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L6 - Protein Misfolding & Disease

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Extensive notes on lectures for module 6BBB0333 Protein Structure & Design lecture 6 on protein misfolding and disease. Notes provide simply written explanations to lecture content, featuring many images to illustrate and break down the complexity of this module. I was awarded a first-class for this module and solely relied on these notes to prepare for my exam.

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6BBB0333 Protein Structure & Design


L6 – Protein Misfolding & Disease

Prions: abnormal proteins that can induce a misfolding of normal proteins in the brain, lading to a
variety of neurodegenerative diseases



The human prion protein exists in two forms

1. PrPC

The normal, harmless form

2. PrPSc

The abnormal, infectious form

- Has an altered 3D structure that causes it to aggregate and form insoluble clumps



The prion hypothesis

Prion diseases involve the conformational conversion of the cellular prion protein to the misfolded
pathogenic form

Template-directed misfolding

- When PrPSc comes into contact with normal PrPC, it can induce a change in the
conformation of the normal protein, causing it to convert into the abnormal, infectious form.
- Process though to be autocatalytic – it can perpetuate itself by converting more normal
proteins into the infectious form



Accumulation of PrPSc

- Over time, as more PrPC proteins are converted into PrPSc, the abnormal protein aggregates
and accumulates in the brain, forming amyloid plaques



Neurodegeneration

- Once PrPSc forms, it acts as a template to catalyse more formation of PrPSc from itself
- Accumulation of the protein aggregates disrupts normal brain function and leads to
neurodegenerative diseases
- In most cases, prion diseases in humans are sporadic, meaning PrPC spontaneously converts
to PrPSc in vivo or is transmitted in an unidentified manner



(Unconventional because involves disease transmission without involvement of genetic material like
DNA or RNA – entirely dependent on protein misfolding (protein-only hypothesis))

,6BBB0333 Protein Structure & Design




- The N-terminal portion is largely unstructured and the C-terminal region contains the folded,
globular domain. The C-terminal domain consists of three a-helices (HA, HB, and HC) and a
short b-sheet with two strands (S1 and S2).
- PrPSc has the same primary structure as PrPC but a different fold. During the conversion of
PrPC to PrPSc, the a-helix content decreases somewhat but the b-sheet content increases
greatly
- Also, whereas PrPC is protease sensitive, PrPSc contains a protease-resistant core of residues
~90–230




Prion Protein Structures




- Schematic illustration of potential structures, hypothesizing the key transition between α-
helices and β-sheets.
- Beige regions – conserved
- Red/green regions – regions that exhibit structural differences between the cellular and
infectious forms

, 6BBB0333 Protein Structure & Design




- NMR spectroscopy as method of choice to study structure
- Not exact same as what was proposed initially (image on previous page) but definitely some
beta sheet formation occurring
- A lot of the protein undetermined (dotted yellow line) – not ideal to use NMR… (must use X-
ray crystallography)



Inhibition of aggregation – insight into prion aggregation

X-ray structure of PrP with ICSM 18-Fab




- Crystal structure from 2009
- Bonded to antibody
- Some interaction between prion protein and antibody to characterize
o The interaction between them locks the structure, preventing structural transitions
to be able to visualize the PrPc protein structure
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