Rapid and Highly Sensitive Detection of Variant Creutzfeldt-Jakob Disease Abnormal Prion Protein on Steel Surfaces by Protein Misfolding Cyclic Amplification: Application to Prion Decontamination Studies

PLoS One. 2016 Jan 22;11(1):e0146833. doi: 10.1371/journal.pone.0146833. eCollection 2016.

Abstract

The prevalence of variant Creutzfeldt-Jakob disease (vCJD) in the population remains uncertain, although it has been estimated that 1 in 2000 people in the United Kingdom are positive for abnormal prion protein (PrPTSE) by a recent survey of archived appendix tissues. The prominent lymphotropism of vCJD prions raises the possibility that some surgical procedures may be at risk of iatrogenic vCJD transmission in healthcare facilities. It is therefore vital that decontamination procedures applied to medical devices before their reprocessing are thoroughly validated. A current limitation is the lack of a rapid model permissive to human prions. Here, we developed a prion detection assay based on protein misfolding cyclic amplification (PMCA) technology combined with stainless-steel wire surfaces as carriers of prions (Surf-PMCA). This assay allowed the specific detection of minute quantities (10-8 brain dilution) of either human vCJD or ovine scrapie PrPTSE adsorbed onto a single steel wire, within a two week timeframe. Using Surf-PMCA we evaluated the performance of several reference and commercially available prion-specific decontamination procedures. Surprisingly, we found the efficiency of several marketed reagents to remove human vCJD PrPTSE was lower than expected. Overall, our results demonstrate that Surf-PMCA can be used as a rapid and ultrasensitive assay for the detection of human vCJD PrPTSE adsorbed onto a metallic surface, therefore facilitating the development and validation of decontamination procedures against human prions.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Assay / methods*
  • Brain / pathology
  • Creutzfeldt-Jakob Syndrome / pathology
  • Creutzfeldt-Jakob Syndrome / prevention & control*
  • Creutzfeldt-Jakob Syndrome / transmission
  • Cross Infection / prevention & control*
  • Cross Infection / transmission
  • Decontamination / methods*
  • Equipment and Supplies
  • Humans
  • Limit of Detection
  • Mice
  • PrPSc Proteins / metabolism
  • Prions / metabolism*
  • Protein Folding
  • Scrapie / metabolism
  • Stainless Steel
  • Surface Properties
  • United Kingdom

Substances

  • PrPSc Proteins
  • Prions
  • Stainless Steel

Grants and funding

This work was supported by grants from the Alliance Biosecure Foundation (http://www.fondation-alliance-biosecure.org) (Surf-PMCA project) to SL VB DB and the Agence Nationale de Sécurité du Médicament et des produits de santé ANSM (http://ansm.sante.fr) (Prion MD Secure project) to DB SL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.