Friday, April 15, 2016
Whole Blood Gene Expression Profiling in Preclinical and Clinical Cattle 
Infected with Atypical Bovine Spongiform Encephalopathy 
Elena Xerxa, Maura Barbisin, Maria Novella Chieppa, Helena Krmac, Elena 
Vallino Costassa, Paolo Vatta, Marion Simmons, Maria Caramelli, Cristina 
Casalone, Cristiano Corona, Giuseppe Legname 
PLOS
Published: April 13, 2016 • http://dx.doi.org/10.1371/journal.pone.0153425 
Abstract 
Prion diseases, such as bovine spongiform encephalopathies (BSE), are 
transmissible neurodegenerative disorders affecting humans and a wide variety of 
mammals. Variant Creutzfeldt-Jakob disease (vCJD), a prion disease in humans, 
has been linked to exposure to BSE prions. This classical BSE (cBSE) is now 
rapidly disappearing as a result of appropriate measures to control animal 
feeding. Besides cBSE, two atypical forms (named H- and L-type BSE) have 
recently been described in Europe, Japan, and North America. Here we describe 
the first wide-spectrum microarray analysis in whole blood of atypical 
BSE-infected cattle. Transcriptome changes in infected animals were analyzed 
prior to and after the onset of clinical signs. The microarray analysis revealed 
gene expression changes in blood prior to the appearance of the clinical signs 
and during the progression of the disease. A set of 32 differentially expressed 
genes was found to be in common between clinical and preclinical stages and 
showed a very similar expression pattern in the two phases. A 22-gene signature 
showed an oscillating pattern of expression, being differentially expressed in 
the preclinical stage and then going back to control levels in the symptomatic 
phase. One gene, SEL1L3, was downregulated during the progression of the 
disease. Most of the studies performed up to date utilized various tissues, 
which are not suitable for a rapid analysis of infected animals and patients. 
Our findings suggest the intriguing possibility to take advantage of whole blood 
RNA transcriptional profiling for the preclinical identification of prion 
infection. Further, this study highlighted several pathways, such as immune 
response and metabolism that may play an important role in peripheral prion 
pathogenesis. Finally, the gene expression changes identified in the present 
study may be further investigated as a fingerprint for monitoring the 
progression of disease and for developing targeted therapeutic interventions. 
snip... 
Discussion Whole blood is the most suitable tissue for a prospective rapid 
diagnostic test since it minimizes sample handling artifacts and reduces sample 
variability due to fractionation. The present study revealed a substantial gene 
expression alteration in whole blood from atypical BSE-infected cattle, which 
could be investigated in future experiments and, if confirmed, could be 
exploited as a signature for the disease. One of the major caveats in using 
peripheral blood is that its cellular components may change dramatically during 
infections or inflammation. The animals used in the present study did not show 
any apparent side pathology, they were monitored daily by the husbandry staff 
and their blood was examined for serum aspartate aminotransferase (AST), 
creatine kinase (CK) and manganese [23]. Nonetheless, possible interference due 
to hidden pathologies or to inter-individual variations in hematocrit and white 
blood cell count may affect interpretation of expression data and should be 
considered as an important variable in future studies. In light of this, the 
present results should be read as a first exploration of whole blood 
transcriptomics during a prion infection. To our knowledge, this is the first 
microarray study of whole blood from BSE-infected cattle. Indeed, in a study 
published by Panelli et al. [36], fractionated white blood cells were analyzed 
to detect gene expression changes in L-type infected animals. Very few DEGs are 
common between the two studies. However, this discrepancy may be explained by 
different infection methods, microarray platforms, statistical analysis 
stringency and p value cut-off. Also, the white cells used in the study of 
Panelli et al. were isolated from 1 year post-infection animals, while in our 
study we used whole blood from preclinical and clinical infected cattle (around 
6 months and 22–26 post-infection respectively).
In the present study, 4 statistical comparisons were performed: infected 
(preclinical and clinical) versus control (IvsCtrl), preclinical versus control 
(PvsCtrl), clinical versus control (CvsCtrl) and clinical versus preclinical 
(CvsP) comparisons. Since our goal was to find a common pattern among all the 
atypical BSE-infected cattle, we defined them as a single group of infected 
(H-type and L-type) animals. Indeed, as published by Konold and colleagues [23], 
these animals shared a very similar phenotype in terms of behavioral and 
clinical signs. Also, another study by Priemer and colleagues indicated a large 
similarity at level of PrPSc anatomical distribution for the atypical strains, 
with only slight differences in the overall intensities between H- and L-type 
[27]. Nonetheless, even if H- and L-type BSE are reported to share many 
similarities, they constitute two distinct BSE variants which are characterized 
by a different electrophoretic mobility of PrPSc unglycosylated moiety after 
proteinase K (PK) digestion [16, 18]. Statistical comparison between the 4 
H-type and the 4 L-type infected animals was carried out in preliminary analyses 
(see S4 Table), but only a limited number of DEGs was found. Among them, only 15 
had a p value lower than 0.01 and only 16 showed a fold change higher than 3, 
indicating that, at least in terms of number of DEGs, these two groups did not 
display large differences. For these reasons, we decided to focus our attention 
on finding a common gene pattern among all the atypical BSE-infected cattle and 
therefore we pooled the two groups. Due to the high inter-animal variability, 
which is expected for outbreed animals, further studies in larger animal cohorts 
would be required to investigate in detail the strain-specific gene expression 
changes occurring during the progression of the disease. Still, the HvsL 
analysis can be used as a sort of internal control in this study.
