“…A major gap exists in our understanding of how conversion of PrP C to PrP Sc causes neuronal dysfunction and death. Various mechanisms have been proposed including synaptic impairment (Senatore et al, 2012), ubiquitin-proteasome system (UPS) dysfunction (Kristiansen et al, 2007), endoplasmic reticulum (ER) stress (Hetz et al, 2003;Rane et al, 2008), toxicity due to the presence of PrP species in the cytosol (Chakrabarti and Hegde, 2009;Kristiansen et al, 2005;Ma et al, 2002), and unfolded protein response induction and translational arrest (Moreno et al, 2012). To assess the contribution of these mechanisms to prion-induced toxicity, it is essential to know the exact cellular trafficking pathways of PrP Sc .…”