for histological analysis at 1 year of age, at which point they remained healthy. Cerebellar sections were stained with hematoxylin and eosin. Scale bar (applicable to all panels) is 1 mM. DECEMBER 23, 2011 • VOLUME 286 • NUMBER 51 co-expression of WT PrP. We have recently shown that the neurotoxicity of deleted forms of PrP may be related to their ability to induce ion channels or pores in the cell membrane (36,37).

Naturally Occurring Inhibitor of PrP Sc Formation
Because the C1 fragment is missing a portion of the central domain implicated in these neurotoxic phenomena, we wondered whether expression of the C1 fragment alone, in the absence of WT PrP, might produce a neurodegenerative illness. We found that Tg(C1)/Prn-p 0/0 mice displayed no clinical or histological signs of neurological disease, despite the fact that the truncated protein was expressed at supraphysiological expression levels (7 times). Thus, the C1 fragment (⌬23-111) does not display intrinsic neurotoxic activity. This result is consistent with another study showing that mice expressing PrP(⌬111-134) display spontaneous neurodegenerative illness, although mice expressing PrP(⌬94 -110) do not (31,38). Taken together, the available data indicate that deletion of hydrophobic residues between 111 and 125 is required to endow PrP with neurotoxic activity. We have recently shown that a nine-amino acid, polybasic segment at the extreme N terminus (residues 23-31), is crucial for the neurotoxic and channel-inducing activities of PrP molecules carrying central region deletions (30,37). The ⌬23-111 fragment expressed in Tg(C1) mice also lacks this element. The C1 fragment of PrP has been reported to have a p53-dependent pro-apoptotic function in cell culture assays (39), but our results indicate that this effect is not likely to come into play in an in vivo context. Tg(C1)/Prn-p 0/0 Mice Are Resistant to Scrapie-Tg(C1)/Prnp 0/0 mice inoculated with RML scrapie prions do not develop clinical or neuropathological signs of illness and do not accumulate protease-resistant PrP in their brains. This result is consistent with previous in vitro and in vivo studies demonstrating that formation of PrP Sc is dependent on the presence of the central domain of PrP, which is lacking in C1. For example, although the majority of the N terminus (up to residue 90) is not essential to the conversion process (40,41), more C-terminal deletions of residues 114 -121, 95-107, or 108 -121 render PrP incapable of conversion to PrP Sc in cultured cells and transgenic mice (42,43). It is therefore likely that the central domain of PrP is a part of the molecule that undergoes conformational changes during the formation of PrP Sc (44), making C1 incapable of conversion into the misfolded conformer.
C1 Is a Dominant-negative Inhibitor of Scrapie-induced Disease and PrP Sc Production-Although C1 itself was incapable of sustaining PrP Sc production and development of neurological illness, it had a prominent inhibitory effect on disease progression and PrP Sc accumulation in mice co-expressing C1 and WT PrP. Scrapie-inoculated Tg(C1)/Prn-p ϩ/ϩ or Tg(C1)/Tga20 ϩ/0 mice had a significantly prolonged survival time compared with corresponding Prn-p ϩ/ϩ or Tga20 ϩ/0 mice lacking the C1 transgene. The increase in survival amounted to 33 and 45%, respectively, for the Prn-p ϩ/ϩ or Tga20 ϩ/0 genotypes. The presence of C1 also markedly slowed the accumulation of protease-resistant PrP in the brain. There was substantially less PrP Sc in Tg(C1)/Prn-p ϩ/ϩ mice at pre-clinical time points compared with Prn-p ϩ/ϩ mice, although at the terminal stage the amount of PrP Sc was similar with or without C1. Tg(C1)/ Tga20 ϩ/0 mice, however, accumulated less PrP Sc than Tga20 ϩ/0 mice, even at the terminal stage of illness. It is noteworthy that C1 PrP was expressed at supra-physiological levels in these mice, likely accentuating the dominant-negative effects that would be produced by endogenous levels of C1.
These results imply that C1 has a dominant-negative effect on the production of PrP Sc , which is correlated with a delay in development of clinical symptoms. Based on these results and previous literature (42,(45)(46)(47)(48), we hypothesize that C1 inhibits an early stage of the PrP C -PrP Sc conversion process, potentially because C1 competes with WT PrP for binding to PrP Sc seeds. This model is supported by the fact that antibodies recognizing C-terminal residues are capable of inhibiting PrP Sc formation in cells (49,50) and interacting specifically with PrP Sc (51,52).