Another aspect to be taken into account when reading the present results is 
that additional negative control cattle, aged from 12 to 37 months and derived 
from a different herd compared to the Konold’s study groups [23], were 
introduced in the analyses. The addition of these controls was useful to balance 
the samples from infected animals and allowed a preliminary exploration of the 
differentially expressed transcripts. However, age-related and environmental 
variability may have affected in some degree the data and need to be considered 
for their correct interpretation. Despite some limitations, since several 
statistical analyses were performed (including the CvsP analysis, in which all 
the animals derived from the same herd) a cross comparison of all them, as we 
did with the Venn Diagram, may be very useful in order to define a set of genes 
which could be a good starting point for further validation experiments in the 
future. In the first statistical analysis we performed (IvsC), we found that 
among 101 DEGs, 93 had known functions and were involved in several biological 
processes and molecular pathways, such as autoimmune thyroiditis, chemokine and 
cytokine activity, regulation of the secretion pathway, the immune system and 
antigen presentation[52]. Previous studies on CNS tissues from BSE-infected 
animals also showed the involvement of many of these pathways in prion 
pathogenesis [4, 35, 52]. This similarity between brain and blood may not be 
surprising, since it has been shown in the literature that blood transcriptome 
analyses identify genes that are relevant to the pathological processes 
occurring in the CNS [53]. Indeed, measuring disease-related gene expression in 
peripheral blood may be a useful proxy measure for gene expression in the CNS 
[53, 54].
To characterize the gene expression profile in the preclinical and clinical 
stages, we performed the PvsCtrl and the CvsCtrl statistical comparisons. We 
found that 113 probe sets were differentially regulated in the preclinical stage 
of the disease, while 207 probe sets had an altered expression in the clinical 
phase. Importantly, the present results indicated that, at least in blood, a 
consistent gene expression alteration is present from the early stages of the 
disease. This finding is in agreement with microarray analysis carried out by 
Tang et al., which revealed the highest degree of differential gene regulation 
in brains of cBSE-infected cattle at 21 months post infection, which is prior to 
the detection of infectivity [4]. Also, Tortosa and colleagues found a 
significant number of DEGs at early stages of the disease in the CNS from 
cBSE-infected transgenic mice [52].
Venn diagram analysis revealed that 32 DEGs were in common between the 
clinical and preclinical groups and, remarkably, they had a very similar pattern 
of expression in both stages of the disease. Since these genes are altered in 
both phases, it would be very interesting to confirm their differential 
expression in future experiments with additional negative controls, and 
eventually in blood from human patients.
Based on GO enrichment analysis, we found that immunity and inflammation 
processes were strongly involved during the progression of the disease stages. 
Interestingly, we found that antigen processing and presentation via MHC (major 
histocompatibility complex) molecules and the autoimmune thyroiditis pathway 
were significantly altered in atypical BSE-challenged animals. The majority of 
MHC class I molecule coding-genes were down-regulated in infected cattle (three 
out of four probes) and, also, MHC class II molecule coding transcripts were 
found to be down-regulated during the progression of the clinical signs (four 
out of four probes were down-regulated in the CvsP comparison). The involvement 
of MHC transcripts in prion pathogenesis is supported by another microarray 
study published by Khaniya and colleagues in 2009 [55]. In line with the trend 
found by the microarray analysis, the RT-qPCR validation experiments indicated a 
downregulation for MHC class I heavy chain (BOLA), even though the results 
failed to reach the statistical significance (data not shown).
Regarding the autoimmune thyroiditis pathway, it is well known in the 
literature that Hashimoto’s encephalitis, together with the associated 
thyroiditis, is a differential diagnosis for CJD, since the two pathologies 
share a very similar clinical symptomatology [56]. As hypothesized previously by 
Prusiner and colleagues, the clinical and neuropathological similarities between 
CJD and Hashimoto’s thyroiditis raise the possibility that protein misprocessing 
may underlie both neurodegenerative and autoimmune diseases [57].
