INTRODUCTION
Classical scrapie is a fatal contagious disease that naturally affects sheep and goats. Together with Creutzfeldt-Jakob disease (CJD) and bovine spongiform encephalopathy (BSE) in cattle, it figures among the transmissible spongiform encephalopathies (TSE) or prion diseases (
25). These are lethal neurodegenerative disorders that show neuropil spongiosis as well as intraneuronal vacuolation, astrocytic gliosis, and the deposition of a pathological conformer (PrP
d) of the physiological, host-encoded prion protein (PrP
c) in the central nervous system (CNS).
While there is clear evidence that BSE is a zoonosis that causes variant CJD in humans, there are no such indications for classical scrapie (
10,
16,
33). Nevertheless, TSEs in small ruminants have drawn the attention of veterinary and political authorities because of concerns that BSE might also affect sheep and goats. Moreover, a previously unrecognized type of TSE, termed atypical scrapie or Nor98, was reported first in Norway in 1998 (
7) and later in many other countries (for a review, see reference
6), but its significance for public and animal health is uncertain. As a consequence, active TSE surveillance of small ruminants has been considerably enhanced. This resulted in the identification not only of a substantial number of classical and atypical scrapie cases but also of two goats that were affected by a TSE indistinguishable from BSE (
11,
18).
Many efforts have been directed toward establishing and validating diagnostic techniques for the identification and discrimination of atypical scrapie, classical scrapie, and small-ruminant BSE. At present, a multistage serial testing strategy using screening tests as well as confirmatory and discriminatory tests is applied in many countries. These tests are based on the postmortem detection of PrP
d or its proteinase K (PK)-resistant core fragment, PrP
res, in the CNS or the lymphoreticular system. Discriminatory tests rely on differences in the proteolytic processing of PrP
d between the three types of small-ruminant TSEs, which result in PrP
res fragments of distinct molecular masses and specific antibody binding properties by Western immunoblotting (WB) (
5,
17,
22,
28). This complex strategy obviously requires profound knowledge of the molecular phenotypic diversity of naturally occurring TSEs in sheep and goats. In this respect, considerable work has been done with sheep; however, only a few cases of classical goat scrapie have been described in the literature (for a review, see reference
32), and reports of the PrP
res characteristics determined by WB for goats are rare.
Recently, we reported the outbreak of classical scrapie in a Greek goat flock with a high incidence of infection (
8). In the present study, we analyze specimens of animals from this flock to generate baseline data on the molecular PrP
res phenotype diversity in natural goat scrapie. While most of the goats present the WB PrP
res banding pattern of classical scrapie, as known for sheep, we uncover a previously unknown truncated PK-resistant prion protein fragment in a series of animals. These findings extend the view of the phenotypic diversity of prion protein disorders in goats and challenge current strategies for their diagnosis and classification.
DISCUSSION
Here we show that for the majority of the affected goats in the flock under investigation, the PrP
res WB pattern and the neuroanatomical PrP
d deposition are similar to those described for classical scrapie in sheep. However, for a series of goats we found a unique PrP
res fragment of ∼12 kDa that shares some features of a PrP
res fragment observed for atypical scrapie. Both fragments were indistinguishable in their apparent molecular masses but differed in their C-terminal truncations. Based on epitope mapping, we calculated the molecular mass of the aberrant PrP
res fragment in the Greek goats to be 4.2 kDa to 9.8 kDa. In the literature, there is some disagreement regarding the molecular mass of the prominent PrP
res fragment in atypical scrapie. While in some studies, as in the present one, it was estimated to be ∼10 to 12 kDa (
2,
13,
14), in others (
19,
21,
24) it was found to migrate at ∼7 to 8 kDa. It is likely that these estimates are biased by the use of different molecular mass standards and electrophoresis conditions. Indeed, the ∼12-kDa band in the atypical scrapie control sample (G2/FS) migrated at ∼7 to 8 kDa when we used the same standard as that applied previously (
21). This finding argues for an overestimation of the molecular masses in our experimental setup. The finding that the fragment in atypical scrapie extents more to the PrP
res C terminus than the one in the aberrant Greek goats, but reveals a similar molecular mass, indicates that this difference is composed of only a few amino acids and could not be resolved by the SDS-PAGE system that we used. Alternatively, both fragments may also differ in their N-terminal truncations; however, this was difficult to investigate by epitope mapping, because the N terminus is predicted to fall in the PrP octapeptide repeat region (residues 54 to 89), which provides three bindings sites for MAb SAF32 (
Fig. 3). Atypical scrapie has been shown to involve additional PrP
res bands in the range of 15 to 30 kDa, representing unglycosylated and glycosylated forms of at least one more PrP
res fragment of a higher molecular mass (
2,
21), but these were not detected in the aberrant Greek goats. Moreover, in atypical goat scrapie, PrP
res was found to accumulate primarily in cerebral structures and only to a minimal extent in the medulla oblongata (
26). This situation was reflected in three of the these goats, in which the aberrant PrP
res fragment was identified only in the cerebral cortex, but in the others, it was most prominent in the medulla oblongata, which is rather characteristic for classical scrapie.
