The experimental study of prions requires a model for their propagation. However, because prions lack nucleic acids, the simple techniques used to replicate the propagation of bacteria and viruses are not applicable. For much of the history of prion research, time-consuming bioassays in animals were the only option for measuring infectivity. Although cell models and other in vitro tools for the propagation of prions have been developed, they all suffer limitations, and animal bioassays remain the gold standard for measuring infectivity. A wealth of recent data suggests that β-amyloid (Aβ) and tau proteins, which aggregate in Alzheimer’s disease, and α-synuclein, which aggregates in Parkinson’s disease, also become prions. Cell and animal models that recapitulate some of the key features of cell-to-cell spreading of these additional prions have been developed.
The unusual resistance of prions to inactivation was an early indication that they represented a different class of infectious agents to bacteria or viruses. Incomplete inactivation of prions has led to medically induced, or iatrogenic, Creutzfeldt–Jakob disease (CJD). Worldwide, the number of elderly individuals who undergo surgery has increased, and due to the unusually long asymptomatic phase of CJD, there are a growing number of cases in which surgical instruments are used on an asymptomatic patient and then reused repeatedly before a CJD diagnosis is confirmed. Recent data suggesting the potential for iatrogenic transmission of Aβ amyloidosis has raised renewed interest in the field of prion inactivation.