Finally, a fourth statistical analysis was performed to identify any 
specific changes between the clinical and the preclinical stages of disease 
(CvsP). Indeed, we found that the last phases of the disease are accompanied by 
the overactivation of several genes involved in the immune defense response. In 
particular, the shift from the preclinical towards the clinical stage was 
characterized by the upregulation of genes involved in B cell proliferation and 
the ISG15 (IFN-induced 15-kDa protein) conjugation system. ISG15 is a 
ubiquitin-like molecule that is tightly regulated by specific innate immunity 
signaling pathways [58]. Interestingly, it has been shown in the literature that 
this protein is over-activated in the spinal cord of amyotrophic lateral 
sclerosis mice models [59] and it has been indicated as a general marker for 
both acute and chronic neuronal injuries [60].
To further analyze the data, we compared the list of DEGs found in PvsCtrl, 
CvsP and CvsCtrl and found 22 genes with an oscillatory pattern of expression, 
being differentially expressed in the preclinical stage and then going back 
roughly to the control level in the clinical stage. Interestingly, some of the 
oscillatory DEGs are involved in regulation of transcription, thus suggesting 
that the gene expression during atypical BSE infection is tightly regulated. 
Venn diagram analysis revealed that one gene, SEL1L3, was down-regulated in all 
the comparisons (PvsCtrl, CvsCtrl, CvsP). SEL1L3 codes for a transmembrane 
protein whose function is unknown. Interestingly, an important paralog of 
SEL1L3, SEL1L, is involved in the retrotranslocation of misfolded proteins from 
the lumen of the endoplasmic reticulum to the cytosol, where they are degraded 
by the proteasome in an ubiquitin-dependent manner [61]. Therefore, we could 
hypothesize that its down-regulation in prion infected animals would lead to a 
reduced degradation of PrPSc, thus supporting the progression of the disease. We 
validated this gene by RT-qPCR, confirming its downregulation in both the 
preclinical and clinical stages of the disease. Further investigation on the 
function of SEL1L3L would be of great interest since this gene may play an 
important role in prion disease and maybe other neurodegenerative 
illnesses.
Besides SEL1L3, five other genes were validated by RT-qPCR; here we will 
briefly discuss how these genes may be involved in prion pathogenesis and in 
host response to prion infection.
GNLY and CD40L were found to be down-regulated in both preclinical and 
clinical stages. GNLY is a powerful antimicrobial protein contained within the 
granules of cytotoxic T lymphocyte and natural killer cells. This gene was found 
to be downregulated also in a microarray study performed on the medulla 
oblongata from sheep with preclinical natural scrapie [62]. Thus, it may be a 
good candidate as an early biomarker for atypical BSE but also for other prion 
diseases.
CD40–CD40L interactions mediate a broad variety of immune and inflammatory 
responses and have been implicated in the pathogenesis of Alzheimer’s disease 
(AD) [63, 64]. Although the importance of CD40L in prion disease progression has 
not yet been clarified (66–68), its downregulation in blood during both 
preclinical and clinical stages of atypical BSE-infection suggests that prion 
infection has an impact on the host immune system response and that immune 
tolerance may be an active process induced by prions.
Two other downregulated genes were validated by RT-qPCR, namely HBA2 and 
XIST. Concerning HBA2, we found a downregulation in preclinical atypical 
BSE-infected cattle. Haemoglobins are iron-containing proteins that transport 
oxygen in the blood of most vertebrates. Beside blood, HBA and HBB are also 
expressed in mesencephalic dopaminergic neurons and glial cells [65] and are 
down regulated in AD, PD and other neurodegenerative diseases [66]. Haemoglobin 
genes expression alteration during preclinical scrapie was also found in the 
spleen and CNS of infected animals [67, 68], as well as in the brains of 
nonhuman primates infected with BSE [51]. These findings suggest an involvement 
of these genes in the host response to general neurodegenerative processes. 
Besides changes in transcript levels, it has been found that both HbA and HbB 
protein distribution is altered in mitochondrial fractions from PD degenerating 
brain [69]. Moreover, HbA is also expressed in endothelial cells, where it 
regulates the nitric oxide signaling [70]. Even though a clear mechanism linking 
these molecules to neurodegeneration has not yet been described, taken together 
these findings strongly suggest a central role for haemoglobin in 
neurodegenerative processes.
A marked downregulation in XIST expression was found in our infected 
animals. XIST is a gene located on X chromosomes which codes for a long 
non-coding RNA (LncRNA) involved in X-chromosome dosage control [71, 72]. 
LncRNAs are emerging as useful biomarkers for neurodegenerative diseases such as 
AD [73] and other disease processes [74], and they can be easily detected in 
blood and urine from patients. In addition, we cannot exclude the possibility 
that the alteration in XIST expression may have some role in gender-dependent 
response to prion infection [75].
