Chronic neurodegenerative diseases, such as Alzheimer’s disease, prion diseases and many others are unified by the aberrant folding of a host encoded protein to a disease-associated isoform and the predictable cell-to-cell spread of disease-associated misfolded proteins via a putative prion-like mechanism. Prion diseases, for example, are associated with the aberrant folding of host encoded prion protein (PrPC) to a disease-associated isoform, which acts as a seed for the further conversion of PrPC to misfolded protein species. The role of misfolded prion protein in neurodegeneration remains unclear. Accumulation and spread of misfolded prion protein is typically slow and progressive, correlating with neurodegeneration. A number of studies show that mice are susceptible to prion disease with characteristic hallmarks of prion pathology but in the presence of little detectable misfolded prion protein (e.g. the GSS/101LL model). In this thesis I test the hypothesis that detectable species of misfolded prion protein correlate with neurodegeneration and spreads in a predictable, progressive fashion from one anatomically distinct brain region to the next. Using the GSS/101LL model, misfolded prion protein was detected as mostly PK-sensitive isoforms (PrPsen). The progression and pathological presentation is comparable to other prion diseases with larger quantities of PK resistant prion isoforms. A highly sensitive in vitro assay system (the QuIC assay) was subsequently used to establish the extent that misfolded protein was present within the brain. Amyloidogenic prion seeds were found to be widespread throughout the brain from an early stage and spread rapidly throughout the brain. Absence of neurodegeneration in certain brain regions is not due to differing quantities of prion seeds between regions or time exposed to prion seeds, as unaffected regions are exposed to comparative quantities of prion seeds for the same time-period as regions of the brain which eventually succumb to neurodegeneration. These results indicate a clear dissociation between prion seeds and neurotoxicity. They highlight the need to understand regional host responses to prion seeds that may evoke neurodegeneration in some but resilience in others. To test this, transcriptomic analysis was carried out on brain samples from regions undergoing neurodegeneration and unaffected regions. A gene profile signature of hybrid pro-and anti-inflammatory response was observed in regions undergoing neurodegeneration. However, large cohorts of genes were down-regulated across all regions tested, including pro-inflammatory genes and a large proportion of genes involved within transcriptional and translational regulation and function. These results highlight the possible molecular pathways in response to the presence of misfolded protein. In summary, misfolded prion protein accumulates rapidly across the CNS but only specific brain regions undergo neurodegeneration. In the presence of the misfolded protein, the host elicits a robust molecular response. The additional activation of glial cells within regions undergoing neurodegeneration highlights their importance in disease. It is therefore proposed that misfolded prion protein, alone, is not sufficient to trigger neurodegeneration. This gives rise to a “multi-hit” hypothesis whereby two or more factors, for example the accumulation of misfolded protein and glial cell response, are required to trigger neurodegeneration.

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Die Parkinson-Krankheit (PA) ist durch Fehlfaltung und Aggregation von Alpha-Synuklein (a-Syn) charakterisiert. Dieses zeigt Ähnlichkeiten mit dem Verhalten von Prionen bei transmissiblen spongiformen Enzephalopathien. Pathologische a-Syn Aggregate propagieren, wie Prione, über selbsttempliertes Seeding (Keimung). Aufgrund von Studien, die eine Übertragbarkeit der a-Syn Seeding-Aktivität nachgewiesen haben, war das Ziel dieser Dissertation die Risikobewertung potenzieller Übertragungen von a-Syn Seeds zu verbessern. Die Menge an Seeding-aktiven a-Syn in Hirn- und Magengewebe von PA-Patienten wurde durch Real-Time Quaking-Induced Conversion (RT-QuIC) Assays quantifiziert. Die Ergebnisse zeigten in beiden Geweben hohe Seeding-Titer, was die Notwendigkeit für effektive Inaktivierungsprotokolle unterstreicht. Die Quantifizierung des Effekts der Dampfsterilisation bei 134 °C ergab eine unerwartet hohe, Prion-übersteigende, Resistenz von PA-assoziiertem a-Syn gegen Dampfsterilisation. Die Verlängerung der Sterilisationsdauer führte zu einem identischen Reduktionsfaktor des Seeding-Titers. Fourier-Transform-Infrarot (FT-IR) Spektroskopie wurde genutzt, um eine Stammdifferenzierung zwischen a-Syn Aggregaten aus PA-assoziierten transgenen Mausmodellen mit den a-Syn-Mutationen A30P und A53T vorzunehmen, die für familiäre PA beim Menschen prädisponieren. Etablierte Protokolle zur Untersuchung von Prionstämmen (PS) wurden verfeinert um 5 hamsteradaptierte PS zu vergleichen: 263K, 22A-H, BSE-H, CWD-H, und ME7-H. Hier führte die Zugabe des Farbstoffs Kongo Rot zu spektralen Veränderungen in einigen PS und resultierte in der erfolgreichen Unterscheidung aller untersuchten PS. Mittels PMCA wurden die winzigen Mengen an a-Syn Aggregaten aus Maus-Hirngeweben für die anschließende FT-IR Spektroskopie vervielfältigt. Die Spektren der A30P und A53T a-Syn Aggregate wiesen allerdings keine Unterschiede auf, und der Zusatz von Kongo Rot hatte keinen Effekt auf die Spektren. / Parkinson’s Disease (PD) is characterized by misfolding and aggregation of Alpha-Synuclein (a-Syn), which shows similarities to the behavior of prions in transmissible spongiform encephalopathies (TSEs). Pathological a-Syn aggregates, like prions, propagate by self-templated seeding. Due to reports of transmissible seeding activity of a-Syn, the goal of this thesis was to improve risk assessment of potential a-Syn seed transmissions. Real-Time Quaking-Induced Conversion (RT-QuIC) assays were used to quantify seeding active a-Syn in brain and stomach tissue of PD patients. The results show high seeding titers in both tissues, highlighting the need for effective inactivation protocols. Quantification of the effects of steam sterilization at 134 °C on the seeding activity of cerebral PD-associated a-Syn revealed a surprisingly high, prion-exceeding, resistance to steam sterilization. Extended duration of steam sterilization has no further inactivation effect and led to an identical reduction factor of the seeding activity titer. Fourier-Transform Infrared (FT-IR) spectroscopy was used to attempt strain differentiation between a-Syn aggregates from PD-associated transgenic mouse models with the a-Syn A30P and A53T mutations which predispose for familial forms of PD in humans. Established protocols for prion strain examination were refined to compare five hamster-adapted prion strains: 263K, 22A-H, BSE-H, CWD-H, and ME7-H. Here, the addition of a dye (Congo Red) led to spectral changes of some prion strains and resulted in the successful distinction of all investigated prion strains. To increase the tiny amounts of a-Syn aggregates in the brain tissues of mice, PMCA was used to multiply these aggregates for subsequent FT-IR spectroscopy. However, the spectra of the A30P and A53T a-Syn aggregates were undistinguishable, and the addition of CR had no significant effect on the spectra.