Previous studies have documented the dominant-negative effects on PrP Sc formation of PrP molecules carrying deletions or point mutations. For example, substitutions at residues 167, 171, 214, or 218 of PrP C inhibited production of PrP Sc in scrapie-infected neuroblastoma cells that express endogenous WT PrP (48). Experiments in transgenic mice have confirmed and extended these results. Perrier et al. (53) generated transgenic mice expressing PrP harboring either the Q167R or Q218K mutations. After scrapie inoculation, transgenic mice on the Prn-p 0/0 background showed no clinical or histopatho- A, survival was monitored in mice of the following genotypes after scrapie inoculation, with the number of animals indicated in parentheses: Prn-p ϩ/ϩ (8), Tg(⌬23-134H)/Prn-p ϩ/ϩ (8), Tga20 ϩ/0 (16), Tg(⌬23-134L)/Tga20 ϩ/0 (9), and Tg(⌬23-134H)/Tga20 ϩ/0 (8). Significant differences were found between the following groups: Tg(⌬23-134H)/Prn-p ϩ/ϩ versus Prn-p ϩ/ϩ (p Ͻ 0.0001); and Tg(⌬23-134H)/Tga20 ϩ/0 versus Tga20 ϩ/0 (p Ͻ 0.0001) when analyzed either by Kruskal-Wallis one way analysis of variance with Dunn's Multiple Comparison Test, or by Students t test. C, animals of the indicated genotypes were sacrificed at the terminal stage of illness after scrapie inoculation. Brain homogenates containing equivalent amounts of protein were treated with (lower blots) or without (upper blots) 20 g/ml proteinase K for 1 h at 37°C, and were subjected to Western blotting with anti-PrP antibody 6H4. logical abnormalities and did not produce PrP Sc . Moreover, the Q167R and Q218K mutants significantly delayed disease development on the Prn-p ϩ/ϩ background and decreased accumulation of PrP Sc . In addition to these point mutations, short deletions within the central region of the protein (⌬112-119, ⌬114 -121, and ⌬105-125) led to a dominant-negative effect in infected cells and mice, respectively (42,54). In vitro conversion reactions showed that the dominant-negative effect of point mutations at residues 218 or 171 does not require the presence of auxiliary molecules (55,56), implying a direct interaction between the C terminus of PrP and the PrP Sc seed. Collectively, these results demonstrate that modifications in the C-terminal half of the protein (after 111) can significantly impact the generation of PK-resistant PrP. However, this study documents for the first time that deletions within the N terminus of PrP(⌬23-111 or ⌬23-134) can also lead to a dominant-negative effect on the conversion of WT PrP into PrP Sc .
PrP Sc Formation Is Not Correlated with Clinical Illness-Even when terminally ill, scrapie-infected Tg(C1)/Tga20 ϩ/0 mice display greatly reduced levels of protease-resistant PrP compared with mice without the C1 transgene. Nevertheless, the brains of these animals contain substantial infectivity as determined by transmission to indicator mice. These results demonstrate a lack of correlation between development of clinical disease, PrP Sc formation, and accumulation of infectivity in Tg(C1)/Tga20 ϩ/0 mice.
There are many examples of related phenomena in the literature (27,(57)(58)(59)(60)(61)(62)(63), including a recent study (64) concluding that prion propagation and neurodegeneration occur in distinct chronological and mechanistic phases, with the latter phase taking much longer and being more closely tied to levels of PrP C . Taken together, our results and those of others suggest that prion toxicity is attributable to accumulation of a critical level of a specific toxic PrP species (PrP toxic ) that is distinct from infectious PrP Sc . The C1 fragment may have dominant-negatively inhibited formation of both kinds of PrP in Tg(C1)/ Tga20 ϩ/0 mice, although it appears to have produced a greater delay in formation of PrP Sc , which was present at low levels in terminally ill animals. Based on our studies in Tg(PG14) mice, we have hypothesized that PrP toxic consists of small oligomers of PrP (65), similar to the nonfibrillar oligomers of A␤ that have been hypothesized to be synaptotoxic in Alzheimer disease (66,67).
C1 Is a Physiologically Generated Inhibitor of PrP Sc -Tg(C1) mice express a PrP fragment that occurs naturally in the brain as a result of proteolytic cleavage of PrP (10 -12). Our results therefore indicate that a dominant-negative inhibitor of prion replication is generated normally in the brain. This observation has two major implications. First, it is possible that alterations in the levels of C1 might take place during the course of prion disease and influence disease progression. For example, there is evidence that ␤-cleavage predominates over ␣-cleavage during prion infection (10). If this shift in cleavage preference causes a reduction in the levels of the inhibitory C1 fragment, it might contribute to a feedback acceleration of PrP Sc formation.
A second implication of our study is that manipulation of C1 levels might represent a therapeutic strategy for treating prion diseases. Although there is some disagreement about the pro-teases responsible for the ␣-cleavage (14,15,68), it is possible that pharmacologically activating these proteases, or enhancing delivery of PrP C to the cellular compartments where they reside, might create more C1, which would dominantly inhibit formation of PrP Sc and therefore ameliorate disease. In addition, exogenous administration of C1 or peptide fragments derived from it might also have therapeutic benefit. Supporting the feasibility of this approach, several synthetic PrP peptides, including 119 -136, 166 -179, and 200 -223, inhibited conversion in both cell-free and cell culture systems (45,69). Additionally, transgenic or lentivirally driven expression of dominantnegative PrP mutants has been shown to inhibit or delay disease progression in mice (53,70). The dominant-negative lentiviral vector was capable of prolonging survival even when administered after the onset spongiosis in scrapie-infected mice (70). The reversibility of scrapie-associated pathogenesis in this and other studies (71)(72)(73) suggests that increased expression of the dominant-negative C1 protein may represent a promising treatment for established prion diseases.