RT-qPCR experiments confirmed the upregulation of PDK4 in clinically 
affected animals. PDK4 encodes for a mitochondrial protein involved in glucose 
metabolism through the inhibition of pyruvate dehydrogenase complex, which leads 
to a reduction in pyruvate conversion to acetyl-CoA [76]. In the literature, a 
key role has been suggested for acetyl-CoA fueling for the survival of 
cholinergic neurons in the course of neurodegenerative diseases [77]. PDK4 
overactivation can lead to a switch from glucose catabolism to fatty acid 
utilization [78], thus increasing the production of ketone bodies. Notably, it 
has been shown in the literature that these molecules are able to cross the 
blood brain barrier. We could speculate that in prion infection (or at least in 
atypical BSE infection) the concentration of ketone bodies would rise in blood, 
as a consequence of PDK4 upregulation, and act in the brain as neuroprotective 
molecules [79, 80]. This would be an attempt by the organism to prevent the 
neurodegeneration induced by prions. 
 snip... 
 Conclusions In conclusion, the present study has led to the identification 
of several gene expression changes in whole blood from clinical and preclinical 
atypical BSE cattle, which upon further investigation and validation in blood 
from human patients, might represent a molecular fingerprint to characterize 
this disease. By comparing our results with other studies on various animal 
prion diseases, we observed that some of the most significantly altered DEGs we 
found in blood were found differentially expressed also in brain tissue from 
BSE-infected cattle; this observation indicates that whole blood transcriptome 
analyses may serve as a proxy measure for the changes occurring in the CNS of 
infected animals. Furthermore, our study underlines the importance of utilizing 
whole blood, without any additional manipulation, as a source tissue as it is an 
easily accessible body fluid. In addition, the transcription regulation 
activated in atypical BSE infections is similar to some extent to the one 
observed in the literature for cBSE, even though the clinical characteristics 
and biochemical properties are very different. Thus, this gene expression 
profile may be investigated in other BSE infections to identify a common 
molecular fingerprint.
Overall, our study confirmed the differential expression of 6 genes (XIST, 
CD40L, GNLY, PDK4, HBA2 and SEL1L3), which may play several roles in atypical 
BSE pathogenesis and, possibly, in other prion infections. Indeed, they are 
involved in multiple pathways such as immune response, inflammation, and glucose 
catabolism. Even though further studies are required to investigate the specific 
involvement of all the identified genes in prion diseases, our data indicate an 
important role for immune system regulation in the prion pathogenesis of 
atypical BSE and maybe in BSE as well as in other prion diseases in general. 
Wednesday, September 23, 2015 
NIH Availability for Licensing AGENCY: [FR Doc. 2015–24117 Filed 9–22–15; 
8:45 am] Detection and Discrimination of Classical and Atypical L-Type BSE 
Strains by RT-QuIC 
Monday, March 19, 2012 
Infectivity in Skeletal Muscle of Cattle with Atypical Bovine Spongiform 
Encephalopathy PLoS One. 2012; 7(2): e31449. 
2015-2016 
***********OCTOBER 2015************* 
*** PRION 2015 ORAL AND POSTER CONGRESSIONAL ABSTRACTS ***
THANK YOU PRION 2015 TAYLOR & FRANCIS, Professor Chernoff, and 
Professor Aguzzi et al, for making these PRION 2015 Congressional Poster and 
Oral Abstracts available freely to the public. ...Terry S. Singeltary Sr. 
O.05: Transmission of prions to primates after extended silent incubation 
periods: Implications for BSE and scrapie risk assessment in human populations 
Emmanuel Comoy, Jacqueline Mikol, Val erie Durand, Sophie Luccantoni, 
Evelyne Correia, Nathalie Lescoutra, Capucine Dehen, and Jean-Philippe Deslys 
Atomic Energy Commission; Fontenay-aux-Roses, France 
Prion diseases (PD) are the unique neurodegenerative proteinopathies 
reputed to be transmissible under field conditions since decades. The 
transmission of Bovine Spongiform Encephalopathy (BSE) to humans evidenced that 
an animal PD might be zoonotic under appropriate conditions. Contrarily, in the 
absence of obvious (epidemiological or experimental) elements supporting a 
transmission or genetic predispositions, PD, like the other proteinopathies, are 
reputed to occur spontaneously (atpical animal prion strains, sporadic CJD 
summing 80% of human prion cases). Non-human primate models provided the first 
evidences supporting the transmissibiity of human prion strains and the zoonotic 
potential of BSE. Among them, cynomolgus macaques brought major information for 
BSE risk assessment for human health (Chen, 2014), according to their 
phylogenetic proximity to humans and extended lifetime. We used this model to 
assess the zoonotic potential of other animal PD from bovine, ovine and cervid 
origins even after very long silent incubation periods. ***We recently observed 
the direct transmission of a natural classical scrapie isolate to macaque after 
a 10-year silent incubation period, with features similar to some reported for 
human cases of sporadic CJD, albeit requiring fourfold longe incubation than 
BSE. ***Scrapie, as recently evoked in humanized mice (Cassard, 2014), is the 
third potentially zoonotic PD (with BSE and L-type BSE), ***thus questioning the 
origin of human sporadic cases. We will present an updated panorama of our 
different transmission studies and discuss the implications of such extended 
incubation periods on risk assessment of animal PD for human health.
