Inherited forms of the human transmissible spongiform encephalopathy Creutzfeldt-Jakob disease (CJD) have been associated with mutations in the normal soluble, protease-sensitive form of the host prion protein (PrP-sen). Normal PrP protein contains five copies of a repeating eight-amino acid region, and PrP molecules with six or more copies of this region are associated with disease in familial CJD. It has been hypothesized that these mutations might facilitate spontaneous formation of the abnormal, aggregated protease-resistant PrP isoform, PrP-res, associated with clinical CJD and other transmissible spongiform encephalopathies (TSE). In the present experiments, hamster PrP molecules with 5 (wild-type), 7, 9, or 11 copies of this repeat region were generated and expressed in mouse fibroblast cells or mouse neuroblastoma cells. In mouse fibroblast cells, mutant hamster PrP molecules expressing 7, 9, and 11 copies of the octapeptide repeat sequence showed altered cell surface expression, but both mutant and wild-type hamster PrP-sen molecules demonstrated abnormal properties of aggregation and increased protease resistance. By contrast in mouse neuroblastoma cells, hamster PrP-sen with 5, 9, and 11 octapeptide repeats were expressed normally on the cell surface, but only PrP-sen molecules with 9 or 11 copies of the repeat motif had abnormal properties of aggregation and increased protease resistance. Overall, regardless of cell type, hamster PrP molecules with greater than 7 octapeptide repeats were more aggregated and more protease-resistant than molecules with 7 repeats or less. However, these abnormal molecules were at least 1000-fold less protease-resistant than bona fide PrP-res derived from TSE-infected brain tissue, and they showed no increased ability to form PrP-res in a cell-free system.The transmissible spongiform encephalopathies (TSE) 1 are a group of rare, neurodegenerative diseases which include scrapie in sheep, bovine spongiform encephalopathy in cattle and kuru, and Gerstmann-Strä ussler-Scheinker syndrome and Creutzfeldt-Jakob disease (CJD) in humans. In humans, TSE disease can occur in iatrogenic, sporadic, and familial forms. Iatrogenic CJD is associated with exposure to CJD contaminated materials such as dura mater, corneal transplants, or cadaver-derived human growth hormone. Sporadic CJD occurs with a worldwide incidence of 1 in 1-2 million. In sporadic CJD there is no known exposure to the infectious CJD agent and the exact cause of disease is unclear (1).Familial TSE are forms of CJD or Gerstmann-Strä usslerScheinker syndrome which vary in disease incubation times and clinical presentation and are associated with both point and insertion mutations in the PrP gene (see Pocchiari (1) for review). The insertion mutations occur in a portion of the PrP gene that has five copies of a repeating eight amino acid region and involve extra copies of this motif (2-7). In families with insertional mutations onset of disease is usually early in life and the disease course is long, sometimes lasting...