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By
Kat Eschner
smithsonian.com
Prions–the
name comes from “proteinaceous infectious particle”–were big news in
the 1980s, when it became clear that these proteins caused disease. But
more than 30 years after they were discovered, we’re still figuring them
out.
On
this day in 1997, American biologist Stanley B. Prusiner received the
Nobel Prize in medicine for his discovery of prions, “an entirely new
genre of disease-causing agents,” in the words of the Nobel committee. But even though Prusiner’s work started in 1972, by 2017 we still only sort of understand prions.
You’ve probably heard of these infectious proteins in the context of brain diseases like mad cow disease (technical name: bovine spongiform encephalopathy). Humans can also get prion diseases, such as Creutzfeldt-Jacob disease and the rare Kuru,
which was transmitted by the Fore people’s custom of eating their
deceased as part of funerary rituals. These diseases, which are
collectively known as transmissible spongiform encephalopathies, are
only the best-understood part of the prion picture.
“Prions are distorted versions of normal proteins found in human and animal brain and other tissues,” explains
Colorado State University’s Prion Research Center. “These distorted
(‘misfolded’) proteins damage brain cells, leading to fatal dementias
akin to human Alzheimer’s and Parkinson’s diseases.”
When
normal proteins in your brain–for some reason that’s not fully
understood–misfold, “they turn into contagious pathogens that recruit
any other prions they come into contact with, grouping together in
clumps that damage other cells and eventually cause the brain itself to
break down,” writes Fiona MacDonald for ScienceAlert.
“...Technically
speaking, proteins shouldn't be able to infect other proteins–they're
not alive, after all–and scientists have never really been able to
explain the behaviour of prions–hence their reputation as the weirdest
molecules ever,” she writes.
Not only are prions not alive (and contain no DNA), they
can survive being boiled, being treated with disinfectants, and can
still infect other brains years after they were transferred to a scalpel
or other tool.
We’re still trying to figure out how normal proteins fold into prions and what causes them to do so, although there have been a number of advances in recent years. Among them, Alzheimer’s and Parkinson’s have recently been linked to prions. Scientists have suggested that
these brain diseases are caused by similar protein folding and it has
been suggested that they should be called “prionoid” diseases–similiar
to TSEs, but not transmissible (that we know of.)
Today
the study of prions is a fascinating branch of medicine, but the fact
that someone found prions at all is pretty amazing. When Prusiner
started work on them, it had been established that Creutzfeldt-Jakob,
kuru and a sheep disease called scrapie could be transmitted by infected
brains, but nobody knew what caused it. It took ten years for him to
isolate a single protein that seemed to be the culprit; then it took
even longer to achieve any kind of scientific consensus. Prusiner is now
the director
of the Institute for Neurogenerative Diseases at the University of
California, San Francisco. He has continued to work on prion diseases.


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