===============
***thus questioning the origin of human sporadic cases...
===============
***Our study demonstrates susceptibility of adult cattle to oral 
transmission of classical BSE. *** 
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. *** 
P.86: Estimating the risk of transmission of BSE and scrapie to ruminants 
and humans by protein misfolding cyclic amplification
Morikazu Imamura, Naoko Tabeta, Yoshifumi Iwamaru, and Yuichi Murayama 
National Institute of Animal Health; Tsukuba, Japan
To assess the risk of the transmission of ruminant prions to ruminants and 
humans at the molecular level, we investigated the ability of abnormal prion 
protein (PrPSc) of typical and atypical BSEs (L-type and H-type) and typical 
scrapie to convert normal prion protein (PrPC) from bovine, ovine, and human to 
proteinase K-resistant PrPSc-like form (PrPres) using serial protein misfolding 
cyclic amplification (PMCA).
Six rounds of serial PMCA was performed using 10% brain homogenates from 
transgenic mice expressing bovine, ovine or human PrPC in combination with PrPSc 
seed from typical and atypical BSE- or typical scrapie-infected brain 
homogenates from native host species. In the conventional PMCA, the conversion 
of PrPC to PrPres was observed only when the species of PrPC source and PrPSc 
seed matched. However, in the PMCA with supplements (digitonin, synthetic polyA 
and heparin), both bovine and ovine PrPC were converted by PrPSc from all tested 
prion strains. On the other hand, human PrPC was converted by PrPSc from typical 
and H-type BSE in this PMCA condition.
Although these results were not compatible with the previous reports 
describing the lack of transmissibility of H-type BSE to ovine and human 
transgenic mice, ***our findings suggest that possible transmission risk of 
H-type BSE to sheep and human. Bioassay will be required to determine whether 
the PMCA products are infectious to these animals.
================
==========================================
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. Bioassay will be required to determine whether the PMCA 
products are infectious to these animals.
========================================== 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Transmission of scrapie prions to primate after an extended silent 
incubation period 
Authors 
item Comoy, Emmanuel - item Mikol, Jacqueline - item Luccantoni-Freire, 
Sophie - item Correia, Evelyne - item Lescoutra-Etchegaray, Nathalie - item 
Durand, Valérie - item Dehen, Capucine - item Andreoletti, Olivier - item 
Casalone, Cristina - item Richt, Juergen item Greenlee, Justin item Baron, 
Thierry - item Benestad, Sylvie - item Hills, Bob - item Brown, Paul - item 
Deslys, Jean-Philippe - 
Submitted to: Scientific Reports Publication Type: Peer Reviewed Journal 
Publication Acceptance Date: May 28, 2015 Publication Date: June 30, 2015 
Citation: Comoy, E.E., Mikol, J., Luccantoni-Freire, S., Correia, E., 
Lescoutra-Etchegaray, N., Durand, V., Dehen, C., Andreoletti, O., Casalone, C., 
Richt, J.A., Greenlee, J.J., Baron, T., Benestad, S., Brown, P., Deslys, J. 
2015. Transmission of scrapie prions to primate after an extended silent 
incubation period. Scientific Reports. 5:11573. 
Interpretive Summary: 
The transmissible spongiform encephalopathies (also called prion diseases) 
are fatal neurodegenerative diseases that affect animals and humans. The agent 
of prion diseases is a misfolded form of the prion protein that is resistant to 
breakdown by the host cells. Since all mammals express prion protein on the 
surface of various cells such as neurons, all mammals are, in theory, capable of 
replicating prion diseases. One example of a prion disease, bovine spongiform 
encephalopathy (BSE; also called mad cow disease), has been shown to infect 
cattle, sheep, exotic undulates, cats, non-human primates, and humans when the 
new host is exposed to feeds or foods contaminated with the disease agent. The 
purpose of this study was to test whether non-human primates (cynomologous 
macaque) are susceptible to the agent of sheep scrapie. After an incubation 
period of approximately 10 years a macaque developed progressive clinical signs 
suggestive of neurologic disease. Upon postmortem examination and microscopic 
examination of tissues, there was a widespread distribution of lesions 
consistent with a transmissible spongiform encephalopathy. This information will 
have a scientific impact since it is the first study that demonstrates the 
transmission of scrapie to a non-human primate with a close genetic relationship 
to humans. This information is especially useful to regulatory officials and 
those involved with risk assessment of the potential transmission of animal 
prion diseases to humans. 