One limitation of our study is that other phenotypic features, such as histopathological lesions and IHC PrPd deposition patterns, could not be properly assessed, because formalin-fixed medulla oblongata tissues were not available, and for the remaining brain structures, the interpretation of histopathological lesions was hampered by tissue autolysis. While for most of the classical-scrapie-affected goats the disease was unambiguously confirmed by IHC of brain tissue sections, we failed to confirm disease for the goats that displayed the ∼12-kDa band. In atypical scrapie, in contrast to classical scrapie, we observed previously that extended tissue storage in formalin eventually results in a loss of the PrPd IHC signal (A. Oevermann, unpublished data). The tissues available for the present study had been stored for ∼2 years in formalin prior to our analysis, and therefore, a similar effect might have occurred.
A crucial point is whether tissue autolysis led to the observed PrP
res truncation. NC-WB was validated previously in our laboratory by using 100 confirmed TSE-negative medulla oblongata samples of fallen goats that had been collected in the frame of active TSE surveillance (
15). The majority of these samples were at least moderately autolytic (autolysis score, ≥3). However, the ∼12-kDa band emerged in none of them (data not shown), indicating that tissue autolysis does not compromise the specificity of the NC-WB assay in this respect. However, the aberrant goats may also be atypical scrapie cases in which the PrP
res pattern has changed or classical scrapie cases in which the ∼12-kDa isoform was generated from the longer isoforms by degradation. In our experimental setup, PrP
res degradation was not observed under laboratory conditions. In addition, several lines of evidence indicate that these scenarios are unlikely. First, the degrees of tissue autolysis were similar for samples of classical-scrapie-affected goats and those with the ∼12-kDa PrP
res; second, the truncated fragment was also identified in brain structures that were sampled on the first day postmortem; third, with the exception of one particular goat (G22), in none of the samples did the truncated fragment co-occur with the PrP
res triplet of classical scrapie; and fourth, the ∼12-kDa fragment was also detected in brain regions other than the medulla oblongata, which were only moderately autolytic. Altogether, this argues against the truncated ∼12-kDa PrP
res fragment being an autolysis artifact and supports our notion that the disease phenotype in these animals is inconsistent with the current phenotype definition of classical and atypical scrapie.
The absence of residues 153 to 155 in the truncated PrPres fragment of the aberrant Greek goats has consequences for its detectability in small-ruminant TSE surveillance, because many tests use MAbs that bind to epitopes that are not covered by the truncated fragment. This counts for MAbs L42 and Sha31, both of which were used in the present study, and others that bind to more C-terminal PrPres regions. Reference laboratories may take this situation into account when either of these MAbs is used for confirmatory WB procedures. Information on the binding sites of antibodies applied in the screening tests is not available in the public domain, but our data suggest that the PrioStrip SR assay in principle detects this fragment, while the TeSeE ELISA, one of the tests used most widely in the European Union, does not. Therefore, such animals may escape active surveillance, depending on the screening tests and the confirmatory tests applied.
The disease phenotype in TSEs depends on host- and agent-related factors. One prominent host factor is the
PRNP genotype. Interestingly, 5 out of the 10 aberrant Greek goats carried the K222 and/or the Q211polymorphism, with the latter being associated with those animals with the 12-kDa fragment. These findings deserve attention, as both polymorphisms have been associated with resistance to classical scrapie in goats (
1,
4,
8,
31). Due to the low numbers of animals in the aforementioned studies and in the present report, the statistical significance is weak, and it would be premature to draw any further conclusions on this.
From the epidemiological perspective it is noteworthy that the truncated PrP
res fragment was found in a series of animals that were held in close contact in the same flock and that this flock comprised a high proportion of classical-scrapie-affected goats. This condition may therefore be contagious and additionally may be etiologically related to classical scrapie. The diversity of TSE phenotypes also depends on the occurrence of different prion strains in a given host population. For classical scrapie it was postulated that at least 20 strains can be discriminated based on their phenotypic features in mouse transmission studies (
9). Recently, transmission studies of scrapie isolates in transgenic mice indicated that some isolates contained multiple prion strains, which resulted in different disease phenotypes, including distinct PrP
res banding patterns (
29,
34). Therefore, the Greek flock may have been infected by an isolate that was composed of more than one prion strain or by two different strains simultaneously, and either of these strains emerged in individual goats. Interestingly, we identified one goat (G22) that showed both the classical scrapie and the truncated PrP
res banding patterns in different brain regions. Whether this resulted from a coinfection or from prion strain mutation remains difficult to assess. In the latter case, this animal may be at the origin of the phenotypic diversity of this TSE outbreak.
Several studies have pointed to similarities in the molecular PrP
res phenotypes between atypical scrapie in small ruminants and Gerstmann-Sträussler-Scheinker disease (GSS), a genetic TSE in humans (
3,
7,
14,
19,
21). Similar to the Greek goats, in some GSS cases this is the only detectable PrP
res moiety. Parchi and coworkers previously determined by amino acid sequencing and mass spectrometry that the N terminus of the ∼7- to 8-kDa PrP
res fragment in patients with GSS varies between residues 78 and 82 and that its C terminus lies in the range of residues 147 to 153 (
23). Therefore, the truncated PrP
res fragments in atypical scrapie, the aberrant Greek goats, and GSS appear to map to the same region of the prion protein. The underlying pathogenic mechanisms for the formation of these fragments, however, need to be addressed by further work.
In conclusion, the present study reveals novel aspects of the nature and diversity of the molecular PrPres phenotypes in TSE-affected goats. The identification of a distinct C- and N-terminally truncated PrPres fragment in a proportion of goats suggests that these animals display a previously unrecognized prion protein disorder, with consequences for small-ruminant TSE surveillance. However, potential implications for public and animal health remain to be established. Transmission studies have now been initiated to confirm that this condition involves a transmissible agent.