PRION DIAGNOSTICS

 

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Prions can be detected on the basis of the inherent physical and biochemical properties.

 

Properties

 

Glycoprotein

 

Resistance to protease digestion

 

Insolubility in detergents

 

Difference in conformation between normal & abnormal forms of the prion protein

 

USE THIS TO ATTACK THE PROBLEM!!

 

SOURCES

 

·       Brain

·       Peripheral Tissue

·       Blood

·       Urine

·       Other Biological samples

 

 Common Tests Employed

 

1.        ELISA s

2.        IMMUNO FLUORESCENCE

3.        WESTERN BLOTS

4.        PK digestion followed by Western Blots

 

 

More Radical Approaches

·       PMCA – Protein Misfolding Cyclic Amplification Procedure

Normal prion protein is subjected to repeated cycles of incubation with the abnormal isoform and then sonicated. Aggregates are formed at the end of each incubation step that contain the abnormal protein. Sonication serves to break the aggregates and increase the surface area for binding and eventual transformation of the protein.  (Nature/Vol 411/14June2001/)

 

 

·       Affinity Chromataography methods

The Antibody to the prion protein can be bound to a column through which the sample is passed through. After elution of the unwanted materials the prion protein can be isolated and then subjected to detergent treatment and /or Proteinase digestion to isolate the abnormal Isoform that may then be detected by a western blot. It is possible to develop this system into an automated kit – like method.

 

· RNA Aptamer Technology

Patents to this method have currently been filed by V.I. Technologies (Watertown M.A.). This method has been proposed to disinfect blood that might be contaminated.

Two RNA aptamers highly specific to the cellular Prion protein are used that bind to it at the NH2 terminus.

 

·       Can Lectins be used?

Lectins are Glycoproteins that can specifically recognize sugar groups on molecules and bind them. Using this approach it might be possible to easily purify the prion protein from biological samples. This possible might save the cost factors involved in generating monoclonal antibodies to the prion protein. Lectin based affinity beads can be used to purify the protein. It might also be possible to increase the isolation of the prion protein from a sample by using Lectin – Antibody combination in which one arm of the antibody has been replaced by the Lectin binding domain and the other arm is specific to the prion. This will help to increase the specificity of protein binding.

Unfortunately this approach will be of limited use in distinguishing between the normal and abnormal form of the protein.

 

·       Flow Cytometry

As the prion protein is membrane bound it is possible to use flow cytometry using labeled Antibodies.

 

 

·       RT PCR

Using probes it may be possible to determine if there is altered gene expression as seen in the case of the human prion diseases that involve point mutations.

 

·       Prion interacting proteins

As more information is gathered on the role and function of the prion protein in cells, information on the interacting proteins will subsequently become available. Human plasminogen, fibrinogen, antithrombin III & factor IX has been shown to specifically bind to the abnormal prion protein and not the normal cellular form. Magnetic beads with bound plasminogen could be used in assays to detect prions. Techniques like FRET maybe helpful in assessment of the interaction.

 

(Prion Conformation and Diagnostic tests: The Prion Protein – Bennion & Daggett – Clin. Chemistry – 48:12 ; 2105 – 2114; 2002)

 

 

 

 

 

 

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