Technical Abstract: 
Classical bovine spongiform encephalopathy (c-BSE) is an animal prion 
disease that also causes variant Creutzfeldt-Jakob disease in humans. Over the 
past decades, c-BSE's zoonotic potential has been the driving force in 
establishing extensive protective measures for animal and human health. In 
complement to the recent demonstration that humanized mice are susceptible to 
scrapie, we report here the first observation of direct transmission of a 
natural classical scrapie isolate to a macaque after a 10-year incubation 
period. Neuropathologic examination revealed all of the features of a prion 
disease: spongiform change, neuronal loss, and accumulation of PrPres throughout 
the CNS. 
***This observation strengthens the questioning of the harmlessness of 
scrapie to humans, at a time when protective measures for human and animal 
health are being dismantled and reduced as c-BSE is considered controlled and 
being eradicated. Our results underscore the importance of precautionary and 
protective measures and the necessity for long-term experimental transmission 
studies to assess the zoonotic potential of other animal prion strains. 
***This information will have a scientific impact since it is the first 
study that demonstrates the transmission of scrapie to a non-human primate with 
a close genetic relationship to humans. This information is especially useful to 
regulatory officials and those involved with risk assessment of the potential 
transmission of animal prion diseases to humans. 
***This observation strengthens the questioning of the harmlessness of 
scrapie to humans, at a time when protective measures for human and animal 
health are being dismantled and reduced as c-BSE is considered controlled and 
being eradicated. Our results underscore the importance of precautionary and 
protective measures and the necessity for long-term experimental transmission 
studies to assess the zoonotic potential of other animal prion strains. 
PRION 2015 CONFERENCE FT. COLLINS CWD RISK FACTORS TO HUMANS 
*** LATE-BREAKING ABSTRACTS PRION 2015 CONFERENCE ***
O18
Zoonotic Potential of CWD Prions
Liuting Qing1, Ignazio Cali1,2, Jue Yuan1, Shenghai Huang3, Diane Kofskey1, 
Pierluigi Gambetti1, Wenquan Zou1, Qingzhong Kong1 1Case Western Reserve 
University, Cleveland, Ohio, USA, 2Second University of Naples, Naples, Italy, 
3Encore Health Resources, Houston, Texas, USA
*** These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection. 
================== 
***These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection.*** 
================== 
P.105: RT-QuIC models trans-species prion transmission
Kristen Davenport, Davin Henderson, Candace Mathiason, and Edward Hoover 
Prion Research Center; Colorado State University; Fort Collins, CO USA 
Conversely, FSE maintained sufficient BSE characteristics to more 
efficiently convert bovine rPrP than feline rPrP. Additionally, human rPrP was 
competent for conversion by CWD and fCWD. 
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated.
================
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated.***
================ 
*** PRICE OF CWD TSE PRION POKER GOES UP 2014 *** 
Transmissible Spongiform Encephalopathy TSE PRION update January 2, 2014 
*** chronic wasting disease, there was no absolute barrier to conversion of 
the human prion protein. 
*** Furthermore, the form of human PrPres produced in this in vitro assay 
when seeded with CWD, resembles that found in the most common human prion 
disease, namely sCJD of the MM1 subtype. 
*** These results would seem to suggest that CWD does indeed have zoonotic 
potential, at least as judged by the compatibility of CWD prions and their human 
PrPC target. Furthermore, extrapolation from this simple in vitro assay suggests 
that if zoonotic CWD occurred, it would most likely effect those of the PRNP 
codon 129-MM genotype and that the PrPres type would be similar to that found in 
the most common subtype of sCJD (MM1).*** 
*** The potential impact of prion diseases on human health was greatly 
magnified by the recognition that interspecies transfer of BSE to humans by beef 
ingestion resulted in vCJD. While changes in animal feed constituents and 
slaughter practices appear to have curtailed vCJD, there is concern that CWD of 
free-ranging deer and elk in the U.S. might also cross the species barrier. 
Thus, consuming venison could be a source of human prion disease. Whether BSE 
and CWD represent interspecies scrapie transfer or are newly arisen prion 
diseases is unknown. Therefore, the possibility of transmission of prion disease 
through other food animals cannot be ruled out. There is evidence that vCJD can 
be transmitted through blood transfusion. There is likely a pool of unknown size 
of asymptomatic individuals infected with vCJD, and there may be asymptomatic 
individuals infected with the CWD equivalent. These circumstances represent a 
potential threat to blood, blood products, and plasma supplies. 
