Susceptibility or resistance to prion infection in humans and animals depends on single prion protein (PrP) amino acid substitutions in the host, but the agent's modulating role has not been well investigated. Compared to disease incubation times in wild-type homozygous ARQ/ARQ (where each triplet represents the amino acids at codons 136, 154, and 171, respectively) sheep, scrapie susceptibility is reduced to near resistance in ARR/ARR animals while it is strongly enhanced in VRQ/VRQ carriers. Heterozygous ARR/VRQ animals exhibit delayed incubation periods. In bovine spongiform encephalopathy (BSE) infection, the polymorphism effect is quite different although the ARR allotype remains the least susceptible. In this study, T ransmissible spongiform encephalopathies (TSEs), or prion diseases, are fatal neurological diseases occurring in some mammalian species, including humans. The TSE agent or prion is characterized by the pivotal role of the host prion protein (PrP) that in disease appears aggregated and structurally abnormal and is named PrP Sc , where "Sc" refers to scrapie in small ruminants, which was recognized in the 18th century in Spanish Merino sheep (1). In healthy situations PrP is a cellular membrane protein (PrP C ) and fully susceptible to proteases, while its PrP Sc isoform is partially resistant to digestion with proteinase K (PK), usually leading to an N-terminally shortened protein called PrP res that still retains the associated infectivity (2-4).From many studies it is obvious that TSEs occur in distinct phenotypic forms that are recognized as TSE or prion disease types, such as classical scrapie in sheep and goat, Creutzfeldt-Jakob disease in humans, chronic wasting disease in cervids, and bovine spongiform encephalopathy (BSE) in cattle (5-15). In the experimental situation, these types can be considered strains when they are subpassaged to homogeneity in rodent bioassays (16)(17)(18)(19)(20). Susceptibility (and resistance) to animal and human prion diseases, either under infectious or spontaneous conditions, is dependent on single amino acid substitutions in the host's PrP sequence. In most species such substitutions are naturally occurring polymorphisms (7,10,(21)(22)(23)(24).In sheep two PrP polymorphisms in the PrP sequence, V 136 and R 171 (where V is valine and R is arginine, according to the singleletter code used by the IUPAC-IUB Joint Commission on Biochemical Nomenclature), provide, respectively, high and very low susceptibilities to natural scrapie compared to the homozygous