Prions are infectious agents resulting from the conversion of a normal cellular protein, PrP C , to a misfolded species, PrPSc . Iatrogenic transmission of prions is known from surgical procedures involving stainless steel materials. Here, it was shown that stainless steel containing nickel and molybdenum binds PrP Sc more efficiently and transmits infection to cells in culture to a higher degree than if these elements are not present. Furthermore, both nickel and molybdenum alone adsorbed PrP Sc , and nickel powder could be used to extract PrP Sc from dilute solutions, thus providing a simple approach to concentration of PrP Sc . The fact that nickel and molybdenum in steel alloys increased the binding affinity, and bound infectivity, of PrP Sc is an important issue to consider in the manufacture of surgical instruments and abattoir tools.
INTRODUCTIONPrions cause lethal neurodegenerative diseases such as scrapie in sheep, bovine spongiform encephalopathy in cows and Creutzfeldt-Jakob disease (CJD) in humans. The infectious agents are essentially composed of abnormally folded, partially protease-resistant proteins, PrP Sc , rich in b-sheet structure, that can impose their conformation on the normal cellular prion proteins, PrP C (Prusiner, 1998). PrP C and PrP Sc can both exist as full-length proteins, but N-terminal trimming of PrP Sc by limited proteolysis in vitro or by cellular proteases generates a 27-30 kDa fragment, PrP 27-30, which is a proteinase K (PK)-resistant product that retains infectivity (Gabizon et al., 1988;Meyer et al., 1986).Infectious prions are present at high levels in the brain, spinal cord, retina, tonsils and spleen (Bruce et al., 2001;Hogan et al., 1986; Wadsworth et al., 2001), but also at lower levels in blood and skeletal muscles (Mulcahy et al., 2004;Peden et al., 2004Peden et al., , 2006. Prions are resistant to conventional sterilization procedures and to inactivation by various chemical treatments (Alper et al., 1966;Gibbs et al., 1994Gibbs et al., , 1978. The potential presence of prions in biological tissues and fluids has led to the awareness that instruments and materials used in dentistry, surgery and abattoir activities may be a source of prion spread. For instance, prion-contaminated intracerebrally implanted electrodes can transmit CJD in humans (Bernoulli et al., 1977;Gibbs et al., 1994), and stainless steel suture wires exposed to scrapie can efficiently transmit the infection to indicator mice (Flechsig et al., 2001;Zobeley et al., 1999) and in this context can be used as transfer vehicles in bioassays for prion infectivity (Fichet et al., 2004;Lemmer et al., 2004;Yan et al., 2004). To minimize the risk of prion transmission, it is important to devise novel methods of disinfecting stainless steel instruments and materials (Baier et al., 2004; Fichet et al., 2004;Jackson et al., 2005; MullerHellwig et al., 2006;Peretz et al., 2006;Race & Raymond, 2004;Yan et al., 2004), as many existing decontamination methods may damage the instrumentation (Brown et al., 2005). Howe...