Tuesday, April 12, 2016 
The first detection of Chronic Wasting Disease (CWD) in Europe Norway
Thursday, January 29, 2015 
Atypical H-TYPE BSE Case Confirmed in Norway 
Monday, April 11, 2016 
***DECLARATION OF EXTRAORDINARY EMERGENCY DUE TO A FOREIGN ANIMAL DISEASE 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHY TSE PRION CHRONIC WASTING DISEASE CWD IN 
THE UNITED STATES AND NORTH AMERICA ? ***
MAD SHEEP OF MAD RIVER VALLEY AND THE USDA ‘FALSE FLAG’ WAR ON THAT FAMILY, 
AND WHY TODAY A DECLARATION OF EXTRAORDINARY EMERGENCY DUE TO A FOREIGN ANIMAL 
DISEASE TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHY TSE PRION CHRONIC WASTING 
DISEASE CWD IN THE UNITED STATES AND NORTH AMERICA MUST BE CALLED FOR !!!
Friday, February 20, 2015 
***APHIS Freedom of Information Act (FOIA) Appeal Mouse Bio-Assays 
2007-00030-A Sheep Imported From Belgium and the Presence of TSE Prion Disease 
Kevin Shea to Singeltary 2015
http://transmissiblespongiformencephalopathy.blogspot.com/2015/02/aphis-freedom-of-information-act-foia.html 
http://www.amazon.com/Mad-Sheep-Story-behind-Family/dp/1933392762
Friday, March 18, 2016 CFSAN 
Constituent Update: FDA Announces Final Rule on Bovine Spongiform 
Encephalopathy BSE MAD COW TSE PRION Center for Food Safety and Applied 
Nutrition - Constituent Update 
Tuesday, March 15, 2016 
*** Docket No. FDA-2016-N-0321 Risk Assessment of Foodborne Illness 
Associated with Pathogens from Produce Grown in Fields Amended with Untreated 
Biological Soil Amendments of Animal Origin; Request for Comments, Scientific 
Data, and Information Singeltary Submission ***
Monday, March 28, 2016 
National Scrapie Eradication Program February 2016 Monthly Report
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Monday, November 16, 2015 
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Saturday, July 18, 2015 
SPONTANEOUS TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHY TSE PRION AKA MAD COW 
TYPE DISEASE, DOES IT EXIST NATURALLY IN THE FIELD? 
SPONTANEOUS TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHY TSE PRION AKA MAD COW 
TYPE DISEASE, DOES IT EXIST NATURALLY IN THE FIELD? 
*** We describe the transmission of spongiform encephalopathy in a 
non-human primate inoculated 10 years earlier with a strain of sheep c-scrapie. 
Because of this extended incubation period in a facility in which other prion 
diseases are under study, we are obliged to consider two alternative 
possibilities that might explain its occurrence. 
We first considered the possibility of a sporadic origin (like CJD in 
humans). Such an event is extremely improbable because the inoculated animal was 
14 years old when the clinical signs appeared, i.e. about 40% through the 
expected natural lifetime of this species, compared to a peak age incidence of 
60–65 years in human sporadic CJD, or about 80% through their expected 
lifetimes. 
***Moreover, sporadic disease has never been observed in breeding colonies 
or primate research laboratories, most notably among hundreds of animals over 
several decades of study at the National Institutes of Health25, and in nearly 
twenty older animals continuously housed in our own facility.*** 
Epidemiology | Neurological manifestations | Prion diseases Received: 16 
February 2015 Accepted: 28 May 2015 Published online: 30 June 2015 
Transmission of scrapie prions to primate after an extended silent 
incubation period 
 SPONTANEOUS ATYPICAL BSE (LOL!) 
 Thursday, March 24, 2016 
FRANCE CONFIRMS BOVINE SPONGIFORM ENCEPHALOPATHY BSE MAD COW (ESB) chez une 
vache dans les Ardennes 
Sunday, October 5, 2014
France stops BSE testing for Mad Cow Disease
***atypical spontaneous BSE in France LOL*** 
FRANCE STOPS TESTING FOR MAD COW DISEASE BSE, and here’s why, to many 
spontaneous events of mad cow disease $$$ 
If you Compare France to other Countries with atypical BSE, in my opinion, 
you cannot explain this with ‘spontaneous’. 
Table 1: Number of Atypical BSE cases reported by EU Member States in the 
period 2001–2014 by country and by type (L- and H-BSE) (extracted from EU BSE 
databases on 1 July 2014). By 2015, these data might be more comprehensive 
following a request from the European Commission to Member States for re-testing 
and retrospective classification of all positive bovine isolates in the EU in 
the years 2003–2009
BSE type
Country 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013(a) 
2014(a) Total
H-BSE Austria 1 1
France(b) 1 2 3 1 2 2 2 2 15
Germany 1 1 2
Ireland 1 1 2 1 5
The Netherlands 1 1
Poland 1 1 2
Portugal 1 1
Spain 1 1 2
Sweden 1 1
United Kingdom 1 1 1 1 1 5
Total 2 3 3 1 1 2 2 2 4 4 5 1 4 1 35
L-BSE Austria 1 1 2
Denmark 1 1
France(b) 1 1 1 1 2 1 3 2 1 1 14
Germany 1 1 2
Italy 1 1 1 1 1 5
The Netherlands 1 1 1 3
Poland 1 2 2 1 2 1 2 1 12
Spain 2 2
United Kingdom 1 1 1 1 4
Total 0 5 3 4 3 3 6 3 3 4 3 6 1 1 45
Total Atypical cases (H + L)
2 8 6 5 4 5 8 5 7 8 8 7 5 2 80
(a): Data for 2013-2014 are incomplete and may not include all 
cases/countries reported.
(b): France has performed extensive retrospective testing to classify BSE 
cases, which is probably the explanation for the higher number of Atypical BSE 
cases reported in this country. 
The number of Atypical BSE cases detected in countries that have already 
identified them seems to be similar from year to year. In France, a 
retrospective study of all TSE-positive cattle identified through the compulsory 
EU surveillance between 2001 and 2007 indicated that the prevalence of H-BSE and 
L-BSE was 0.35 and 0.41 cases per million adult cattle tested, respectively, 
which increased to 1.9 and 1.7 cases per million, respectively, in tested 
animals over eight years old (Biacabe et al., 2008). No comprehensive study on 
the prevalence of Atypical BSE cases has yet been carried out in other EU Member 
States. All cases of Atypical BSE reported in the EU BSE databases have been 
identified by active surveillance testing (59 % in fallen stock, 38 % in healthy 
slaughtered cattle and 4 % in emergency slaughtered cattle). Cases were reported 
in animals over eight years of age, with the exception of two cases (one H-BSE 
and one L-BSE) detected in Spain in 2011/2012. One additional case of H-BSE was 
detected in Switzerland in 2012 in a cow born in Germany in 2005 (Guldimann et 
al., 2012).
Wednesday, July 15, 2015 
Additional BSE TSE prion testing detects pathologic lesion in unusual brain 
location and PrPsc by PMCA only, how many cases have we missed?
*** URGENT UPDATE ON FEED IN THE USA WITH HIGH RISK CWD TSE PRION DEER 
***
Sunday, March 20, 2016 
Docket No. FDA-2003-D-0432 (formerly 03D-0186) Use of Material from Deer 
and Elk in Animal Feed ***UPDATED MARCH 2016*** Singeltary Submission 
Friday, February 05, 2016 
*** Report of the Committee on Wildlife Diseases FY2015 CWD TSE PRION 
Detections in Farmed Cervids and Wild 
Saturday, February 6, 2016 
*** Secretary's Advisory Committee on Animal Health; Meeting [Docket No. 
APHIS-2016-0007] Singeltary Submission 
Thursday, January 14, 2016 
EMERGING ANIMAL DISEASES Actions Needed to Better Position USDA to Address 
Future Risks Report to the Chairman, Committee on Energy and Commerce, House of 
Representatives December 2015 GAO-16-132 
GAO
Saturday, January 9, 2016
Transmission of sheep-bovine spongiform encephalopathy to pigs 
Research article 
Long live the OIE, or time to close the doors on a failed entity?
Long live the OIE 
By Dr. Bernard Vallat, OIE Director General December 29, 2015 | 10:08 am 
EST
Wednesday, April 25, 2012 
4th MAD COW DISEASE U.S.A. CALIFORNIA ATYPICAL L-TYPE BSE 2012 
Saturday, January 29, 2011 
Atypical L-Type Bovine Spongiform Encephalopathy (L-BSE) Transmission to 
Cynomolgus Macaques, a Non-Human Primate 
Monday, September 13, 2010
atypical BSE strains and sporadic CJD strains, is there a connection and 
why shouldn't there be $
Sunday, April 12, 2009 
TRANSMISSION OF ATYPICAL BOVINE SPONGIFORM ENCEPHALOPATHY (BSE) IN 
HUMANIZED MOUSE MODELS 
Wednesday, March 26, 2008
MAD COW DISEASE terminology UK c-BSE (typical), atypical BSE H or L, and or 
Italian L-BASE 
Thursday, January 3, 2008
ANIMAL HEALTH REPORT 2006 (BSE h-BASE EVENT IN ALABAMA, Scrapie, and CWD) 
Thursday, April 14, 2016 
Arizona 22 year old diagnosed with Creutzfeldt Jakob Disease CJD
Saturday, January 16, 2016 
Revised Preventive Measures to Reduce the Possible Risk of Transmission of 
Creutzfeldt-Jakob Disease and Variant Creutzfeldt-Jakob Disease by Blood and 
Blood Products Guidance for Industry 
Thursday, September 10, 2015 
25th Meeting of the Transmissible Spongiform Encephalopathies Advisory 
Committee Food and Drug Administration Silver Spring, Maryland June 1, 2015 
Terry S. Singeltary Sr.
    
